The postoperative prostate is not once and for all

The postoperative prostate is not once and for all

Shanghai Communications University attaches to well-known doctor's file of skill steps of summer of first urology surgery of the People's Hospital

Skill rank in summer

Archiater, professor, doctoral supervisor. Shanghai Communications University attach to first the People's Hospital Vice President, Shanghai Communications University is a courtyard of clinical institute's Vice Presidents, chief of research institute of Shanghai Communications University urology surgery, secrete the head of the department of surgery of the urine, achieve the clinical director of medical center, Vice Chairman of branch of Chinese Medical Association urology surgery Shanghai a little, Shanghai just leads soldiers. Good at secreting urine department's tumour, calculus, man sexology, prostate surgery and achieving and secreting the urine surgery a little.

The expert's consulting hour: P.m. on Tuesday ' Specially need)

Outgrowth symptom of the prostate

Benign prostate hyperplasia disease (BPH) It is one of man's diseases of common disease the most. Middle-aged and old man appear polyuria, the intersection of urine and wait for, urinate smoothly, the intersection of urine and cut off, sound of rain pattering under urine to the limit, get up in the night to urinate night number of times increase etc., a lot of people mistake this for the old and feeble one " The normal phenomenon " ,Just the same as it is slackened on foot that people are old, do not need treating. This whether BPH do mischief in fact, through appropriate treatment, can well make, urinate function to be younger.

Outgrowth danger of the prostate

The reason why prostatosis will be influenced and urinated, relate to structure of the prostate. If we dress to stand up with one chopsticks one big tangerine and one light tangerine from umbilicus department, so big tangerine can than make bladder, than make male prostate little tangerine, chopsticks can male urethra than make. That is to say, the urine is discharged from bladder outside the body, must cross the prostate by the urethra, so disease of the prostate is very easy to cause urinating unusually. Because the male reproductive system is converged with the urinary system on the prostate position again, the ejaculatory duct opens in the precise mound of the prostate, so prostatosis will influence the sexual life.

Take, insist on, follow up a case by regular visits to regularly while being postoperative

It suffer from disease such as the hyperplasias on prostate some middle-aged and old man,it last surgery treatment in order to once and for all. Postoperative symptom will disappear or obviously improve, then no longer go to the hospital to reexamine. But while going to the hospital to check again after feeling uncomfortable, the problem has been already more serious or quite more serious.

In fact, postoperative benign prostate hyperplasia disease, will present many prostatosis or relevant symptoms, the patient can't adopt a casual attitude, should go to the hospital to reexamine and assess regularly.

Watch out for prostate cancer

The prostate is undertaken by surgery the membrane and wraps up the hyperplasia prostate in the membrane and organize the compositions, liken prostate to of a tangerine, it is a peel of the tangerine that surgery wraps up the membrane, it is the meat of a tangerine that the outgrowth prostate is organized. The operation of the benign prostate hyperplasia disease, it is " meat of tangerine " to only just excise the outgrowth prostate to organize ," peel of the tangerine " And small quantity " The meat of tangerine " Postoperative still keeping is here in the body. Prostate cancer can also take place in the tangerine peel kept.

Research prove prostate cancer easy to take place until periphery of prostate bring and surgery make the area of membrane, so must check the peculiar antigen (PSA) of prostate of the blood after the benign prostate hyperplasia disease operation regularly ,If should watch out for the possibility of prostate cancer in PSA rising.

Will someone ask why not wrap up the prostate the membrane namely tangerine peel to excise together? This is the common understanding which the physician has reached over 100 years both at home and abroad, only when needing effecting a radical cure prostate of conduct to excise the skill, such as the early prostate cancer patient, just excise the whole prostate including bag membrane of the prostate together, the the intersection of surgery and difficulty and risk far greater than benign the intersection of prostate and the intersection of treatment and surgery, hyperplasia of disease. In other words, it is not suitable for use in treating the benign prostate hyperplasia disease patient that the prostate effects a radical cure and excises the skill.

Reexamine and assess many kinds of symptoms

After the benign prostate hyperplasia disease operation, the urethra is scorching hot when some patients will present polyuria, urinate, perineum and bloated uncomfortable sense of falling of rectum place, or such uncomfortable symptoms as the scrotum, underbelly, inguinal district ache, should notice whether prostatitis has happened. In addition, the relevant problem that may appear after the benign prostate hyperplasia disease operation is as follows,

1,Skill bleeds. In one month after the prostate operation, because the wound surface has not totally healed, it is still possible to bleed. Should drink the water appropriately more after leaving hospital; Avoid drinking and spicy diet; Keep the stool unobstructed, excessively exert oneself while preventing the stool; Avoid the activity of riding a bicycle; Avoid the sexual life. , the clot is formed, dysuria that once bleed, should reach the emergency call of the hospital to deal with in time.

2,The urethra is narrow. Prostate it creates operations to be to perform the operation through urethra a little, may take place urethra to be narrow while being postoperative. If the conscientious urine thread is attenuated again, even dysuria appears, should come to the institute to go to a doctor in time.

3,Urinary incontinence. Some patients may present temporary urinary incontinence after pulling out the catheter, can strengthen mentioning the anus and doing exercises of a group of strength of muscle of bottom of the basin, mostly can resume during 2 weeks - 3 months. Permanent urinary incontinence because of deal with prostate, cut too dark when the sharp department mainly, have damaged the other sphincter of urethra. So especially put emphasis on paying attention to protecting precise mound and other sphincter well at the time of the operation, it is very accurate that the laser operation is cut, have reduced the chance that the urethral sphincter damages greatly.

4,It is not smooth to urinate. The bladder can liken to the water pressure pump, the prostate can liken to the faucet, while urinating, the water pressure pump is good in pressure, it is abundant to open the faucet, the two coordinate abundantly, could urinate unobstructedly. Excise the skill through the prostate, can solve the problem that the faucet is fully opened. Still have, urinate smoothly while being postoperative, except above-mentioned the intersection of urethra and narrow and bladder shank contracture, in addition another very important reason is benign prostate hyperplasia disease causes the lower urine way to obstruct for a long time, make bladder force the intersection of urine and the intersection of skin and function take place obstacle, wait for the intersection of bladder and function damage with the intersection of neuron nature and bladder.

6,Prostate hyperplasia disease recurs. The benign prostate hyperplasia disease operation excises the outgrowth body of gland to organize, with the years, the residual prostate tissue may continue growing, symptom that can still cause polyuria, urine to be urgent, not urinate smoothly after growing to certain extent.

So, postoperative patient as to benign prostate hyperplasia disease, only follow up a case by regular visits to regularly, the doctor can find out about patient's situation in detail, assess the patient's prostate state, for example there is hyperplasia again, the canceration happens, thus put forward the intervening measure actively, keep the patient healthy.

The postoperative prostate is not once and for all