Postoperative period and recovery after adenomectomy

Antibiotic therapy must be used in the period after the operation. In most cases, it is necessary to minimize the risk of developing a postoperative infection, to prevent infection with hospital strains of infection. They also help prevent the risk of developing purulent-septic complications, since the area of the surgical intervention remains quite large, and accordingly, the risk of contamination of the body with infectious agents increases.

Also, many patients are prescribed treatment with painkillers, since the pain syndrome can persist for quite a long time. At the same time, the severity of the pain syndrome is determined by many factors and depends on the general condition of the body. In most cases, such drugs as promedol and analgin are sufficient.

In the first few days after the operation, the bladder is washed with furacillin. To perform the washing, a special tube (drainage) is used, which is left in the bladder cavity during the operation. A dropper with a furacillin solution is attached to it. The drug is drained using a catheter located in the urethra. The importance of such manipulation is due to the need for prophylactic action on the vessels of the bladder, which prevents the risk of developing blood clots in the bladder and does not allow it to become clogged with clots.

When performing surgery under general anesthesia, immediately after its completion, the patient is transferred to the intensive care unit. Usually the patient stays there for several hours, which makes it possible to monitor the patient's condition and promptly take the necessary measures to prevent further development of blood circulation. Sterile dressings are changed once every few days. Approximately 7-8 days after the surgery, the stitches are removed. After this, further observation and treatment of the wound surface is carried out.

The catheter is usually removed on the 10th day after the operation. Before removing the catheter, it must be washed with furacilin or saline. This will allow the patient to urinate immediately after the catheter is removed.

In most cases, adenomectomy is performed on elderly people, so they often have congestion. This is due to a sedentary lifestyle. Congestive pneumonia, various peristalsis and motility disorders, and stool disorders are common. Therefore, early activation is used for such patients, during which the patient is recommended to get out of bed as early as possible, start walking, and perform various types of movements. In addition, patients at risk of developing congestion are recommended to do physical exercises. Physical therapy and breathing exercises have proven themselves to be effective.

Patients, especially those at risk, are advised to follow a diet. Food should contain a large amount of protein and fiber. It is necessary to minimize the consumption of products containing a large amount of substances that contribute to the formation of gases and bloating. It is important to maintain a sufficient fluid regime. Much more fluid is required than in the usual regime. This is especially important when the catheter is still in the bladder, but it is no less important immediately after its removal. The need to drink plenty of fluids is due to the need to ensure the prevention of urethral complications. This is especially important for preventing urethral stricture, which is a narrowing of the entire length of the urethra.

Post-operative care

Removal of prostate adenoma is considered a complex operation that requires a recovery period. Thus, patients must be under the supervision of a doctor for a long time after the operation. The need for such observation lasts at least 5 to 7 days, depending on the patient's health, well-being and the degree of manifestation of his pathological symptoms. Today, good high-tech equipment is used, so the need for blood transfusions disappears. Great responsibility is placed on the surgeon who performed the operation. Thus, he must ensure control of the excreted urine, as well as blood circulation indicators. If necessary, special equipment is used to determine vital signs and their constant monitoring.

The postoperative period requires diet. Basically, a liquid diet is required on the first day. The patient should try to get up, and at first, it is necessary to try to get up at least four times a day. After the patient has begun to sit, you can start getting out of bed. In order to reduce postoperative pain, it is necessary to administer painkillers, in particular, morphine, promedol. Preference is given to the intravenous method of drug administration.

Approximately on the second day after the operation, the catheter can be removed. The decisive sign indicating the need for such removal is the absence of blood in the urine. If the patient feels relatively well, he or she can begin eating a normal diet. In order to combat the pain syndrome, it is recommended to use painkillers. The drug depends on how severe the pain syndrome is, as well as on concomitant diseases. In case of severe pain, intravenous or intramuscular administration is mainly used. In case of moderate pain, drugs in the form of tablets are used.

On the third day, the drainage can be removed. Thus, if the amount of fluid released does not exceed 75 milliliters, the drainage can be removed. The patient's activity level should gradually increase. It is advisable to use various physical exercises, breathing practices, and relaxation. All this will help to recover fairly quickly. After the patient is discharged, it is necessary to visit a surgeon or urologist. Full working capacity can be restored approximately 1-1.5 months after the operation.

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Care after adenomectomy in the first day

For several days after the operation, the patient must follow a liquid diet. He must also begin to move gradually. At first, you need to sit at least 4 times a day. In order to reduce postoperative pain, it is necessary to use painkillers. They are usually administered intravenously.

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Treatment of patients after adenomectomy

After the operation, the patient is prescribed special therapy, which is aimed at maintaining the normal state of the body. At the same time, it prevents the risk of infection and inflammation and allows you to quickly prevent pain. It is also important that such therapy allows you to recover faster after surgery. Tissue regeneration occurs faster. Basically, postoperative treatment includes traditional drug therapy. The patient also needs special care, diet. Antibiotics are most often used as drug therapy. This makes it possible to prevent the risk of infection, prevents purulent-septic and inflammatory processes. The therapy also includes the mandatory use of painkillers to prevent the risk of developing a persistent pain syndrome.

It is necessary to wash the bladder with furacilin. This prevents the formation of blood clots and reduces the risk of further inflammatory process. Furacilin also prevents the blockage of the tubules with blood clots and inflammatory exudate.

Dressing is recommended in the morning and evening. The stitches should be removed approximately on the 7th day. The catheter is removed on the 10th day after the operation. For patients over 45 years of age, therapy is mainly carried out aimed at overcoming congestion. It is important for them to select a special set of physical exercises. Special drugs are also prescribed that prevent the risk of impaired motility and peristalsis. It is recommended to get out of bed as early as possible, move more, and walk.