Urinary incontinence in men: after prostate surgery

• September 9, 2018
• Prostate
• Ekaterina Komisarova

A malignant neoplasm in the prostate is a very serious disease that is fraught with very dangerous consequences for human health and life, including death. It is not amenable to drug therapy, and the only way out is surgery to remove the internal organ. The operation is very complex, so it requires long-term complex rehabilitation. Many people experience urinary incontinence after prostatectomy. When will this syndrome go away? Every man asks this question, since it not only brings a lot of inconvenience to everyday life, but also creates strong psychological pressure. Let's look at this in more detail and find out the main causes of incontinence, and also find out what treatment can be for involuntary discharge of waste products.

Causes

Let's look at this in more detail. Urinary incontinence after removal of the prostate gland in men is one of the most common pathologies in the field of urology. It makes life in the usual rhythm impossible, since waste products can be released at any time and with varying intensity. There is only one reason for the syndrome - the consequences of an operation during which mechanical damage occurs to the bladder and its muscle layer, as a result of which the rhabdosphincter ceases to perform its functions normally.

This problem will not go away on its own; it requires long-term treatment. As a rule, therapy is carried out comprehensively.

The duration of the rehabilitation period depends on a large number of factors, among which the most important are the patient’s age, the degree of damage to the prostate gland, the individual characteristics of the body and the characteristics of the course of the oncological disease.

Answering the question about when urinary incontinence will go away after prostatectomy, it should be noted that a lot depends on the patient himself.

One of the most effective methods of treatment is physiotherapy, based on a set of special exercises aimed at strengthening and increasing the tone of the muscle tissue of the pelvic area.

Some representatives of the stronger sex do not fully understand their importance, so after working out for a while and not noticing much improvement, they simply give up and give up. Therefore, if you want to get rid of incontinence, then you need to make every effort to do this.

Preparing the patient for surgery

So what do you need to know about this? Urinary incontinence after radical prostatectomy is just one of the possible complications. In fact, there are many more of them. As mentioned earlier, this type of operation is very complex, so in most cases it does not take place without any consequences for the patient’s health. At the same time, doctors try by any possible means to prevent any risks and minimize the likelihood of developing negative manifestations.

Before undergoing prostatectomy, the patient is prescribed a comprehensive examination, which allows one to obtain detailed information about the state of his health and the characteristics of the course of the disease. Based on the clinical picture, a decision is made on the advisability of the operation and the methods of its implementation.

Attention is paid to the following factors:

• age;
• weight;
• are there any problems with the functioning of the genitourinary system;
• the amount of carcinoembryonic antigens in the blood;
• size of the malignant tumor;
• state of blood clotting.

If no serious abnormalities or problems with the patient’s health are identified that may pose a great risk to the successful outcome of the operation, then after preliminary preparation the prostate gland is removed.

When will urinary incontinence go away after prostatectomy? It is very difficult to say even approximate dates, since everything here depends on many nuances.

The main ones among them are the following:

• level of blood loss;
• the degree of damage to the nerve trunks and prostate gland;
• integrity of the urethra and bladder;
• surgeon experience;
• the technique used to perform the prostatectomy;
• regenerative abilities of the body;
• patient's age.

According to medical statistics, complete restoration of urination after removal of the prostate gland takes on average 3 to 5 weeks, provided that the patient adheres to all the doctor’s instructions and undergoes a course of intensive therapy. However, in some cases, rehabilitation may take 3-6 months. Most often, this occurs in the elderly and people with any concomitant diseases of the genitourinary system.

Types of prostatectomy

Rehabilitation of a patient if he has urinary incontinence after prostatectomy (it is very difficult to say exactly when it will go away) largely depends on the method used to remove the malignant tumor. These days there are several types of surgery. The choice of a specific type depends on the level of qualification of the specialized specialist, the clinical picture of the patient and the severity of damage to the internal organ. In this case, the surgeon must consult with an anesthesiologist, since the operation must be performed under anesthesia. In addition, after the patient is operated on, he is placed in a ward equipped with specialized equipment.

As for the main techniques, in modern urology the following prostatectomy techniques are distinguished:

• retropubic;
• perineal;
• radical laparoscopy;
• laparoscopy using the Da Vinci robot;
• transurethral resection;
• laser removal.

