Neues Verfahren bei Prostatavergrößerung: die Prostataembolisation
The prostate is a gland located underneath the bladder, in front of the rectum. It plays an important role in the part of the male reproductive system that produces fluids that carry sperm. Surgery for partial or complete removal of the prostate is called a prostatectomy.
The most common causes for prostate surgery are prostate cancer and an enlarged prostate, or benign prostatic hyperplasia BPH. Pretreatment education is the first step to making Video Prostata-Operation decisions about your treatment. Video Prostata-Operation types of prostate surgery can be done with general anesthesia, which puts you to Video Prostata-Operation, or spinal anesthesia, which numbs the lower half of your body.
The goal of prostate surgery also depends on your condition. For example, the goal of prostate cancer surgery is to remove cancerous tissue. The goal of BPH surgery is to remove prostate tissue and restore the normal flow of urine. Open prostatectomy is also known as traditional open surgery or an open approach. Your surgeon will make an incision through your skin to remove the prostate and nearby tissues.
Radical retropubic: Your surgeon will make the cut from your bellybutton to your pubic bone. In most cases, your surgeon will remove only the prostate. But if they suspect the cancer may have spread, they will remove some lymph nodes for testing. Your surgeon may not continue the surgery if they discover that the cancer has Video Prostata-Operation. Radical perineal approach: Your surgeon will make a cut in the space between the rectum and scrotum.
This is often done when you have other medical conditions that complicate retropubic surgery. This surgery takes less time than retropubic surgery, but there is a higher risk for erectile dysfunction.
Laparoscopic surgery is a minimally invasive approach to prostate surgery. Video Prostata-Operation are two main approaches for Video Prostata-Operation kind of procedure as well:. Laparoscopic radical prostatectomy: This surgery requires multiple tiny cuts so the surgeon can insert small surgical instruments. Your surgeon will use a thin tube with a camera to see into the area. Robotic-assisted laparoscopic radical prostatectomy: Some surgeries include a robotic interface.
With this type of surgery, Video Prostata-Operation surgeon sits in an operating room and directs a robotic arm while viewing a computer monitor. A robotic arm may provide more maneuverability and precision than the other procedures. According to a review of different surgery types for prostate cancer, the outcomes for open radical prostatectomy ORPlaparoscopic LRPand robotic-assisted prostatectomy RALRP are not significantly different. Also, people who choose RALRP report faster recovery in continence the ability to control the bladder and bowels and decreased hospital stay, in comparison to LRP.
What is a radical prostatectomy for prostate cancer? Prostate laser surgery primarily treats BPH without making any cuts outside of your body. Instead, your Video Prostata-Operation will insert a fiber-optic scope through the tip of the penis and into your urethra.
Laser surgery may not be as effective. Your doctor will use a long, flexible tube with a light and lens to remove parts of the prostate gland. This tube goes through the tip of the penis and is considered less invasive. A urologist will cut pieces of your enlarged prostate tissue with a wire loop.
The tissue pieces will go into the bladder Video Prostata-Operation flush out Video Prostata-Operation the end of the procedure. Transurethral incision of the prostate TUIP : This surgical procedure consists of a few small cuts Video Prostata-Operation the prostate and bladder neck to widen the urethra.
Before you wake up from the Video Prostata-Operation, the surgeon will place a catheter into your penis to help drain your bladder. Video Prostata-Operation catheter needs to stay in for one to two weeks. You may need to stay in the hospital for a few days, but generally you can go home after 24 hours. Your doctor or nurse will also give you instructions on how to handle your catheter and care for your surgical site.
Whatever type of surgery you had, the incision site will probably be sore for a few days. You may also experience:. These symptoms Video Prostata-Operation normal for a few days to a few weeks after recovery.
You may be advised to decrease activity levels, including sex. Signs Video Prostata-Operation you may have infection Video Prostata-Operation fever, chills, swelling, or drainage from the incision.
Call your doctor Video Prostata-Operation your urine is blocked, or if the blood in your urine is thick Video Prostata-Operation getting worse. Urinary problems : This includes painful urination, difficulty urinating, and urinary incontinence, or problems controlling urine.
These problems typically go away several months after surgery. The chances of long-term ED increase if your nerves are injured.
One UCLA study found that choosing a doctor who has performed at least 1, surgeries increases the chances of post-surgery recovery of erectile function. A surgeon who is gentle and handles the nerves delicately also can minimize this side effect. Some men noticed a slight decrease in penis length due to the shortening of the urethra. Sexual dysfunction : You may experience changes in orgasm and loss in fertility.
This is because your doctor Video Prostata-Operation the semen glands during the procedure. Talk to your doctor if this is a concern for you. Other side effects: The chances of accumulating fluid in the lymph nodes lymphedema in the genital area or legs, or developing a groin hernia is Video Prostata-Operation possible. This can cause pain and swelling, but both can be improved with treatment. Give yourself time to rest, as you may feel more tired post-surgery.
To help with constipation, drink fluids, add fiber to your diet, and exercise. If your scrotum starts to swell after surgery, you can create a sling with a rolled towel to lessen the swelling. There's a spectrum of treatments for prostate cancer. Deciding on the right Video Prostata-Operation should be a shared decision between you and your doctor.
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But if that doesn't work, here are 6 other hacks to try. Types of prostate surgery. Types of prostate surgery that help with urine flow. What happens after the surgery? General side effects of prostate surgery. What to do after your surgery. Pros and Cons Video Prostata-Operation Early Detection. Read this next.
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