How does urethral catheterization treat prostate hyperplasia?

When male patients suffer from prostate hyperplasia, sometimes they need irrigation therapy, and urethral catheterization may be required at this time. We know that the urethra is a relatively sensitive tissue. At this time, it will cause severe pain in the teahouse, and may cause edema and inflammation. At this time, some anti-inflammatory drugs and analgesics can be taken for treatment. Irrigation therapy is generally performed once, and rarely a second time.

Surgical treatments for prostate hyperplasia

1. Retropubic prostatectomy

The surgical approach is retropubic bladder, without bladder incision. The prostatic hyperplasia is exposed in the pre-bladder space behind the pubic symphysis, the capsule is incised below the internal sphincter plane, the prostatic hyperplasia is enucleated, and then the capsule is sutured. This operation is most suitable for the removal of small and fibrotic prostatic hyperplasia.

2. Transurethral resection of prostatic hyperplasia

The prostate glands are scraped out one by one through the urethra by using an electrocautery and curettage endoscope until urination is smooth. This operation can be repeated many times, but it cannot completely remove the prostate glands.

3. Transperineal prostatectomy

This surgery requires an incision in the perineum to expose the prostate hyperplasia, and requires a special transurethral traction device to better expose the bladder neck to the perineum incision. The operation range of this surgery is deep and narrow, and it is easy to injure the rectum and the internal sphincter of the bladder. It is a necessary approach for prostate hyperplasia resection.

4. Suprapubic prostatectomy

Suprapubic cystectomy for prostate hyperplasia is an ancient surgical method that can be performed in one stage or in two stages. For patients with prostate hyperplasia who are in poor general condition and have severe kidney damage and heart failure, cystostomy drainage is required first. When the kidney function is restored and the heart condition is improved and the patient can tolerate the surgery, surgical treatment can be considered. For such patients, whether it is appropriate to use sex hormones for treatment while cystostomy drainage is considered. The conclusion is that sex hormone treatment can reduce intraoperative bleeding without causing unfavorable factors for surgery.

5. Other methods

In addition, there are subpubic prostatectomy and parasacral prostatectomy, which are not widely used. The effect of surgical treatment of prostate hyperplasia is very good. Surgical treatment can not only quickly solve the torture of prostate hyperplasia, but also directly reach the lesion and eradicate prostate hyperplasia from the root, so everyone should use surgical methods to treat prostate hyperplasia in time.