BPH in some cases, required surgery

If drug treatment does not give the desired result, you can forget what a life without pain, and there was violation of potency, is to seek the help of a surgeon. If the adenoma is assumed to be partial, rarely complete removal of the prostate.

Modern medicine has in its Arsenal a number of methods that allow you to quickly and effectively solve literally a painful problem. Below are some of the most commonly used methods and the latest techniques in the future.

BPH

Open prostatectomy (traditional version)

This is one of the first ways that is approved drug.

Advantages and disadvantages

Compared to modern methods, the disadvantages of this method are many:

  • high risk of complications;
  • long recovery after the procedure;
  • pain;
  • the appearance of postoperative scars;
  • significant blood loss (greater risk if a person is impaired blood clotting or shown anticoagulants).

The effects of surgical intervention

Such manipulation can be associated complications, in particular:

  1. Infectious inflammatory diseases.
  2. Bleeding.
  3. Violation of potency, including retrograde ejaculation (50% male).
  4. Incontinence.
  5. Constriction of the urethra channel.
  6. Thrombosis of the veins of the legs.

Recovery time

Usually lasts for several weeks. In the early days did not rise, which increases the risk of blood clots. To restore the normal urination is used for catheter, which is removed after 1-3 weeks.

Transurethral resection (TUR) of the prostate

BPH resection

Today, this method is the "gold standard" treatment adenoma. Removal of gland tissue due to the under the electric current. The method does not require an incision, a surgical tool (resectoscope) inserted through the urethra. The whole manipulation is performed a visual inspection of the surgical field, it is performed under local or regional anesthesia, which lasts about an hour.

Pros and cons

This method has more advantages compared to open surgery:

  • good tolerability of the patient;
  • short recovery time;
  • the risk of bleeding decreases;
  • a smaller percentage of complications;
  • no scars, stitches.

As the shortcomings can be noted that there are limitations:

  • removal of adenomas of small size;
  • the possibility of postoperative bleeding in people on anticoagulants (before surgery, you need to stop).

What to expect after the procedure

This method removes the prostate has its own complications and unintended consequences:

  1. Bleeding.
  2. The syndrome of water intoxication (TURP syndrome).
  3. Damage to the urinary tract.
  4. Infectious-inflammatory complications.
  5. Incontinence.
  6. Violation of potency.

Generally speaking, the percentage of those who have postoperative complications, relatively small ‒ 15 to 30 %, while the efficiency rises to 90 %.

The features of recovery

After manipulation, the bladder is emptied the catheter. The catheter is removed 3-4 days, and 5-7 days, if the absence during this period, any complications, the patient is from the hospital to outpatient treatment.

Transurethral endoscopic laser surgery

Today, removal of the prostate widely used method ROUND. However, it is substituted with more modern methods, especially manipulation using a laser.

The undeniable advantages of surgery to remove the prostate laser if adenoma today is obvious: the use of this technology allows to achieve higher precision and to avoid accidental damage to nearby organs, tissues, nerves (important in maintaining power), to minimize the risk of blood leakage through the connecting tissue laser

Around method

Laser removal is due to the fact that the effect of laser beams of different length. The beam penetrates the tissue, causing its destruction (vaporization, coagulation) effect of high temperature.

The most well studied and widely used methods of laser cutting is:

  • transurethral photo selective vaporization of prostate (PVP) using potassium-titanium-phosphate laser (KTF or green laser);
  • transurethral enucleation of prostate using laser (HoLEP).
BPH enucleation

If we consider the second method, the manipulation associated with the use of the laser system through the urethra. The device is equipped with an optical system, which allows manipulation of the laser under direct vision.

Laser energy focused on the tip of the fiber, which allows you to cut breast tissue to remove it without affecting the capsule of the prostate. After the tissue is transferred into the bladder and removed. Coagulation of bleeding vessels is produced by converting the fiber tip 3-4 mm of the capillary. This procedure allows you to remove the adenoma of the large sizes (over 200 CC).

Advantages and disadvantages

The advantages of this method are:

  1. Excellent tolerability (surgery+).
  2. Unwanted complications and consequences, including bleeding, occur very rarely.
  3. Faster recovery and rehabilitation.
  4. Life without loss of efficacy (the percentage of complications ‒ less than 1 %).
  5. The possibility of used in patients anticoagulants are susceptible to bleeding.
  6. Removal can be performed at any time volume of the adenoma.

And what after surgery?

The method efficiency is nearly 100% with a small risk of complications and recurrence. As we are not talking about any violation of power. Urination returns to normal almost immediately after surgery. The measure is bloodless, and therefore the risk of leakage is very small.

The operation lasts for an hour or two, it depends on the size of the tumor. After 2-3 days in the hospital, going to the catheter, and the patient is discharged to outpatient treatment.

As you can see, ways to remove the prostate a lot, but the choice of method is individual. It depends on the age, it is important to maintain the potency, adenoma size, and is determined by the attending physician. But the fact that modern technology allows many to find a life, health and stay man in any situation, is undeniable!

The extent to which BPH surgery?

