Features of the postoperative period after removal of prostate adenoma

A common pathology that is detected in many men is prostate adenoma. The most effective way to eliminate the disease is to perform an operation. The postoperative period after removal of prostate adenoma involves compliance with special rules, which will prevent the development of dangerous complications and prevent unpleasant consequences.

Surgical treatment of adenoma

Pathology therapy is usually carried out using the following methods:

1. Transurethral resection TUR. Typically, this procedure is prescribed when a small adenoma is detected.
2. Adenomectomy. This procedure is of two types: transvesical and retropubic. The procedure is used to remove the entire inflamed gland and most often when diagnosing the malignant nature of the neoplasm.
3. laser surgery. This method is considered an alternative to classical surgery and involves the destruction of the tumor with a laser.

Surgical removal of an adenoma is considered one of the effective methods of treating such a pathology. Modern methods significantly reduce the risk of postoperative complications. Mostly today, the removal of benign hyperplasia is carried out by a minimally invasive method that does not require incisions.

Medical practice shows that in most cases there are no complications after the intervention. When applying minimally invasive surgical interventions, the patient has to stay in a hospital for no more than a week. After discharge, the recovery period proceeds at home and requires the fulfillment of all appointments of specialists.

The recovery period makes it possible to evaluate the effectiveness of the operation performed and predict the further state of the adenoma. Sometimes, after removal of a benign hyperplasia, after a certain period of time it is formed again. The reason is usually a change in the level of hormones in the male body, which affects the normal functioning of the organ.

Features of the recovery period in the hospital

In the postoperative period, for some time the patient remains in the stationary conditions of a medical institution. The patient is transferred to the ward, where he comes to his senses after anesthesia. A catheter is necessarily inserted into the bladder, because immediately after the intervention for some time there are problems with the excretion of urine from the body in a natural way. Urinary incontinence after surgery can be disturbing with spasms of the urogenital bladder, but gradually the complication disappears on its own.

To restore normal urination through the catheter after surgery, you need to control the location of the container at the level of the bladder. The patient may experience the presence of drops of blood in the urine and this phenomenon is considered quite normal. The cause of hematuria may be bleeding that develops when the hyperplasia tissue is removed. A man should not be worried if blood clots are found in the urine. They also serve as a consequence of minor bleeding that develops during tissue excision.

 Immediately after the intervention, the appearance of:

• problems with urination;
• pain syndrome and discomfort in the anus;
• violations of urine excretion using a catheter.

Mostly problems with urination in men are associated precisely with the introduction of a catheter and disappear after a few hours on their own. With certain types of surgical treatment, a special saline solution is injected into the bladder. In rare situations, the patient may complain of the occurrence of pain and spasms in the bladder immediately after surgery.

The catheter is removed after 1-3 days, taking into account the complexity of the surgical intervention and the size of the benign formation. After a short time, spasms in the bladder may disturb, which serve as a response of the body to a violation of muscle tone.

In some cases, specialists pour a special solution into the bladder to study the characteristics of urination. With the help of such manipulation, it is possible to evaluate the effectiveness of the surgical intervention in the treatment of pathology.

After the removal of benign hyperplasia, a man is selected for antibiotic therapy, due to which it is possible to exclude infection of the penis and bladder. Taking antibiotics during rehabilitation after TUR of prostate adenoma is usually prescribed for 5 days and is most often a way of reinsurance.

The first few days a man must observe bed rest. It is most often prescribed for a period of no more than a week, and this depends on the method used to remove the tumor. Medical practice shows that after minimally invasive operations, the patient is at home in a few days. In the event that a man’s health worsens or unpleasant consequences develop, then the period of hospitalization can be increased.

Recovery at home

The duration of rehabilitation is determined by the method of performing the operation, the age of the patient and his general well-being. At home, a man needs to follow some recommendations and constantly visit a specialist. When rehabilitating a man at home, it is necessary:

1. Drink as much liquid as possible throughout the day. This will improve the outflow of urine and improve the tone of the muscles of the bladder.
2. Compliance with a special diet after prostate removal . With home rehabilitation, you need to stop eating too fatty and heavy foods. This will prevent problems with the stool, which negatively affect the general well-being of a man.
3. Refuse sexual intimacy in the first months. This will help speed up the restoration of the normal functioning of the prostate gland.

