Urinary incontinence after prostate surgery: treatment
A surgical method for removal of malignant tumors of the prostate is called radical prostatectomy (RP). Urinary incontinence after radical prostatectomy occurs in 80% of men undergoing surgery. Often in the adenoma men neglect visits to the doctor, which may lead to prostate cancer. Prostatectomy — the complete removal of the prostate, is effective in cancer of the body. When you complete transurethral resection (TUR) only 0.5% -3% of patients complain of urinary incontinence after surgery. In the treatment of urinary incontinence should consult a knowledgeable urologist who explore in detail the history and elect the optimal method of treatment.
About urinary incontinence in men after prostate surgery
After removal of BPH, many men facing problems of urination and erectile dysfunction. In half of the cases the problem with urination is lost independently through 6-18 months. If the patient takes the drugs and uses conservative treatment, this period may be reduced. Practice shows that urinary incontinence in men disappears after a month in the supine position, three — in normal mode, after 6-8 months when activity is elevated. Incontinence longer than the specified time it is necessary to proceed to active treatment.
The cause of the incontinence
It is understood that the consequences of urinary incontinence after radical prostatectomy are not the exception but the rule. Prostate removal is a serious operation, which is accompanied by tissue edema, disruption of nerves and blood vessels. When a radical prostatectomy is the excision of the urethra and the internal sphincter. The internal sphincter is associated with the prostate gland and its complete removal it is damaged. This is the main reason for the voiding. Prostate cancer treatment is often accompanied by irradiation. These procedures also affect the quality of retention of urine in the bladder. Transurethral resection of the prostate (TURP) is one of the main types of prostate surgeries and often is also accompanied by injury to the urethral sphincter.
The recovery of urination after prostatectomy without treatment
Urinary incontinence in men is associated with RPE. After surgery of BPH followed by a period of rehabilitation. The first few days after the RPE of the patient can not do without a catheter. The use of catheter — transition period is necessary, which requires execution of certain rules. After extraction, you may experience blood in the urine, burning when urinating, urgentiste, frequent urination, urinary incontinence. For getting rid of the last symptom takes 3 to 12 months. In this difficult period men should have patience and accept the fact that it is an integral process of recovery after major surgery. To prevent and minimize the unpleasant consequences of urinary incontinence after prostatectomy, use the following methods:
- Kegel exercises, which consist of alternate tension and relaxation of the muscles of the perineum;
- maintaining a diet, the exception of sharp and sour from the diet, the rejection of alcoholic drinks, especially diuretics;
- electrical stimulation of the nerve endings;
- the use of male absorbent pads;
The treatment of urinary incontinence after RP
If after 9-12 months of rehabilitation the problem persists, it is advisable surgery. In modern surgery, there are a number of methods. Most often the patient is implanted artificial sphincter. It is controlled by the patient and prevents the leakage of urine. Statistics show that after the operation, normal urination was restored in 80% of cases. Effectively proved to be a device called the sling. Thanks to him, a urethral compression, which helps to restore bladder control. After removal of the prostate the patient may be offered surgery to install a special ring made of rubber, which is placed at the outlet of the bladder and prevent involuntary leakage of urine. Operative treatment of urinary incontinence used in extreme cases when other methods have proved ineffective.