Each technique has its own advantages and disadvantages. In addition, after prostatectomy, urinary incontinence (reviews of people who have undergone it will be given at the end of the article) requires complex treatment. Here everything also depends on the type of surgical intervention and the accompanying complications that it entailed.

Retropubic prostatectomy

What is she? This technique is used more often than others. With it, a small incision is made in the lower peritoneum, after which the blood vessels are stopped and the affected part of the prostate gland is cut out.

In this case, the doctor strives to cause as little harm as possible to the nerve bundles. They are the ones responsible for the functioning of the genitourinary system. If you can keep the roots intact, then urinary incontinence after prostatectomy is minimized.

After the tumor is removed, the urethra is sutured to the bladder and a catheter is installed, through which waste products will initially be removed from the body. Statistics show that after about a week and a half, the bladder is completely restored and begins to function normally.

Perineal prostatectomy

This technique is prescribed in the early stages of cancer for patients who have problems with excess weight. The thing is that subcutaneous fat deposits significantly complicate surgeons’ access to internal organs, so skin incision is made in the perineal area. A prerequisite for this is the size of the prostate. It should not be more than 50 cubic centimeters. In addition, the lymph nodes should not be affected by cancer.

After removal of the prostate gland, a scan of the rectum is performed to check for metastases and identify any problems with the functioning of the genitourinary system. To eliminate the possibility of blood clots forming in the blood vessels, the patient is given a drip using the drug Heparin.

Radical laparoscopy

What is its peculiarity? This technique is considered one of the best, since it very rarely causes urinary problems. After a radical prostatectomy, intensive care is not required, since modern equipment makes it possible to remove formations with high precision, while keeping healthy tissue intact.

This technique is based on the use of a medical endoscope equipped with a video camera and surgical instruments that are inserted into the body through an incision in the lower part of the peritoneum.

The main advantages of radical laparoscopy are minimal trauma to soft tissues and nerve columns, as well as a short rehabilitation period.

As medical statistics show, urinary incontinence after radical prostatectomy, reviews of the technique fully confirm this, occurs in isolated cases. At the same time, if complications do appear, they can be eliminated very quickly. In just a week, the person recovers completely and is discharged home.

Laparoscopy using the Da Vinci robot

Scientific progress and the development of robotics have brought surgery to a completely new level of development. One of the innovative methods of prostatectomy is laparoscopy using the Da Vinci technique.

The operation is carried out using specialized drones equipped with a video camera and microscopic surgical equipment. Thus, doctors do not need to perform any actions themselves, since robots do it for them.

Qualified specialists only observe everything that happens on the monitor screen and control the entire process. The equipment is inserted into the body through an incision on the anterior wall of the peritoneum.

No treatment for urinary incontinence after prostatectomy is practically required, since the precision of tumor removal allows the nerve nodes to be left intact, so the risk of complications is relatively low.

Compared to other types of surgical intervention, this technique has the following advantages:

• low blood loss;
• absence of pathological processes;
• fast rehabilitation;
• preservation of erectile function;
• excellent tolerability of the operation by patients of any age category.

According to medical experts themselves, today this type of laparoscopy is one of the best methods for removing the prostate. Urinary incontinence after robot-assisted prostatectomy almost never makes itself felt, since the nerve bundles and muscle fibers remain intact. As for the disadvantages, there is only one, namely, the high cost.

Transurethral resection

The methods for removing prostatitis described above require transabdominal access. However, for adenoma, surgery can be performed directly through the urethra.

This technique is called TUR. It is performed according to the following algorithm:

1. The patient is given anesthesia.
2. A flexible tube is inserted through the urethra, inside of which there is a video camera with a light source and an electric loop responsible for cauterizing damaged areas of soft tissue.

Urinary incontinence after robot-assisted prostatectomy and transurethral resection is minimized, since all manipulations are carried out under the strict supervision of a physician. Obtaining visual information allows you to remove the tumor with high precision without damaging soft tissues and nerve nodes. No stitches or specialized treatment is required.

Removal of the prostate using a laser

Why do many patients choose this method? This is another type of surgical operation that is performed using specialized equipment that emits laser beams with a transmission length of 532 nm.

