People with chronic pain often report that their symptoms are exacerbated by weather conditions, such as cold. Some studies find that this sensitivity to ambient temperature is reported more frequently by people with fibromyalgia than other pain conditions. A study published in Pain Medicine has shown that both patients with fibromyalgia and with complex regional pain syndrome can have trigger or increase of pain following cold or hot environmental temperatures.

Will CRPS Spread to Other Parts of the Body?

While it is not guaranteed, it is common for CRPS to spread in many cases. If CRPS does spread, it is usually to nearby areas. For example, if you have CRPS in your arm, it may spread to your hand or shoulder. If you have pain in your leg, it may spread to your foot or buttocks.

Will CRPS Go Away on its Own?

Unfortunately, CRPS will not simply go away. This is why early diagnosis and treatment is critical. In some cases, people can go undiagnosed with CRPS for years; if there is a possibility that a person may have CRPS, going to see a doctor is imperative.

Is CRPS a Life Long Disease?

There is no universal answer to this question. There are a variety of factors that may contribute to whether CRPS goes into remission or if a person will experience the symptoms for their entire life Chances may increase that a person achieves remission by having CRPS diagnosed by an expert as soon as symptoms are noticed.

HERBAL TEA TO WORK AGAINST ALGODYSTROPPHY

Our natural treatment for algodystrophy is an effective, fast and lasting remedy that will allow you to naturally reduce your pain. It is composed of two elements: a balm and a herbal tea. You will feel a marked decrease in pain from the first weeks of use. The herbal tea contains plants whose active ingredients block pain, act on the cartilage to stop it from degrading, and help its regeneration.

It is the perfect solution to fight against algodystrophy, knee and all other forms. This herbal tea provides rapid and dramatic relief. It is both anti-inflammatory, analgesic and antioxidant.

The balm will be used for daily massages on the areas where you feel pain. It’s a natural relaxant. 

TO FIND OUT MORE ABOUT SUDECKS SYNDROME PRODUCT, CLICK HERE OR CALL/WHATSAPP +22990431725

THERAPIES FOR SUDECKS SYNDROME

Can Physical Therapy Help?

Physical therapy plays a vital role in the treatment of CRPS. Your physical therapist will work with you to develop a treatment plan to help address your individual condition. Because the symptoms of CRPS vary, the approach to care will also vary. CRPS treatment is generally based on the chronicity and severity of the episode. 

Physiotherapy

Physiotherapy plays a central role in the treatment of Sudeck's disease. It aims to correct patterns of pathological or elusive movements caused by pain and gradually mobilize the patient. It takes a lot of patience and encouragement for the patient to try to move the affected limb even in pain. Physiotherapy measures also include lymphatic drainage and so-called proprioceptive neuromuscular facilitation (PNF). Daily physiotherapy exercises are also recommended.

Psychotherapy

Sudeck's psychotherapy is often helpful because chronic pain can lead to depression and hopelessness. In psychotherapy, affected people learn techniques to better manage the psychological effects of their illness. For example, specific relaxation procedures or techniques are formed with which they can better cope with mental and physical stress and possible fears. For patients who already had psychological problems before Sudeck's disease, psychotherapeutic treatment in addition to purely physical therapy makes sense.

Intervention therapy

Intervention therapy is an intervention in which the disease is treated using specific intervention techniques. Sudeck intervention therapy should only be performed by specialists due to possible complications. These therapies include blockages of the sympathetic nervous system, electrical stimulation of the spinal cord, and the introduction of baclofen into the spinal canal. The sympathetic block and the stimulation of the spinal cord aim to relieve pain. Baclofen is a drug used to relieve severe muscle tension.

Movement therapy. 

Mobilization of the affected body part, begun immediately following a diagnosis of CRPS, is crucial to help prevent contractures (the tightening of muscles or joints), and to maintain function. Therapy may include a combination of passive and active movements; the best treatment for your specific condition will be determined by your physical therapist.

Mirror Box Therapy

Usually introduced as the third step in a typical GMI protocol, mirror box therapy requires an individual to exercise their unaffected limb in front of a mirror, while watching the reflection, as if their affected limb were performing the exercise.

