Friday, May 17, 2024

Surgery On Prostate To Improve Urine Flow

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What Are The Risks Of A Turp

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As with any surgery, certain complications can occur with TURP. Somepossible complications may include:

  • Bladder injury
  • Painful or difficult urination
  • Retrograde ejaculation

There may be other risks depending on your condition. Be sure to discussany concerns with your healthcare provider before the procedure.

How Turp Is Performed

TURP is carried out using a device called a resectoscope, which is a thin metal tube containing a light, camera and loop of wire. This is passed along your urethra until it reaches your prostate, which means no cuts need to be made in your skin.

The loop of wire is then heated with an electric current and used to cut away the section of your prostate causing your symptoms. A thin tube called a catheter is then inserted into your urethra to pump fluid into the bladder and flush away pieces of prostate that have been removed.

General or spinal anaesthesia is used during the procedure so you don’t feel any pain while it’s carried out.

How Does The Itindtm Procedure Work

The iTind procedure is a straightforward treatment performed by a urologist either in the hospital or a clinic. The device is placed in the prostatic urethra in a folded configuration. During the 5 to 7-day treatment, it slowly expands and exerts gentle pressure at three precise points to widen the opening through which urine flows through the prostatic urethra and then out of the body. After 5 to 7 days, the device is completely removed. Clinical trials demonstrate that the newly remodeled prostatic urethra will continue to provide long-lasting relief of BPH symptoms.2

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What Is The Most Common Approach

A technique called transurethral resection of the prostate is considered to be the standard surgical approach. This procedure involves inserting a thin tube called a resectoscope into the urethra and guiding it through to the prostate. The resectoscope is equipped with a tiny camera and an electrical loop that is used to mechanically remove prostate tissue. The loop produces heat at the same time, which quickly seals off the blood vessels. The resectoscope also has valves that regulate the release of fluid to flush the removed tissue out. TURP takes about 90 minutes and is done under local or general anesthetic. Men who have had this procedure usually need to have a urinary for a few days after, and generally stay in the hospital for two to seven days. They then have to rest and take it easy for a few weeks.

Some variations of TURP are also considered to be standard treatments and have similar outcomes and consequences to conventional TURP. These include transurethral electrovaporization , transurethral vaporesection and plasmakinetic enucleation of the prostate .

What Is The Outlook For Men Who Have Benign Prostatic Hyperplasia Surgery

UroLift Procedure for BPH

Benign prostatic hyperplasia surgery has a very high success rate. However, for the best results from treatment, you should seek medical help at the earliest signs of a problem. Also, talk with a doctor if you are experiencing symptoms of BPH after surgery.

There is no evidence that BPH increases the risk of developing prostate cancer. However, the symptoms of BPH and prostate cancer are similar. The American Urological Association and the American Cancer Society recommend annual prostate screenings for men ages 55 to 69. Men at high risk such as African-American men and men with a family history of prostate cancer should begin screening at age 40.

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Why You Might Need Surgery

The prostate is normally a walnut-sized gland that sits underneath your bladder and surrounds the urethra, a tube that carries urine out of your body from the bladder. A mans prostate gland begins to hypertrophy around age 40.

An enlarged prostate, also known as benign prostatic hyperplasia , may begin to cut off the flow of urine from the bladder. The condition is more common in older men. BPH-associated growth of the prostate is not caused by cancer.

While its true that BPH is common, its a condition that can be treated. You should consider the possible complications when picking among your options.

Symptoms Of Urinary Problems

Urinary symptoms commonly experienced with prostate problems include:

  • the need to urinate frequently during the night
  • urinating more often during the day
  • urinary urgency the urge to urinate can be so strong and sudden that you may not reach the toilet in time
  • the urine stream is slow to start
  • urine dribbling for some time after finishing urination
  • a sensation that the bladder isn’t fully emptied after urination
  • lack of force to the urine flow, which makes directing the stream difficult
  • the sensation of needing to go again soon after urinating.

Although these symptoms often do not need treatment, see your doctor if they are causing you difficulty, as they can be successfully treated.

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Transurethral Resection Of The Prostate

In transurethral resection of the prostate, your surgeon inserts an instrument into the urethra to shave prostate tissue with electrocautery, a process that involves an electrically activated wire loop, to remove the part of the prostate that is blocking urine flow.

Using general or spinal anesthesia in the hospital, doctors perform this procedure to relieve severe symptoms of benign prostatic hyperplasia. It typically requires one to three days in the hospital.

Immediately After A Prostatectomy

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After the operation, you can expect that:

  • Nurses will monitor your vital signs.
  • You may be given oxygen for up to 24 hours following surgery.
  • You will probably be given antibiotics to prevent infection.
  • For a day or so, you will have a catheter in your urethra and bladder with a continuous wash-out. This is to prevent blood building up and clotting, which could cause a blockage.
  • If you had an open prostatectomy, your wound will be dressed and you will have a tube draining your abdomen. The tube will be removed after several days.
  • Pain will be managed with injections, tablets or both. Pain is rarely a significant problem following TURP.