As with transurethral resection, an endoscope that emits thermal energy is inserted through the patient's urethra. Thanks to vaporization, not only the affected areas of the internal organ quickly die, but also the liquid contained in it evaporates.

No treatment for urinary incontinence is required after radical prostatectomy performed using this technique. The patient can go home the next day.

Rehabilitation period

What is he? Problems with urination after removal of the prostate gland occur quite often, but not every patient faces such a problem. Here everything mainly depends on the method of operation. As you have already seen, today in urology there are modern methods of surgical therapy that are highly effective and almost completely eliminate any complications.

If the removal of the prostate gland went well, then long-term drug therapy is not required for complete recovery. The treatment program is selected based on the patient’s health condition and how he underwent the operation.

In most cases, medication is not required, but to speed up the recovery process, you must adhere to the following recommendations:

• perform physical exercises using the Kegel technique;
• complete cessation of bad habits;
• transition to a healthy diet;
• attending electromyostimulation procedures;
• wearing special pads.

It is worth noting that for the first time after removal of an internal organ, a man may experience burning and pain in the urethra during urination, frequent urge to go to the toilet, as well as incontinence.

Such symptoms are considered normal, but if they do not disappear or you notice a deterioration in your health, you should immediately go to the hospital, since such clinical manifestations may indicate the presence of any problems.

In this case, complex treatment of urinary incontinence after prostatectomy is required.

Basic therapy methods

Many people are interested in the question of how to treat urinary incontinence after prostatectomy. Self-medication is not recommended, since an integrated approach to solving the problem is important here. However, complete recovery may take from 6 to 12 months.

The therapy program is based on the following activities:

• physiotherapy;
• myostimulation;
• taking medications;
• radio wave therapy;
• traditional medicine.

It is important to understand that only those patients whose urethral sphincter has not been destroyed can count on a full recovery. Otherwise, the patient will have a catheter installed, which he will have to live with for the rest of his life. As for traditional methods of treatment, they act as an additional measure necessary to increase the effectiveness of the main therapy.

If after several months no improvement is observed and the person continues to have an involuntary urge to urinate, then in this case specialized protective equipment is recommended for use.

These include:

• diapers for adults;
• specialized gaskets;
• urinals;
• pencil clips.

It is worth noting that when wearing urological products, there is a high probability of developing inflammation of the epidermis and its erosion, as well as various infectious diseases, so it is necessary to regularly monitor your health and, if any problems arise, immediately go to the hospital.

What do patients say about surgical treatment methods?

Reviews about urinary incontinence after radical prostatectomy are quite contradictory. Some people complain of incontinence, which cannot be cured for several months, while others completely recover and return to a normal lifestyle. According to medical statistics, conservative therapy in most cases gives the expected result, but in very difficult situations, especially in the later stages of cancer, it may simply be useless. In this situation, a repeat operation is required.

Prostatitis itself is a very serious pathological process that can lead to various negative consequences. However, in the early stages it responds well to treatment.

Therefore, if you have the first suspicion of this disease, you must immediately go to the hospital in order to begin therapy as soon as possible.

In this case, no surgical intervention may be required at all.

Source: https://cureprostate.ru/418070a-nederjanie-mochi-posle-prostatektomii-kogda-proydet-i-kak-lechit

Urinary incontinence after surgery to remove prostate adenoma

Urinary incontinence after surgery to remove prostate adenoma is the most common consequence of such surgery. It occurs in 95% of patients, and doctors always warn about this. There are many reasons for postoperative incontinence. There are also many methods of dealing with unpleasant manifestations. In the initial stages of recovery, it is necessary to come to terms with this unpleasant manifestation as something inevitable. It is advisable to take care of your own comfort in advance. Special urinals can make everyday life much easier after surgery.

Problems with controlled urination often arise even before the intervention. This is one of the symptoms of a late stage of the disease. In men, the excretory system functions inextricably with the reproductive system. Problems with the prostate gland lead to urinary problems.

The main task of each patient is to prevent serious complications. If you see a doctor in time, you can even avoid surgery.

Prostatitis develops in 80% of men over 45-50 years old, and at the age of 60-70 years this diagnosis is generally inevitable. Inflammatory processes in the prostate gland develop due to hormonal imbalance.

Everyone knows about the female menopause, but it is not customary to talk about the fact that similar problems overtake men.

