Bladder outlet incision What is it?You have two kidneys, which help to make urine.
They lie deep in your back just in front of your lowest ribs. The kidneys produce coach outlet gilroy urine, which is drained through a tube called ureter (one for each kidney) in your bladder. Your bladder is like a soft rubber balloon and drains through a fine tube (urethra), which has an opening into the penis. The prostate gland is a thick ring of muscle and gristle that lies between the outlet of the bladder and the penis. It is rather like the bung in the outlet of a home made wine bottle, holding the outflow tube in place. It lies deeply behind the bone in the front of the pelvis (which is the lower part of your abdomen). It makes the fluid that carries sperm. Sometimes the centre of the prostate ring becomes narrow because of overgrowth or scarring. This causes difficulty in passing urine, as well as back pressure effects on the bladder and kidneys. The operationThe back wall of the prostate ring is cut using an instrument passed up the penis. Most patients have a general anaesthetic, so that they are asleep during the operation. It is quite common, however, for patients to be numbed from the waist down with an injection in the back. If this is the case, you will be awake during the operation, you will feel that something is happening in the area of the operation but feel no pain. The operation takes about 20 minutes. You will be in hospital for about two days. Any alternatives?If you just have a little slowness when passing urine and are having to get up once or twice at night to pass urine, simply waiting and seeing if you coach outlet 400 ga have more trouble is a reasonable idea. If you find your life is being upset by the prostate problem, then treatment is coach outlet sale xl sensible. Drug treatment may be helpful in the short term, but there may be side effects. A complete blockage definitely needs treatment, at first with a fine plastic drainage tube (catheter) through coach outlet sale 2016 the penis or through the lower tummy wall, followed usually with a cut of the back wall of the prostate ring made through the penis. A formal coring out of the prostate is needed if the gland is over a certain size. Keeping the path through the prostate using short indwelling tubes are experimental. An open operation through the tummy is rarely needed, unless the prostate is very big, or you have some bladder condition such as large bladder stones or a blowout on the bladder wall. Sometimes a permanent catheter with a collecting bag for urine strapped to the leg is the best plan if an operation would be very risky. Before the operationStop smoking and get your weight down. If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Bring all your tablets and medicines with you to the hospital. On the ward, you will be checked for past illnesses and will have special tests to make sure that you are well prepared and that you can have the operation as safely as possible. You will have the operation explained to you and will be asked to fill in an operation consent form. Before you sign the consent form, make sure that you fully understand all the information that was given to you regarding your health problems, the possible and proposed treatments and any potential risks. Feel free to ask more questions if things are not entirely clear. Any tissues that are removed during the operation will be sent for tests to help plan the appropriate treatment. Any remaining tissue that is left over after the tests will be discarded. Before the operation and as part of the consent process, you may be asked to give permission for any 'left over' pieces to be used for medical research that has been approved by the hospital. It is entirely up to you to allow this or not. Many hospitals now run special preadmission clinics, where you visit a week or so before the operation, where these checks will be made. After in hospitalThere will be a catheter in your penis connected to a urine bag. This will allow urine to drain freely into a bag, which is useful if the urine has small clots of blood after the operation. It will also allow the doctors and the nurses to measure the amount of urine you make after the operation. Another benefit of having a catheter is that it will offer you some comfort by emptying your bladder after the operation, especially when it may not be that easy for you. Usually the catheter has a continuous stream of salt solution running through to keep it from blocking. The urine will be bloodstained or have blood clots for the first two or three days. It may feel a bit uncomfortable having a catheter in the penis. It can give a strong feeling of wanting to pass urine. This urge eases with time. When the urine has cleared, the catheter will be taken out. You should then be able to pass urine freely. If you have an open operation, the stitches or clips in the wound will be taken out after 7 10 days. Sometimes the catheter has to be flushed through by the nurses or doctors to free any blood clot.
This is not painful. Most hospitals arrange a check up about one month after you leave hospital. Others leave check ups to the general practitioner.
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