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Benefits Of Urolift Treatment

Benign prostatic hyperplasia can have a negative impact on a mans quality of life. The benefits of the UroLift treatment, especially for younger men, will include not only the relief of bothersome urinary symptoms, but also the preservation of ejaculation.

Because UroLift is performed in the office under local anesthesia, the recovery time and return to daily activities is faster than with more invasive procedures.

Why The Procedure Is Performed

An enlarged prostate can make it hard for you to urinate. You may also get urinary tract infections. Removing all, or part, of the prostate gland can make these symptoms better. Before you have surgery, your doctor may tell you changes you can make in how you eat or drink. You may also try some medicines.

Your doctor may recommend prostate removal if you:

  • Cannot completely empty your bladder
  • Have repeat urinary tract infections
  • Have bleeding from your prostate
  • Have bladder stones with your enlarged prostate
  • Urinate very slowly
  • Took medicines and they did not help your symptoms

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Bph: Treatment Helps Men Cut Down On Frequent Bathroom Trips

As men get older, their risk for developing an enlarged prostate gland increases. This condition, known as Benign Prostatic Hyperplasia, or BPH, affects about half of men between the ages of 51 and 60 and up to 90 percent of men over the age of 80.

“Not all men with BPH need immediate treatment,” said Kevin T. McVary, MD, chair of the Division of Urology at Southern Illinois University School of Medicine in Springfield, Illinois. “But for those men who decide to get treated for BPH, there are a large, and growing number of treatment options.”

Find Your Bph Symptom Score

Laser Prostatectomy

The International Prostate Symptom Score is a common method for screening and diagnosing benign prostatic hyperplasia . The survey asks seven urinary symptom questions and one quality of life question to help determine the severity of your BPH.

  • Abrams, et al., Neurourology and Urodynamics 2002
  • Maximilian, et al., BJU Intl 2012
  • Tubaro et al. 2003 Drugs Aging
  • AUA 2003 Guidelines
  • Roehrborn et al. Can J Urol 2017
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    How Do I Know If The Itind Treatment Is Right For Me

    The iTind procedure is a new alternative to prescription medication or invasive surgery. Ask your doctor about the iTind procedure if you do not want to take a pill every day, or if you have tried standard drug treatments and were unsatisfied with the level of symptomatic relief or the way they made you feel. The iTind procedure might also be the right choice for you if you are interested in preserving your sexual function and continence1,2 are worried about having a permanent implant, or are concerned about undergoing a surgery that would involve a long recovery and downtime.

    Causes Of Poor Urinary Flow After Surgery

    Immediate after cystoscopy, endoscopic prostate resection or prostate surgery , reduced urine flow is typical, and it is due to inflammation and swelling of the urethra after the surgical trauma. The obstruction is usually transitory. After days, the urine flow will improve along with the inflammation recovery. If the poor urinary stream occurs after weeks to a few months, most likely the obstruction is due to a urethral scar, and we have to consider the further procedure.

    Poor urinary flow after other surgeries, like inguinal hernia surgery, may be related to transitory bladder hypo-function because of epidural anaesthesia.

    Other pelvis surgeries like hysterectomy or low anterior colon resection may be the reason for hesitancy and low urinary flow. It may be due to accidental nerve damage during the operation.

    In all cases, the patient needs bladder catheterization to void the bladder and preserve the kidney function.

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    Other Things To Consider

    Before you have one of these procedures, talk with your doctor about whether youâll be given something to numb the area or whether youâll be given something so you wonât be awake during the procedure. What you get and where you have it depends on the procedure.

    Your doctor will give you instructions on how to prepare for any of them.

    Surgery can ease many BPH symptoms, but it may not relieve them all. If there are certain complications, such as a weak bladder, there may still be urinary problems after surgery, although this is rare.

    With any BPH surgery, there may be side effects or complications such as bleeding, narrowing of the urine tube also known as urethral stricture, urinary incontinence or leakage, erectile dysfunction, and retrograde ejaculation.

    The best treatment for an enlarged prostate is not the same for every man. Talk to your doctor about the risks and benefits of each procedure.

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    What Are Other Benign Prostatic Hyperplasia Surgery Options

    Water Vapor Therapy Latest Non-Surgical Treatment for Enlarged Prostate | Bumrungrad Hospital

    If your symptoms are severe or minimally invasive surgical treatments dont help with your enlarged prostate, your doctor will likely recommend another kind of surgery. Other prostate procedures include:

    Transurethral resection of the prostate : This is the most common treatment for BPH. During this procedure, your urologist will insert a rigid instrument called a resectoscope into the urethra. This is why it is called transurethral. Inserting the scope this way means no cutting into the prostate. They will then use the charged resectoscope to remove the excess tissue that is blocking the urine from leaving the bladder.