If you care about your health, you need to visit a urologist regularly. If you cannot do without surgery, then you should familiarize yourself with the main methods of recovery in advance.

Indications for surgery

Adenoma is a benign tumor that gradually develops against the background of chronic inflammation of the organ. If you start treatment in a timely manner, you can get rid of the disease with the help of medications. But sometimes the disease develops rapidly, various aggravating factors influence, then surgery cannot be avoided.

Prostate adenoma often develops into a malignant formation. To prevent the development of cancer , doctors suggest removing a benign tumor immediately. Other indications for surgery are:

• severe pain;
• complete absence of urination;
• absolute urinary incontinence;
• significant tumor growth.

Before the operation, the patient must be hospitalized for preliminary preparation. In many cases, antibacterial therapy is carried out to minimize the negative consequences and complications after the intervention. A complete examination of the patient is necessary.

Based on its results, the tactics of radical treatment, type of operation, and type of anesthesia are determined. Epidural anesthesia is increasingly used in surgical practice.

Unlike general anesthesia, it does not have such a negative effect on the functioning of the cardiovascular system of elderly patients.

The choice of doctor and hospital where the operation is performed is of no small importance. Specialists with extensive experience know how to minimize the negative consequences of surgery, including urinary incontinence.

Features of the operation

Radical removal of an adenoma is carried out by modern surgeons in several ways. With complete excision of a benign tumor, an incision is made in the scrotum and the surgeon removes all damaged tissue, sometimes including nearby healthy tissue. This is done in order to prevent further development of cancer.

Transurethral resection of the prostate (TUR) is becoming increasingly common in our country . This is a minimally invasive intervention.

The likelihood of complications after TUR is minimal, but in the later stages of the disease such interventions are not performed.

The duration of the operation, regardless of how it is performed, is 30-60 minutes. The patient remains in the hospital for two weeks after the intervention, but full recovery takes several months.

During a full-fledged operation with an incision, stitches are required. Today, self-absorbable surgical suture material is used in medical practice. There is no need to remove such sutures, but the doctor must constantly monitor the healing process.

The very next day after the operation, the patient is raised to his feet and must walk. This contributes to the speedy restoration of the excretory system.

Moderate physical activity is the main method of combating uncontrolled urine output after removal of an adenoma. The patient receives full treatment aimed at a speedy recovery.

Causes and conditions of incontinence

Incontinence occurs in 95% of patients after excision of an adenoma or other surgery on the genitourinary system.

Some people do not feel the urge to go to the toilet at all, while other patients involuntarily release only a few drops of urine. Doctors traditionally monitor the situation, but take a wait-and-see approach.

The causes of incontinence are of no small importance. There may be several of them:

1. consequences of forced catheterization;
2. consequences of anesthesia;
3. excision during surgery of the muscle layer surrounding the urethra.

The patient must have a reusable catheter installed immediately after surgery. It lasts for several days. Urine is released into a special urine collector without the slightest urge to go to the toilet.

In this way, inflammatory processes in the bladder are prevented. This tactic is applicable for all types of surgical interventions. Due to prolonged catheterization, the urethra expands and loses its elasticity.

After removing the catheter, urine continues to be released without the urge to go to the toilet.

Sometimes anesthesia has this relaxing property. It does not work this way for all patients, but urinary incontinence is one of the common consequences of using some anesthetics. After the substances are completely removed from the body, its functions return to normal.

Another common cause of urinary incontinence is due to muscle excision during surgery. It is impossible to remove a tumor without affecting nearby tissue.

It is the muscles surrounding the urethra that act as a sphincter, restraining the urge to go to the toilet. When the integrity of the muscle layer is compromised, urinary incontinence is an expected and inevitable complication. You can deal with such consequences if you stock up on patience and support from professionals in advance.

Restoring normal urination

Doctors always insist and emphasize that incontinence is an expected phenomenon when such a benign tumor is removed. Such manifestations can last up to several months, but it is within your power to quickly restore all functions of the excretory system.

training the perineal muscles gives a positive result. The doctor will tell you about the technique of the training process. The point is to periodically tense and relax the muscles in this area. Over time, the muscle layer will build up and you will be able to control the urge to go to the toilet.

