Consequences of prostatitis removal

Prostatitis usually does not require surgical resection; only a few severe complications (eg, abscess, urinary tract obstruction) require surgical intervention. Surgery may bring risks such as urinary incontinence, sexual dysfunction, and decreased fertility, but the specific consequences are related to the surgical method and individual recovery.

Transurethral resection of the prostate is a common surgical procedure. Short-term urinary frequency, urgency, or hematuria may occur postoperatively, but most of these symptoms resolve within 1 to 3 months. Open prostatectomy is highly invasive and may damage peripheral nerves, leading to long-term erectile dysfunction, with an incidence rate of about 10%-30%. Radical prostatectomy is only used in cases of cancer. The probability of postoperative urinary incontinence is high and needs to be improved with pelvic floor muscle training. All surgeries may cause retrograde ejaculation, causing semen to enter the bladder instead of being discharged through the urethra, but this usually does not affect sexual pleasure.

Complications such as postoperative infection and urethral stricture need to be treated with antibiotics (such as levofloxacin tablets, cefixime dispersible tablets) or urethral dilation. In rare cases, surgery may damage the rectal wall and cause a fecal fistula, requiring a second surgery to repair it. The probability of postoperative recurrence is related to the cause. The recurrence rate of bacterial prostatitis is higher than that of non-bacterial types, and prostate-specific antigen levels need to be continuously monitored.

After surgery, you should avoid actions that put pressure on the perineum, such as sitting for long periods of time, riding bicycles, etc., and drink more than 2,000 ml of water daily to dilute urine. The diet needs to reduce the intake of spicy foods and supplement zinc (such as oysters and pumpkin seeds) in an appropriate amount to promote tissue repair. Regularly review urinary system ultrasound and urinary flow rate testing. If fever, difficulty urinating, or persistent pain occurs, seek medical attention immediately.