Many men go to the doctor for an evaluation of his prostate, either for prevention, or with symptoms of urinary tract and / or impairment of sexual function.
The prostate or prostatectomy surgery is necessary, in the absence of a less aggressive, in the following situations:
1.To restore or improve lost or impaired function is to improve the quality of life
2.To increase the chances of life expectancy
In the first case is when the prostate grows in a way that prevents the normal flow of urine causing urinary retention, urinary incontinence, repeated infections, hydronephrosis, etc. and there is no evidence of cancer. In these cases it may be required transurethral prostatectomy, which is the most frequent surgery. There are other treatment options according the result of the CMP – Prostate
In the second case is when prostate cancer is established, directly or indirectly, and after evaluating all the factors that compromise the results of surgery such as age, tumor size, metastasis, sexual activity, patient preference, ability to get the results expected. Radical prostatectomy, which requires opening the abdomen result in urinary incontinence and impotence.
To get an accurate idea of the need for prostatectomy is the best test CMP – Prostate preceded by the PSA. Digital rectal examination is limited to assessing the consistency and relative size of the back of the prostate that is in contact with the rectum (see chart below).
Prostate surgery has side effects and complications, according to the patient, type of surgery and surgical complications remain the main urinary incontinence and impotence. There are also the complications of any surgery such as bleeding, infection and adverse effects and complications of anesthesia.
Naturally it is essential to an overall assessment of the body before surgery, to determine the benefits they bring surgery and the risk of it. . Remember that the more prevention to be, better get your surgeon.
Surgery for prostate cancer has two techniques: retropubic and perineal radical and, except as a palliative in patients who are very elderly or very sick, while surgery for prostatic hypertrophy is conservative and only is extracted from the prostate, thus side effects will be smaller in the latter.
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