Physiotherapy also gives good results. The patient is prescribed sessions of magnetic therapy, ultrasound therapy, and exposure to infrared radiation. Sometimes medications are also offered, the action of which is aimed at restoring the functions of the urinary system.

Improved quality of life after surgery

Many patients become deeply depressed after being discharged home because they cannot return to a full life. They can wet themselves at any moment. Men complain that they can’t even go out to the store without being embarrassed. The odors are also unpleasant for those around you, there is a need for constant washing, and clothes get damaged.

It is in your power and interests to get rid of such inconvenience and improve your quality of life.

To do this, you must constantly use disposable urine bags. They are securely attached to the skin with Velcro, hold the contents, and do not leave any unpleasant odors. In this way, you can quickly return to a full life, and those around you will not even be aware of the existing problem.

Urinary incontinence after a complex operation is a normal phenomenon, but you have the power to quickly restore your own health and usefulness. To do this, you need to follow the doctor’s advice, work with a rehabilitation specialist, and use disposable urine collection bags.

© 2018 – 2019, MedProstatit.ru. All rights reserved.

Source: https://MedProstatit.ru/nederzhanie-mochi-posle-udaleniya-adenomy-prostaty.html

Urinary incontinence after prostate surgery

Problems with urination occur in more than half of men who have had a prostatectomy. Surgical treatment is prescribed when pathological formations are detected in the prostate gland, as well as for complications caused by prolonged inflammatory processes.

With advanced prostate disease, tissue is replaced with connective tissue. Currently, experts consider the prostatectomy method to be the most effective for malignant lesions of the gland. After its resection (TUR), urinary incontinence may develop. If such a disorder occurs, the patient should consult a urologist.

When is therapy required?

Unpleasant symptoms that appear after prostate surgery most often disappear within a year. With correct treatment and the doctor prescribing effective medications, the time for complete restoration of the function of the urinary system is 6 months.

You should know that signs of urinary incontinence after resection of the gland appear in many representatives of the stronger sex. TUR is considered a serious surgical method that contributes to the appearance of tissue swelling and dysfunction of nerve cells and blood vessels.

During resection, the surgeon removes part of the urethra and sphincter tissue associated with the gland. As a result of such intervention, damage to these areas occurs, which leads to urinary incontinence. Treatment of malignant tumors is often carried out using radiation, which also leads to problems with urination.

Recovery methods

After resection of the prostate, the rehabilitation period begins. On the first day, patients require catheterization. Men should exercise caution after installing the device. By following all the doctor’s recommendations, the risk of complications is significantly reduced.

After removing the catheter, blood often appears in the urine, and a man may feel a burning sensation when urinating. Patients also often experience an increased urge to empty the bladder. Such symptoms are considered normal after TURP of the prostate.

To speed up recovery, doctors recommend that patients follow the following rules:

1. Do Kegel exercises. It helps restore the muscle fibers of the pelvic organs. The exercise involves tensing and relaxing the anus and perineum area.
2. Stick to a diet. Pickled dishes, spicy foods, and alcoholic drinks should be excluded from the menu. It is also advisable to drink tea and coffee as rarely as possible due to their diuretic properties.
3. Get physical therapy. Electrical muscle stimulation allows you to get rid of urinary incontinence and frequent urge to go to the toilet.
4. Use special pads to protect linen and hygiene.
5. Take medications prescribed by your doctor.

Solutions to the problem

If problems with urinary incontinence persist after a year from the date of TUR, doctors recommend surgical treatment to patients, which involves the implantation of a special sphincter, which is controlled by the men themselves. Statistics show that the problem with urination disappears in more than 85% of patients.

Compression of the urethral canal and restoration of control over the functioning of the bladder is also carried out using a sling. A rubber ring is placed next to the bladder. This method helps patients improve the urination process and eliminate incontinence.

Such methods, which involve surgical treatment, are used only in extreme cases when there are no results from the use of drugs and other methods.

Incontinence with prostatitis

Problems with urination often develop with acute inflammation of the prostate. The chronic form of the disease is rarely accompanied by incontinence. Most often, with low-grade inflammation, men suffer from pain that occurs when the bladder is emptied.

When problems arise with urine retention due to prostatitis, doctors prescribe a set of diagnostic measures, including laboratory testing of biomaterials for infections and transurethral ultrasound.

