- For successful recovery after adenomectomy, you need to pay attention to the doctor’s instructions and your health.
- In addition to being discharged from a medical facility, a man needs to follow a proper diet, move actively and perform medical procedures.
- The duration of the recovery period depends on the neglect of the adenoma, the patient’s condition and the method of performing the surgical operation.
Recovery in the postoperative period after removal of prostate adenoma in the hospital
Immediately after surgical manipulation, a catheter is fixed to the patient to drain urine and prevent narrowing of the urethral canal.
The patient is systematically washed with a Nitrofural solution, which has antiseptic properties and helps remove blood clots. After 4-5 days, the plastic tube is removed from the urethra.
The patient's symptoms after surgery vary and depend on the resection method, health status and stage of the adenoma. One of the most common consequences is that a man feels a stinging and burning sensation when urinating.
To avoid the development of various infections in the pelvic organs, patients receive anti-inflammatory medication therapy. After removing the affected tissue, a separate part of it is sent for morphological analysis and research for the possible development of cancer.
At first, the urine may contain some blood. Gradually after 1-2 months the negative symptoms disappear.
How to take care after prostate surgery at home?
If there are no complications after surgery, the patient is usually discharged from the hospital after 5-7 days. Subsequently, the man must undergo systematic examinations by a specialist.
General recommendations during the recovery period are a strict diet, lack of significant physical activity, following good hygiene and drinking the required amount of water.
After prostatectomy, it is forbidden to take a bath, go to the sauna, and only wash in the shower. The more attentively the patient pays attention to the urologist’s instructions, the faster the healing process of the prostate gland will take place after the surgical procedure.
It is important to monitor your digestive function; constipation can cause bleeding.
What medications should I take during rehabilitation?
The list of necessary medications that the patient should take is prescribed by the doctor based on the clinical history of the disease.
As a rule, the patient is prescribed the following medications:
Features of the diet after surgery
After resection of the adenoma, the patient needs to follow a proper diet. Poor nutrition, which can lead to constipation or, conversely, diarrhea, will cause significant harm.
Products containing zinc
Excessive stress on the intestines and digestive organs can lead to sutures coming apart, bleeding and other negative consequences. The diet should be tailored to the needs of the patient, his state of health and concomitant diseases.
During the recovery period after surgery, it is necessary to enrich the diet with foods high in zinc (lean red meat, cottage cheese, turkey, peanuts, chicken eggs).
List of recommended dishes:
- lean types of fish and meat. (Beef, rabbit, chicken, pollock, pike perch, mullet);
- vegetables;
- fermented milk products;
- unhealthy baked goods with fiber (cereal and brown bread, diet loaves);
- whole grain cereals;
- vegetable oils;
- Herb tea;
- compotes, infusions, freshly squeezed juices;
- fruits.
In the first 2-3 months you should not drink strong alcoholic drinks, beer, coffee, tea. You should limit salt (no more than 5 g per day), spices and seasonings.
It is not recommended to overuse rich confectionery products, uncooked smoked products, pickles, canned food, and carbonated drinks. To avoid increased gas formation and constipation, it is recommended to exclude legumes, white rice, and soft bread from the menu.
The importance of drinking regime
Quite often there is urinary incontinence and the presence of blood in it. Drinking enough water is necessary to facilitate urination.
The liquid cleanses the bladder cavity and helps remove blood clots. After prostate surgery, doctors recommend drinking at least 7-8 glasses of water per day.
Sexual life after surgery
In most cases, in operated patients, erectile function returns completely. Sexual activity can begin 3-4 weeks after resection.
If transurethral excision of the adenoma was performed, then complications associated with sexual function are minimal (3-10% of the total number of those operated on).
More serious consequences associated with erectile dysfunction often occur after open prostatectomy. One of the most common complications after surgery is retrograde ejaculation, in which sperm is not released through the urethral canal, but enters the bladder.
The cause of infertility can be a significant opening of the bladder funnel after a medical procedure.
Other recommendations for men
For successful recovery, a man should avoid heavy physical and emotional stress and should get proper rest.
To restore blood circulation, walking is advisable, swimming and calm sports are possible.
Physical exercises and massage performed to relieve swelling from soft tissues subjected to excision will help speed up recovery. You should not visit a bathhouse or sauna to avoid significant overheating. A man should take care of himself and not get too cold.
