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What Is The Latest Prostate Surgery Technique

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Cuts Like a Cyberknife: New Surgical Technique for Prostate Cancer

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Getting Ready For Your Surgery

You and your care team will work together to get ready for your surgery.

Help us keep you safe during your surgery by telling us if any of the following statements apply to you, even if you arent sure.

  • I take a blood thinner, such as:
  • Aspirin
  • I smoke or use an electronic smoking device .
  • I use recreational drugs.
  • About drinking alcohol

    The amount of alcohol you drink can affect you during and after your surgery. Its important to talk with your healthcare providers about how much alcohol you drink. This will help us plan your care.

    • If you stop drinking alcohol suddenly, it can cause seizures, delirium, and death. If we know youre at risk for these complications, we can prescribe medications to help keep them from happening.
    • If you drink alcohol regularly, you may be at risk for other complications during and after your surgery. These include bleeding, infections, heart problems, and a longer hospital stay.

    Here are things you can do before your surgery to keep from having problems:

    About smoking

    If you smoke, you can have breathing problems when you have surgery. Stopping even for a few days before surgery can help. Your healthcare provider will refer you to our Tobacco Treatment Program if you smoke. You can also reach the program by calling .

    About sleep apnea

    Please tell us if you have sleep apnea or if you think you might have it. If you use a breathing device for sleep apnea, bring it with you the day of your surgery.

    Ask about medications

    Surgery May Be Required To Treat A Range Of Conditions That Affect The Prostate Here We Take A Look At The Three Most Common Types Of Prostate Surgery

    Prostate surgery is a very effective treatment for a number of conditions, the two most common being prostate cancer and benign prostatic hypertrophy .

    In the case of cancer, these procedures are performed to stop the spread of malignant cells. For BPH, surgery may be required to relieve symptoms that are making it difficult to urinate, which can have a significant impact on quality of life.

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    Prostate Surgery: New Techniques And Benefits

    Home » Salute » Prostate surgery: new techniques and benefits

    There is good news for the treatment of enlarged prostate, a disorder that affects about one in seven men after the age of 50. Lets see the new possible treatments to cure this disease.

    The alternative to traditional surgery, which involves resection of the gland, is called Urolift and it is one minimally invasive technique which is also gaining ground in Italy, as confirmed by an international study published in European Urology.

    The new method uses special clothes pegs that

    From the urethra, through a cytoscope, they are inserted into the prostate to tighten the lobes and reduce the pressure of the gland on the urinary canal explains Bernardo Rocco, of the Urology Unit of the Ca Granda Foundation Ospedale Maggiore Policlinico di Milano -. 15 to 30 minutes are enough, often the patient can go home already in the morning , continues the urologist.

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

    NHS Fife pioneers new prostate procedure

    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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    Alternative Prostate Cancer Treatment

    If youre exploring alternative prostate cancer treatment options, youve come to the right place. For over 23 years, weve offered men new treatment options for prostate cancer. And while conventional treatment for prostate cancer usually involves surgery, radiation and chemotherapy, we offer a gentler, less toxic approach.

    Our clinic offers a combination of both conventional and alternative treatments for prostate cancer. This combination has been shown to be effective for a variety of cancers over two decades.

    We offer a powerful integrative and complementary treatment for prostate cancer. This means we can use conventional approaches as needed but we also use very powerful alternative & holistic cancer treatments as well.

    Our treatments are designed to fight cancer, strengthen your immune system and change the underlying conditions of the body so it can muster its full healing potential. We also work on the underlying reasons why your body may have become predisposed in the first place.

    What Is A Robotic Or Laparoscopic Radical Prostatectomy

    Now routine procedures at Cleveland Clinic, laparoscopic or robotic prostatectomy are minimally invasive surgery procedures used to remove the prostate. Both forms of surgery are now routinely offered at the Cleveland Clinic to patients with prostate cancer. Our single-institution experience now exceeds 1000 cases of laparoscopic and robotic prostate surgery performed.

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    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.

    Prostate removal may be recommended 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 or you no longer want to take them

    Radical Prostatectomy Perineal Approach

    New procedure at UH offers alternative to medication and invasive prostate surgery
  • You’ll be placed in a supine position in which the hips and knees will be fully bent with the legs spread apart and elevated with the feet resting on straps. Stirrups will be placed under your legs for support.

  • An upside-down, U-shaped incision will be made in the perineal area .