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CORIANDER FOR ALGODYSTROPHY

1. What is CRPS?

CRPS stands for Complex Regional Pain Syndrome. It may also be referred to as Reflex Sympathetic Dystrophy Syndrome. It is a chronic pain condition. Chronic pain means lasting 6 months or more. With CRPS, your nerves are affected, sending pain signals to the brain without an easy to diagnose cause. It may be caused by a malfunction in your central or peripheral nervous systems.

2. Is Excessive Sweating a Symptom of CRPS?

Yes, many people who have CRPS have issues with sweating. This includes sweating too much or not sweating at all. It is very common to have both extremes come and go when you are diagnosed with CRPS.

3. I am Experiencing Memory Problems. Is this a Symptom of CRPS?

Yes, many people with CRPS experience forgetfulness, cognitive impairment, and memory issues.

HERBAL TO WORK AGAINST ALGODYSTROPPHY

Our natural treatment for algodystrophy is an effective, fast and lasting remedy that will allow you to naturally reduce your pain. It is composed of two elements: a balm and a herbal tea. You will feel a marked decrease in pain from the first weeks of use. The herbal tea contains plants whose active ingredients block pain, act on the cartilage to stop it from degrading, and help its regeneration.

It is the perfect solution to fight against algodystrophy, knee and all other forms. This herbal tea provides rapid and dramatic relief. It is both anti-inflammatory, analgesic and antioxidant.

The balm will be used for daily massages on the areas where you feel pain. It’s a natural relaxant. 

TO FIND OUT MORE ABOUT SUDECKS SYNDROME PRODUCT, CLICK HERE OR CALL/WHATSAPP +22990431725

CORIANDER

Coriander is a spice produced from the round, tan-colored seeds of the coriander plant (Coriandrum sativum), which is a member of the parsley family. The word coriander can be used to describe the entire plant: leaves, stems, seeds, and all.

BENEFICIAL PROPERTIES FOR THE HEALTH

The positive effects of coriander on the human body are numerous. Would you have thought that the exotic spice could do much more than just flavor food and tea?

1. Cleans the body of toxins and heavy metals Coriander is one of the most effective natural agents for detoxifying the body. It binds molecules of toxins and heavy metals, such as mercury, and eliminates them from the body.

2. A natural remedy for anemia If you suffer from anemia, regularly add a handful of iron-rich coriander leaves to your soup, salad or vegetables. Alternatively, you can also use chopped cilantro leaves mixed with olive oil, salt and spices as a tasty spread.

3. Relieves arthritis and rheumatism The active ingredients 1,8-cineol and linoleic acid contained in coriander relieve swelling due to rheumatic diseases and arthritis. Water retention caused by kidney problems is also reduced by the draining effects of coriander.

4. lowers cholesterol and blood sugar The acids in coriander have a strong effect on cholesterol in the blood and cleans the veins and arteries. By stimulating the endocrine glands, coriander eliminates insulin from the pancreas and, in particular, helps diabetics to better regulate blood sugar.

5. Normalizes digestion Consumption of fresh coriander leaves stimulates appetite. With its essential oils, coriander stimulates digestion, in particular the function of the liver and intestines. Its antibacterial properties also have a healing effect on bacterial diarrhea.

6. Relieves menstrual cramps Because coriander strongly affects the endocrine glands, it helps with an irregular cycle and relieves menstrual cramps.

7. Heals mouth sores and mouth sores Citroneol, a component of coriander essential oil, is an excellent antiseptic and acts at the same time against microbes. The consumption of coriander therefore has a healing effect on mouth blisters and small ulcers. At the same time, it ensures fresh breath.

8. Protects the eyes Antioxidants, vitamins A and C, minerals and essential oils contained in coriander protect and strengthen the eyes. An infusion of coriander leaves can relieve the symptoms of conjunctivitis. You can also find many other foods for healthy eyes in this smoothie recipe.

9. Help with skin diseases It is also said that all of the above mentioned healing properties of coriander have healing effects on many skin diseases such as rashes or fungal diseases. You can also use the infusion for this. Dip a gauze cloth with the infusion and place it as an envelope on the affected skin.