How many days does the recovery period usually last?
The duration of the rehabilitation period after transurethral resection is minimal and may be longer if complications arise.
If the outcome of the operation is favorable, the man is discharged home on days 5-7, where he undergoes further rehabilitation.
In 95% of cases, complete restoration of urination and sexual function occurs after 1-2 months.
If rehabilitation is successfully completed, the patient can return to work 2-3 weeks after discharge from the hospital. In case of complications, significant or complete removal of the prostate, the rehabilitation period is prolonged and can be 3-4 months.
Possible complications of adenomectomy
The main complications after resection of hyperplasia are:
- painful and difficult urination . Narrowing of the urethral canal and inflammation of soft tissues damaged due to surgery can cause pain when emptying the bladder;
- urinary incontinence . The process of urination and urine retention after the procedure are restored gradually. To solve the problem, it is recommended to use special pads and maintain personal hygiene. Performing special exercises will help restore the ability to hold urine;
- the appearance of blood in the urine . Minor bleeding and clots for 2-3 weeks is normal. Continuous bleeding indicates a problem that should be reported to your doctor immediately;
- development of secondary infection . It may appear when harmful microorganisms enter the tissues of the genital organs and insufficient aseptic measures during the rehabilitation period. The development of an infectious infection is indicated by high body temperature, incessant pain in the lower abdomen, and a significant increase in swelling in the operated area;
- reflux of sperm into the bladder . If such a problem occurs, the doctor prescribes drug therapy and special physiological procedures.
Can the prostate become inflamed after surgery and prostatitis occur?
The probability of developing a relapse after removal of hyperplasia is quite low and amounts to 3-7% of the number of operated patients.
The development of re-inflammation of the prostate will depend on the man, his attitude to drug therapy and lifestyle.
To prevent secondary prostatitis, mandatory preventive examinations and compliance with all doctor’s advice are necessary. Malignant degeneration of benign tumors is rarely recorded, not more than 7% of the total number of those operated on.
Video on the topic
About the features of the postoperative period after removal of prostate adenoma in the video:
For successful recovery after adenomectomy, you must strictly follow your doctor's instructions. Among the most common complications, experts note difficulty urinating and infertility.
In most cases, after 1-2 months, the consequences after the operation completely disappear. The possibility of relapse of prostatitis and malignant tumor is small and amounts to no more than 7% of the total number of patients.
Source: https://prostata.guru/prostata/adenoma-prostaty/reabilitaciya-posle-udaleniya-2.html
Postoperative period after removal of prostate adenoma
The postoperative period after removal of prostate adenoma takes place in the inpatient department of the hospital where the surgical intervention was performed. The duration and effectiveness of the recovery process depends directly on the general condition of the patient, the type of operation, and the stage of development of the disease. The sooner a patient seeks medical help, the easier it is to get rid of a serious illness that is annoying with numerous symptoms.
Surgery involves complete or partial excision of the tumor on the surface of the prostate gland. Such a neoplasm is benign, but over time it can develop into malignant. This is why doctors recommend removing the adenoma.
If you perform surgery at an early stage of the disease, there is less chance of affecting healthy tissue. Numerous negative consequences of the intervention also do not develop in this case. The patient recovers quickly and returns to a full life.
Now you will have to periodically monitor the functioning of your internal organs and make preventive visits to your doctor, but the likelihood of serious complications is minimal.
The course of the postoperative period also directly depends on the method of intervention. Most modern doctors abandon outdated technologies in favor of more modern ones. Patients are offered transurethral resection of the gland.
This is an endoscopic minimally invasive operation that does not require general anesthesia. Discharge from the hospital is often carried out 3-4 days after the intervention, if the patient feels well and has no complications.
It is in the patient’s interests to follow all doctor’s instructions in order to minimize possible negative consequences after surgery.
Types of operations
Removal of prostate adenoma is carried out in two main ways:
- Outdated - through an incision on the scrotum followed by stitches;
- Modern - with the help of TOUR.
The first method is traditional, but in many hospitals it is already considered obsolete and is not widely used. The postoperative period in this case is long and difficult. The patient stays in the hospital department for at least two weeks. Then his stitches are removed and the condition of the scar is assessed. If there are no serious complications or contraindications, the patient is discharged home.