Treatment for inflammation in the prostate

With proper therapy, problems with frequent urination usually disappear completely. By eliminating inflammation in the tissues of the gland, the symptoms of irritation of the nerve endings of the urethra are reduced.

The course of treatment includes the use of antibacterial drugs, alpha-blockers, and analgesics. To reduce swelling of the prostate tissue, special massage and physiotherapy are performed. With the approval of the urologist, patients perform prostate massage procedures at home. They are performed with a special device or finger.

Kegel exercises help strengthen muscles and improve microcirculation in the pelvis. It is also useful to squat and cross your legs while lying on your back. Exercises must be done regularly.

To eliminate problems with urine retention, traditional medicine methods can be used.

The following methods have a good effect:

• An infusion containing valerian, St. John's wort, hops, and knotweed. The product is prepared from 2 tbsp. collection and a glass of boiling water. Drink 1/3 cup twice a day.
• Dill seed infusion. Taken several times a day.
• A decoction of bird cherry bark collected during flowering. The drink is taken in a glass 2-3 times a day.
• Carrot juice. Drink a glass 30 minutes before breakfast.
• Drink made from plantain leaves. Taken 4 times a day on an empty stomach.
• An infusion consisting of birch leaves, St. John's wort, and yarrow. Drink three times a day.

Preventative measures to help avoid problems with urine retention include:

• regular bladder emptying;
• exclusion of harmful foods from the menu;
• regular exercise;
• visiting a urologist 1-2 times a year.

Conclusion

The problem of urinary incontinence occurs in many patients who have undergone TURP of the prostate. In most cases, it goes away within 6-8 months after surgery.

If symptoms persist, drug treatment is carried out. Compliance with all doctor’s prescriptions, hygiene rules, and the elimination of physical inactivity can help you get rid of urinary incontinence forever.

You might be interested

Source: https://prostatits.ru/oslozhneniya/nederzhanie-mochi-posle-operatsii-na-prostate.html

Urinary incontinence in men after prostate removal - what to do?

The most effective and frequently used method of combating benign and malignant prostate tumors is surgery.

Causes of postoperative urinary incontinence

There are several options for removing prostate tumors:

• laparoscopy is a gentle method in which large incisions are not made on the body;
• prostatectomy – complete excision of the affected organ;
• perineal resection is a complex, traumatic method used in extreme cases, in which the entire gland is excised, including adjacent tissues.

More than half of patients are sent for prostatectomy. During the procedure, soft tissue and nerve fibers of the gland are cut out.

Postoperative enuresis can be temporary or permanent. Temporary urinary incontinence is observed in all patients without exception, lasting about 2 weeks after surgery. There is no need to worry: this is a normal phenomenon caused by catheterization of the bladder, a slow return to consciousness after anesthesia, and a sudden release of the urinary canal.

• Immediately after surgery, slight blood streaks may be observed in the urine.
• Persistent enuresis requires treatment and occurs due to:

• malfunction of the urinary sphincter;
• weakening of the muscles of the bladder and pelvic floor;
• rupture of nerve fibers and the inability to transmit impulses, as a result of which the urge to urinate becomes uncontrollable.

If 3 weeks after the surgical procedure the enuresis still does not go away, then it is permanent. This means treatment is necessary.

Incontinence varies in severity for each patient. In one patient, only a few drops of urine flow out when coughing, laughing, or sudden body movements; in another, the bladder is completely emptied.

Predisposing factors

Enuresis after prostatectomy is always observed, but persistent incontinence occurs in patients who have predisposing factors to this.

Urologists identify intraoperative and preoperative factors. The first are described in the previous section, the second include:

The most provoking factor of the above is excess weight. Medical experts say that in patients with a healthy body weight and good physical fitness, the pelvic muscles are toned, so rehabilitation after surgery is quick, and complications are almost not observed.

Methods for normalizing urination after surgery

After prostatectomy there is a long rehabilitation period. In the first few days after the surgical procedure, the use of a catheter is mandatory. When the catheter is removed, the patient may experience unpleasant symptoms:

• urine mixed with blood;
• burning when urinating;
• urinary incontinence;
• frequent urge to empty the bladder.

Most men who undergo surgery gradually get rid of the above symptoms over a period of time from 3 weeks to a year. The rehabilitation period is difficult, and you need to be prepared for it.

