transurethral resection of the prostate (TURP) is the most commonly performed procedure in the world for cases of prostate blockage. benign prostatic hyperplasia (HBP).
It doesn’t have any message, The most common pathology of the prostate gland:gentle growth of the same It affects 40% of men over the age of 60 and 80% of men over the age of 80.
In the doctor’s words, surgery is usually explained to patients as follows: “It’s a bit like removing the segments of a tangerine and leaving the peel.That is, we remove tissue from the central area of the prostate.”
and for him Good efficacy and safety results persist over timeMost urologists still consider this operation Very reliable option with few risks For a problem that is very common among older men.
Of course we are talking about operations in older people. Because the most unwanted consequences will be a problem in men who are of childbearing age.
we refer to retrograde ejaculation, which occurs in two out of every three men who undergo surgery. And although this does not prevent pleasure, the fact that semen does not come out would prevent fertilization under normal circumstances.
New techniques for treating BPH
However, with the advent of most advanced technologiesWith less invasive procedures and faster recovery rates, the trend is that this type of surgery is being performed less and less.
Surgical treatment for BPH is for those who “do not tolerate or do not wish to use medication, or when there is no satisfactory response to medicinal treatment.”
And also “in patients with complications such as urinary catheter use, bleeding, or stones.” bladder, a surgical approach is also recommended.
As explained ‘Health Guides’ He Dr. Juan I. Martínez-SalamancaCoordinator of the Andrology Group of the Spanish Association of Urology, “Currently, the most recommended options are the following”:
Prostatic Insertion With holmium laser.
Rezam SystemTechnology based on water vapor energy.
Thermal Ablation with EcholaserMicroinvasive percutaneous procedure that uses laser light transmitted by optical microfibers to eliminate prostate adenomas.
photoevaporation Prostate with green laser.
How is this technique performed and for which patients is it indicated?
This is done through the urethra (without making any incision in the skin), in which the part of the prostate tissue causing the inflammation is cut out. urinary blockage,
This is a traditional technique that has been used in urology for many years. To reduce the symptoms of benign prostatic hyperplasiaSuch as:
obstruction of urine flow
difficulty starting Urine
dripping after urinating
urgent need to urinate
weak urine flow
Feeling that the bladder is full even after frequent urination, especially at night.
transurethral resection of the prostate “Indicated for Prostate weight less than 80 grams And it can also be done in cases of tumors that cause urinary obstruction,” says the expert.
What is the post-operative period like? What if symptoms do not improve?
Patients usually remain hospitalized for 24 to 48 hours after surgery, “with the use of a catheter in the urinary tract to prevent bleeding.”
After that, the tube is removed and the patient can go home. full recovery time Urinary symptoms “may vary from 30 to 90 days.”
In cases where symptoms do not improve, “it may be necessary to evaluate the strength of bladder muscle contractions, which may be affected by the disease.”
(TagstoTranslate)Urology(T)Benign prostatic hyperplasia(T)Transurethral resection of the prostate(T)Urinary