If the medication does not give the desired result, you forget what a life without pain, and there was violation of potency, to seek help, surgeons. In the case of the adenoma, it is assumed, partial, rarely complete removal of the prostate.
The Modern medicine in the Arsenal of a large number of methods, which allow you to quickly and efficiently solve literally a painful problem. Below are some of the most commonly used methods and the latest techniques in the future.
Open prostatectomy (traditional version)
This is one of the first in such a way as to accept the drug.
Compared to modern methods disadvantages of this method are many:
- high risk of complications;
- long recovery after the procedure;
- the appearance of the postoperative scars;
- significant blood loss (greater risk if a person is impaired blood clotting, or can see anticoagulants).
The effects of surgical intervention
This kind of manipulation may be accompanied by complications, especially:
- Infectious inflammatory diseases.
- The bleeding.
- Violation of potency, including retrograde ejaculation (50% male).
- Urethral stricture channel.
- Thrombosis of the veins of the legs.
The healing period
Usually for a few weeks. In the early days it is not allowed to rise, which increases the risk of thrombosis. To restore the normal urination using a catheter, which is removed after 1-3 weeks.
Transurethral resection (TUR) of the prostate
Today this method is the "gold standard" for treatment of the adenoma. Removal of the glandular tissue due to the effect of electric current. The method does not involve incision, the surgical instrument (resectoscope) is inserted through the urethra. The whole manipulation is carried out visual inspection of the surgical area is performed under local or regional anesthesia, lasts about an hour.
The advantages and disadvantages
This method has more advantages than open surgery:
- good standing ability by the patient;
- a short dormant period;
- the risk of bleeding is reduced;
- a smaller percentage of complications;
- no scars, stitches.
As the shortcomings can be noted the existence of restrictions:
- removal of the adenoma, the small size;
- the possibility of postoperative bleeding in people taking anticoagulants (before the surgery you must stop taking it).
What to expect after the procedure
This method is removal of the prostate own complications, unintended consequences:
- The bleeding.
- The syndrome of water intoxication (TURP syndrome).
- Damage to the urinary tract.
- Infectious-inflammatory complications.
- Violation of potency.
Overall, the proportion of those who after the surgery, there were complications, a relatively small ‒ 15-30 %, whereas the efficiency reaches 90%.
The features of recovery
After the manipulation of the bladder with the catheter. The catheter is removed 3-4 days, 5-7 days in case of absence during this period, any complications patient in the hospital the out-patient treatment.
Transurethral endoscopic laser surgery
Today, the removal of the prostate widely used method CIRCLE. However, have been replaced by more modern methods, especially the manipulation of the use of a laser.
Undeniable advantages of surgical removal of prostate by laser, in the case of the adenoma today is obvious: the use of this technology allows to achieve higher precision, to avoid accidental damage to nearby organs, tissues, nerves (important to maintaining the potency), to minimize the risk of bleeding through the connecting tissue laser
Laser removal due to the effect of the laser rays of different length. The light beam penetrates the tissue, the destruction (ablation, coagulation) effect of elevated temperature.
The most well studied and widely used method of laser surgery:
- transurethral photo selective vaporization of the prostate (PVP) using potassium-titanium-phosphate laser (RTD or green laser);
- transurethral enucleation of the prostate laser (HoLEP).
If we consider that the second method, the manipulation includes the introduction of the laser system through the urethra. The device is equipped with an optical system, which allows the manipulation of the laser direct vision.
The laser energy is primarily in the top of the fibers, allows to reduce the breast tissue to remove, without the capsule of the prostate. Subsequently, tissue is moved into the bladder and removed. Coagulation of bleeding vessels is produced by converting the fiber tip 3-4 mm from the capillary. This procedure allows you to remove the adenomas, large size (more than 200 CC).
The advantage of this method is, either:
- Excellent stamina (surgery soft).
- Unwanted complications consequences including bleeding may occur very rarely.
- Faster recovery, and rehabilitation.
- Life without loss of efficiency (percentage of complications ‒ less than 1 %).
- Possibility of use of anticoagulants, patients taking prone to bleeding.
- The removal can be performed on any volume in the adenoma.
What after the surgery?
The effectiveness of the method is close to 100%, with minimal risk of complications, recurrence. Including we don't talk about anything related to any violation of potency. Urination returns to normal almost immediately after the surgery. The operation is bloodless, and therefore the bleeding risk is very low.
The operation of one or two hours, depends on the size of the adenoma. After 2-3 days in the hospital, the catheter of the patient, to the outpatient treatment.
As you can see, how to remove the prostate gland many, but the choice of the method individual. It depends on the age, the important thing is to preserve potency, adenoma size, and is determined by the treating physician. But the fact that modern technology allows many to find life, health, as well as to continue a man in any situation, it's undeniable!
