BPH Laser Treatment Options
If medical treatment is not effective, surgery may need to be performed. Surgical techniques include. In general, TURP is still considered the gold standard of prostate interventions for BPH Chirurgie Ukraine who require a procedure. This involves removing part of the prostate through the urethra. However some of the newer methods for reducing the size BPH Chirurgie Ukraine an enlarged prostate, have not been around long enough to fully establish their safety or side-effects. These include various methods to destroy or remove part of the excess tissue while trying to avoid damaging what remains.
Newer techniques involving lasers in urology have emerged in the last 5—10 years, starting with the VLAP technique involving the Nd:YAG laser with contact on the prostatic tissue. This fiber has an internal reflection with a degree deflecting angle. It is used to vaporize the tissue to the prostatic capsule. Whereas GreenLight relies on haemoglobin as a chromophore, water within BPH Chirurgie Ukraine target tissue is the chromophore for Holmium lasers.
Instead of ablating the tissue, the laser cuts a portion of the prostate, which is then cut into smaller pieces and flushed with irrigation fluid.
As with the HoLAP procedure, there is little bleeding during or after the procedure. Both wavelengths, GreenLight and Holmium, ablate approximately one to two grams of tissue per minute. Post-surgical care often involves placement of a Foley catheter or a temporary prostatic stent to permit healing and allow urine to drain from the bladder. Many people do not achieve success with medication. They may not achieve sustained improvement in symptoms or may stop taking the medication because of side-effects.
Both of these procedures rely on delivering enough energy to create sufficient heat to cause cell death necrosis in the prostate. The goal is to cause enough necrosis so that, when the dead tissue is reabsorbed by the body, the prostate shrinks, relieving the obstruction of the urethra. BPH Chirurgie Ukraine procedures are typically performed with local anesthesia, and the patient returns home the same day.
Some urologists have studied and published long-term data on the outcomes of these procedures, with data out to five years. Multiple clinical studies have been published on TUMT.
The general principle underlying BPH Chirurgie Ukraine the BPH Chirurgie Ukraine is that a microwave antenna that resides in a urethral catheter is placed in the intraprostatic area of the urethra.
The catheter is connected to a control box outside of the patient's body and is energized to emit microwave radiation into the prostate to heat the tissue and cause necrosis. It is a one-time treatment that takes approximately 30 minutes to 1 hour, depending on the system used. It takes approximately 4 to 6 weeks for the damaged tissue to be reabsorbed into the patient's body. Some of the devices incorporate circulating coolant through the treatment area with the intent of preserving the urethra while the microwave energy heats the prostatic BPH Chirurgie Ukraine surrounding the urethra.
Transurethral needle ablation BPH Chirurgie Ukraine operates with BPH Chirurgie Ukraine different type of energy, radio frequency RF energy, but is designed along the same premise as TUMT devices, that the heat the device generates will cause necrosis of the prostatic tissue and shrink the prostate. The TUNA device is inserted into the urethra using a rigid scope much like a cystoscope.
The energy is delivered into the prostate using two needles that emerge from the sides of the device, through the urethral wall and into the prostate. The needle-based ablation devices are very effective at heating a localized area to a BPH Chirurgie Ukraine enough temperature to cause necrosis. The treatment is typically performed in one session, but may require multiple sticks of the needles depending on the size of the prostate. The success of surgery for benign prostatic hyperplasia BPH — as measured by a significant reduction of lower urinary tract symptoms LUTS — strongly depends on a reliable unequivocal pre-surgery diagnosis of bladder BPH Chirurgie Ukraine obstruction BOO.
A pre-surgery diagnosis of other LUTS only, such as overactive bladder OAB with or without urinary incontinence predicts little or no success after BPH Chirurgie Ukraine. In this test, BPH Chirurgie Ukraine published ina software-steered inflatable cuff similar as in a blood pressure meter is placed around the penis to measure the pressure of urinary flow.
However, this rate only applies BPH Chirurgie Ukraine a period BPH Chirurgie Ukraine a few years. From Wikipedia, the free encyclopedia.
J Urol. A systematic review about ejaculation preservation technics for benign prostatic obstruction surgical treatment". World J Urol. Res Rep Urol. Eur Urol. CS1 maint: multiple names: authors list link Comment in same issue of the journal. European Urology. American Journal of Clinical and Experimental BPH Chirurgie Ukraine. Reviews in Urology. Appl Health Econ Health Policy. BJU Int. Categories : Prostatic procedures Male genital surgery. Hidden categories: CS1 maint: multiple names: authors list Pages with DOIs inactive as of October CS1: long volume value All articles with unsourced statements Articles with unsourced statements from October BPH Chirurgie Ukraine Article Talk.