What kind of surgery is needed for prostate surgery?
Prostatic hypertrophy (benign prostatic hyperplasia, BPH) is a common disease in middle-aged and elderly men. As the disease progresses, surgery may be needed to relieve symptoms. Among the hot topics on the Internet in the past 10 days, the technical selection, postoperative care and emerging therapies of prostate surgery have become the focus. This article will conduct a structured analysis of the indications, comparison of surgical techniques, and postoperative precautions for prostate surgery, and provide data reference.
1. Indications of prostate surgery
Surgical intervention needs to be considered when medical treatment is ineffective or when:
| Indications | Specific performance |
|---|---|
| recurring episodes of urinary retention | Unable to urinate spontaneously and requires catheterization |
| renal impairment | Elevated creatinine due to urinary tract obstruction |
| Bladder stones/diverticula | secondary complications |
| Recurrent hematuria | Medication is ineffective |
| urinary tract infection | Frequent attacks |
2. Comparison of mainstream surgical methods
Depending on the patient's prostate size, health status, and medical conditions, the following surgical procedures can be selected:
| Surgery name | Applicable people | Advantages | limitation | recovery time |
|---|---|---|---|---|
| Transurethral resection of the prostate (TURP) | Small and medium-sized prostate (30-80g) | Gold standard, mature technology | Bleeding risk, transient urinary incontinence | 3-7 days |
| Green laser vaporization (PVP) | Elderly people or people with coagulation disorders | Less bleeding, outpatient surgery possible | Large prostate has limited effect | 1-3 days |
| Prostatectomy (HoLEP/ThuLEP) | Large prostate (>80g) | Complete removal of hyperplastic tissue | Steep learning curve | 5-10 days |
| Minimally invasive suspension surgery (UroLift) | Those who wish to retain sexual function | No tissue removal, quick recovery | Long-term efficacy remains to be seen | 1-2 days |
| open prostatectomy | Very large prostate (>100g) | Resolve obstruction in one go | Severe trauma and long hospital stay | 14-21 days |
3. Postoperative common problems and nursing care points
| postoperative symptoms | incidence | Treatment measures | duration |
|---|---|---|---|
| temporary urinary incontinence | 15-30% | Pelvic floor muscle training | 2-12 weeks |
| retrograde ejaculation | 50-70% | No treatment required | Permanent (some techniques) |
| Urethral stricture | 5-10% | Regular expansion | Long-term follow-up is required |
| hematuria | 20-40% | Drink more fluids and take hemostatic drugs | 1-4 weeks |
4. New technology hot spots in 2023
Innovative treatments that have been discussed recently include:
5. Suggestions for patient selection
1.Under 60 years old: Prioritize enucleation or TURP to pursue long-term effects;
2.60-80 years old: Choose minimally invasive or laser surgery based on prostate volume;
3.Over 80 years old: To assess cardiopulmonary function, low-risk procedures such as UroLift or PVP can be selected.
Note: All data come from the 2023 European Urology Guidelines and clinical statistics from domestic tertiary hospitals. The actual treatment plan needs to be evaluated by a specialist.
check the details
check the details
en