To prevent postoperative complications, the following methods are used:

• Kegel gymnastics (alternate compression and relaxation of the pelvic floor muscles, which delay the exit of the urinary stream);
• following a therapeutic diet that excludes the consumption of foods that have a diuretic effect;
• electrical stimulation of nerve fibers to accelerate the recovery of prostate tissue;
• use of male urological pads;
• taking medications prescribed by a doctor.

Drug therapy

Drugs are prescribed that stimulate the urethral sphincter, relax the muscles of the bladder, and inhibit the urge to urinate.

The basis of therapy is anticholinergic medications that affect the activity of the neuromuscular system and have a relaxing effect on muscle tissue. The drugs have many side effects, sometimes even causing hallucinations, so they are taken under the strict supervision of a medical specialist.

Among the additional drugs used in complex therapy are:

• antidepressants (effective if enuresis is accompanied by stress);
• alpha-adrenergic receptor blockers (stimulate metabolic processes in prostate tissues);
• beta-adrenergic blockers (help relax the smooth muscles of the bladder);
• antihypertensive drugs (optimal for minor stress exposure);
• urological botulinum toxin (injections into the bladder are prescribed if incontinence occurs due to spinal cord injury or multiple sclerosis).

The doctor may prescribe other medications based on the patient’s condition. The dosage and therapeutic course are selected individually for each patient.

Therapeutic diet

Dietary nutrition cannot be the main method of treatment; it only enhances the effectiveness of drug therapy and speeds up recovery. Products that have a diuretic effect, take a long time to digest, and stimulate gas formation in the intestines are excluded from the diet.

During treatment, a man should forget about cigarettes, alcoholic and carbonated drinks, fast food, heavy and fatty foods. Wrong food provokes constipation and excessive gas formation, and because of this, the restoration of the gland and the tightening of sutures slow down.

After surgery, medical specialists recommend that men take vitamin complexes based on group B compounds. These substances accelerate the regeneration of the myelin sheath of nerve fibers.

Folk remedies

After returning home from the hospital, a man can continue doing Kegel exercises. Also, the remedies offered by traditional medicine cope well with enuresis:

1. Medicinal plants. Infusions and decoctions based on herbs that have antiseptic, strengthening and antitumor effects are recommended. Sage, dill, rose hips, yarrow, and corn silk are effective.
2. Honey and propolis. Strengthen the immune system, retain moisture in the body, normalize the state of the nervous system, which is important for a quick recovery.
3. Carrot. To get rid of enuresis, you should drink a glass of freshly squeezed carrot juice every day before breakfast.

Before using any folk remedy, it is advisable to consult a medical specialist to avoid side effects.

Radical fix for the problem

In most cases, implantation of an artificial urethral sphincter is practiced. The operation of the device that prevents the flow of urine is regulated by the patient. After installation of the sphincter, urinary function is normalized in 80% of patients.

In modern surgery, sling operations are increasingly used. A special device called a sling creates pressure in the urethra, thereby restoring bladder control.

After prostatectomy, patients are often asked to install a rubber ring at the outlet of the bladder, which prevents urine from spontaneously flowing out.

Prevention of urinary incontinence

After discharge from the hospital, a man should still adhere to rules for some time that reduce the likelihood of developing permanent enuresis.

1. Physical activity. Fast walking and walks in the fresh air are recommended. You cannot run or engage in strength sports.
2. Diet. To normalize intestinal function, you should include dishes rich in fiber in your menu. Constipation can lead to surgical sutures coming apart.
3. Intimate life. You should not have sexual intercourse for 1 – 2 months after surgery. An erection can cause internal bleeding.
4. Hygienic measures. You need to take a warm shower every day. During rehabilitation, it is contraindicated to visit baths and saunas, or take a hot bath.

During the rehabilitation period, your lifestyle should be extremely healthy. It is necessary to throw away cigarettes, give up alcohol and other drugs.

Source: https://gormons.ru/zhelezy/predstatelnaya-zheleza/nederzhanie-mochi-u-muzhchin-posle-udaleniya-prostaty-chto-delat/

What causes urinary incontinence after prostate removal?