Numerous negative consequences are common with such intervention:
- complete urinary incontinence;
- inflammatory processes;
- bleeding;
- elevated temperature.
Operation TUR is used much more often today. It is gentle and minimally invasive, although many patients are frightened by the prospect of removing an adenoma through the urethra. The intervention is performed under local or epidural anesthesia. The patient does not experience any unpleasant symptoms.
A special long thin device is inserted through the canal, through which the tumor is removed. There are special endoscopes with a camera and a powerful optical system. There are also simpler devices, in which all the doctor’s actions are monitored through ultrasound.
After the operation, there are no stitches and healing is quick.
In the first few days, a urinary catheter is installed in the patient, then the process of urination gradually improves, although many patients who have undergone such an operation stated that it is extremely difficult on a psychological level to go to the toilet on their own for the first time. If you are prepared for this problem, you will successfully cope with it.
If the operation is performed by an experienced surgeon, the recovery period will be quick. It is important to follow all doctor's recommendations.
Anesthesia used
The recovery process after surgery directly depends on the type of anesthesia used. It is difficult to recover from general anesthesia. Depending on the type of drugs used, the period of complete removal from the body varies from several days to several weeks.
It is very important to correctly calculate the individual dose for a particular patient. The experience and qualifications of the anesthesiologist-resuscitator plays a primary role in the process.
Often the work of this doctor is underestimated by patients, but it is the anesthesiologist who determines how you go into anesthesia, how quickly you come out of it, and whether complications arise during the operation itself.
Today, local or spinal anesthesia is increasingly used for interventions to remove adenoma. Medicines are administered through a special catheter into the epidural area, only the lower part of the body is numbed. The patient remains conscious, recovery from such anesthesia is smooth and painless. There are no unpleasant symptoms such as severe headache, dizziness, nausea and vomiting.
Epidural anesthesia has many advantages, but if the doctor makes the slightest mistake when placing a catheter, there is a risk of paralysis of the patient's lower limbs. Once again, it turns out that the professionalism of the anesthesiologist is extremely important.
The first hours after surgery
Immediately after the operation, the patient is revived and sent to the ward. On this day he cannot get up. He has a urinary catheter installed, so there are no problems with urination yet. Medical personnel can accurately assess the volume of urine excreted, its color, density, and other physical and chemical indicators.
Some doctors recommend not eating on this day. Due to prolonged stay in a supine position, the patient's gastrointestinal tract is disrupted. There is no need to load it additionally. If the patient is very hungry, low-fat chicken broth and fresh kefir are allowed.
In the first hours after the intervention, painkillers are administered. Antibacterial therapy begins now. The patient will have to endure a lot of IVs and injections. You cannot refuse such treatment. Otherwise, there is a high probability of infection and the development of an inflammatory process.
Hospital infections are dangerous because they are insensitive to most antibiotics. Such diseases are extremely difficult to treat. That is why you should not refuse postoperative therapy.
When can you get up?
The very next day after the operation, if the patient feels well, he can get up. The catheter is still in place, so it and the attached urine bag must be carefully tied to the leg or carried in the hands. Excessive activity is not necessary at this stage.
Limit yourself to a walk around the ward. No need to set records. It is worth increasing the distances covered gradually. At this stage, you can already expand the menu a little by adding soups, side dishes, cutlets or soft meatballs. Fruits include baked apple and banana.
Already at this stage, the first rehabilitation measures begin. A physical therapy instructor comes to the patient’s room and shows him what exercises can be done to improve urination as quickly as possible.
By training the muscles of the perineum, you can get rid of numerous negative consequences of surgery. If the patient has no contraindications, then he is also prescribed physiotherapy.
Common Consequences
In the postoperative period after removal of an adenoma, the following consequences may occur:
- Fluctuations in body temperature - immediately after surgery it can drop to 35 degrees, and the next day it can rise above normal. Often the temperature remains at 37-37.5 degrees for several weeks after the intervention. You need to control it, but there is no need to panic.
- Difficulty urinating - two extremes are possible - the inability to go to the toilet when there is an urge and complete urinary incontinence. In the first case, a catheter is placed and the cause of urinary retention is sought, in the second case, urinals are used.