CORIANDER FAVORS ALGODYSTROPHY

An infusion of coriander helps to fight against general indefinable pain. Pour 30 g of crushed coriander seeds with 1 liter of boiling water. You can drink up to 3 cups of this preparation for the treatment of pain each day.

ADDITIONAL TIPS TO USE CORIANDER

In order to optimally preserve all the healing and gustatory properties, the coriander leaves are used as freshly as possible and are not sprinkled on the food until the end of the cooking process. You can prepare a healing infusion from the grains: Coarsely crush a teaspoon of coriander seeds with a mortar. Pour 200 ml of boiling water over it. Let the infusion steep for half an hour, then strain. The best way for tea to develop its digestive effect is to drink it after eating. Coriander can be used in many ways in cooking as an ingredient in oriental and Asian dishes or as a spice in exotic salads. It develops its beneficial health effect optimally if you consume it raw, as in the following recipe for a fresh dip.

Avocado and Coriander Dip

The following ingredients are necessary for a delicious avocado-based coriander dip. You can adjust the quantity information up or down according to your needs: 2 ripe avocados 1 tomato 1 tablespoon of chopped onion 1 bunch of coriander 180 g of sour cream or a vegan alternative of lemon juice Salt and pepper Preparation takes only a few minutes: Cut the tomato into small pieces. Peel the avocado, remove the avocado kernel and also chop it (optional if you like the bitter taste of the rich kernel). Put the two together with the chopped onion in a bowl and puree. Chop the coriander and add. Season with lemon juice, salt and pepper. The dip is particularly good with grilled vegetables and meat, it is also excellent as a fresh and spicy spread.

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The fact that pain is not considered a disease condemns many patients to misdiagnosis and often unnecessary suffering.

The phenomenon occurs under many names. We can find CRPS referred to as Sudet's Disease, Algodystrophy, neurodystrophy, sympathetic dystrophy and a complex regional pain syndrome (also known as CRPS, a complex regional pain syndrome) - all terms describe the same health problem that was first described by the German surgeon Paul Sudeck at the beginning Of the 20th century.

The original description indicated   severe and prolonged pain mainly in the hands or feet (or many limbs), often associated with movement and functional restrictions.

Sudeck called the disease a "derailed medicine" and described the similarity of symptoms with inflammation. The frequency of the disease is unknown. However, we know that:

• mostly gets a woman or girl,
• attacks regardless of age,
• is often a reaction to a trauma (e.g. several operations, perioperative trauma)
• we observe the occurrence of CRPS in people who have been diagnosed with uneven nervous tension syndrome after birth,
• we estimate that CRPS Poland is affected by between 5,000 and 40,000 people, most of whom do not have the correct diagnosis.

Sudeck's disease is characterized by trophic changes in soft tissues and bones, as well as disorders of the vasomotor and sudomotor movements of the affected limb. 

In the final stage, the disease can lead to loss of function of the affected part of the body by stiffening the joints and shrinking the skin, tendons and muscles.

Poorly treated or diagnosed too late, it can affect more and more organs. There are cases when CRPS has affected internal organs.

IASP (International Association for the Study of Pain) introduced the term "complex regional pain syndrome" (CRPS) as a new general term.

Type I CRPS requires soft tissue and bone damage or prolonged immobilization without specific nerve damage.

Type II CRPS is the result of specific damage (injury) to the peripheral nerve.

In practice, we still have CRPS III.

To date, it is not fully understood what causes CRPS. In some countries (USA) the effectiveness of its treatment with drugs analogous to Parkinson's disease is indicated.

Based on the previously unrecognized reaction of the small nerves, an inflammatory reaction occurs in the damaged part of the limb, there are circulatory disorders, swelling, skin changes and finally also functional disorders, e.g. Hands are accompanied by persistent pain or the foot is unnaturally bent.

Fortunately, there are herbal remedies that have proven its effectiveness in the cure of this painful syndrome over the years. 

