The bladder after removal of the adenoma: features
After surgery for prostate problems within a few months, are the norm and are considered part of the recovery period.
The need of a catheter
After removal of the adenoma for the best wound healing through the urethra into the bladder introduce a special catheter. It is necessary for the flow of urine and is a tube on the end of which is attached an inflating balloon. After the procedure, the surgeon inflates the balloon and helps the patient to fix on the spot. The catheter connected to collection bag urine.
The need of the catheter is caused not only healing but also prevention of urinary retention, which occurs due to postoperative edema. The procedure promotes the discharge of blood clots after surgery.
The duration of stay of the catheter in the urinary bladder is affected by the transaction. For example, laser vaporization allows you to remove it a day after the procedure. Application transuretralnah resection of the adenoma is not possible to remove the catheter 2 — 3 days.
The extraction of the catheter
The extraction procedure of the catheter does not cause the patient discomfort or pain. The balloon is deflated and gently removed from the bladder. Some time may experience painful sensations during urination that will take place.
After removal of the catheter are the norm frequent urge to urinate, leakage of urine due to coughing or sneezing, slight bleeding, which should stop in a day.
The postoperative period for the removal of the prostate may be accompanied by pain and urgent impulses. This is due to the fact that during urination the urine falls into the surgical wound, causing discomfort.
Sometimes patients see the flow of urine, which became more powerful. The process of recovery of the bladder after surgical removal of the prostate takes about a month or a little longer. The result will be easier to urinate and the urge will become less and less.
In the rehabilitation process of the patient’s urination is gradually recovering, returning to normal bladder. However, recovery period may be associated with the problem in the form of urinary incontinence. First and foremost, it affects the degree of damage of the sphincter. Distinguish incontinence that occurs when the load on the urinary system and the permanent (full).
- Cough, exercise or laughter can trigger unwanted urination.
- Urinary incontinence (full) can be observed in those who have for years suppressed the urge to urinate. To this category includes people whose work was connected with shift schedule (drivers, doctors, teachers). It is accompanied by lack of urgency.
- Among the causes of the problem can be called Parkinson’s disease, neurological disease, infection of the urinary system, constant stress.
Typically, after removal of the adenoma, urinary incontinence is not treated, it passes with time, the recovery process of the urinary system. In an individual case, carried out a consultation with a specialist.
Blood when urinating
In the first postoperative weeks, perhaps, the appearance of blood admixtures in the urine. In many cases, their appearance does not indicate a problem and runs independently. Often this situation occurs after transuretralnah resection is the norm. The first few days after surgery, removal of the adenoma, the patient may observe the urine, intensely colored bloody discharge. Over time, impurities will decrease.
The alarm signal will become a regular presence of blood in the urine even during the observance of a drinking mode. Also the patient needs to rest. In this case, it is important to consult a doctor who will establish the cause of bleeding and take steps to address it. In rare cases requires a blood transfusion and is regarded as a complication of the postoperative period, to prevent which is under strict doctor’s recommendations. Common rules include drinking plenty of fluids, limiting coffee. The patient should refrain from heavy lifting.
The presence of blood in the urine can be caused by rejection of a crust formed in the region of resection. This problem in medical intervention and go away on their own.
To prevent blood clots capable of flushing system, which helps to flush out blood clots and prevent blockage of the urethra. After it installs the catheter.
Acute urinary retention provokes a blockage in the urethra by a blood clot or piece of tissue after resection. To avoid the problem by inserting a catheter into the bladder.
Urinary retention after removal of the adenoma may be caused as a result of changes in tissues during long-term existence problems and technical errors on the part of the surgeon during the operation.
In the process of inflammatory diseases, there is a probability of narrowing of the urethra that is called urethral stricture. Its appearance provokes trauma as the result of advancing medical instruments through the channel. In rare cases, the stricture was congenital.
The emergence of infections in the urinary system
In rare cases there is infection of the urinary system, which is accompanied by chills, pain in the abdomen, increased body temperature, nausea, or clouding of urine.
The situation arises due to non-compliance by the patient following the doctor and personal hygiene.
To prevent complications after surgery removal of the adenoma, the patient is prescribed antibiotics, which take according to the instructions of the expert.