Knowledge about prostatectomy

As we all know, with the improvement of people's living standards, people pay more attention to their physical health while enjoying their spiritual life. What we are going to introduce today is not only about health, but also about the happiness of life. The prostate is a male-specific organ and the largest accessory gland in the male reproductive organ. Today we will introduce how to treat prostate patients.

Transurethral resection of the prostate (TURP) is a relatively safe, effective and painless surgical method. It involves inserting an electroresectomy scope through the urethra to remove the prostate protruding into the urethra under direct vision. Generally, suprapubic bladder puncture is performed before the operation to drain the lavage fluid.

Common procedures

The following are some common methods of prostatectomy:

(1) suprapubic transvesical prostatectomy;

(2) Retropubic prostatectomy;

(3) transperineal prostatectomy;

(4) Transurethral resection of the prostate.

The above surgical methods have their own advantages, disadvantages and indications, and should be selected according to the patient's condition and the doctor's mastery of surgery. In foreign countries, transurethral transurethral resection of the prostate accounts for more than 90% of all prostate surgeries, but in my country, most hospitals still use open surgery.

Among open surgeries, suprapubic transvesical prostatectomy is the most commonly used procedure and is a basic surgical method that urologists must master. This procedure is relatively simple and easy to master, and rarely causes urinary incontinence after the operation. This surgical method is more appropriate for patients with other lesions in the bladder. However, this operation requires bladder incision, and if the prostate capsule is tightly adhered to the gland, the capsule may occasionally be torn, which will cause certain difficulties in hemostasis.

Preoperative preparation

1. Most patients are elderly and in poor general condition, often accompanied by other diseases (such as hypertension, heart disease and diabetes, etc.). Therefore, a comprehensive and detailed examination and assessment of the patient's general condition must be performed before surgery. In addition to general physical examination, special attention should be paid to the determination of renal function (such as blood non-protein nitrogen, CO2 binding capacity and phenol red test, etc.). In addition, it is necessary to measure blood pressure multiple times, check the fundus, electrocardiogram, chest radiography and liver function. For patients with renal insufficiency, the bladder should be drained and surgery should be performed after the renal function improves.

2. Patients often have urinary tract infection before surgery. Catheterization can improve the above situation, but long-term indwelling can cause infection. In order to reduce postoperative wound infection, antibiotics can be taken a few days before surgery, and the bladder can be flushed with antibacterial solution half an hour before surgery. Commonly used antibacterial solutions are 1:2000 furazolidinone and 1:5000 potassium permanganate. After the bladder is cleaned, fill it with flushing solution.

3. Cystoscopy can directly observe the bladder condition, the type of prostatic hypertrophy, and whether there are other complications of the bladder (such as stones, diverticula, etc.), but it does not need to be routinely performed before surgery.

4. Before prostatectomy, bilateral vasectomy is usually performed to prevent orchitis.

In order to have a strong body to build the country, contribute to the country, and become a pillar of the country. For your future health and happy life, it is recommended that those with prostate problems should follow the above steps for treatment as soon as possible. In fact, it is not that troublesome. As long as you follow the doctor's advice, you will eventually be cured. You must treat it in time.