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One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.
- Frequent urge to pass urine
- Prolonged urination
- Frequent nocturnal visits to the toilet
- Intermittent urination
- Difficulty to start urinating
- Inability to completely empty the bladder
- Urinary tract infections
- Blood in urine
There are medications available to manage this, but offer only temporary and partial relief. Many men therefore prefer the surgery to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc. Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms.
- Patients who do not respond to medications
- Refractory urinary retention
- Presence of blood in the urine
- Associated bladder stones or Hernia
- Frequent infections of the urinary tract
- Associated damage to the kidneys
Procedure of Surgery
During the procedure, a tube fitted with camera is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to resect or evaporate it.
There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.
- Ablation: Excess prostate tissue is vaporized by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Diode or Thulium LASER can be used as the source of laser energy to ablate the prostate tissue.
- Enucleation: Entire adenomatous prostate tissue is cut and teased out into the bladder by using Holmium laser. Morcellator is used to grind this enucleated prostate into smaller pieces to enable easy retrieval.
More men now opt for laser prostate removal as it has the following advantages:
- Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
- Minimal hospitalization: This can be done with minimal one or two days stay at the hospital
- Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
- Minimal catheter: With laser surgery, a catheter may be required for less than 24-48 hours unlike in open surgical cases.
As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.
Cancer is the most dangerous disease noticeable throughout the world. The most common type of cancer that affects men is prostate cancer. Prostate is a small exocrine gland situated directly below the bladder and in front of the rectum. This is gland is approximately in size of a walnut and plays an important role in production of a milky fluid during orgasm of sex in which the semen travels. During the climax stage of the prostate gland is forced to push the fluid and remove the semen out of the reproductive structures.
Prostate gland is a slow progressive disease which makes many males left unidentified even the presence of prostate cancer even until they die. 6 out of 100 male over the age of 60 are getting prostate cancer. Though prostate cancer can be cured at a better rate when compared to other type of cancer it is always best to stay protected. Prevention is always better than cure. Here are few tips to keep your prostate healthy.
Signs and symptoms of prostate cancer-
During the early stages of prostate cancer there are usually no symptoms. Most men at this stage find out they have prostate cancer after a routine check up or blood test. When symptoms do exist, they are usually one or more of the following:
The patient urinates more often
The patient gets up at night more often to urinate
He may find it hard to start urinating
He may find it hard to keep urinating once he has started
There may be blood in the urine
Urination might be painful
Ejaculation may be painful (less common)
Achieving or maintaining an erection may be difficult (less common).
If the prostate cancer is advanced the following symptoms are also possible:
Bone pain, often in the spine (vertebrae), pelvis, or ribs
The proximal part of the femur can be painful
Ways to have a healthy prostate –
Diet and weight – the most important factor is the diet to maintain a healthy weight. Avoid fatty food items and take fats from vegetables than from animals. Avoid dairy products and increase the intake of fresh fruits and vegetables.
Exercise – have a regular practise of doing exercise at least for 30mins a day. This really helps you to keep your body fit.
Be precautious – if you have a family history of prostate cancer or if you feel you are at high risk of getting prostate cancer talk with your doctor about it and take preventive drugs as per the doctor’s advice.
Red foods – research shows that men who consume red foods like watermelon, tomato and other red fruits are at lower risk of getting prostate cancer as they contain a powerful antioxidant called lycopene
Caffeine – three to four cups of coffee per day reduces your risk of getting prostate cancer.
- Stop smoking – if you are at high risk of getting prostate cancer it is best advised to quit smoking and alcohol.