- Dizziness when walking – occurs due to a general weakening of the body and goes away in a few days.
If the temperature rises to critically high levels, the patient suffers severe pain, bleeding occurs, and resuscitation measures are applied to him.
The main task of doctors is to stabilize the condition, identify the cause of the complication and eliminate it. Trust the medical staff.
Specialized urology departments know how to deal with common complications.
After discharge home, the patient gradually returns to a full life. For 2-3 months he should not lift weights or have sex. Then, after consultation with a urologist and repeated examination, these restrictions are lifted.
© 2018 – 2019, MedProstatit.ru. All rights reserved.
Source: https://MedProstatit.ru/posleoperacionnyj-period-posle-udaleniya-adenomy-prostaty.html
Recovery after surgery for prostate adenoma
Prostate adenoma is a benign tumor that can appear in men at an older age. It is assumed that prostate adenoma is affected by changes in hormonal levels. Although in the conditions of modern ecology, no one is immune from typical pathological changes that introduce a lot of unpleasant moments into everyday life.
The gradual and virtually asymptomatic development of the disease, when the patient does not experience any special sensations, can create the illusion of well-being. If any unpleasant moments appear in the prostate area, it is better to immediately consult a specialist.
Indications for surgery
laser enucleation
Obvious symptoms of the disease occur when an enlarged prostate interferes with the normal flow of urine. In some cases, there may be a feeling that the bladder is full, there is frequent urination, especially at night, a burning sensation, a feeling of incomplete release in the urethra.
If treatment is not started on time, surgical intervention may be necessary, which, using modern technologies, is performed almost bloodlessly and does not involve postoperative complications.
In each specific case, an individual approach to the patient is important. Strict adherence to the rules during the rehabilitation period is also necessary. Prostate adenoma may reappear after surgery, but in very rare cases and after a long period of time (8-10 years).
This depends on the quality of the operation performed, that is, the completeness of removal of pathologically overgrown tissue and the individual characteristics of the man’s body. Therefore, the choice of a medical institution and the implementation of the necessary recommendations in the postoperative period after removal of prostate adenoma play an important role.
Recovery in a hospital setting
laser surgery for prostate adenoma
After removal of the prostate adenoma, the patient receives conservative treatment within the hospital. The recovery period depends on a number of factors and is individual for each man.
Approximately how many days the rehabilitation period will last can be predicted if the course is favorable, when postoperative treatment is optimally chosen and the man’s body is not in a weakened state after removal of the prostate adenoma. Therefore, recovery in hospital may take several days for some, and a couple of weeks for others.
Also, rehabilitation after surgery for prostate adenoma, performed by the abdominal route, may take a longer period. The fact is that abdominal surgery, unlike other modern methods, involves dissecting the tissues of organs that prevent access to the tumor.
After surgery, a catheter is installed in the bladder, which is a silicone or latex tube, with the help of which urine is directed into a urinal.
In the hospital, under the supervision of a doctor, a system is installed that irrigates the walls of the bladder with solutions to disinfect and wash away blood clots. A solution of furatsilin can be used, which is directed into a cystomy tube, then into a urinal. This system can be used for several hours or for two to three days. Everything will depend on the patient's condition.
Recommendations for patients
The daily fluid intake should be about two and a half liters. Important: exclude from your diet all too salty, fatty and spicy foods.
At first, spasmodic pain may occur after removal of prostate adenoma. The doctor may prescribe medications to alleviate this condition.
The decision on antibiotic therapy is made by a specialist individually, based on monitoring the body’s reaction to the removal of the adenoma. Sometimes a course of antibiotics is given both after the operation and before it.
This can be a guarantee of possible future complications, minimizing the development of various types of infections that do not happen so often.
Cloudy urine after surgery, as well as blood in the urine, are normal at first. It goes away pretty quickly. If the process is prolonged and blood clots are too large, additional examination may be performed. When you can sit down will be recommended by the attending physician after examining the patient, based on his condition.
Source: https://prostatitaid.ru/adenoma-prostaty/o-zabolevanii-adenomy/posle-operatsii.html
Postoperative period after removal of prostate adenoma: features of rehabilitation
- Urologist-andrologist 1st category Denis Georgievich
- 37414
- Update date: December 2019
Removal of prostate adenoma or benign prostatic hyperplasia (BPH) is currently the only effective treatment for the disease. The main part of the operation is performed using minimally invasive methods that do not cause complications. The postoperative period after removal of prostate adenoma includes a number of rules that a man must follow for two months after surgery.
