What are the methods of prostate enlargement surgery?

What people often call prostate enlargement is actually prostate hyperplasia, or prostate hypertrophy. Once this disease occurs, patients are likely to experience symptoms of frequent urination and urgency, and sometimes difficulty urinating. In short, this disease is very harmful, and patients must seek treatment as soon as possible. If the condition is more serious, surgical treatment may be required. The following is a detailed introduction to the methods of prostate enlargement surgery.

Prostate enlargement surgery methods:

Surgical treatment for prostate hypertrophy varies from person to person. The surgical methods include: 1. Open surgery: It is very invasive and painful for the patient, and is basically not used in clinical practice; 2. Minimally invasive surgery: Depending on the degree of prostate hyperplasia in the patient, endoscopic electrosurgical resection or plasma bipolar electrosurgical resection can be used; 3. Laser therapy: It is clinically divided into different types such as green laser, red laser, thallium laser, and thorium laser.

Generally, prostatic hyperplasia will cause frequent urination, urgent urination, and even urinary retention, which is obviously harmful to the body. First, it is recommended that you go to a professional urology and men's department for diagnosis. After confirming that you can undergo transurethral transurethral prostatectomy or laser prostatectomy, it is generally possible to return to normal in about 2 to 3 weeks.

A new surgical treatment for prostate hypertrophy has emerged in the past 20 years, namely transurethral resection of the prostate. During the operation, the resectoscope, which looks similar to a cystoscope, is inserted through the urethra and directly reaches the prostate for cutting. This operation has the advantages of less surgical trauma, shorter operation time, and faster patient recovery.

Currently, most surgeries for prostate hyperplasia are transurethral resection of the prostate (TURP). Postoperatively, you should pay attention to the following:

(1) After TE surgery, a urinary catheter is usually left in place for 2-5 days and the bladder is flushed. When the flushing fluid is clear, flushing is stopped and the catheter is removed.

(2) After the catheter is removed, the patient may experience symptoms such as frequent urination, urgent urination, painful urination, and hematuria. Frequent urination and urgent urination recover faster, usually disappearing in 1-3 days. The recovery of painful urination and hematuria varies greatly from person to person. Generally, it takes an average of 6 weeks after surgery to return to normal. Patients with prolonged hematuria under the microscope may continue for three months. But don't panic. If there is no infection, the hematuria will disappear naturally. Some patients cannot urinate on their own after the catheter is removed and need to reinsert the catheter.

(3) Patients discharged with a urinary catheter should pay attention to personal hygiene, clean the perineum every day, change underwear frequently, change the anti-reflux urine bag once a week, and be careful not to bend the urinary catheter (drainage is not smooth) or pull it (damage to the urethra, bleeding).

(4) After the operation, you must drink plenty of water, 2000-3000 ml per day, to ensure sufficient urine output and flush the catheter. Eat light, easily digestible food, avoid drinking alcohol, spicy and other irritating foods, and prevent constipation.

(5) Avoid strenuous activities for 1-3 months after surgery. Riding a bicycle, running, etc. are strictly prohibited. Do not sit on the sofa or low bench, and do not sit for long periods of time.

(6) Patients should be reviewed at the outpatient clinic one month after discharge. If they have hematuria, especially mild hematuria that suddenly worsens with blood clots or difficulty urinating, they should be reviewed immediately.