Sexual Health
Is eating garlic raw every day beneficial for the prostate gland? Is the surgical treatment of benign prostatic hyperplasia effective
Prostate hyperplasia, also known as prostate enlargement, is a common chronic disease in elderly men and one of the common diseases in urology. It has 5 major symptoms in the early stage and can be treated through surgery once it is diagnosed.
Early Symptoms of Prostate Hyperplasia
1. Nighttime urinary incontinence: After falling asleep, a large amount of urine accumulates in the bladder, and the pressure inside the bladder gradually increases. After exceeding the resistance of the urethral lumen, it overflows on its own. In severe cases, this phenomenon can occur even when awake during the day.
2. Poor urination: What are the symptoms of early prostate hyperplasia? When you feel the urge to urinate and start urinating, urine cannot be discharged smoothly. You need to stand by the toilet and wait for a while before urine can be discharged.
3. Increased frequency of urination: During the day and night, the frequency of urination actually increases, far exceeding the normal situation of 3-4 times during the day and 1-2 times at night.
4. Interruption of urination: Frequent urination accumulates in the bladder, and many crystals in the urine are prone to agglomerating stones, making it easy to interrupt urination.
5. After urination, there may be dull pain in the urethra, dripping urine, residual urine, or discomfort in the lower abdomen. These do not belong to the physiological sensations of normal people after urination.
Surgical treatment of benign prostatic hyperplasia
1. Posterior pubic prostatectomy
The treatment of benign prostatic hyperplasia cannot be abandoned, and it is necessary to master the method while choosing the method. Posterior pubic prostatectomy is suitable for open surgery, where the bladder is not cut and it is difficult to expose the prostate inside the bladder or if it is too small. Therefore, moderate prostate hyperplasia is suitable for posterior pubic prostatectomy. In addition. Surgery is preferred for patients with concurrent inflammation, stones, and other lesions to prevent bladder infection.
2. Suprapubic prostatectomy
Suprapubic prostatectomy refers to the removal of the prostate through an incision in the lower abdomen and an extraperitoneal bladder. This surgery has a history of over 100 years, and the surgical procedures have been continuously improved, mainly in two aspects: urine drainage and hemostasis methods. After years of clinical practice, a dual urine drainage method of cystostomy and indwelling catheter has been determined. Due to the improvement of hemostatic methods, suprapubic prostatectomy is still a commonly used method in open surgery.
3. Urethral prostatectomy
Use instruments to remove small pieces of the prostate through the urethra. The prostate should not be too large (usually around 50g) and the removal time should not be too long. Long preoperative resection time, large amount of bleeding, or difficult to control bleeding during surgery, must be switched to open surgery. Due to the absence of an abdominal incision, postoperative recovery is faster. Currently, 75% of patients in major hospitals in various provinces and cities undergo such surgical treatment, which is known as the gold standard for prostate surgery.