Features of adenoma removal
Surgery always raises many concerns, but when it comes to adenoma, it is the only effective treatment method.
Modern methods of removing benign hyperplasia significantly reduce postoperative risks.
In most cases, adenoma removal is carried out using a minimally invasive method, which involves the absence of incisions in the perineum or in the bladder area.
In 9 out of 10 cases of surgical removal of an adenoma, complications and negative consequences are completely absent. For minimally invasive surgeries, the rehabilitation period is only about a week in hospital. Further recovery occurs at home, but requires following a number of recommendations and frequent examinations by the treating urologist.
The postoperative period allows us to evaluate the effectiveness of the operation and predict the further behavior of the adenoma, since often several years after removal, hyperplasia forms again. This is due to the peculiarities of hormonal levels that affect the functionality of the prostate gland.
In general terms, the rehabilitation period boils down to compliance with the following measures:
- increasing the amount of fluid consumed;
- proper nutrition with a number of restrictions;
- lack of heavy physical activity;
- refusal of sexual contacts for a while;
- taking a number of medications.
When removing prostate adenoma, the postoperative period is divided into inpatient and outpatient observation.
Transurethral resection is less traumatic than classic abdominal surgery
Hospital stay after adenoma removal
When a prostate adenoma is removed, after the operation the patient remains in the hospital for several days. Immediately after surgery, a catheter is installed. It is necessary to remove urine, since on the first day independent urination is difficult due to spasm of the bladder muscles.
To ensure normal outflow of urine through the catheter, the urine collection container must be kept at the level of the bladder.
In the first days, drops of blood may appear in the urine - this is a completely normal phenomenon that should not bother a man. Hematuria is caused by bleeding that occurs during the removal of hyperplasia tissue. Also, do not be alarmed if you find blood clots in your urine. They also refer to the consequences of slight bleeding that occurs during tissue excision.
In the first hours and days after surgery, a man may experience:
- with difficulty urinating;
- pain in the bladder;
- discomfort in the anus;
- violation of the outflow of urine through the catheter.
Problems with urination are caused precisely by the installation of a catheter. This usually goes away on its own within a few hours.
During some types of surgery, for example, TUR of an adenoma, the bladder is filled with saline solution. In some cases, spasms and pain in the bladder may occur in the first days after surgery.
This is due to the reaction of the mucous membrane to the intervention. Such symptoms do not require drug therapy, as they disappear after a few days.
Usually the catheter is removed after 24-72 hours, depending on the complexity of the operation and the size of the adenoma. After the catheter is removed, spasms in the bladder may again appear, which develop in response to changes in muscle tone. This discomfort goes away quite quickly.
Often, after removing the catheter, the bladder is filled with a special solution to evaluate the urination process. This procedure allows you to evaluate the effectiveness of the operation to remove the adenoma.
Immediately after the operation, the man is prescribed antibacterial therapy. Taking medications is necessary to prevent infection of the prostate and bladder. Antibacterial therapy lasts no more than 5 days and serves more for reinsurance than for treatment. However, antibiotics are not always prescribed.
The patient should spend the first day after surgery in bed. Discharge is carried out on days 3-7, depending on what method of surgical treatment was used to remove the prostate. After minimally invasive operations, the patient is usually discharged within 2-3 days. If there are complications or poor health, the hospitalization period is extended for several more days.
For the first time after the operation, the man remains in the hospital under the supervision of doctors.
Rehabilitation at home
The duration of the postoperative period after removal of prostate adenoma depends on the method of surgery, the patient’s age and general health. If a man had BPH, after surgery for prostate adenoma, the recommendations given by the doctor must be followed at home.
The rehabilitation period after removal of prostate adenoma generally lasts for two months. At home, the patient should adhere to the recommendations and regularly visit the urologist. The general rules to follow are as follows.
- Increase fluid intake. This is necessary in order to restore normal urine flow and normalize the tone of the bladder muscles.
