Andrology

Intimate life after prostatectomy

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Contents of
  • Indications for surgical intervention
  • Possible complications after
  • intervention Causes of complication development
  • Methods of treatment

Restoration of potency after prostate removal by folk remedies can be carried out only under the strict supervision of a specialist. This operation is carried out in the presence of diseases that can not be corrected for drug therapy. Also, it should be borne in mind that prostatectomy can be accompanied by a complete removal of the organ. In this case, the sexual function is not always returned.

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Timely call to the doctor will help to avoid many problems

Indications for surgical intervention

Prostate removal is performed if there are certain indications. In most cases, doctors try to keep most of the prostate gland. This body is necessary for a man to maintain the hormonal level and ability to conceive.

Prostate is responsible for producing the basis of the ejaculate. In its fractions there is a glandular tissue consisting of vesicles. They produce a liquid that has certain chemical qualities. It serves as a medium for maintaining the viability of spermatozoa. Sperm can move freely in the ejaculate. Also, the sex cells retain their viability in secret for a long time.

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The prostate gland serves as a source of a small amount of testosterone. The hormone is produced in the lining of the lobes. This amount allows you to maintain the proper activity of the hormonal system. When the prostate is affected by various ailments, the listed abilities triple.

Most pathologies of the gland can be eliminated with the help of medicinal and hardware effects. But there are a number of ailments that can only be surgically intervened. Prostatectomy is prescribed to patients who have the following pathologies:

  • cancer of the organ;
  • development of the tumor process;
  • strong compression of the urinary tract.

Removal is carried out when the tissues are affected by an oncologic disease. Cancer develops because of the activation of multiplication of atypical cells. These cells are available to all people. Under the influence of certain negative factors, the process of their multiplication starts. A few days in the prostate is formed oncological neoplasm. The operation is performed in the early stages of the disease. Early diagnosis allows specialists to save most of the damaged tissue. Later, the intervention is accompanied by a complete removal of the gland.

Excision is also used for the development of a complex adenoma. Adenoma also refers to tumor pathologies. The difference of the disease is the absence of an oncological nature. A complex pathology is accompanied by a strong expansion of the prostate lobes and its deformation. To maintain sexual function, doctors resort to surgical intervention.

Shares are located around the urinary canal under the bubble sphincter. This arrangement is necessary for the correct excretion of semen during sexual intercourse. But under the influence of various negative factors, iron is deformed. Damaged areas put pressure on the walls of the channel. Obstruction of the urinary system is observed. Removal of edema is carried out by various drugs. If medical treatment does not help, it is necessary to conduct surgery. The operation helps to avoid bladder rupture and kidney damage.

Contraindications

Prostatectomy is also not shown to all people. Removal is not carried out with cancer onset. With this form of cancer, part of the tumor goes beyond the boundaries of the prostate. Lymph node metastases can also be detected.

Surgical intervention is not recommended in the inflammatory nature of the disease. The operation becomes possible only after the elimination of acute inflammation of the prostate. With a strong lesion of the body, drug therapy is initially performed. Only after that doctors are considering prostatectomy.

In some cases, removal is recommended for urolithiasis. An intervention is prescribed if the stones pass through the ureters incorrectly. The stone can become stuck in the canal and cause a blockage. In this case, the account goes for minutes.
Experts note the growth of a group of patients undergoing prostatectomy. In recent years, there has been an increase in a group of young men. Operations are exposed to both young people and older men. This is due to the spread of bad habits and the wrong way of life. This trend is of concern to specialists.

Possible complications after

intervention Removal does not always go unnoticed for the patient. After the intervention, the following problems may appear:

  • Married couple
    Family support is very important for any male

    to reduce the lumen of the urinary tract;

  • accumulation of lymphatic fluid in the small pelvis;
  • violation of sexual function;
  • complete loss of sexual ability;
  • problems with excretion of ejaculate;
  • violation of the process of urination.

When a prostate is removed, its shape changes. The change may affect the location of the shares. In this situation, the lumen of the urinary canal decreases. With this complication, a man experiences trouble urinating. Also, such a disorder can occur due to the installation of the catheter after the intervention. The catheter facilitates the removal of fluid from the bladder without additional contractions of muscle tissue. During the removal, there is a disruption in the composition of the microflora of the canal. Damage is accompanied by inflammation and further constriction of the canal walls.

In rare cases, there is such a complication as the accumulation of lymphatic fluid in the small pelvis. The fluid accumulates due to improper operation. The congestion causes considerable edema of the tissues. If the process is prolonged, repeated intervention is necessary.

