How to perform surgical treatment for prostate hyperplasia

Nowadays, more and more patients suffer from prostate hyperplasia. Usually, when this disease occurs, patients will feel the urge to urinate. In fact, urinary urgency refers to the inability to control the discharge of urine. Even severe patients may wet their pants if they do not urinate in time. So let us learn about the surgical treatment of prostate hyperplasia.

Surgical treatment of prostate hyperplasia

Transurethral prostatectomy: The prostate is removed piece by piece through the urethra using instruments. Therefore, the prostate cannot be too large (usually around 50g) and the removal time cannot be too long. If a long removal time or heavy bleeding is considered before surgery, or if bleeding is difficult to control during surgery, open surgery should be used instead.

Surgical treatment of prostate hyperplasia

Suprapubic prostatectomy: It is one of the most commonly used surgical treatments for prostate hyperplasia in open surgery. Suprapubic prostatectomy refers to the removal of the prostate through the extraperitoneal bladder through a lower abdominal incision. This surgery has a history of more than 100 years, and the surgical operation has been continuously improved, mainly in two aspects: urine drainage and hemostasis methods. After years of clinical practice, the dual urine drainage method of cystostomy and indwelling catheter has been determined. Due to the improvement of hemostasis methods, the surgical mortality rate has been greatly reduced.

Surgical removal of the enlarged prostate tissue is the fundamental way to cure prostate hyperplasia. There are several types of surgical methods for prostate hyperplasia:

1. Bilateral orchiectomy, suitable for palliative surgery;

2. Transurethral resection of the prostate, suitable for palliative surgery;

3. Suprapubic transvesical prostatectomy, suitable for open surgery;

4. Retropubic prostatectomy, open surgery is applicable;

5. Transperineal prostatectomy is suitable for open surgery.

Bilateral orchiectomy is a palliative surgical treatment for prostate hyperplasia. Since this surgery does not involve the prostate gland located deep inside, but removes the testicles on the surface of the body, the surgery is less invasive, takes less time, and has less impact on the patient. Therefore, it is a palliative surgery that can be selected for elderly and weak patients with complications of important organs. This surgery can improve the patient's symptoms by removing the testicles to almost eliminate the male hormone in the body.

The above article introduces the surgical treatment methods of prostate hyperplasia in detail. However, this surgical treatment is only limited to when drug treatment is ineffective. Generally speaking, conservative treatment methods are still considered, and surgical resection will not be performed unless it is absolutely necessary.