Success Rates and Long-Term Outcomes of Surgery for Chronic Prostatitis

Q: Success Rates and Long-Term Outcomes of Surgery for Chronic Prostatitis

Hello： The information provided here is for reference only and cannot replace a physician's consultation, examination, or testing. <br>If medication does not improve urinary issues and after undergoing urodynamic testing, it is found that there is an obstruction in the prostate w

Prostatitis surgery

I would like to understand the estimated success rate of surgical treatment for chronic prostatitis.
Please do not advise me against surgery; I have been suffering from this condition for five years, and I have a 12-month-old child.
This issue has caused me frequent trips to the bathroom, with difficulty urinating and a feeling of incomplete emptying.
Is there a chance of gland hyperplasia after the surgery? Could long-term urinary retention lead to other complications? Will I be able to permanently eliminate the urinary issues caused by inflammation after the surgery? Thank you.

Sheng, 20~29 year old female. Ask Date: 2022/02/10

Dr. Jian Weihong reply Urology

Hello: The information provided here is for reference only and cannot replace a physician's consultation, examination, or testing.
If medication does not improve urinary issues and after undergoing urodynamic testing, it is found that there is an obstruction in the prostate without any issues in the bladder or urethral sphincter, surgery may be more beneficial for urination.
However, there is a possibility of experiencing hyperplasia or urethral stricture a few years after surgery (which varies from person to person).
The opportunity to permanently resolve the issue through surgery may require an overall assessment of urinary function.
Wishing you good health.

Reply Date: 2022/02/10

More Info

Chronic prostatitis, particularly chronic bacterial prostatitis, can be a challenging condition to manage, and surgical intervention is sometimes considered when conservative treatments fail. The success rates of surgery for chronic prostatitis, particularly procedures like transurethral resection of the prostate (TURP) or prostatectomy, can vary widely based on several factors, including the specific type of prostatitis, the patient's overall health, and the presence of other urinary tract issues.

Success Rates of Surgery
The success rates for surgical interventions in chronic prostatitis can be quite variable. Generally, studies suggest that TURP can provide significant relief from urinary symptoms in about 70-90% of patients. However, it's important to note that these success rates can depend on the underlying cause of the prostatitis. For example, if the prostatitis is primarily due to bacterial infection that has not responded to antibiotics, surgery may not address the root cause effectively.

Risk of Prostate Enlargement Post-Surgery
One concern after surgical intervention is the potential for prostate enlargement or hyperplasia to recur. While surgery can alleviate symptoms by removing obstructive tissue, it does not prevent the prostate from continuing to grow. Studies indicate that some patients may experience recurrence of symptoms related to prostate enlargement within a few years post-surgery. The likelihood of this happening can depend on individual factors, including age, hormonal levels, and the underlying pathology of the prostate.

Long-Term Complications from Chronic Urinary Retention
Chronic urinary retention can lead to several complications, including bladder dysfunction, urinary tract infections, and even kidney damage over time. If you have been experiencing urinary retention for an extended period, it is crucial to address this issue promptly. Surgical intervention may help alleviate the immediate symptoms, but it is also important to monitor for any long-term effects on bladder and kidney function.

Permanent Resolution of Symptoms
While surgery can significantly improve symptoms of chronic prostatitis, it is essential to understand that it may not provide a permanent solution for everyone. Some patients may continue to experience symptoms post-surgery, and there is a possibility of recurrence. Factors such as the presence of chronic inflammation, lifestyle factors, and adherence to follow-up care can influence long-term outcomes.

Conclusion
In summary, while surgical options for chronic prostatitis can offer relief and improve quality of life, they are not without risks and potential complications. The success rates can be high, but individual outcomes may vary. It is crucial to have a thorough discussion with your urologist about the potential benefits and risks of surgery, considering your specific situation and the impact of chronic prostatitis on your daily life. Additionally, ongoing management and follow-up care are essential to address any recurring symptoms or complications that may arise after surgery.

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