7 Things You Need to Know About Enlarged Prostate Surgery
Prostate is a male reproductive system gland located below the bladder right in front of the rectum. During ejaculation prostate secretes a fluid-like substance with a slightly alkali composition intended to make acidic vaginal environment more hospitable to the sperm.
As the male ages, the presence of male hormone testosterone decreases and the levels of female hormone estrogen increase, causing prostate hyperplasia or growth. The enlarged prostate pushes against the bladder causing frequent urges to urinate, though the bladder might not be necessarily full. A lot of symptoms of enlarged prostate result from the impaired function of the bladder, like frequent urges to urinate mostly at night, weak, sometimes delayed or interrupted stream of urine and urge incontinence. In severe cases, complete acute urinary retention, or inability to pass any urine due to obstruction of the tissues might occur. This situation requires immediate medical attention due to its seriousness including enlarged prostate surgery.
Chronic inability to fully empty the bladder puts a patient at a higher risk for urinary tract and bladder infections. Urge incontinence causes a lot of night awakenings resulting in sleep deprivation. In a situation when all the previous treatments have failed, a patient is recommended an enlarged prostate surgery.
Let’s review some of the important facts you need to know before undergoing enlarged prostate surgery:
1. Transurethral surgery is the most common enlarged prostate surgery that is performed by inserting resectoscope tool via the urethra opening in the penis. Resectoscope contains a sharp wire loop that dissects the overgrowing prostate tissue leaving the healthy tissues intact.
2. For severe and extended cases an open enlarged prostate surgery is performed requiring general anesthesia and external incision to be made. This procedure is more invasive and carries more complication risks like prostate infection and greater recovery times.
3. Laser enlarged prostate surgery is an innovative approach in treating this condition. A laser fiber is inserted into the urethra with the help of a cystoscope and delivers several surges of laser energy causing significant shrinkage of the prostate tissue. Laser surgery results in minimal blood loss and faster recovery.
4. Urethral catheterization is required to reinforce the effects of the enlarged prostate surgery. Depending on the extent of the surgical measures, catheterization may be short or long term requiring a urine collection bag to be worn on the outside of the body.
5. Drink lots of fluids after the enlarged prostate surgery to flush out the bladder and reinforce the healing processes.
6. Bleeding is normal after surgery and should subside within a couple of days, although is the bleeding is excessive and you feel a lot of discomfort, bring this to the attention of your surgeon.
7. From 10-15% men might need additional enlarged prostate surgery within the course of 10 years due to additional symptoms of enlarged prostate.