Post Date December, 03 2023
Operation has more disadvantages than advantages
Because surgical treatment has great trauma to the human body, it cannot become a routine method for the treatment of prostatitis. Only those patients with chronic prostatitis who cannot or cannot be controlled by conventional treatment for a long time, and whose clinical symptoms are very serious, especially those with prostate stones, prostate abscess, obstructive prostatic hyperplasia, prostate cancer, or prostate cancer that may turn into prostate tumor, severe prostate tuberculosis, severe prostate pain, etc, Surgical treatment is considered only as a last resort.
This is because: ① Most patients with chronic prostatitis can obtain satisfactory results after active and effective non-surgical treatment. ② Surgical treatment may bring serious consequences to patients, such as partial or complete loss of sexual and reproductive functions. ③ Due to long-term inflammatory stimulation, the prostate is prone to adhesion with surrounding tissues, easy to bleed and difficult to remove during operation, and easy to damage adjacent tissues and organs during operation, causing complications, so the operation of chronic prostatitis is relatively difficult. The surgical treatment of prostate also requires certain equipment and technical strength. The most important thing is that surgery can not solve the problems of all patients. Many patients after surgery still have clinical symptoms.
Postoperative troubles continue
Chronic prostatitis is generally localized or segmental. Prostate fluid examination can not fully reflect the severity of prostatitis, so it can not be used as a basis for surgery. Patients with chronic prostatitis with mental symptoms should be considered as contraindications for surgery.
Surgical treatment methods include drainage of prostate abscess, resection of bladder neck, complete or partial resection of prostate, total resection of prostate seminal vesicle, removal of prostate and its stones, seminal vesicectomy, transurethral retrograde balloon dilation, etc. For patients with long foreskin or phimosis, circumcision can be performed after prostatitis is cured to reduce the possibility of infection of prostate by a large number of microorganisms in the foreskin glans. Some scholars believe that circumcision should be performed before the treatment of prostatitis, and has achieved good results in practice.
Some patients still have a large number of infectious foci and stones around the prostate after surgical resection of the inflammatory prostate, such as transurethral resection of the prostate. Because the pathogen may still exist in the prostate area or spread due to the operation, the symptoms of the patient can not be completely eliminated after the operation of the prostate. The patient can still have frequent urination, urgency of urination, pain in urination, nocturnal urination, perineal discomfort or pain, and even chronic prostatitis or acute prostatitis like symptoms such as chills and fever, so it is sometimes difficult to achieve the goal of complete and complete cure by surgical treatment. Obviously, the selection of surgical indications should be more careful.
