Prostate Surgery: What Happens After a Prostatectomy

Prostate surgery, known as prostatectomy, is a procedure primarily performed in cases of prostate cancer or benign enlargement (benign prostatic hyperplasia). While it can save lives, it also brings significant physical and emotional changes.

What Happens in the Body After This Surgery:

1. Changes in the Urinary System
   The prostate surrounds part of the urethra, the duct that carries urine out of the body. After prostate removal, there may be weakness in the muscles that control urine, leading to temporary or persistent urinary incontinence. Many men regain urinary control over time through pelvic floor strengthening exercises, such as Kegel exercises.

2. Impact on Sexual Function
   One of the most well-known side effects is erectile dysfunction. This occurs because the nerves that control erections run very close to the prostate. Depending on the surgical technique used and the individual case, recovery of sexual function may vary and may require specific therapies.

3. Hormonal Changes
   Although the prostate does not produce sex hormones, its removal can affect self-image and sexual life, causing anxiety or depression in some men. In cases where the testicles are also removed (rarely in very advanced cancer), there may be a decrease in testosterone levels.

4. Changes in the Reproductive System
   After a prostatectomy, a man will no longer be able to ejaculate during orgasm (referred to as "dry orgasm"). However, the ability to experience sexual pleasure remains possible, although it is different.

5. Physical and Emotional Adaptations
   The recovery process is not only physical. It is common to experience intense emotions: fear, frustration, or sadness. The good news is that with medical support, therapy, and support groups, most men manage to adapt to the changes and regain a fulfilling life.

How to Achieve a Positive Recovery After Prostate Removal
A positive recovery depends not only on time passing but also on conscious actions. Here are some key tips:

1. Do Pelvic Floor Exercises
   Practice Kegel exercises daily to strengthen the muscles that control the bladder. This speeds up the recovery of urinary continence.

2. Maintain a Healthy Diet
   A diet rich in fruits, vegetables, whole grains, and lean proteins helps with healing and strengthens your immune system. Avoid excessive alcohol and caffeine, as they can irritate the bladder.

3. Follow Medical Instructions
   Attend all medical check-ups, take prescribed medications, and consult any questions or abnormal symptoms. Your healthcare team is your best ally!

4. Be Patient with Your Sexual Life
   Recovering erectile function can take time. Don’t get discouraged. There are therapies, medications, and techniques that can help, as well as emotional support for you and your partner.

5. Take Care of Your Emotional Health
   Talk to a psychologist if you feel anxiety, sadness, or mood changes. You can also join support groups to share your experience with others who have gone through the same thing.

6. Maintain a Positive and Active Attitude
   Recovery is a gradual process. Staying mentally active, practicing meditation, mindfulness, or recreational activities will help you cope better with the changes.

Conclusion:
Prostate removal involves significant changes, but with the right treatment and time, it is possible to regain quality of life. Open and honest communication with the medical team and receiving emotional support are key components for a successful recovery.