Will prostate hyperplasia recur after surgery?

Some patients with prostate hyperplasia may experience temporary symptom relief after prostate surgery, but symptoms such as difficulty urinating, thin urine stream, and dribbling urine may reappear. When they go to the hospital for examination, the doctor diagnoses them with prostate hyperplasia. This puzzles these patients and their families: Why does prostate hyperplasia recur after prostate surgery?

This layer of fibrous tissue is very important during surgery. It is the surgical sign of the doctor's removal of the prostate and is called the prostate surgical capsule. When the doctor removes the prostate, he actually removes the inner layer of tissue that has proliferated within the surgical capsule. The outer layer of the prostate is not touched, and a small amount of the inner gland may be closely attached to the surgical capsule and not completely removed. Obviously, this leaves a material basis for the recurrence of prostate hyperplasia after surgery.

In a normal person, the outer prostate occupies the vast majority of the prostate, while the inner prostate is only located in the center, occupying a very small part of the prostate. Moreover, there is a layer of fibrous membrane separating the inner and outer prostate.

However, when the prostate gland pathologically proliferates, the situation is completely different. The outer layer of prostate tissue does not increase in size, while the originally very small inner layer of prostate gland becomes significantly enlarged. The connective tissue and smooth muscle tissue proliferate layer by layer, flattening the outer layer of prostate gland into a thin layer of fibrous glandular tissue. At the same time, it presses the urethra inward, causing a series of symptoms of urination obstruction. The fibrous boundary membrane between the inner layer of proliferative tissue and the outer layer of prostate gland becomes clearer and more obvious.

To answer this question, we still have to talk about the anatomy and surgery of the prostate. We know that the anatomical structure of the prostate can be divided into five lobes according to its location: anterior, posterior, left, right, and middle. It can also be divided into two parts according to the distance of the gland from the urethra: the inner gland surrounding the urethra and the outer gland far from the urethra.