HERE ARE SOME HERBAL REMEDIES FOR SUDECK'S SYNDROME

1. HERBAL TO WORK AGAINST ALGODYSTROPPHY

Our natural treatment for algodystrophy is an effective, fast and lasting remedy that will allow you to naturally reduce your pain. It is composed of two elements: a balm and a herbal tea. You will feel a marked decrease in pain from the first weeks of use. The herbal tea contains plants whose active ingredients block pain, act on the cartilage to stop it from degrading, and help its regeneration.

It is the perfect solution to fight against algodystrophy, knee and all other forms. This herbal tea provides rapid and dramatic relief. It is both anti-inflammatory, analgesic and antioxidant.

The balm will be used for daily massages on the areas where you feel pain. It’s a natural relaxant. 

TO FIND OUT MORE ABOUT SUDECKS SYNDROME PRODUCT, CLICK HERE OR CALL/WHATSAPP +22990431725

2. Ash leaves
 

A tea (infusion) with ash leaves helps fight muscle pain. Put 40 g of freshly harvested ash leaves in 1 liter of boiling water. The leaves should shoot for 20 minutes before filtering. You can drink 2 cups of this preparation per day.
 

3. Coriander
An infusion of coriander helps to fight against general indefinable pain. Pour 30 g of crushed coriander seeds with 1 liter of boiling water. You can drink up to 3 cups of this preparation for the treatment of pain each day.

4. Absinthe leaves
A poultice of freshly harvested absinthe leaves, rubbed between your fingers and then heated.
 

5. Roman chamomile
 

A poultice of Roman chamomile flowers boiled in water and then ground.
 

6. Extract with the common forest vine

200 g of freshly harvested leaves of the common forest vine, cut into thin strips, are poured into 1 liter of 60% alcohol for 1 week. The mixture should be covered and stirred several times a day. Then you filter the alcohol and fill it in a bottle. With this extract, the painful area is rubbed 3 times a day.

7. Laurel decoction
 

150 g of bay leaves are placed in 1 liter of water. The leaves should be covered and cooked gently for 2 hours before filtering. With this decoction, the painful area is rubbed several times a day in 4 days.

8. Decoction of wine with white willow
 

50 g of fresh white willow leaves are poured into 1 liter of white wine. The leaves must first be cold drawn for 3 hours, then the wine is carefully heated with the willow leaves. After half an hour of light cooking in a covered pan, strain the wine. With this decoction of wine, the area affected by the pain is rubbed several times a day.

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SUDECKS SYNDROME VS HERBAL TEA

Algodystrophy-a painful syndrome and therapy must be targeted. Sudeck syndrome is a disease that has many definitions: complex regional pain syndrome , complex regional pain syndrome , reflex sympathetic dystrophy syndrome, RDS, traumatic loss or thinning of bone spotted. Its essence is progressive muscular and bone wasting and joint stiffness.

What is Algodystrophy?

Sudeck's syndrome is a disease that leads to a gradual muscle wasting (dystrophy) and bone loss. If not treated on time, it can lead to impairment of the diseased part of the body, and further disability. Its development is primarily exposed to people after bone fractures, joint injuries or frostbite. 

HOW CAN WE DISTINGUISH THIS PATHOLOGY FROM OTHER DISEASES?

However, to distinguish between Sudeck syndrome and other diseases in which dystrophy occurs, five elements need to be recognized: spontaneous pain, pressure soreness, physical symptoms of local circulation disorders, excessive sweating and local osteoporosis.

HERBAL TO WORK AGAINST ALGODYSTROPPHY

Our natural treatment for algodystrophy is an effective, fast and lasting remedy that will allow you to naturally reduce your pain. It is composed of two elements: a balm and a herbal tea. You will feel a marked decrease in pain from the first weeks of use. The herbal tea contains plants whose active ingredients block pain, act on the cartilage to stop it from degrading, and help its regeneration.

It is the perfect solution to fight against algodystrophy, knee and all other forms. This herbal tea provides rapid and dramatic relief. It is both anti-inflammatory, analgesic and antioxidant.

The balm will be used for daily massages on the areas where you feel pain. It’s a natural relaxant. 