- A gentle diet based on avoiding fatty and heavy foods. This measure is necessary to prevent constipation, which can worsen your overall health during the recovery period.
- Lack of physical activity. The restriction lasts about a month.
- Lack of sexual intercourse in the first 4-6 weeks. This measure is necessary for the rapid restoration of prostate function.
It is important to understand that any operation is stressful for the body. With transurethral resection of an adenoma, there are no visible wounds, but incisions remain in the prostate gland. The organ recovers in about 1-2 months, depending on how large the volume of tissue removed is. At this time, you need to take care and not overexert yourself so that the prostate recovers faster.
At first, the amount of water should be increased. This is necessary to restore urination. Often in the first weeks, men experience a significant increase in urine pressure, but over time the muscles of the bladder and urethra return to normal.
With an unbalanced diet, there is a risk of developing constipation. During the recovery period after prostate surgery, defecation disorders should be avoided. When passing hard stool, which is formed during constipation, the prostate gland is irritated. This can lead to bleeding and blood in the urine, pain, and will increase the recovery time.
In the postoperative period after removal of prostate adenoma, you should avoid consuming:
- any spicy food;
- vegetables that cause flatulence (cabbage, legumes);
- fatty foods;
- coffee;
- alcohol.
Until the prostate gland is completely restored, sexual intercourse is prohibited. It is not at all difficult to follow this rule, since most men do not have an erection during the recovery period. This is due to damage to the prostate during surgery.
Don't worry if you don't have an erection. This is not a complication, but a natural consequence of the operation. No specific treatment is required, since a man’s sexual function will completely return to normal after the functioning of the prostate gland is restored.
It is difficult to predict how long it will take for full recovery. In young men, problems with erection disappear approximately 4 weeks after surgery; in older patients, recovery takes 2-3 months, but even in this case, the erection will return completely, you just need to be patient.
Erection problems are temporary
Possible complications
If during the rehabilitation period after removal of prostate adenoma a man encounters any nonspecific symptoms, he should consult a doctor. Impaired urination, lack of erection and pain in the first 10 days after the operation are not complications.
Dangerous symptoms indicating complications after surgery:
- urinary incontinence;
- blood from the urethra;
- hematuria that persists after discharge from the hospital;
- retrograde ejaculation.
Urinary incontinence may be the result of a pathological disorder of the tone of the bladder and urethra. This problem requires surgery but is very rare.
Blood in the urine is normal only in the first days after surgery. Hematuria after discharge and blood from the urethra are dangerous symptoms indicating internal bleeding. Such signs require urgent contact with a specialist.
One of the complications from which no man is immune is retrograde ejaculation. The problem is that during ejaculation, the ejaculate does not come out, but is thrown into the bladder.
This does not pose a health hazard or cause discomfort, but may cause problems with conception. Retrograde ejaculation is associated with changes in bladder muscle tone. Unfortunately, this problem is difficult to solve.
In some cases, it is possible to completely restore normal ejaculation by taking certain medications, but often retrograde ejaculation becomes a constant companion of a man.
To be fair, it is worth noting that apart from the inability to conceive a child, this disorder does not cause any discomfort. The process of ejaculation occurs as before and with the same sensations, but the seminal fluid enters the bladder and leaves the man’s body during urination. In this case, the urine may have a cloudy tint due to the presence of ejaculate.
Alarming symptoms that should force a man to immediately consult a specialist are fever and severe pain in the perineum or bladder. Such signs may indicate the development of inflammatory diseases of the genitourinary system due to infection during surgery. This complication requires hospitalization and a course of antibiotic therapy.
How to live further?
Complete restoration of the gland and rehabilitation after surgery to remove prostate adenoma takes about two months. After this period, the man can return to his normal lifestyle; all restrictions that were in force during the recovery period are lifted.
After removal of the adenoma, urination and erection are completely restored and pain disappears. There are no restrictions on the patient’s future lifestyle. The only thing is that a man must be regularly examined by a urologist and take a blood test to determine PSA levels.
The first test must be taken a few months after the operation. In this case, the PSA level should be significantly lower than before surgery. In the future, the analysis should be taken 1-2 times a year. An increase in PSA levels may indicate the re-development of prostate hyperplasia or cancer.
Unfortunately, in some men, 5-10 years after removal, the adenoma forms again.
