Pros and Cons of Prostatic Hyperplasia Surgery
Prostatic hyperplasia is one of the common diseases among middle-aged and elderly men, and the incidence of the disease is increasing with the aging of the world's population. The prevalence of prostatic hyperplasia increases with age, but hyperplasia does not necessarily have clinical manifestations. The prevalence rate in urban areas is higher than that in rural areas, and racial differences also affect the level of proliferation. Minimally invasive microurethral surgery is more common for patients with prostatic hyperplasia.
Surgical treatment of prostatic hyperplasia is very important and a very reasonable method. However, the purpose of surgical treatment is to restore smooth urination, improve the patient's symptoms, and thereby achieve the purpose of curing the disease. But there are also many shortcomings:
1. After surgery, some patients will develop urinary incontinence, and the proportion is relatively high. Generally, urinary incontinence is short-term. It occurs after the urinary catheter is removed after surgery, or it occurs within a few months after the urinary catheter is removed. The vast majority of urinary incontinence can be repaired. ；
2. After prostatic hyperplasia surgery, due to the surgical wound, it is often easy to become inflamed, resulting in frequent urination, urgency, inability to hold back urine, and pain during urination. Generally, most inflammations can be controlled through anti-inflammatory treatment ；
3. Because during minimally invasive surgery, the equipment needs to look at the prostate through the urethral opening. Some patients also have a narrow urethral opening. This is because the urethral opening may be damaged to some extent during the operation of the equipment. Although the prostate is cured, urethral stricture will occur after the urethral injury, and urination may also occur.Surgical treatment is still the key treatment method for prostatic hyperplasia and is suitable for patients with BPH who have moderate to moderately severe LUTS and have significantly affected their quality of life. Classic surgical methods include transurethral male prostate resection, transurethral male prostatectomy and open male prostatectomy. Indications for surgical treatment are: blood pressure has lower urinary tract obstruction, urodynamic tests have significantly changed, or residual urine is above 6b250 ； Blood instability and bladder symptoms are more serious ； Supplementation has caused upper urinary tract obstruction and damage to kidney function ； Urinary retention, urinary tract infection, and gross hematuria occur after several times of weight bearing ； Full-term patients with bladder stones. Tube joints in the groin, severe hemorrhoids or anal prolapse, and clinically determined cases where it is difficult to achieve therapeutic results without eliminating lower urinary tract obstruction.
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