TO FIND OUT MORE ABOUT SUDECKS SYNDROME PRODUCT, CLICK HERE OR CALL/WHATSAPP +22990431725

CAUSES OF THE DISEASE

It is not known exactly what causes Sudeck's syndrome. It is believed that it is responsible for the abnormal activity of sympathetic nerves, which innervate the damaged part of the body. 

Sudeck syndrome - symptoms

1. Hypertonic phase: it lasts from 3 weeks to 2 months

• severe burning pain;
• soft, limited swelling;
• skin color changes to dark red or purple;
• skin warming;
• restriction of movement in the joints;
• gradual muscle wasting;
• spotty, irregular bone decalcification;

2. Dystrophic phase: it lasts from 6 weeks to 4 months

• moist, cool, thin skin;
• brittle and brittle nails;
• hair loss on a sick part of the body;
• even more limited movement in the joints (contractures and stiffness of the joints appear);
• progressive muscle wasting
• increasing bone decalcification (bone formation becomes blurred);

3. Atrophic phase: it lasts from 6 to 12 months

RISK FACTORS

However, risk factors for the development of the disease are known.

• Bone fractures, joint injuries, soft tissue bruises, frostbite, burns, as well as nerve damage. The disease usually affects the ankle joint and the bones of the wrist and hand - especially after fracture of the distal base of the radial bone, sprained wrist joint and bruising of the fingertips. 
• The factor conducive to the development of the disease is an incorrectly and too tightly applied dressing, which makes the limb immobilized in the wrong position.
• In addition, Sudeck's syndrome may appear in the course of ischemic heart disease (coronary artery disease), after a heart attack , stroke (so-called paralytic algodystrophy). Also, the use of drugs, e.g. barbiturates, cyclosporin A, anti-tuberculosis drugs, can contribute to the development of the disease (this is called drug-induced algodystrophy).
• Other risk factors are inflammatory skin diseases, carpal tunnel syndrome, and hormonal disorders.

Diagnosis of Sudeck's syndrome 

Sudeck's syndrome is confirmed based on the patient's history, analysis of clinical symptoms and X-ray altered limb. 

1. X-ray shows bone loss. An X-ray image is taken so that the bone atrophy can be determined. 
2. Bone scintigraphy is useful in diagnosing the disease. It is also helpful to find allodynia (pain even with a very delicate touch) and / or hyperpathy (severe long-term pain caused by the effect of a repetitive weak or moderate stimulus).

Sudeck syndrome - medical treatment

Treatment of Sudeck syndrome includes:

• analgesics and anti-inflammatory drugs;
• vitamin C supplementation;
• preparations improving blood supply and calcification of bones;
• physical therapy: lignocaine-calcium ionophoresis, cryotherapy , laser therapy , diadynamics, magnetotherapy;
• local lignocaine injections;
• exercises for the diseased body part;
• sympathectomy - during the procedure nerves in the sympathetic nervous system are destroyed to increase blood flow and reduce pain. It is performed in exceptional situations;

The effectiveness of treatment depends on early diagnosis and proper management.

HOME THERAPY

• Scottish treatment

To cure the algodystrophy practice the Scottish shower on the zone concerned (once or twice a day): alternate cold water and hot water. But beware, it must remain pleasant; no excess in the temperature difference. This shower promotes local blood and lymphatic circulation.

• Vinegar

In the evening, soak an egg (washed but not brushed, except where it is possible to lay eggs) in the juice of a lemon. (all organic if possible) and drink this juice the next morning. Repeat this every 2 days for 3 weeks, stop for a week and renew.

• Organic silicon 

This food supplement, which is in the form of a liquid, makes it possible to accelerate "bone repairs" and also makes it possible to limit the demineralization often linked to algodystrophy.

• Calming inflammation with clay

Cold clay poultices placed directly on the affected part, possibly alternating with other poultices such as cabbage, horsetail, hogweed, will relieve inflammation. Each poultice must remain at least 2 h until 4 h and even overnight.

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The prostate is a little-known gland, if not at the time of the onset of a disorder: does it explain what it is and what it is used for? Also, what are the signs and symptoms to recognize benign gland enlargement and what impact do they have on the patient's quality of life?