Many men after prostatectomy for a long time does not restore sexual function. This complication has a variety of symptoms. A sign of erectile failure is the change in the duration of contact, the disappearance of excitement during sex, an inferior erection. Often all these problems disappear on their own. But some people need additional treatment.

There is also a small category of people, which completely loses its sexual capacity. This pathology is called impotence. With this complication, the erection completely disappears. Sexual arousal occurs only when taking medication stimulants. If the problem persists after 3 months after surgery, you need to see a doctor. He will establish the exact cause of impotence.

A malaise of the process of ejaculation is considered a rare ailment. Ejaculation of a man is accompanied by orgasm. With the proper functioning of the genitals, this function accompanies any sexual contact. After removal in some patients, ejaculation disappears. Sexual contact is not accompanied by orgasm. In this situation, you need to undergo additional diagnostics. Only after the diagnostic measures the doctor chooses methods of restoring the disturbed ejaculation.

In some cases, the patient has impaired urination. If the urine-diverting catheter is not correctly removed, the function of the muscle layer is disturbed. Reduction of contractility does not allow the wall of the sphincter to contract tightly. This causes urine content. The liquid can be removed by drip or small volumes with a sharp contraction of the abdominal muscles. This complication requires careful examination and increased monitoring by the doctor.

Causes of complications of

Potency disorder does not occur in all patients. With proper recovery, a slight decrease in sexual ability is observed in a man. For normal sexual activity, the patient should have the following qualities:

  • Blood test
    A full medical examination will help in time to detect the pathology of

    no chronic pathologies;

  • high protective function;
  • age features;
  • carefully adheres to the recovery rules;
  • specialist experience.

For the rapid recovery of potency, the absence of various chronic diseases is important. Difficulties can arise in the presence of diabetes mellitus, chronic abacterial prostatitis, diseases of the urinary system. If a man does not have such diseases, the restoration of sexual function takes place within three months after prostatectomy.

An important role is played by the immune system. Immunity is necessary to protect the body from attacks of pathogens. After removal, this ability of the system is reduced. To avoid additional problems, the patient must have strong immunity. With a decrease in the protective properties of the body, recovery can take a long time.

Depends on the normalization and age-related features. The healing of the sutures and the restoration of the erection occur faster with the active updating processes. Cell renewal occurs faster in young patients. In older men this period can be prolonged.

For rapid normalization of potency, all rules must be strictly observed. Recommendations depend on the period. Each period is accompanied by certain rules, which are voiced by the doctor. If a man does not follow the rules, there may be additional health problems.

The doctor's experience is also important. In order to restore it correctly, one should study the feedback of other patients. High qualification of the specialist helps to avoid a variety of errors during the surgical procedure. The correct course of the operation contributes to the rapid healing of the wound and the restoration of health.

Methods of treatment

In most cases, the potency comes back to normal after three months. But in certain situations, a full recovery does not occur. At such delicate problem the man should address to the observant expert. The following methods of

  • Intimate caresses
    are considered. At the slightest problems in bed, do not postpone visit to the

    physician for normalization of the sexual sphere:

  • conducting medical treatment;
  • use of additional stimulants;
  • topical injection therapy;
  • implantation of erectile device.

For the correct selection of treatment the patient must undergo thorough diagnosis. During these activities, the doctor must identify the exact cause of the violation of potency. If inflammation is detected, microflora disorders and micro-injuries are medicated. For this purpose, antibiotic and non-steroidal anti-inflammatory drugs are used. The effectiveness of such treatment is estimated in two weeks from the beginning.

In the first months after surgery for normal sex, stimulants of potency should be taken. These drugs stimulate blood flow to the cavernous bodies and increase the sensitivity of nerve endings. Such drugs do not cure pathology after removal. They serve as a temporary method of restoring potency.

Modern specialists recommend the use of special local injections. The syringe contains a compound that fills the cavernous bodies. In this case, the man has an erection. These drugs are not addictive. Also do not affect the further sexual function.

In difficult cases, the restoration of potency becomes impossible. To a man could lead a further sex life, he needs to install a special device. It is installed in the base of the penis. Vacuum pear leaves under the scrotum. Before starting the contact, the patient needs to press the pear several times. In this case, the sphere widens at the base of the penis. There is erection of the penis. After contact, open the valve located on the pear. He bleeds the air. The sphere is decreasing. But this restoration of potency is carried out only at the request of men.

Prostatectomy is an emergency treatment. If a man is recommended such an operation, he should study all the subtleties of the postoperative period. This will help to avoid unwanted problems with potency.

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