  • The doctor will try to minimize any trauma to the nerve bundles in the prostate area.

  • The prostate gland and any abnormal-looking tissue in the surrounding area will be removed.

  • The seminal vesicles may be removed if there’s concern about abnormal tissue in the vesicles.

  • Read Also: How To Find The Prostate Gland Externally

    What Happens After Laparoscopic Prostatectomy

    After surgery, you will be hospitalized for approximately two to three days so that doctors can monitor your recovery process and ensure no complications occur after surgery.

    Your diet will consist of fluids shortly after the procedure and after youre cleared by your doctor, you may begin to eat regularly again.

    You will be encouraged to walk soon after your surgery. This helps prevent complications and helps the healing process by circulating blood in your body.

    After you are discharged from Cleveland Clinic, it is normal to feel tired for several weeks after the procedure. It is important however to keep doing light exercise such as walking to continue the healing process.

    Any heavy lifting should be avoided for at least three weeks after surgery to avoid injury.

    The most important thing is to take it easy and to return to normal activities on a timeline that feels right for you.

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    During Surgery For Bph

    The vast majority of BPH surgeries are performed using a transurethral technique, of which there are several types. With each, a tube-like instrument called a cystoscope or resectoscope reaches the prostate gland via the urethra.

    Some transurethral techniques include:

    • Transurethral resection of the prostate : An electrified wire loop is used to remove prostate tissue. This is the most common surgery used to treat BPH.
    • Transurethral electrovaporization of the prostate : Electrical energy applied through an electrode is used to heat and vaporize an area of enlarged prostate tissue.
    • Transurethral incision of the prostate : No prostate tissue is removed, but two deep cuts are made starting in the bladder neck . The purpose of these cuts is to widen the urethra in order to improve urine flow.
    • Laser energy is used to vaporize prostate tissue.
    • Laser enucleation of the prostate: A holium or thulium laser is used to remove excess prostate tissue that is blocking urine flow.
    • Transurethral microwave therapy : A specialized urinary catheter with a small microwave antenna is used to heat and destroy prostate tissue.

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    What Is Prostate Cancer Surgery

    Prostate cancer is a cancer that develops in the prostate gland â a small gland placed between the penis and the bladder in men. Prostate is a part of the male reproductive system. It secretes prostate fluid â through the seminal vesicles â that forms a part of semen along with sperms and fluids from other glands.

    The seminal vesicles are a pair of smaller glands present on the sides of the prostate. Prostate cancer may spread to the seminal vesicles too.

    The surgery for prostate cancer involves removal of the prostate gland, seminal vesicles and a part of the urethra. This procedure is known as radical prostatectomy. The tissues around these glands may also be removed if cancer cells are observed on them. The following types of radical prostatectomy are available:

    • Open surgery: A large incision is made to remove the prostate gland and the tissues that may have cancer cells.
    • Minimally invasive surgery: The prostate and adjacent cancer cells are accessed with the help of a few small incisions. This surgery may be done manually or with robotic assistance.

    How Is The Treatment Done

    Laparoscopic prostate surgery

    Enlarged prostate has various treatment options. The type of treatment will depend on the condition of the enlarged prostate and the difficulties you are facing in urination or dong other physical activities. Drug therapy is one of the options available where certain medications are prescribed to the patients that might help in relieving the symptoms experienced by you.

    Surgery is another option for BHP or enlarged prostate. It is mainly done for severe cases where surgery becomes mandatory.

    Transurethral resection of prostate -It is one of the most common BHP surgery. It involves removal of the tissue growth around a urethra. It does the job of relieving the patient of their symptoms and requires very little recovery time.

    Transurethral incision of prostate -This procedure involves making incisions or cuts on the prostate to relieve pressure on the urethra. It generally takes time for symptoms to subside and return to normalcy is much slower.

    Other surgery treatment options include Transurethral microwave thermotherapy and Transurethral needle ablation . Both of these treatments require microwave or ultrasound energy to destroy the prostate tissue.

    There are newer surgery options that are being researched and performed in clinical trials that range from water therapy to laser treatments. In laser therapy high energy frequency is used to destroy prostate tissue and generally requires general anesthesia. Mention should also be made about Rezum therapy and Urolift procedures.

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    Prostate Cancer Information: Prostate Surgery And Prostatectomy

    Prostate surgery or prostatectomy is the removal of the prostate gland. This prostate cancer treatment is an invasive procedure that can be performed by a single incision to the lower abdomen or perineum , or by a series of small incisions .