The prostate is a very important sexual gland because it enriches the seminal fluid with its secretions , thus contributing to fertility.

The classic symptomatology is that of the patient who often goes to urinate, even at night, with possible burning and pain during urination, symptoms that are often also connected to bacterial inflammation of the prostate. These patients may present sexual disorders due to the involvement of neurological pathways which are connected to the genital area and which play an important role on the sexual sphere.

The enlargement of the prostate is a phenomenon that occurs with age, generally has its peak around 50 years. The particular symptomatology of benign prostatic hypertrophy is linked to the very particular position in which the prostate is located: it is positioned below the bladder and embraces the urethra like a sleeve and when it grows exuberantly it compresses as if it were a ring the urethra, preventing the normal passage of urine from the bladder to the outside.

Africandoctor's herbal tea for prostate enlargement

We have plants suitable and ideal for the healing of prostate adenoma, which has been made availabe in a tea form. They are used to slow the growth of the prostate, reducing the "fuel" of the prostate cells: the cells of the enlarged prostate and the prostate work with the same factors and use the same "fuel".

These plants are also effective when the volume of the prostate is visible, above 40 m. Obtaining their relaxation and favoring the opening of the funnel of the bladder neck and the prostatic urethra. They thus improve emptying of the bladder. These plants are the first phytotherapeutic approach to reduce the frequency of urination and improve spraying.

Advantage of this natural remedy :

• relieves inflammation and pain
• normalizes urination and erection 
• fixes the result reliably and for a long time
• valid at any age and at any stage

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SURGICAL INTERVENTION FOR PROSTATE ADENOMA

Surgical intervention for the treatment of benign prostatic hypertrophy is evaluated when the conservative and / or pharmacological treatment is not sufficient to allow an acceptable quality of life for the patient, in order therefore to improve symptoms such as:

• difficulty starting urination,
• weak flow,
• frequent and urgent need to urinate ,
• need to get up at night to urinate (nocturia),
• inability to completely empty the bladder.

Preparation

It is necessary for the patient to face the intervention on an empty stomach (for at least 6-8 hours), while during the anesthetic visit preceding the surgery, indications will be provided on any drugs in use (replacing any anticoagulants with the heparin to be administered subcutaneously).

Interventions with minimally invasive surgery

Among the minimally invasive interventions: “Transurethral resection of prostate adenoma (TURP) is still considered the gold standard intervention.

It consists in the removal of the prostate adenoma, tissue present in the central area of ​​the prostate and responsible for the difficulty in urinating, which through surgical techniques can allow a faster recovery for the patient ".

Numerous other techniques have been proposed, but have very limited indications, among these we mention:

• Transurethral Microwave Thermo Therapy (TUMT);
• Transurethral Needle Ablation of the Prostate (TUNA).

On the other hand, the procedures that allow the removal of the adenoma using the laser are recently introduced: the most used are the Tullio laser (TULEP) and Holmium laser (HOLEP).

At the end of the operation, a bladder catheter will be positioned which will remain in place for at least 2 days, in order to allow a correct washing of the bladder from any residues.

After surgery

The patient is then transferred to the ward where he will remain lying down all day.

The possible symptoms that you will experience will initially be linked to anesthesia (which lasts up to 6 hours) and mainly consist of headache , but already the day after the surgery it is possible to walk and eat normally. Discharge, if there are no problems, takes place 2 days after surgery, after evaluation of the urine emitted and the urination residue by means of suprapubic ultrasound.

The two days of hospitalization are linked to the need to evaluate the recovery of the patient, as well as the need to carry out frequent irrigation of the bladder and urethra with physiological solution through the bladder catheter.

Depending on age and general state of health, it is normal to feel a little post-intervention tiredness, which could last from a few weeks to a couple of months.

What are the complications of the intervention?

Anesthesia allows the patient to avoid any form of pain during surgery, while in the post-operative period it is possible to feel a little discomfort due to the presence of the catheter (and to irrigations, which can cause an unpleasant sensation of full bladder) .

Due to the swelling of the prostate following the resection procedure, which is the cause of inflammation, it is initially not possible for the patient to urinate normally; the same catheter used for irrigation will therefore also be useful at the same time to allow emptying of the bladder as long as necessary.

