Transurethral resection of the prostate in Turkey

Transurethral resection of the prostate

The best method for Transurethral Prostate Resection in Turkey is the traditional and gold standard method for resection of an enlarged prostate. Which carries few complications for the cost of the operation.

Surgical treatment of benign prostatic hyperplasia (BPH)

TURP reduces problems associated withBenign prostatic hyperplasia Effectively, although surgery is usually resorted to after making sure that there is no other effective treatment alternative, as if the enlarged prostate continues to cause medical problems for the patient, especially urinary tract infection, the decision is made to operate as a last resort because of the presence of some effects side effects of the surgery.

Most men who have Benign enlargement of the prostate They do not have a great need for surgeries, as they can spend their time thinking carefully about the pros and cons of the surgeries.

Most men who have it usually get along Benign enlargement of the prostate With the problems they have and they are not in a very urgent need to make the decision to undergo surgery.

Reasons why surgery is necessary

Prostate-related problems, such as increased difficulty urinating, can be very bothersome, despite the use of medications that have not led to satisfactory results in the patient.

If an enlarged prostate is causing other medical problems, such as frequent urinary tract infections or bladder stones.

Treatment with medication may not be possible for medical reasons.

The decision will also depend largely on how the man feels about the potential benefits and harms of the procedure.

Although the surgery is very effective, it can lead to many complications.

What is the goal of surgery to treat an enlarged prostate gland?

The goal of the surgery is to make the prostate gland smaller so that it does not put pressure on the bladder and urethra.

 In most methods, small instruments are guided through the urethra (transurethral) to the prostate, where they are used to remove tissue or widen the urethra to facilitate urine flow.
This type of procedure is known as Keyhole Surgery.

If the prostate gland is very large, it may be done from the outside, through an incision in the abdominal wall ("open surgery"). This is rarely necessary.

Many different surgical techniques and many different tools and devices can be used to remove and cut excess prostate tissue in different ways.

What is the most common approach to prostate treatment?

Diagram of TURP
Transurethral resection of the prostate

Transurethral resection of the prostate (TURP) is the standard (gold standard) surgical method.

This procedure involves inserting a thin tube called an endoscope (telescope) into the urethra (urethra) and directing it to the prostate.
This endoscope is equipped with a small camera and an electrode loop that is used to mechanically remove prostate tissue.
The ring produces heat at the same time, which quickly clogs the blood vessels.

The resectoscope also has valves that regulate the release of fluid to expel the removed tissue.

Transurethral resection of the prostate takes about 90 minutes and is performed under local or general anaesthesia.

Men who have this procedure usually need a urinary catheter (a tube that empties the bladder) for a few days, and generally stay in the hospital for two to seven days.
Then they have to take a break and relax for a few weeks.

There are some differences in TURP methods, which are also standard treatments and have similar outcomes and consequences to conventional TURP.

These methods include TUEVP, TUEVP, and PkEP.

There is another well-established surgical procedure called transurethral incision of the prostate (TUIP).

In this approach, pressure on the urethra is relieved without removing any tissue from the prostate.

To do this, the surgeon makes one or two small incisions (incisions) in the place where the prostate connects to the bladder.
This frees up a little space for the narrowed urethra, relieving pressure.

The advantage of this technique is that some side effects, such as bleeding or retrograde ejaculation, are less common.
But TUIP is only suitable for men who have a mildly enlarged prostate.
The procedure may have to be repeated after a while.

How effective is transurethral resection of the prostate in Turkey?

Studies have shown that TURP can permanently reduce prostate-related problems.

 Nine months after TURP, about 75 out of every 100 men have some mild symptoms.
For example, they may feel the need to get up at night to go to the bathroom once.
But the rest usually benefit from transurethral resection of the prostate, absolutely. However, side effects are common.

The difference between a healthy prostate and an enlarged prostate
The difference between a healthy prostate and an enlarged prostate

What are the consequences of transurethral resection of the prostate in Turkey?

The most common side effect of TURP is "dry orgasm" or "dry climax" (retrograde ejaculation).
There is no semen during ejaculation, or it may be much less than usual, and instead, semen flows into the bladder. This can happen if the muscles that close the entrance to the bladder during ejaculation are damaged during the surgery.

About 65 in 100 men have this side effect after transurethral resection of the prostate.
Although dry orgasms are not harmful and usually do not affect sexual pleasure during an orgasm, they do reduce fertility significantly.

