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Treatment of enlarged prostate and prostate cancer without surgical incisions

Treatment of enlarged prostate and prostate cancer without surgical incisions

Newer Techniques without prostate biopsy Laparoscopic surgery is performed using a green laser light. This causes the prostate tissue that crosses the urinary tract to vaporize.

Enlarged prostate The incidence is greater in men over the age of 50, with more than half of them having the condition. An enlarged prostate may block the exit of the bladder and the proximal urethra that runs through the prostate gland. An enlarged prostate may or may not cause symptoms.

Symptom

• I have to rush to the bathroom when I feel the pain to urinate.
• frequent urination
• not urinating
• You have to stand and wait before you start urinating.
• waking up often to urinate
• sparse urine
• Feeling unable to urinate
• urinary incontinence after urinating

Treatment begins with medication. But sooner or later, prostatectomy may be necessary if symptoms become more severe and affect quality of life.

Diagnosis

Special tests to confirm the diagnosis and assess the severity of the disease include:

• Examination of the volume of urine remaining in the bladder after emptying.
• Measure the average speed graph shape of urination the amount of time it takes to urinate and the maximum flow rate
• In some patients, the relationship between bladder pressure and urinary flow rate may be investigated.
• including medical images to see the size and shape of the prostate to assist in choosing the appropriate treatment approach
• bladder endoscopy It may be necessary to confirm that abnormal urination is caused by an enlarged prostate.

Indications for surgery

• Moderate to severe urination problems caused by an enlarged prostate due to unresponsiveness to medication.
• have urinary retention until the urinary incontinence is acute and frequent bladder infections due to enlarged prostate
• The kidney cone grows on both sides. decreased kidney function
• Bladder stones

The prostate gland is in the pelvis that is difficult to access for surgery. In the past, surgeries had to be performed with wide incisions from different directions, such as from the bottom, back, or front, which often resulted in a lot of blood loss. An imbalance of electrolytes in the blood erectile dysfunction and the formation of fibrosis tissue This makes many patients reluctant to undergo surgery. Most of the current treatments rely on a laparoscopic technique that uses a conductive wire to cut out the prostate tissue. which often has long-term hemorrhage after surgery Continuous emptying of the bladder is required through a catheter that has to be left for a long time. This will prevent the formation of blood clots that block the urinary outflow.

Newer techniques without prostate biopsy Laparoscopic surgery is performed using a green laser light. This causes the prostate tissue that crosses the urinary tract to vaporize. This method is better than the above method as it loses much less blood. There is no risk of receiving someone else’s blood. Patients taking antiplatelet drugs or anticoagulants It may not be necessary to stop these medications before surgery.

The side effects of this treatment can be greatly reduced as follows:

• low blood loss Reduce the risk of having to give blood
• Not losing the balance of minerals
• less fibrosis
• No problems with erectile dysfunction
• A urinary catheter must be inserted for only one day.
• Had to stay in the hospital for just one night.
• The pain is reduced to the extent that most of them do not require painkillers.
• It is an procedure that may be performed as an outpatient.

Prostate cancer treatment without prostate biopsy

Early prostate cancer in the past was usually treated by surgical removal of the prostate and some reproductive-related internal organs through a large incision. But at present, with devices or medical devices that have been developed Small incision (laparoscopy) or robotic (da Vinci) surgery is the most common practice. However, half of the patients who undergo surgery experience complications such as urinary incontinence. Erectile dysfunction Fascinated tissue, a lot of blood loss, and required hospitalization. and having to take a catheter for a long time

At present, another form of treatment is being used, which is radioactive burial Brachytherapy , a type of radiotherapy used to treat cancer by implanting a radiation source directly inside the tumor This makes it possible to treat on the spot without surgery. The success of this therapy is as good as surgery to remove the prostate gland. It can reduce complications and reduce normal tissue damage around the tumor.

method of treatment Radioactive implant is inserting a radioactive needle in a cancerous prostate area. The computer-calculated treatment plan determines where radioactive acupuncture is to be performed. The needle delivers short-term, high-intensity radiation to the cancer cells. At the same time, the effect on normal cells near the cancer is minimal. Some patients may only sleep for one night. In some cases, patients are able to go home immediately after treatment. able to return to normal life including returning to sexual activity the next day

The advantages of implant treatment are as follows:

• No problems with urinary incontinence
• Shorter hospital stay (up to 1 night or outpatient surgery)
• no bleeding no blood transfusion needed
• no immediate erectile dysfunction
• very little pain There is usually no need for painkillers after surgery.

The latest advances in technology and equipment to replace the surgical methods of the past. This makes it possible to treat prostate cancer and deal with its problems without the need for conventional surgery. which is more in line with the needs of patients There are fewer side effects and problems that will follow in the long term. And most importantly, it helps patients to maintain a good quality of life.