Prostatitis is one of the diseases that affect men, and it is an enlargement and inflammation of the prostate gland, as a result of a bacterial or viral infection or exposure to malignant tumors such as cancer (benign or malignant), and the prostate gland is present in Men only, not women, and its location is below the bladder, in addition to the urethra passing through the middle of this gland, and benign (non-cancerous) prostatic hyperplasia is a widespread disease that affects millions of men around the world so that the patient feels very difficult to urinate and here The patient may need a surgery called a prostatectomy to treat these symptoms, as there are two kidneys in the human body that are constantly tasked with purifying blood and producing urine so that urine flows through the ureters to the bladder and collects and when the bladder is full, the person feels the need to urinate, and when it is rushed Urine goes outside the urethra, which is located inside the male penis, and where the penis performs another task, which is reproduction. When semen is formed inside the scrotum, it travels to the prostate through two tubes (Asharan) and the semen mixes with special secretions. From the prostate near the bladder, where the prostate gland surrounds the urethra, and during ejaculation, semen is thrown out through the urethra, and this is, in short, a simple explanation of the functioning of the prostate, as there are symptoms and diseases that may affect it and lead to the cessation of its work, as there are medical treatments for it. We will talk about it as we have come to you. Isabel Medical Center provides health advice for the human body and all medical treatments.

What is the basic function of the prostate in the human body?
The prostate is only present in men, as it is located below the bladder and forms a ring around the urethra, and its main function is the formation of semen and its secretions are important for spermatozoa, where it is at a rate of 30%.

What are the main prostate symptoms that may lead to a prostatectomy?
1 - Significant pain during urination.
2- Difficulty urinating, and it may be the patient’s fear of painful urination that leads to difficulty urinating, or because of the pressure of the prostate on the urethra.
3- Urination a lot or feeling despite the absence of urine.
4- Pain during sexual intercourse, since the prostate forms a volume of semen.
5- Pain in the pelvis and lower abdomen, which is a symptom of prostatectomy.
6- The presence of blood in the urine or semen (and here prostate examinations must be performed immediately).
7- High fever and fever, and it occurs in acute prostatitis.
8- Burning urination.

Prostatitis, which may lead to a prostatectomy, has the following types:
(Chronic, acute bacterial, chronic bacterial, asymptomatic).

The patient is diagnosed if he suffers from a prostate disease or needs a prostatectomy, through clinical diagnosis at the beginning and the symptoms that the patient complains about, searching for phenomena thereof and confirming, and secondly through analyzes (urine sample) and radiographs through the bladder and The doctor may resort to taking a sample of prostate tissue in the event of suspicion of something of a cancerous disease (benign or malignant) and to make sure if they are normal cells and do not require surgery or if they need a prostatectomy, as prostate cancer is the second most dangerous cancer affecting men. After lung cancer.

What are the main causes of prostate cancer that lead to prostatectomy?
1- A bacterial infection that causes prostate cancer.
2- Nerve damage in the lower urinary tract caused by surgery or trauma to the area.
3- The presence of an infection in the bladder or the tube that carries semen and urine to the penis (male organ).
4- Exposure to shocks while riding bicycles, horses, or practicing other sports.
5- HIV.

Does the prostate affect erection (penis) or reproductive factors?
It is not considered a primary cause of erectile dysfunction unless the patient himself has weakness during the onset of prostate enlargement or there is no erection for enough time during intercourse, and it may cause a decrease in semen and a decrease in the man's rate of sexual desire and when sexual intercourse decreases the man's enjoyment In the sexual process, it may also cause pain when ejaculating, and all this may negatively affect childbearing and prevent the man from being able to have children, and this leads to future consequences on the person’s psychological state. Therefore, early detection should be made when suspected of any of the prostate symptoms.

What treatments may be resorted to before prostatectomy?
It does this through anti-inflammatory drugs, antibiotics, and alpha-blockers by relaxing muscle fibers.

How to prepare for a prostatectomy?
This surgical procedure in removing the prostate is like any routine and simple surgical act of avoiding smoking and informing the patient of all the medicines that the patient takes on a daily basis and stopping taking blood thinners while stopping drinking and eating at least six hours before, but the most important thing is to discuss The doctor reports the results and after the prostatectomy, knowing that the anesthesia will be general in the prostatectomy process, but it may cause some pain that is relieved by painkillers and some convalescence for a week, noting that the patient will be discharged from the hospital or medical center on the next day and the medical instructions must be followed before Specialist doctor of exercises and medications after prostatectomy.

With the development of medicine and modern technologies used in surgeries and in the prostatectomy process, there have been different types of prostatectomy according to the patient's condition assessed by the specialist surgeon, where there is a resection of the prostate through laparoscopy and electrocautery, where the anesthesia is either half or general as estimated by the anesthesiologist At the end of the operation, the patient is placed a urinary catheter for a period of one to three days with a temporary dressing, and the laser energy technology vaporizes part of the enlarged prostate, and here the bleeding is less and is a completely safe operation for heart patients and others.

Some tips for maintaining prostate health:
The person must have a movement (walking at least for an hour a day) and reduce the consumption of stimuli frequently, especially in the evening period in the evening and drink more water, but in small batches, and stop drinking and eating two hours before the sleep process and conduct special analyzes In the prostate after the age of forty, and permanently avoid cold and allergy medications.

And here we recommend that we in the Isabel Medical Center, located in Istanbul - Turkey, in the event that a man suspects prostate symptoms, go immediately to a doctor and conduct the necessary tests, as we believe in our Isabel Medical Center all medical treatments, surgeries and special procedures in the prostatectomy process within The presence of modern technologies and advanced equipment with specialized and highly experienced doctors with a medical staff following the postoperative procedure.

Key words: prostatectomy

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