The degree of BPH surgery?
Almost 50% of men over the age of 50 years compared to the unpleasant disease, medications referred to as BPH or BPH. This is a pathological growth of the prostate tissue. The cause is still not fully understood, but doctors tend to believe that the pathological lesions due to violation of hormonal background.
Only three stages of the disease which have different symptoms, treatment methods. The second stage is characterized by dysfunction of the bladder, kidney, urinary tract. The first is not completely emptied during urination. The muscles of the body susceptible to degenerative change. The urine in the bladder does not move, the volume of the body begins to grow. The full depletion of the body, and removal of the fluid, the patient works too hard, which greatly increase the blood pressure.
Treatment of BPH should be complete. In the initial stage, to improve the patient's condition possible means to conservative methods. This is a diet, hormone therapy, folk medicine. If the medication is not effective, it is necessary to conduct a surgical procedure during which the doctor removes the excess tissue, a special tool.
Indications for surgery
BPH gradually increase in size due to overgrowth of prostate tissue. This leads to serious complications, like the compressed the adjacent organs (bladder, kidney), or interfere with the work.
In this case, the diet or the meds aren't helping, then you need to perform the surgery. Operation is assigned in the following cases:
- durable difficulties emptying the bladder;
- partial emptying of the bladder;
- bleeding in the urine;
- stagnation of the bladder, and the formation of deposits;
- infectious diseases;
- inflammation of different etiology;
- the penetration, urine, blood, intoxication of the organism;
- renal failure.
According to the statistics, 70% effective, the problem can be solved through diet and medication.
Today, there are several techniques that will help you get rid of the disease return to a normal lifestyle.
The treatment of benign prostate hyperplasia can be performed with a laser. This gentle method is suitable for men, regardless of the age of the patient, condition. After laser therapy was observed restoration of function of organs of the urogenital system appears normal urination, the rehabilitation period is short.
The main advantage of the treatment, prostatic hyperplasia laser:
- the method will help you achieve the positive results;
- the risk to the health of the patient be reduced to a minimum;
- the patient remains in the hospital just two days;
- almost no contraindications;
- the urine collection catheter is carried out only for 24 hours;
- reduces bleeding during or after surgery.
These two types of laser therapy, after which the growth of the prostate tissue ceases, and all that is required, remove the evaporation or burning. This method is effective if the adenoma has not yet had time to grow a size not to exceed 140 cm3. It is recommended that men at a young age. The positive result of 98%.
This technique involves removing the laser beam is always a benign tumor of the prostate. The doctor, the patients diagnosed with BPH, second or third degree. The procedure allows you to safely remove the formation of large size. The result, restores the function of the urinary tract, normalizes urination, back potency.
After the laser enucleation tissue sent for laboratory examination to exclude the possibility of cancer of the prostate.
This technique is the most popular diagnosed patients with BPH. Prescribed after a comprehensive examination, if there are no contraindications, if the conservative treatment is not effective.
The surgery a special surgical tool that allows you to access the prostate through the urethra. The surgeon widens the urethra, or remove the adenoma. To carry out the operation necessary for epidural anesthesia.
After the doctor performed the surgery, all the tools, or recycled, but the cloth is sent to the laboratory. The patient is not clear, so I have a catheter to drain urine, blood. I wrote a week in the absence of complications. During rehabilitation need to follow a strict diet, with the exception of alcoholic beverages, fatty, spicy foods, as well as all products that have a mild diuretic effect.
This technique is designed to remove the prostate. Before surgical intervention is necessary, epidural or spinal anesthesia.
The advantage of this therapy is that the doctor gets access to the adenoma, may have barriers without the grip my finger. A small percentage of patients with complications of urination after the procedure due to precise incision of the urethra. Treatment, prostatic hyperplasia, this method allows you to minimize the risk of injuries of the bladder.
After the surgery, the patient requires treatment. I have a catheter to drain the blood, urine, to monitor the hemodynamic parameters. Reduce the intensity of pain, prescribed pain reliever.
The first two days after surgery, the patient will need to follow a liquid diet. Rehabilitation after removal of prostate hyperplasia, four to six weeks.
Adenectomy on the patient the doctor diagnosed in MEN in whom the adenoma has reached the size of 75 g, conservative treatment does not improve the patient's condition. Keep the surgery a surgeon specializing in urology.
It is not always possible to carry out the operation the prostate enlargement, because a number of contraindications. It is impossible to solve the problem, using surgical intervention for patients who:
- varices, where dilated veins in the bladder;
- heart failure, and other heart problems;
- the blood clotting;
- acute disease any organs;
- ankylosis of the hip joint.
If contraindications to surgery no adenoma slow, but increase the size, you mustn't be late. The sooner the treatment, the prostatic hyperplasia surgery, the faster the patient can return to normal life.