What is the effect of the prostatectomy on the body?

What is the effect of the prostatectomy on the body?
At present, many people are suffering from prostate diseases. When people have serious prostate problems, they may try to recover health by prostatectomy. What influences will it bring to the body after the removal of prostatitis pain relief?
Preoperative preparation

1. Most of the patients are elderly. Their general condition is poor, and often accompanied by other diseases (such as hypertension, heart disease and diabetes). Therefore, a comprehensive and careful examination and estimation of the patient's general condition before operation is needed. In addition to general physical examination, special attention should be paid to the determination of renal function (such as blood non protein nitrogen, combining power of CO2 and phenol red test). In addition, it is necessary to check the blood pressure, the fundus, electrocardiogram, chest fluoroscopy and liver function several times. In those with renal insufficiency, the bladder should be drained and the operation can be done after the renal function is improved.
2. Patients often have urinary tract infection before operation. Catheterization can improve the above situation, but long-term indwelling can cause infection. In order to reduce postoperative infection, antibiotics can be taken several days before operation, and the bladder can be flushed with antiseptic solution for half an hour before operation. After washing the bladder, fill with a rinse solution.
3. Cystoscopy can directly observe bladder condition, type of prostatic hypertrophy and other complications (such as calculus and diverticulum), but it is not a routine operation before surgery.
4. Before prostatectomy, bilateral vasectomy was performed first in order to prevent orchitis.

Postoperative complications

1. The patient may still have postoperative dysuria and even has urinary retention after surgery. There are two reasons: first, the enlarged glands were incomplete removed in the operation. Another electroexcision is needed. Second, the patient had a neurological defect at the same time that made it difficult to urinate.
2. Postoperative paruria. The hematuria and pyuria are sometimes seen under the microscope, which can last for months. There are also two reasons: first, it is because that the necrotic tissue gradually fell off during wound healing. Second, it may be caused by renal lesions. Therefore, a detailed examination should be done to clarify the causes and to deal with it.
3. Epididymitis. The postoperative morbidity of epididymis has been greatly reduced due to the application of prophylactic antibiotics before and after surgery, but there are still a few possibilities. If there is a swelling in the scrotum after surgery, the patient should seek medical help in time.
4. Urinary incontinence. It may be associated with surgery or caused by inflammation, tumor, calculus or neurogenic factors. Therefore, a corresponding examination should be made to find out the reasons.
5. Urethral stricture. The stenosis should be carefully identified to have urethral dilation, or another electroexcision.
6. Sexual dysfunction. About 1.4% of the patients had impotence after surgery. There are also many patients who complain of dissatisfaction with sexual intercourse, which may be related to mental factors and should be given psychological counseling. The possible insufficiency of the sphincter in the urethra due to the electrocision may lead to retrograde ejaculation, which means that the semen does not expel in vitro and enters the bladder.

The effects of prostate removal on the body are relatively large. So if the patient has a serious disease and has to do prostatectomy, it is necessary to find a regular hospital for surgery, which can increase the success rate and reduce the risk of surgery.
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