Patient undergoing prostate surgery:
Prostate surgery is performed in patients with benign prostatic hyperplasia and prostate cancer. The goals before the operation include checking the patient’s general health status and ensuring the optimal functioning of the kidneys. Prostate surgery should be done before acute urinary retention and damage to the upper parts of the urinary tract or in the case of cancer before the cancer progresses.
Removal of the prostate through the duct
TUR is the most common prostate removal procedure that is performed through endoscopy. Surgical instruments and visualization instruments are inserted directly through the urethra into the prostate, which is directly visible. The tuber is cut into small pieces by an electric cutting ring. This method does not require surgical incision. It can be used for glands of different sizes, it is performed for patients whose prostate gland is small or for whom surgery is dangerous.
This procedure requires an overnight stay. Constriction of the duct is common in this method and it may be necessary to repeat the operation due to the regrowth of the remaining pieces of the prostate. TUR rarely causes erectile dysfunction, but it may cause reverse ejaculation because the removal of the prostate tissue in the bladder neck causes fluid to flow backwards into the bladder instead of forward.
Prostatectomy through the suprapubic (above the pubis):
Removing the prostate from above the pubis is a prostatectomy procedure with an abdominal surgical incision. The prostate gland is removed by making an incision in the bladder. This method is used to remove the gland of any size, it has few side effects, although the bleeding may be more than other methods. Another disadvantage of this method is the need to make a surgical incision on the abdomen and it can be accompanied by the risks that exist in any other major surgery.
Prostatectomy through the perineum:
Perineal prostatectomy involves removing the gland through an incision in the perineum. This method is used when other methods are not possible and is suitable for preparing open biopsy. After the operation, the wound may easily become infected because the incision is close to the rectal area. In addition, incontinence, impotence and rectal damage are possible side effects of this surgery.
This post is written by deture