    You may be put to sleep with general anesthesia. Local anesthesia for the lower part of the body may be used for this procedure. The average in hospital stay for TURP is 1 to 2 days.

    Transurethral incision of the prostate : This is a similar procedure to TURP. Instead of prostate tissue being removed the bladder neck and prostate are cut to relax the bladder opening, allowing urine to flow more freely. TUIP is most successful on men with smaller prostates.

    Simple prostatectomy: This method is a surgical procedure in which an incision is made through the abdomen or performed laporoscopically. The inner portion of the prostate gland is removed, leaving the outer segment intact.

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    What Can I Expect During The Itind Treatment

    Your doctor will insert the iTind device into the prostatic urethra in the hospital or clinic. Typically, patients return home within a few hours without a catheter.1 After 5 to 7 days at home, you will return to your doctorâs office and the iTind device will be completely removed. There may some slight discomfort during the 5 to 7 days, but most patients feel rapid symptomatic relief and return to their normal activities shortly after removal of iTind.1,2

    Why Do You Leak After Prostate Surgery

    There are a few factors that contribute to urine leakage after surgery. The main one is the prostate tissue that was removed during surgery.

    In some cases, this can cause nerves around your bladder to be damaged, and this makes it difficult for you to control your urinary flow.

    This is more common in older men who have had more time for this nerve damage to occur.

    So that is the main reason why you are having urine leakage after prostate surgery. But do not despair! There are many ways that you can stop it from happening in the future!

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    What Is An Enlarged Prostate Or Bph

    The prostate is a small gland located right below the neck of the bladder and is part of the male reproductive system. The urethra, which carries urine from the bladder outside the body, runs through the prostate gland.

    A healthy prostate gland is approximately the shape and size of a walnut. As men age, the prostate gland often becomes enlarged. This very common process is called Benign Prostatic Hyperplasia , or enlarged prostate. This causes the prostate to press against the urethra, causing chronic and sometimes troublesome lower urinary tract symptoms that can severely affect your quality of life. These include:

    • Difficult urination

    The canal that transports urine from the body.

    The Initial Causes Prostate Surgery To Increase Urine Flow

    TURP (Trans Urethral Resection of the Prostate) â Dr. Piyush Gadam MS ...

    One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.

    Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.

    If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.

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    New Surgical Options For Men With Enlarged Prostate


    A common rite of passage for men as they age is an enlarged prostate gland. Men over 50 years of age can typically suffer an array of bothersome urinary symptoms from an enlarged prostate. In some cases, the prostate gland may enlarge to such a size that it blocks the flow of urine, causing urinary tract and kidney infections. In patients with moderate to severe urinary symptoms, surgical treatment is warranted.

    Doctors at NewYork-Presbyterian are at the forefront of new technology and surgical treatment options for patients who suffer from an enlarged prostate, also called benign prostatic hyperplasia . Specifically, doctors are performing the latest types of prostate surgery including laser prostatectomy, transurethral resection of the prostate and robotic surgery.

    “As the prostate gets bigger, it constricts the urinary hole. As the hole gets squeezed smaller, the flow is restricted and urinary symptoms ensue,” said urologist Ketan K. Badani, M.D. Patients with an enlarged prostate may have to urinate more frequently, wake up at night to urinate, experience decreased force of stream, hesitancy, incomplete emptying, urinary tract infections and reduced kidney function depending on the severity of urinary symptoms. The condition tends to worsen over time if left untreated.

    Transurethral Incision Of The Prostate

    During a TUIP procedure, a surgeon will make several small incisions in your prostate instead of removing portions of your prostate. This gives your prostate room to expand without cutting off the flow of urine through your urethra.

    TUIP is typically used to treat milder cases of enlarged prostate. Its possible your prostate will continue to grow and you will need additional treatments later. Following the surgery, you may need to wear a catheter for up to a week to help drain your bladder.

    A TUIP procedure is much less invasive than a TURP procedure. Your recovery time should be less. Your doctor will likely send you home following the procedure.

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    Why Might I Need Turp

    TURP is most often done to relieve symptoms caused by an enlarged prostate.This is often due to benign prostate hyperplasia . BPH is not cancer.It is a common part of aging. When the prostate gland is enlarged, it canpress against the urethra and interfere with or block the passage of urineout of the body.

    Sometimes a TURP is done to treat symptoms only, not to cure the disease.For example, if youre unable to urinate because of prostate cancer, butsurgery to remove the prostate isnt an option for you, you may need aTURP.

    There may be other reasons for your healthcare provider to recommend aTURP.

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