What are the sequelae of prostate removal?

When suffering from some serious prostate diseases, in order to achieve safe and effective treatment, prostatectomy is usually used for treatment. Although the effect is relatively good, it may still cause certain complications. This is where special attention needs to be paid after the operation and must be actively resolved. So, what are the sequelae of prostatectomy? Let's take a detailed look below.

(1) If urination is still difficult or even urine retention occurs after surgery, the reasons are: first, the hyperplastic glands were not completely removed during the operation, and the solution is to perform another electrosurgical resection; second, the patient already has a neurological defect that makes urination difficult. Appropriate examinations and treatment should be given, and the two reasons should be explained clearly to the patient.

(2) Abnormal urination: Microscopic hematuria and purulent urine may persist for several months after surgery. There are two reasons for this: one is the gradual shedding of necrotic tissue during wound healing, and the other is the possibility of kidney disease. Therefore, detailed examinations should be performed to clarify the cause and provide treatment.

(3) Epididymitis: Due to the use of preventive antibiotics before and after surgery, the incidence of epididymitis after surgery has been greatly reduced, but it still occurs in a small number of cases. If swelling and pain in the scrotum occur after surgery, you should seek medical attention immediately.

(4) Urinary incontinence may be related to surgery, or it may be caused by inflammation, tumors, stones or neurological factors. Therefore, appropriate examinations should be done to find out the cause.

(5) In case of urethral stenosis, the stricture should be carefully identified and the urethra should be dilated or electroresection should be performed again.

(6) About 1.4% of patients develop impotence after sexual dysfunction surgery. Many patients also complain of dissatisfaction with sexual intercourse, which may be related to psychological factors and should be given psychological counseling. Since transurethral resection may cause incomplete closure of the internal urethral sphincter, it may lead to retrograde ejaculation, that is, semen does not exit the body but enters the bladder. Those who do not have fertility problems do not need treatment. Those who want to have children can try ephedrine treatment, which is sometimes effective.

The above is an introduction to the sequelae of prostate removal, and I hope it will be helpful for patients to understand. From the above introduction, we can see that there are still many complications after prostate removal surgery. When corresponding symptoms occur, effective measures should be taken in time for treatment to avoid causing more serious damage to our health.