I. What are the symptoms of prostate enlargement?
The frequency of urination, the increase in the number of urination. The early manifestation of frequent nocturnal urination is an increase in the number of urination, especially frequent urination at night, as little as 3-4 times, as much as 7-8 times. Urgent urination and inability to hold urine (urination is urgent but cannot be eliminated in time, so you need to wait for some time and gradually strain to discharge.) Incomplete urination (feeling of incomplete urination). Delay in starting urination. Intermittent urination and weak urine flow. (Gradually, the urine stroke is not far away, the urine stream becomes thin, and at a later stage, the urine stream cannot be formed into a line but is dripping.) Urinary incontinence.
The increased abdominal pressure caused by long-term difficulty in urination can cause hemorrhoids, prolapse, blood in the stool, hernia and so on to occur and worsen.
The actual fact is that you can find a lot of people who are not able to get a good deal on this.
Generally, the enlarged prostate is divided into four degrees according to size.
1, I degree hyperplasia is the size of a pigeon’s egg.
2, II degree hyperplasia is the size of an egg;
3, III degree enlargement is the size of a duck egg.
The first one is the size of an egg; the second one is the size of an egg; the third one is the size of a duck’s egg; and the fourth one is the bigger one.
In order to indicate the severity of the disease, the prostate enlargement is clinically divided into three stages.
The first stage: frequent urination, difficulty in urination, increased nocturia, weakness in urination, no residual urine, and mild reduction in maximum urinary flow rate. It is suitable for conservative treatment
In the second stage, in addition to the above symptoms, there is residual urine in the bladder, the maximum urinary flow rate is significantly reduced, and the duration of urination is prolonged.
In the third stage of urinary retention or renal insufficiency, the maximum urinary flow rate is severely reduced and the duration of urination is prolonged, so surgery is better.
Fourth, what tests are needed to diagnose BPH?
1, rectal palpation.
2.Prostate specific antigen (PSA): Checking PSA helps to diagnose or exclude prostate cancer and checking PSA helps to choose the appropriate treatment plan.
3. transabdominal or transrectal prostate ultrasound, which can determine the size of the prostate volume
4. Urodynamic examination: to check whether prostate enlargement has caused obstruction of urinary flow.
5.Other.
(1) urine routine
(2) Transrectal prostate ultrasound, residual urine measurement
(3) Cystoscopy, etc.
Why do you have BPH?
According to a clinical study, the prostate volume increased by 0.6 ml per year between the ages of 40 and 79, and after 20 years the prostate volume increased by 12 ml. Therefore, the older a man is, the more likely he is to have prostate hyperplasia. When symptoms appear, you need to seek prompt medical attention.
Six, what are the methods of surgical removal of the prostate?
1. suprapubic transcatheter prostatectomy.
2, retropubic prostatectomy.
3, trans-perineal prostatectomy.
4. Transurethral resection of the prostate (TURP) Advantages: less damage and faster recovery.
How many days does a TURP procedure usually require hospitalization?
TURP usually requires a hospital stay of about 5-7 days. The surgery itself takes about 1-2 hours. The larger the prostate, the longer the surgery takes accordingly.
VII. What should we pay attention to before the surgery?
1, the night before surgery should be a light diet, fasting at 8:00 pm and water fasting at 10:00 pm until the morning of the surgery day.
2.Routine examination before surgery (including blood and urine tests, electrocardiogram, chest X-ray, etc.).
3.If you have a history of hypertension, take oral hypertension medication routinely in the morning of the surgery day to keep your blood pressure under 160/100mmHg.
4.Stop using anticoagulant drugs such as aspirin and clopidogrel at least 5-7 days before surgery to prevent intraoperative and postoperative hemostasis difficulties.
5.Intestinal preparation: Dinner the night before surgery should be light and avoid greasy, and enema or laxative should be used before surgery.
6. Remove any jewelry, pendants, dentures, contact lenses, underwear and other items from the body before surgery and replace the sick clothes and pants.
How many tubes will there be after the surgery? How long will they be left in place? What should we pay attention to?
One catheter is usually left in place after surgery, and the bladder rinsing fluid slowly flows into the bladder through the catheter.
Note: When the catheter is placed inside the bladder, many men may feel that their bladder is always full and have a sensation of urination and defecation, both of which are normal. Bladder irrigation fluid is usually suspended for the first postoperative day. The catheter is usually removed 5-7 days after surgery. When the catheter is removed, urination is usually a little tingly at first and the urine may be cloudy and there may always be a feeling of urgency to urinate, it may be difficult to control the flow of urine and there may be leakage or dripping of urine. This usually goes away within 24 hours.
IX. What kind of complications can be expected after TURP?
1.Bleeding
TUR syndrome The main symptoms are: early manifestation of increased blood pressure, rapid heart rate, dyspnea, headache, irritability, nausea, vomiting, etc., and later manifestation of decreased blood pressure, bradycardia, wheezing, cyanosis, blurred vision, impaired consciousness, etc.
2.Urinary incontinence
Most patients recover within 12 weeks after surgery, only a few patients are called permanent incontinence. temporary incontinence after TURP can be cured within a short period of time by comprehensive treatment such as medication and pelvic floor muscle function exercise.
3.Bladder neck contracture
X. What should I pay attention to after discharge from the hospital?
In the third month after discharge, pay attention to avoid lifting heavy objects, bicycle riding and heavy work and vigorous activities to avoid increased abdominal pressure, such as avoiding bowel movements, violent coughing and forceful sitting up. At the same time, avoid drinking alcohol, abstain from intercourse for one month, and avoid consuming blood-boosting foods and medicines (ginseng, angelica, brown sugar, black fungus, salvia, hawthorn, chrysanthemum, etc.) for three months.
Take care of your daily diet to prevent constipation; eat more fresh fruits, vegetables, coarse grains and soy products, eat more honey to keep your bowels open, and eat protein-rich foods such as beef and muscle in moderation.
Since there is a possibility of delayed bleeding and infection in the late stage of surgery, patients should always pay attention to observe any abnormalities. Generally, hematuria will be maintained for about a week after surgery, and it will disappear faster with the increase of water consumption. If you encounter red color of urine, urinary urgency, painful urination, hematuria, nocturia, how thick and thin the urine line is, and whether there are small pieces of grayish-white tissue in the urine, etc., you should return to the hospital for follow-up without delay if you have the above conditions.
Drink 2000-3000ml of water daily, two hot water bottles of water, and drink less strong tea, including drinks and fruits. Occasional blood clots (brownish-red or purple particles) within the urine after presentation are common. Urine leakage may also occur when coughing or straining, which can last for many weeks. To overcome this problem, an absorbent liner can be placed inside the underwear.
Full recovery from the TURP procedure takes 4-6 weeks, after which normal life, including sex, can resume.
Take antibacterial medication for about a week after the surgery and come back to the hospital two weeks after the surgery.
Obey medical advice, adhere to the medication, regular check-ups, do not hold urine, do not drink alcohol, coffee and strong tea, eat less stimulating food; ride a bicycle less often and arrange appropriate physical activities.