One of the popular treatment options for complicated, long-term cases of prostate adenoma or benign hyperplasia (BPH) - so you understand, these are the same diagnosis - is surgery. Like other operations, prostatectomy also does not go without consequences. The most common complication is urinary incontinence after removal of prostate adenoma.

Statistics show that after radical excision of an organ (this method is more often used for a malignant tumor), urinary incontinence after surgery to remove prostate adenoma is observed in 80% of operated people. Urinary incontinence after tour of prostate adenoma is diagnosed less frequently, only in 0.5 - 3% of cases.

This complication is not life-threatening, but it has an extremely adverse effect on the man. The constant unpleasant smell of urine can cause social maladjustment. Then the representative of the stronger half will have to be treated not only by a urologist, but also by a psychologist (psychiatrist).

Why do cases of involuntary leakage of urine occur after prostate removal surgery?

The main cause of involuntary urine leakage is excision of a healthy, richly innervated area along with damaged tissue. When healthy nerve endings are damaged, the transmission of impulses from receptors located in the structures of the bladder and prostate gland is disrupted. Parts of the brain understand signals incorrectly or untimely, which is the cause of urinary incontinence after surgery for prostate adenoma.

This complication is diagnosed in representatives of the stronger half who have undergone radical prostectomy quite often. This is due to the specifics of the surgical intervention. During the operation, the surgeon excises part of the urethra and the internal sphincter (there is no other way).

If you study the anatomical structure of the male body, you can see that the internal sphincter is in close contact with the prostate, so it is extremely difficult not to damage it during surgery on the gland.

It is damage to these structures that leads to spontaneous discharge of urine.

With transurethral resection of the prostate (tour), which is prescribed for the diagnosis of a benign tumor, this situation occurs less frequently; incontinence is associated with the same reason - damage to the urethral sphincter.

Important!

Doctors note that urinary incontinence with prostate adenoma lasting 2 to 3 months after surgery can be considered normal.

But if the complication does not go away on its own after this period, taking into account all the doctor’s recommendations on the postoperative regimen, then you urgently need to contact a specialist again.

Long-term urinary incontinence can result from more serious problems.

Treatment options for urinary incontinence

surgical option for urinary incontinence

Treatment of urinary incontinence after surgery for prostate adenoma always begins with gentle methods. Drug therapy is complemented by physical therapy, through magnetic stimulation of muscle fibers and organs of the pelvic area. A special course of physical therapy is also prescribed. They mainly affect the pelvic floor muscles, which is why they practice Kegel exercises, designed specifically for representatives of the stronger half of the globe.

Since one of the main links in the disruption of the urination process is a disruption of neuromuscular transmission, this process is corrected with medications. It is necessary to take those medications that promote the release of acetylcholine from the endings of nerve synapses. Most often, the drug Neuromidin is prescribed for this purpose.

This medication normalizes the process of impulses passing through the receptor network to the desired part of the brain. This occurs due to the blockade (closing) of potassium channels in the membrane membranes.

Neuromidin enhances not only the effect of acetylcholine on muscle fibers. Adrenaline, serotonin, histamine and oxytocin also enhance their effect.

You can often see drugs such as:

• Solifenacin.
• Oxybutynin.
• Trospium hydrochloride.

These drugs reduce the excitability of the bladder, thereby reducing the number of visits to the toilet. If conservative treatment in combination with physiotherapy and exercise therapy is not effective, then surgical methods are resorted to.

To do this, some artificial systems are sewn in (slings, loop systems, artificial sphincter, etc.). Slings and loops allow you to increase the angle between the neck of the bladder and the rectum, thereby increasing the ability to retain urine inside the bladder. Sewing in an artificial sphincter is practiced more often than other autoimplants.

The system is modeled from several components:

• Cuff.
• Water pump.
• Tubes, several pieces.

After installing such a system, a man has the opportunity to independently control the process of urine discharge. If the cause of impaired urination lies in the narrowing of the bladder neck, then dissection is indicated to normalize the process. Implantation of a rubber ring or balloon expansion of the lumen of the urethra gives a good effect.

Often the cause of impaired urination is associated with the formation of scar tissue on the operated prostate. In this case, ultrasound or microwaves can help, thanks to which the scarred areas are crushed.

Source: https://prostatitaid.ru/adenoma-prostaty/o-zabolevanii-adenomy/nederzhanie-mochi.html