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How is the surgical treatment of BPH?

Compatible these two concepts: BPH and surgery, what can be the consequences of surgical intervention in the area of the prostate? How the high cost of therapy laser, and in which case the post-operative period after the intervention will be less? All these questions invariably pursue men who are diagnosed with serious prostate problems and requires radical treatment.

Prostatic hyperplasia in 7 of 10 cases successfully eliminated with conservative methods. But if the disease started and not amenable to medicines, the only solution is surgical intervention.

Adenoma of the prostate removal operation which is carried out only by a qualified technician, requires a serious approach, and modern medicine can offer several methods of surgical intervention. Will mention them briefly.

Transurethral resection of the

This is one of the methods of surgical intervention, which is carried out using a special device. It is inserted through the urethra to the prostate, the resectoscope is then introduced, which allows for deletion of BPH or enlargement of the urethra. This operation lasts about half an hour under General or epidural anesthesia. The price of the operation varies from 100 to 150 thousand roubles depending on complexity. In addition, the cost may depend on the clinic and its location.

After finishing the manipulation of all devices are retrieved. Tissue removed for BPH sent for analysis. In the urethra catheter to drain urine and blood, and then recovered in a week.

First time in the postoperative period and frequent urination is accompanied by sharp pains, and the urine has a pink color due to the outflow of blood. After discharge, the doctor recommends the patient to temporary abstinence from sexual activity, limiting physical activity and appoints a course of antibiotics.

As with all procedures, surgical treatment of BPH may have consequences that manifest in the postoperative period and during rehabilitation in the form of complications:

  • Retrograde ejaculation ‒ the semen reflux into the bladder. Health is not affected in any way, but this moment should be considered in patients wishing to have children.
  • Urinary retention can occur due to swelling of the mucous membrane of the urethra.
  • Narrowing of the urinary canal.
  • Erectile dysfunction is likely to develop this complication in two cases: the psychological aspect or the mistake of the surgeon during the operation.

Rehabilitation may take some time. But don't treat it lightly. A surgery is onlythe beginning of treatment, a large burden falls on the period of recovery after surgery to remove the prostate adenoma, and there is already a lot depends on the patient and his behavior after the surgery.

To not feel the negative repercussions it could cause, such treatment of benign prostatic hyperplasia, you need to know a few rules:

  • The compulsory acceptance of all prescribed drugs, especially the treatment and prevention of latent and chronic infections.
  • Strict adherence to the diet.
  • Mandatory limitation of physical activity. Especially it is strictly prohibited heavy lifting.
  • Fluid intake to three liters a day.
  • Temporary abstinence from sexual activity.

Therapy using a laser beam

Modern medicine offers an alternative to transurethral resection of prostate (TURP) – prostate treatment laser. This is the most sparing method of operative intervention and therapy of prostate hyperplasia, after which the restoration of function of the genitourinary system occurs in the shortest possible time.

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The main advantages of laser treatment of BPH include:

  • Low risk of operative and postoperative bleeding.
  • The catheterization period is reduced to 24 hours.
  • Hospitalization lasts more than 2 days.
  • The period of convalescence and rehabilitation after laser treatment lasts about two weeks.
  • The method is accurate and effective.

Of the minuses – the relatively high cost of the procedure is about $ 15,000.

Today, there are two types of treatment of BPH by laser:

  • Laser ablation

This treatment involves a burning or evaporation of part of the overgrown prostate tissue with a laser to increase the lumen of the urinary tract.

This type of laser treatment used most often for young patients and sizes of the adenoma up to 140 cubic centimeters. It is possible to use the operation of different laser sources, but in the overall picture of the operation and shows good results.

  • Laser enucleation

This method is directed to laser removal of all benign tumors of the prostate. This operation allows you to remove the hyperplasia of the prostate of large size and the excavated material to send to study in the histological laboratory, which gives confidence in the absence of cancerprostate.

In General, laser treatment of BPH to date is preferable, after surgery recovery takes place in a shorter period of time with low tissue damage.

If the survey gave clear indications for the treatment of benign prostatic hyperplasia surgery, the result of the operation will largely depend on the skill of the surgeon and his experience, and the cost of therapy by the method chosen. Weigh the pros and cons and make the right choice.

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