Some men fear erection problems after the surgery.
Although there is no guarantee that this will not happen, research has shown that permanent penile erection problems are rare.

Some people also say that the marital relationship after prostatectomy improves because they no longer experience unpleasant symptoms such as having to go to the bathroom at night.

Other potential consequences of transurethral resection of the prostate include urinary tract infections (UTIs) and temporary loss of bladder control (urinary incontinence).

As with most operations, there is a risk of bleeding after the operation.

In rare cases, surgery can cause a narrowing of the urethra.
It is also worth noting that long-term consequences such as permanent incontinence after the operation are rare.

Transurethral resection of the prostate (TURB) can also lead to 'TUR syndrome': a condition associated with temporary nausea, vomiting or general fatigue after the procedure.

Although this complication is rare, it can be life-threatening.
They can develop if some of the fluid used during surgery (to flush out removed prostate tissue) enters the bloodstream. TUR syndrome can cause problems in the heart and pulmonary veins.

One study in this area found that 2 to 3 men out of every 100 developed TUR syndrome, but it had no serious health consequences.

Does laser treatment of prostate enlargement have any advantages over TURP?

In addition to standard methods such as transurethral resection of the prostate, there are a number of other surgical techniques.
They differ mainly in terms of the tools and energy sources used to remove or destroy prostate tissue. Most other techniques are implemented withThe use of laser beams.
As with transurethral resection of the prostate, instruments are inserted into the urethra and guided into the prostate.

Transurethral laser treatments include:

  • Holmium laser prostatectomy (HOLEP).
  • Holmium laser resection of the prostate (HOLRP).
  • Thulium laser resection of the prostate (TMLRP).
  • Thulium laser ablation (TMLEP).
  • Photo vaporization of the prostate (PVP), also known as green light laser therapy.

Both holmium techniques are as invasive as transurethral resection of the prostate, but their complications are relatively less.
Research indicates that it may be more effective than TURP.
The advantages of holmium laser techniques are that people can leave the hospital and have the catheters removed sooner than normal surgery.

Research conducted on Thulium laser ablation (TMLRP) that the outcome of the treatment is similar to that of TURP.
But severe postoperative bleeding is less common after thulium laser ablation.
The men who underwent this treatment were also able to leave the hospital and have the catheter removed on the same day.

Another advantage of laser treatment is that there is no risk of TUR syndrome like TURP.

Although the incidence of dry orgasms is the same, it has not changed.

Other surgical methods such as TmLEP and PVP have not been scientifically proven to be at least as effective as TURP.

What is the most appropriate approach?

When deciding which method is best for you, it is important to discuss the pros and cons of different surgical techniques with your doctor.

The decision will depend on the size of your prostate, but also personal factors such as your age and health.

However, not every hospital will use each technique individually, so the choice of surgical approach will also depend on what is available.
As with any surgical intervention, the surgeon's level of expertise with a particular approach and the area of hospital specialization will play an important role in the selection.

What happens after transurethral prostate surgery?

Most prostate surgeries are performed in a hospital.

 The amount of time you will spend in the hospital depends on the type of treatment you receive and how quickly you recover.
Also, to prevent the wound from coming into contact with urine, a urinary catheter is required for a few days after the procedure.
A catheter is a thin plastic tube that drains urine from the bladder.
The tube is held in place by a small balloon filled with water in the bladder.
This can lead to painful bladder spasms, especially in the first few hours and days.
Antibiotics are sometimes used to prevent infection.

For the first two days after surgery, your urine may contain blood or clumps of blood — especially after a TURP.

It is important to drink plenty of water for the first few days in order to clean the bladder and speed up the healing process. Light bleeding may also occur later on.

Even if you no longer have any pain, it will take some time for the wound to heal completely.
That's why it's important to be careful in the first few weeks: strenuous physical activities, sudden movements, and heavy lifting increase the risk of wound bleeding.
You can talk to your doctor about what you can do to recover faster.

It may take a few months for everything to return to normal.
During this time, you may have urinary problems, such as an urge to urinate or a temporary loss of bladder control.
Your organs need some time to adjust to the new changes in the surgeon's area.

Studies

This is a study This procedure appears to be the gold standard for treating an enlarged prostate. It can also be used in the early stages of treatment Prostate cancer.

You can learn about the latest technology in the treatment of prostate enlargement that depends on coagulation of the prostate artery by catheterization.

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