WHEN BPH NEEDS TO BE TREATED: BEFORE OPEN PROSTATECTOMY OR TUR
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Are you in shape for surgery? Your doctor will want to check you out thoroughly beforehand. Surgery may be delayed if certain conditions, such as a urinary tract infection, need attention, or if a catheter is needed to empty the bladder. Men with urinary retention and an elevated level of creatinine in the blood (indicating impaired kidney function) must also be treated for these conditions before having a prostatectomy. When you give the doctor your medical history, be sure to say so if you’ve had any unusual problems with bleeding in the past (from dental work, for example). Also, aspirin can cause excessive bleeding; if you are taking aspirin regularly, make sure you stop at least ten days before the operation.
Another important point to discuss with your doctor: About 15 percent of men who undergo open prostatectomy need a blood transfusion during the procedure. The best blood for you to receive is your own; if your hospital allows this, it’s a good idea to donate several units of your blood ahead of time.
Shortly before surgery, your doctor may want to get a baseline evaluation of your upper urinary tract to spot anything out of the ordinary. One way of doing this is with ultrasound, which can help detect hydronephrosis (distention of the ureters and renal pelvis, caused by an obstruction downstream) and pick up any unusual masses in the kidneys. This painless, noninvasive technique will also give doctors a pretty good indication of the size of your prostate and the state of your bladder—whether there’s any residual urine there. And at the time of surgery, your doctor will probably use a cystoscope—a lighted tube, inserted into the tip of the anesthetized penis—to check for any other surprises in the bladder, such as a stone or tumor that needs to be removed.
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Tags: Erectile Dysfunction, Men’s Health
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