Prostate surgery and treatment methods

Prostate problems have always been a secret for many men, but with the advancement of medical technology, prostate surgery is gradually being promoted. Many men are rushing to the hospital for surgery for the sake of their health. Prostate surgery is performed in the hospital, but recovery after prostate surgery is also of paramount importance. Here we will introduce how to recover your health faster after prostate surgery.

Treatment:

Prostate cancer surgery options:

1. Radical prostatectomy Radical prostatectomy for prostate cancer achieves the goal of eliminating all tumor tissues in the body, including the prostate and prostate capsule. The surgical approach uses perineal or retropubic incision, and retropubic incision is now more commonly used. During the operation, the degree of tumor infiltration behind the bladder base and near the seminal vesicle and whether there is lymph node metastasis in the pelvic area can be explored at the same time. Generally, patients who are suitable for radical prostatectomy account for only 5%-10% of all cases. Whether radical surgery is performed in stage B2 depends on the pathological grade of the tumor and whether there is pelvic lymph node metastasis. Because the rate of seminal vesicle invasion in patients at this stage is as high as 56%. For stage C or even stage D0 prostate cancer, orchiectomy or total androgen blockade can be performed, and endocrine drug treatment can be added. After the local lesions are reduced (downgraded treatment), radical prostatectomy can be performed.

2. Extended radical prostatectomy uses high-frequency electrosurgical knife to extensively remove local tumors in situ, with special attention to the removal of the bladder base, the residual part of the seminal vesicle and vasectomy, the fascia behind the bladder, and the urogenital diaphragm surrounding the membranous urethra. It is mainly suitable for stage C prostate cancer and should be used in combination with interstitial radiotherapy, but such extensive surgery has not achieved satisfactory results.

3. Transurethral resection of the prostate (TURP) is suitable for the elderly and frail who have already developed complications such as urinary obstruction. For patients whose local lesions have reached stage C, TURP can only relieve symptoms and there is no possibility of cure. TURP can prevent the occurrence of uremia and improve the quality of life of patients. Many patients can undergo repeated transurethral resection to reduce bladder obstruction. If it can be supplemented with non-surgical treatment methods, the value of surgical treatment can be improved. Unlike general TURP surgery, due to the invasion of cancerous tumors, the landmarks (such as the seminal colliculus) are no longer very clear, and during surgery, more care should be taken not to damage the external sphincter.

4. Pelvic lymph node dissection The incidence of pelvic lymph node metastasis in prostate cancer is relatively high, so the pelvic lymph node metastasis should be fully examined during surgery. If metastasis is found, pelvic lymph node dissection should be performed at the same time. This surgery is highly destructive, with high surgical complications and mortality, and is only used for strictly selected young people.

5. Bilateral orchiectomy 95% of male hormones come from the testicles. Testicular removal removes the source of testosterone production, slowing the growth of androgen-dependent prostate cancer or causing it to regress. The operation is simple, safe, and has few side effects. Within 12 hours after surgical resection, castration levels can be achieved (serum testosterone concentration is less than 1.75mmol/L. However, orchiectomy can cause secondary proliferation of the zona reticularis of the adrenal cortex, resulting in hypersecretion of androgens in the adrenal glands. Therefore, the operation is often combined with other treatments to achieve better therapeutic effects. Orchiectomy is still an effective treatment for prostate cancer.

The above content introduces us to the maintenance work after prostate surgery. We can share the above article with our prostate patient friends and tell them the things they need to pay attention to after prostate surgery, so that they can recover their health earlier and work and study better.