Until August 10, the Institute of Urology together with the Ministry of Health is conducting the program “Russia without prostatitis .” Within which the drug Predstanol is available at a discounted price of 99 rubles. , to all residents of the city and region!
Source: https://ProstatitNo.ru/adenoma-prostaty/posleoperatsionnyj-period-posle-udaleniya-adenomy-prostaty/
Postoperative period after removal of prostate adenoma
If benign prostatic hyperplasia requires surgical intervention, the patient must follow all medical recommendations regarding rehabilitation.
This will gradually normalize the functioning of the operated organ and minimize possible complications. The postoperative period after removal of prostate adenoma first takes place in a medical facility, and then at home.
Sometimes there is a need to repeat the treatment course.
Rehabilitation therapy after surgery in hospital
When a prostate adenoma is removed using the transurethral method, a catheter with a balloon at the end is inserted into the bladder.
It is required for:
- constant rinsing of the bladder;
- urine drainage;
- preventing blockage of the outlet section by blood clots.
If after a few days there are no complications, the catheter is removed. The bubble is pre-filled to control its operation. If there are no disturbances in the urination process, the tube is removed.
Do not be alarmed by urine turning reddish. The symptom is not considered dangerous and goes away quickly. To avoid unwanted stretching of the bladder walls, you should visit the toilet more often.
For preventive purposes, patients are prescribed antibiotics. Some specialists practice a wait-and-see approach, so antibiotics are prescribed only when appropriate signs appear.
In the postoperative period, when a man is in the hospital after removal of prostate adenoma, it is recommended to remain in bed for the first 1-2 days. If there is no improvement in your health, it is not advisable to get up for another 3 days.
Home rehabilitation
After the hospital, the recovery period continues at home, and rehabilitation must take place with strict adherence to the rules. If the patient is attentive to his own health, the rehabilitation period will end quite successfully.
At home, you must continue to take the medications prescribed by your doctor and listen to advice regarding a nutritious diet, sex life, exercise, and fluid intake.
What medications should I take?
After removal of a prostate adenoma, in the postoperative period, drugs with an analgesic effect are prescribed, as well as anti-inflammatory drugs that help cope with swelling and inflammation.
Antibiotics are selected if necessary. If constipation is a problem, laxatives are prescribed.
It is forbidden to independently adjust the dosage of medications, and in case of negative symptoms, you should immediately notify a urologist about the incident.
Features of the diet after surgery
An integrated approach is needed not only during drug therapy, but also during the recovery period. After surgery, to maintain the functioning of the prostate gland, it is necessary to follow the rule regarding dietary intake.
If, after surgery to remove prostate adenoma, the patient does not follow the specialist’s recommendations, he risks the recurrence of the disease.
A balanced diet is of great importance for those who have been on the operating table and want to restore normal functioning of the body.
Therefore, it is worth listening to the advice of urologists:
- Preference should be given to foods with vegetable protein, as it reduces the likelihood of complications and prevents the formation of malignant tumors.
- Fruits and vegetables bring great benefits, because they contain substances necessary for the body.
- It is recommended to include foods with zinc and selenium in the menu, for example, seafood, olive oil, pumpkin seeds.
- To keep the gastrointestinal tract in good shape, you need to eat small portions.
- To prevent constipation, cabbage, tomatoes, beets, dried apricots, fermented milk products, etc. are useful.
High-calorie foods, fried, salty and spicy foods, as well as foods with preservatives and various food additives are prohibited. You should abstain from alcohol and caffeine-containing drinks.
The importance of drinking regime
Patients who have undergone prostate surgery need to pay special attention to fluid intake. It should enter the body in an amount of at least 3 liters, taking into account the water that is present in first courses, as well as in fruits and vegetables.
You should always consult your doctor regarding your drinking regime.
Prostate hyperplasia is usually diagnosed in mature men, so the disease is often accompanied by other disorders. In particular, caution will not hurt if there are problems in the cardiovascular system.
Sex life
Representatives of the stronger sex are worried about how much surgery can affect the functioning of the genital organs. Despite the existing opinion that sexual function deteriorates somewhat after surgery, most doctors confidently say that if disturbances occur, they are short-term.
