Surgery to remove the prostate is one of the most effective treatments for BPH. Depending on the stage of the disease, various types of surgical intervention are used. In turn, the risk of developing possible postoperative complications will depend on this.
One of the most common complications after prostate removal surgery is bleeding. Its consequence can be significant blood loss, clogging of the urethra with blood clots. Massive bleeding can develop both with resection of the prostate, and with its open removal. A serious complication after removal of the prostate is water intoxication. The reason for its development is the ingress of fluid into the blood, used to irrigate the urethra during resection.
Often after surgery to remove the prostate, acute urinary retention syndrome develops. Its causes may be: physiological changes in the structure of the muscles of the bladder, blockage of the urethra with blood clots, medical error during surgical intervention. The consequences of the operation can be inflammation. In most cases, they appear several days after surgery, in some cases, inflammation develops as a result of prolonged wearing of the catheter.
There is a separate group of inflammatory complications that appear after a fairly long time. Their reason: the absence of the prostate gland, which previously served as a natural protective barrier. Usually, inflammatory diseases are treated with antibiotics, but in the absence of timely therapy, they become chronic. Most often develop: prostatitis, cystitis, urethritis, pyelonephritis, epididymitis orchitis, orchitis.
Urinary disorder occurs in about 2-10% of cases. It manifests itself in involuntary urine leakage, painful or difficult urination. When performing a resection, this disorder may be caused by the removal of an insufficient amount of tissue from the gland. Often, after prostate surgery, a condition develops when sperm is thrown into the bladder during orgasm. It's called "retrograde ejaculation." Distinguish between partial and complete retrograde ejaculation. By itself, it does not pose a danger to the body, however, difficulties may arise if a man has planned paternity.
After removal of the prostate, erectile dysfunction may appear. The frequency of such a complication is 4% -10%, which does not exceed the likelihood of developing impotence in the dynamic course of the disease. In 1-2% of cases, after removal of the prostate, prolonged and persistent urinary incontinence appears. It can occur during physical stress or be constant. Often, urinary incontinence goes away on its own, but sometimes prolonged catheterization, wearing urological pads, and the use of additional therapy are required.