Prostatectomy surgery method

I believe that some male friends know the importance of the prostate. The prostate is the largest male accessory gland and one of the exocrine glands of the human body. It can secrete prostatic fluid, which is an important component of semen. It plays an important role in the normal function of sperm and is very important for fertility. It also has the function of controlling urination and making urination go smoothly. Therefore, male friends must protect the prostate well. Below I will introduce the methods and advantages and disadvantages of prostatectomy.

The most common methods are:

(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.

Retropubic prostatectomy does not require bladder incision. The prostate is removed under direct vision, and suprapubic cystostomy is not required. Recovery is fast after surgery. However, the surgery is more complicated, with more bleeding. Improper treatment may cause infection, urinary incontinence, etc.

The advantages of transperineal prostatectomy are small surgical scope, small damage, small impact on the whole body, and fast recovery after surgery. However, the anatomy of the perineum is complicated, the surgical field is poorly exposed, and it is easy to cause postoperative sexual dysfunction.

Transurethral resection of the prostate (TURP) causes less damage, less pain, quick recovery, and a wide range of surgical adaptations. This surgery requires certain equipment and high technical requirements for the surgeon. Currently, TURP has the best effect and is still the "gold standard" for BPH treatment.

I believe that after reading the above article, everyone must have a deeper understanding of the methods, advantages and disadvantages of prostatectomy. If you have any questions in this regard, you must actively seek treatment. I hope this article will be helpful to everyone.