The rehabilitation period may be accompanied by:
- Weakening of erection. As practice shows, this rarely happens. If erectile dysfunction was not observed before surgical procedures, it will not occur after them.
- Retrograde ejaculation. Its essence lies in the penetration of ejaculate into the bladder cavity during sex.
In general, sexual intercourse is allowed, but only one month after the operation. The main thing is the absence of any complications.
Other recommendations for men
For recovery, it is not enough to follow a nutritious diet and drinking regime, as well as take medications.
In order for the gland tissue to recover, the following recommendations will be useful:
- It is necessary to refrain from sudden movements.
- The body should not be overcooled or overheated; accordingly, rooms with elevated temperatures are prohibited (for example, saunas, baths).
- Excessive physical activity after surgery is unacceptable.
- You should give up harmful addictions.
- You should visit a urologist for examination regularly within the time frame prescribed by your doctor, especially if negative symptoms occur.
As soon as the benign formation is removed, sports should be postponed for 2 months. In the future, to prevent relapses, it is necessary to pay attention to therapeutic exercises, and the load should increase gradually.
The training is a set of exercises that does not involve excessive effort or sudden movements. You need to exercise after consultation with your doctor.
Kegel exercises are recommended to strengthen the pelvic muscles:
- 2-3 second contractions of the perineal muscles followed by relaxation;
- frequent contractions, followed by a 30-second rest.
Correctly performed actions will achieve the desired results. You can train at any time, the main thing is consistency and moderation in the load.
What are the complications?
Most often, the elimination of a benign tumor is carried out using transurethral resection (TUR).
During the rehabilitation period, consequences may be observed in the form of:
- Water intoxication (TUR syndrome). To irrigate the bladder, irrigation fluid is used, a significant amount of which may end up in the bloodstream. As a result, red blood cells die and the electrolyte composition of the blood is disrupted. When such a complication occurs, the need for resuscitation measures cannot be ruled out. In particular, the risk of death increases significantly if the patient has heart disease.
- Urinary incontinence. The reason lies in damage to the urethral sphincter. Typically, a violation occurs when the surgeon uses a monopolar resectoscope. To eliminate the problem, Kegel exercises are suitable, which can be started only after 3 weeks.
- Rejection of sperm during ejaculation into the bladder (retrograde ejaculation). The disorder can be treated with medications, physical therapy, or surgery.
- Frequent urge to empty the bladder. This happens when the receptors are irritated or the organ is accustomed to strong contractions. Often the process normalizes after 10-14 days.
- Scarring of the urethra (stricture). It is a fairly serious consequence, due to which the urethra may be completely blocked. The appearance of deviations is explained by erroneous actions of the surgeon or the use of inappropriate equipment. When a stricture forms, the patient is prepared for reoperation.
Also, men experience pain in the operated area, which is the result of the installation of a catheter, strong filling of the bladder, the presence of an inflammatory process, or untimely administration of pain medication.
If traces of blood are visible in the urine, doctors advise remaining calm. Bleeding usually stops after resting and drinking fluids.
If significant blood clots appear, you should see a doctor immediately.
How many days does recovery take?
When it comes to the timing of rehabilitation after tumor excision, it is worth knowing that its duration depends on several factors. First of all, the type of operation that doctors resort to to get rid of the adenoma matters.
In addition, the length of stay in the hospital is affected by:
- speed of body recovery;
- age category;
- degree of neglect of the pathology.
Before the patient is discharged, he must spend 7 to 10 days in the hospital. If improvement in well-being is beyond doubt, rehabilitation takes place at home. It may take several months to a year to fully recover.
Can the prostate become inflamed after surgery?
If it is planned to remove a benign tumor using transurethral resection or adenomectomy, infection cannot be ruled out in the genitourinary organs. This is possible both during surgery and during the rehabilitation period, when the patient ignores medical recommendations.
As a result of infection, the prostate gland can become inflamed. There is also a risk of developing acute pyelonephritis or orchiepididymitis. Sometimes the consequence of what happened is sepsis.
Having gotten rid of an adenoma, a man should become more attentive to his health. Thanks to competent actions, the body’s recovery will be as successful as possible, while the risk of relapse and complications will be reduced to a minimum.
Source: https://potenciya.guru/prostatit/adenoma-prostaty/posleoperatsionnyj-posle-udaleniya/
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