What is The Right Time for Prostate Surgery?

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Prostate surgery is performed to treat or reduce problems with the prostate. The patient’s specific condition, severity of symptoms and medical history determine the appropriate time for surgery. Difficulty urinating, frequent urination, low urine flow or other prostate problems can be shown as appropriate symptoms for surgery.

Prostate surgery may be considered when symptoms significantly affect quality of life and do not respond to treatment. The decision for surgery depends on the size of the prostate. A large prostate can compress the urinary tract and increase symptoms.

Factors such as the patient’s medical history, stage and type of cancer may influence the appropriateness of prostate surgery. Some cases of prostate cancer may require surgery, while others can be treated without surgery.

Why is Prostate Surgery Necessary?

There are many factors that can cause prostate surgery. The first of these is prostate cancer. Prostate cancer is the growth and spread of cancer cells in the prostate gland. Part of the treatment for prostate cancer may be complete or partial removal of the prostate. This operation, which aims to remove cancerous tissue, is known as radical prostatectomy.

In addition to prostate cancer, Benign Prostatic Hyperplasia, which is not a type of cancer but is known as an enlarged prostate, may also require surgery. As the prostate enlarges, it can squeeze the urinary tract, making it difficult for urine to flow. Prostate surgery may be required when symptoms of BPH are severe or do not respond to medication.

Prostate surgery may be considered when some inflammation of the prostate gland does not resolve with antibiotic treatment or recurs. In addition, the disease known as prostate stones, which form in the prostate gland and block the urinary tract, also causes surgery. In this case, surgery is performed to remove the stones.

Symptoms of Prostate Problems

Problems with the urinary tract can often indicate an enlarged prostate gland or other health problems. Symptoms may include frequent need to urinate, difficulty urinating, leaking drops of urine, pain or burning when urinating. Symptoms may also include reduced semen volume, sexual problems, pain or discomfort in the lower abdomen or groin.

In older age, the prostate may become more prominent and may indicate general health problems such as bone pain, loss of appetite or weight loss. It is very important for people who experience these symptoms to see a doctor for diagnosis and treatment of prostate diseases.

How to Understand the Need for Prostate Surgery?

Firstly, a specialist doctor determines the severity and type of prostate problem by examining the patient’s medical history, symptoms and examinations. Prostate surgery may be necessary if difficulty urinating, frequent urination, urinary tract obstruction or other symptoms indicate prostate problems and these symptoms negatively affect quality of life. In addition, the stage and type of prostate cancer may require surgery.

Prostat Ameliyatı İçin Doğru Zaman

Risks and Side Effects of Prostate Surgery

As prostate surgery is usually performed under general anaesthesia, there are risks associated with anaesthesia. Bleeding has the potential to occur during or after surgery. As with any surgery, there is a risk of infection after this surgery.

Urinary incontinence is highly likely after prostate surgery. Erectile dysfunction, impotence, may occur as a result of some prostate surgeries, especially radical prostatectomy. Semen volume may decrease due to partial or complete removal of the prostate gland. In addition, narrowing or blockage of the urethra is possible. Temporary urination problems may occur after the operation. These may include side effects such as difficulty urinating or frequent urination.

Prostate Surgery Recovery Process

The recovery process after prostate surgery may vary depending on the patient’s condition and the type of surgery. Patients can usually stay in hospital for a few days after the operation. It is appropriate to use a urinary catheter in the first days.

There may be incontinence or urination problems, but these problems improve over time. The individual characteristics of the patient and the type of surgery may affect sexual function and may require time to recover. Physical activity may be limited and the doctor’s recommendations should be followed.

Possibility of Recurrence After Surgery

The likelihood of recurrence after prostate surgery may vary depending on the type of surgery and the patient’s specific condition. In prostate cancer surgeries known as radical prostatectomy, there is a risk of cancer recurrence and regular follow-up and prostate specific antigen, PSA, tests may be required.

As a result of benign prostatic hyperplasia, BPH, surgery, there is a risk of prostate enlargement occurring again, despite symptom relief. The risk of recurrence can be reduced if patients visit their doctor regularly and follow the recommendations.

Prof. Dr. Abdullah ArmağanUrology Specialist

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