    Surgerys Role in the Treatment of Prostate Cancer Prostate surgery is one of the oldest prostate cancer treatments. The premise: remove the cancerous organ to treat the patient. Prostate surgery will help only those patients who have confined, localized disease. The oldest type of surgery, the radical retropubic prostatectomy, uses pelvic lymph node dissection before surgery to ensure that the disease has not metastasized out of the gland.

    Radical prostatectomy is the removal of the entire prostate gland and possibly the seminal vesicles and surrounding nerves and veins. The part of the urethra travelling through the glands transition zone is also removed. The two ends of remaining urethra are reattached in a connection called the anastomosis. Excising part of the urethra may lead to a penile shrinkage or shortening.

    Types of Prostate Surgery There are three types of prostate surgeries: retropubic, perineal, and laparoscopic. They are classified according to the incision site.

    Today, the laparoscopic and robotic procedures are quickly becoming popular. In this procedure, however, conversion to the abdominal incision may be used if complications arise during a laparoscope-assisted procedure.

    Going Home With A Catheter

    You will be discharged from the hospital with a catheter in place to drain urine from your bladder into a bag. The doctor will remove this in the office in five to 14 days. Be sure to clean the catheter where it exits your penis twice a day with soap and water and to empty the bag frequently. The bag should always be positioned lower than your bladder.

    On occasion, the catheter may irritate the bladder, causing bladder spasms that can be quite uncomfortable. If these occur, your doctor can prescribe medication that can help. Leakage of urine around where the catheter exits the penis also may occur and can be managed by wearing incontinence pads as described in the next section.

    It is normal for your urine to look cloudy for a few weeks after surgery. Occasionally, bleeding may occur around the catheter or be noticed within the urine. This also is common. If you see large clots â more than an inch in length â or if the catheter becomes plugged, contact your doctor. No anesthesia is required for catheter removal, and most patients experience only a little discomfort.

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    Physician Locator Information And Requirements

    The current requirements to be listed on the Physician Locator consist of:

    • Performing, on average, at least 3 cases per month in the last 5-month period, and
    • Completion of the UroLift® Proficiency Pathway, which is a surgeon training program launched in March 2017 that includes module, didactic and hands-on device training and completing 15 cases.

    Physicians currently listed on the Physician Locator who were trained prior to creation of the UroLift® Proficiency Pathway received equivalent surgeon training to the requirements outlined above, including instructional didactic sessions, clinical video review and hands-on UroLift® System use. The current and prior training programs focus on identifying appropriate patient candidates preparation and operation of the UroLift® System and surgical technique.

    To remain on the Physician Locator, a physician must:

    • Complete at least 5 cases within the last 6-month review period, and
    • Complete at least one physician education module during the calendar year.

    *Due to ongoing COVID-19 restrictions, the review period from Jan 1 – June 30, 2021 will not take place.

    Look For These Symptoms

    New Treatment for Enlarged Prostate Restores Normal Urination

    We encourage all our male patients, particularly those over the age of 50, to be aware of potential dysfunction of their prostate gland. Be aware of:

    • trouble urinating
    • general pain in the lower back, hips or thighs
    • pain when urinating
    • pain when ejaculating

    If you should experience any of these, you should schedule an appointment with one of our practitioners immediately.

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    Laser Focal Therapy: What To Expect

    You will receive both email and phone contact information for our medical team so that you can always reach us. In addition, we conduct a pre-operative consultation prior to the procedure, we meet the day of the procedure, and will see you frequently in follow-up.

    Our team will have collected and reviewed your medical records to evaluate you for inclusion and suitability. Our surgical team will have discussed your case during Tumor Board and conducted a surgical plan based on size, number, shape and location of ablation areas. Prior to the procedure, we will review the Informed Consent Document with you to ensure you understand every aspect of the procedure. We will discuss the risk, benefits, and paperwork of the procedure.

    The day of the procedure, our nurse will place an intravenous catheter in your arm so that she/he can administer IV antibiotics, pain medications and fluids . Should other medications be necessary, they will be administered through this IV as well.

    You may have a urinary catheter placed so that we can provide cooled urethral saline through Continuous Bladder Irrigation protection. This catheter remains in place depending on the size, shape, and location of treatment. Our urologist will perform the insertion and removal.

    Patients will return home or to their hotel room after at least two hours in the recovery room that same day. They must be accompanied by a family member or care giver as driving is not permitted.

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