Enlarged Prostate Surgery Treatment. Open surgery for enlarged prostate
Open surgery for BPH (benign prostatic hyperplasia) is one of the ways for enlarged prostate surgery treatment. It is performed under general or spinal anesthesia. Urologist makes an incision in the lower abdomen, passing through the abdominal wall and reaches the bladder that opens. The prostate tissue is removed manually with the finger as Hyperplastic tissue is removed from their capsule. In practice, after surgery the entire prostate gland is not removed and its capsule remains. In bladder is placed catheter that goes through the urethra and a special tube that goes through the skin. Around the bladder, is placed an additional tube – drainage. The special tube and drain are removed after 4-5 day, and the catheter is removed at 10-15 day.
It is possible to have blood in the urine while you are urinating for a certain period of time, which gradually subsides. It is possible to develop retrogradeejaculation – a condition in which during orgasm sperm is not released through the penis and goes into the bladder.
Before entering of bloodless methodologies, open surgery was a major operation for an enlarged prostate. Upon its opening in early XX century, it was revolutionary, and today has nearly overtaken by bloodless methods, but still is used in some cases.
Advantages of open surgery:
– Recommended for large prostates – more than 70-80 cubic centimeters;
Disadvantages of open surgery:
– Long postoperative period – the patient remains hospitalized for 7-10 days. After discharging from hospital are required more 4-6 weeks for fullrecovery.
– The surgery is often associated with severe bleeding and is not recommended for people taking medications for “blood thinning” or for people with problems with blood clotting.
– Beauty defect – operative scar on the skin;
Transurethral resection of the prostate
This is the most common enlarged prostate surgery treatment for benign prostatic hyperplasia (BPH). The goal is to remove (cut) the increased portion of the prostate, which hinders the path of urine. It is performed through the urethra (transurethral), without incisions of the skin and this is often called bloodless. It is used spinal or general anesthesia.
In transurethral resection of the prostate is used a special instrument called a resectoscope, which the urologist uses for penetration in the urethra and cuts inside the enlarged prostate. The cutting is done by a special loop (similar to a lawnmower) and high-frequency monopolar or bipolar electric current. During the procedure, the prostate was cut into small pieces, which is finally evacuated from the bladder. The operation ends with the insertion of a catheter through which runs the urine and simultaneously comprises a washing liquid which washes the bladder and prevents the formation of clots that obstruct it. Typically, the washing liquid is stopped after 12-24 hours, and the catheter is removed 3-4 days after surgery. Hospitalization intransurethral resection of the prostate varies, usually patients are discharged after 1-2 day, the catheter is removed after that.
The advantages of transurethral resection as enlarged prostate surgery treatment, which is defined as the first bloodless surgery, being compared to open surgery are so much that both methods could hardly be compared:
– Missing a cut and therefore scar
– Very Shorter hospital stay
– More Short wearing of the catheter
– Better tolerated by patients