At first, you need to drink more liquid, which will help restore the process of urination. Often in the first weeks, men notice a significant increase in urine pressure, but gradually the muscles of the bladder and urethra are restored and normalized.

If proper and nutritious nutrition is not observed, the likelihood of constipation is high. During the rehabilitation period, it is important for a man to avoid any violations of the act of defecation. The fact is that during the passage of accumulated feces during constipation, a strong irritation of the prostate gland occurs. The consequence of such a pathological condition may be the presence of blood impurities in urine, pain syndrome and an increase in the rehabilitation period.

After the operation, it is necessary to stop drinking caffeinated drinks, alcohol, fatty and spicy foods, as well as vegetables that provoke flatulence. The patient does not need to worry about the absence of an erection, since this phenomenon is considered normal after surgery. After about a few weeks, an erection is restored in young people, and for older patients, this may take 2-3 months.

Therapy after surgery

In the postoperative period after the operation of TUR of prostate adenoma, a man will have to give up his usual sexual life. The main task during this period is to restore the excretion of urine from the body and sexual function. In some cases, patients need to consult a sexologist.

In the event that after surgical intervention there is no positive result, then during the rehabilitation period a prostatic stent is installed in the man's penis. With its help, it is possible to significantly expand the lumen of the urethra. Such a procedure is considered quite safe, since the product is small in size and does not cause discomfort.

Physical activity during the rehabilitation period

Rehabilitation after surgery to remove TUR of prostate adenoma involves giving up sports activities for 2 months. In the future, taking into account the complexity of therapy, the general well-being of the patient and other factors, special gymnastics is selected for the patient with a gradual increase in load.

Exercise therapy for men after removal of prostate adenoma is an exercise without jumping, power load and sudden movements. Walking, swimming and cycling can speed up recovery after surgery. Exercise therapy is recommended to be done daily with a moderate load, which is determined by the attending physician.

In order to speed up the normalization of the urination process, it is recommended to train the sphincter with Kegel exercises. Such a complex is aimed at strengthening the muscles of the pelvis and is selected by a specialist. Exercises can be done anywhere and at any time of the day. Medical practice shows that after removal of prostate adenoma, a man manages to return to his lifestyle after undergoing rehabilitation.

Recommendations of specialists after prostate removal

In a situation where the patient has undergone an operation to remove benign hyperplasia, the recovery period involves following certain rules. Experts recommend following some recommendations after surgery to remove an adenoma:

• to reduce bladder tension, you need to drink a small amount of fluid;
• alternate bed rest with walks, but at the same time refuse any physical activity;
• do not drive a car and give up any bad habits;
• do not make attempts when trying to empty the intestines;
• adhere to a proper and balanced diet;
• it is forbidden to take drugs that thin the blood;

In addition, when restoring the body after surgery, it is not allowed to take a bath, visit saunas and baths. During the month, a man can only take a shower.

Possible Complications

Surgical removal of benign hyperplasia is a treatment method that can completely cope with the disease. The outcome of the operation depends both on the individual characteristics of the organism, and compliance with the appointments of a specialist. When restoring the body after surgery to remove prostate adenoma, complications can be in the form :

• problems with urination;
• bleeding of a different nature;
• inflammation of the organs of the genitourinary system;
• TUR syndrome.

In the postoperative period after the removal of prostate adenoma, the weakened body tries with all its might to normalize the balance and actively builds up the removed cells. The result of this can be a rise in body temperature and an increase in the activity of contraction of the heart muscles. With such enhanced work of the body, immunity is significantly impaired, which facilitates the entry of infectious agents into the body.

In rare cases, patients may experience a violation of the functioning of the bladder. Mostly, the reason for such a pathological condition after removal of the adenoma lies in the surgeon's mistake during the operation. However, even such an oversight can be dealt with in a short time. In some situations, urinary incontinence becomes the body's response to the manipulations performed. Gradually, the process of urination normalizes and it is possible to speed up the process with the help of certain drugs, the action of which is aimed at normalizing the tone of the muscles of the bladder.

Another complication that can occur during rehabilitation after removal of prostate adenoma is bleeding. It can develop both as a result of a medical error, and when opening the arterial trunk. This pathological condition poses a serious threat to human health, so you need to seek the advice of a specialist.