Following discharge, it is normal for the patient to experience some difficulties during urination for a few days, as well as to find traces of blood in the urine , but these are symptoms destined to resolve quickly; more rarely, however, it may be necessary to leave the catheter in place longer, a few days or a few weeks, in cases where it is not possible to urinate normally.

The intervention is considered reasonably safe and rare complications; among these we remember:

• Intraoperative complications
  • hemorrhage,
  • TUR syndrome (2% of cases) with
    • nausea and vomiting ,
    • high blood pressure .
• Complications after surgery
  • Urinary tract infections
  • Urinary retention : may require maintenance of the bladder catheter for a longer period.
• Complications common to all interventions :
  • lung,
  • infections,
  • heart.
• Long-term complications :
  • urinary incontinence  and  erectile dysfunction (these first two complications are typical of prostate surgery),
  • retrograde ejaculation with consequent sterility  (but the perception of the associated pleasure does not diminish),
  • bladder neck sclerosis,
  • urethral stricture,
  • regrowth of prostate tissue (risk of recurrence).

What will I have to do at home?

Antibiotic therapy may be prescribed to be continued at home. There may be some disorders during urination such as burning and incontinence. Among the indications provided at discharge, it is advisable to drink in sufficient quantities and not to keep the urge to urinate .

• It will be possible to return to driving quickly, in most cases in about a week (the discriminating factor is the ability to brake quickly in an emergency).
• The return to work is strictly dependent on the type of activity carried out.
• Sexual abstinence of about 3-4 weeks will be recommended.

It is recommended to contact your doctor in case of:

• fever (above 38 °),
• severe pain when urinating,
• inability to urinate,
• persistence of blood in the urine.

Based on experience, what are the patient's fears when he has to undergo surgery for benign prostatic hypertrophy? What are the "false myths" to dispel?

Unfortunately, misinformation on the subject has generated two main fears in the patient: incontinence and impotence . To dispel these two false myths it is necessary to clarify and distinguish the intervention for benign prostatic hypertrophy from that for prostate cancer. In the case of a tumor, the prostate is completely removed, the disease can affect the nerves of the erection and can therefore cause urinary incontinence and disorders of the sexual sphere.

On the contrary, the intervention for benign prostatic hypertrophy does not create any damage from the point of view of the sexual sphere because the nerves of the erection are far from our working point and the prostate is only reduced in size, not removed in bulk. It is important to specify that some patients accuse problems of the sexual sphere after the surgery that are not attributable to the technique. Having a certain age, they often have pre-existing erectile deficit conditions that are only exacerbated by prostate problems. Even the possible drop in desire, is not to be attributed to the intervention, but only to the strong psychological impact it has on the patient. Ultimately, if the surgical technique is performed correctly, sexual activity can start physiologically with the exception of retrograde ejaculation which in this case becomes a persistent phenomenon.

As far as incontinence is concerned, it is a completely transitory condition . Many patients in the early stages after surgery complain of urgent urinary leakage because the bladder must readjust to a normal contraction condition after removal of the prostate. Then it is possible to return to normal urination, with a little patience because it usually takes three to six months to resume the urination routine .

What advice can be given to patients who have an enlarged prostate and who are considering having surgery?

Definitely talk about it with a urologist , exposing all doubts related to any problems. Benign prostatic hypertrophy does not jeopardize the survival of the individual but severely limits daily life, leading in some cases to infections and complications.

Giving up the quality of one's life for the unfounded fear of routine intervention, which could definitively solve the problem, would be senseless.

It is also important to contact the doctor at the onset of symptoms because patients usually neglect the problem and come to this intervention when the conditions are not optimal, but the more complicated the clinical picture the more it takes to recover after the intervention .

In conclusion, I strongly believe in the surgical technique, clearly practiced in moderation: today we are able to make good prostate resections with excellent results and without major complications.

I find it indicated in the patient who does not want or cannot bear the therapy but also in the case in which the drugs are not effective and finally in the cases of complications such as infections and urinary retention and diabetes, which make it necessary.

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