Almost 50% of men over the age of 50 years, faced with the unpleasant disease, which in medicine is called benign prostatic hyperplasia or BPH. This is a pathological growth of the prostate tissue. Its causes are not yet fully known, but doctors tend to believe that the pathological changes due to violation of hormonal background.

Only there are three stages of the disease, which differ in symptoms and 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 changes. Urine in the bladder does not move, the amount in the body begins to grow. Complete emptying of the organ and removal of fluid, the patient has to work too hard, resulting in significantly elevated blood pressure.

Treatment of BPH should be comprehensive. The initial stage to improve the patient's condition is possible by means of conservative methods. It is a diet, hormone therapy, folk remedies. If the drug treatment is not effective, it is necessary to perform a surgical procedure where a doctor removes excess tissue with a special tool.

benign prostatic hypertrophy the growth of the use of

Indications for surgery

BPH can gradually grow in size, because too growth of the prostate tissue. This leads to serious complications, such as you compress the adjacent organs (bladder, kidneys) and interfere with their work.

In this case, the diet and medicines do not help, you need to perform the surgery. The function is specified in the following cases:

  • persistent difficulty emptying the bladder;
  • partial emptying of the bladder;
  • blood in the urine;
  • stagnation in the bladder and the formation of deposits;
  • infectious diseases;
  • inflammation of different etiology;
  • the penetration of urine in the blood, poisoning the organism;
  • patients with renal insufficiency.

According to statistics, 70% of cases efficiently problems can be solved through diet and medication.

Today, there are several techniques that will help get rid of the disease and return to a normal lifestyle.

Laser treatment

Treatment of benign prostate hyperplasia can be performed with a laser. It is the most gentle method, which is suitable for men, regardless of the age of the patient and his condition. After the laser treatment was found to restore the functionality of organs of the urogenital system displays normal urination, the rehabilitation period is short.
The main advantages for the treatment of benign prostatic hyperplasia laser:

  • methods to help achieve positive results;
  • risk the health of the patient is reduced to a minimum;
  • the patient remains in the hospital in just two days;
  • almost no contraindications;
  • a urine collection catheter is carried out only 24 hours;
  • minimize bleeding during surgery or after.

Laser ablation

This is one of the two types of laser treatment, after which growth of the prostate tissue ends and all of it is unnecessary, is removed by evaporation or burning. This technique is effective if the tumor has not yet had time to grow and its size does not exceed 140 cm3. It is recommended for men young age. A positive result of 98%.

Laser enucleation

This technique involves the removal of the laser beams of all benign tumors of the prostate. It is prescribed to patients who have been diagnosed with BPH for the second and third degree. The procedure allows you to safely remove the formation of large size. As a result, restores the function of the urinary tract, normalizes urination, restore the power.

After laser enucleation of the tissue sent to the laboratory for examination to rule out the possibility of developing prostate cancer.

BPH laser

Transuretralnah resection

This technique is the most popular among patients who have been diagnosed with BPH. It is prescribed after a comprehensive review, if there are no contraindications, and if conservative treatment is ineffective.

The surgery is performed using a special surgical device that allows you to access the prostate through the urethra. The surgeon widens the urethra or to remove the adenoma. To perform the operation required for epidural anesthesia.

When the doctor is ready for surgery, all the instruments used are recycled, but the cloth is sent to the laboratory. The patient can defecate, so he has a catheter to drain urine and blood. Write it a week without any complications. During rehabilitation it needs to follow a strict diet with the exception of alcoholic beverages, fatty and spicy foods, as well as all the products that have even a slight diuretic effect.

Adenectomy

This technique is aimed at removing the prostate. Before surgical intervention is necessary, epidural or spinal anesthesia.

The advantage of this treatment is that the doctor gets access to the adenoma, and it can no obstacles to squeeze your finger. A small percentage of patients who experience complications with urination after the procedure thanks to an accurate incision of the urethra. Treatment benign prostatic hyperplasia this method allows you to minimize the injuries of the bladder.

After surgery, the patient needs treatment. He set a catheter to drain the blood and urine, to monitor hemodynamic parameters. To reduce the intensity of pain, prescribed pain medications.

The first two days after surgery, the patient must follow a liquid diet. Rehabilitation after removal of benign prostatic hyperplasia lasts for four to six weeks.

Adenectomy prescribed to patients who have been diagnosed with BPH for whom the adenoma has reached the size of 75 grams and conservative treatment does not improve the patient's condition. Keep surgery a surgeon who specializes in urology.

Contraindications

It is not always possible to perform the operation for prostatic hypertrophy, because there are a number of contraindications. It is impossible to solve the problem by using surgical intervention for patients with:

adenoma of the prostate in men
  • varices, where dilated veins in the bladder;
  • heart failure, and other heart symptoms;
  • blood clotting;
  • acute disease of the internal organs;
  • ankylosis of the hip joint.

If contraindications for surgical intervention no adenoma slow, but increase in size, should not be late. Sooner made treatment hyperplasia prostate surgery, the faster the patient can return to normal life.