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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.
In addition to providing a quick cure, it also is used in the following cases:
- 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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
What are the reasons for getting cancer and what are it symptoms and prevention and treatment methods?
Hello Dr. My ultrasound report says- Liver- is mildly enlarged however of normal echoes GB, SPLEEN,PANCREAS, BOTH KIDNEY, urinary BLADDER AND PROSTATE are NORMAL. IMPRESSION- 1-mild nonspecific hepatomegaly. 2-Mild gaseous distended small bowel loops seen in mid to lower ABDOMEN. 3-Wall thickness and peristalsis of small and large bowel loops are normal. 4-Grossly normal scan of kub region and rest of abdominal organs. Plzz sugg. Me.
My chacha having bladder cancer. Can you please suggest some treatment. I am trying everywhere. Money no matters.
My aunt is diagnosed to have abdominal cancer, she have got her abscess removed after surgery. What kind of care is required after or during the chemotherapy session.
What are the symptoms of cancer and causes of cancer then what are the symptoms of flu? Then causes of flu.
I am 68 years old and I have slightly enlarged prostrates with PSA reading of 5.9. Is there any treatment to reduce enlargement and lower PSA level so as to avoid this developing into cancer at later stage.
I have pain in my right breast after period it's little nd 10/12 days before of period feeling pain little much. Whats the reason behind this pain is it normal?
Cervical cancer is a kind of cancer that develops in the cervix of a woman. Cervix an an area between the uterus and vagina. It is preventable if diagnosed in early stages. Going for regular pap tests and taking a HPV vaccine can significantly lower the risk of cervical cancer. These symptoms include abnormal bleeding between menstrual periods, low back and lower abdominal pain, postcoital bleeding and strange smelling discharge. If not diagnosed in time, it can be life-threatening and requires intense treatment.
- Prevention of cervical cancer: There is usually no certain way of preventing cervical cancer, but by following a number of practices there is a possibility that you can prevent it. There are 3 major ways of prevention of cervical cancer, which include the following:
- Safe sex: Major cases of cervical cancer are caused due to an infection by a virus known as human papillomavirus or HPV. This virus is usually transmitted by sexual means and having unprotected sex might leave you at the risk of getting infected by this virus during the sexual intercourse. You should practice safe sex using protection such as condoms. This reduces your chances of being infected by the virus. This virus is transmitted via all types of sexual contact, which includes skin contact between the genitals. People who have unprotected sex with multiple sexual partners are at an increased risk of getting cervical cancer due to the HPV virus.
- Cervical screening and vaccination: Having a cervical screening or pap smear test on a regular basis is an efficient way to detect abnormal changes in the cervix cells, at a very early stage. Even if you are being vaccinated for the HPV virus, cervical screening is essential as the vaccines against HPV virus are not always successful in providing protection from cervical cancer. If you had been previously treated for abnormal changes in the cervix cells, you should undertake more frequent screening tests. The regularity of undergoing cervical screening depends on the severity of the cell change. You should report any symptom you experience in spite of having regular cervical screening. Several vaccines are used for protection from HPV infections.
- Avoid smoking: You can prevent the chances of having cervical cancer by giving up smoking. In case of smokers, it is more difficult to eliminate the HPV infection from the body, and the chances of cervical cancer get enhanced. You can undertake various measures in order to quit smoking and prescribed medicines can be used to treat withdrawal symptoms.
Cervical cancer causes great strain on the body and it may spread all over the pelvic region. In some cases, distant tissues are also affected by cervical cancer. You should consult a doctor immediately after experiencing any symptom of cervical cancer. If you wish to discuss any specific problem, you can consult a gynaecologist.