Enlarged prostate surgery procedure

Prostate is basically a male reproductive gland that is responsible for producing the fluid which is responsible for carrying sperms during ejaculation and it surrounds the urethra. Enlarged prostate means that the organ has grown bigger. This happens with aging and can create problems since an enlarged prostate can press on the urethra and cause urination and bladder problems. This state is referred to as benign prostatic hyperplasia (BPH).

To combat this problem, most men go for medications before going for surgery. The enlarged prostate surgery is often considered as the long term solution for this problem. Surgery is recommended if there is fairly large number of complications like inability to urinate, failure to respond to medications, blood in the urine, bladder stones, urinary tract infections or even kidney damage.

There are basically two types of procedures:

Invasive procedures and less invasive procedures. Less invasive procedures are more effective as compared to the less invasive procedures. However these involve a lot of complications like blood loss, erectile dysfunction, incontinence etc.

TURP procedure is one of the common choices of the doctors and comes under the category of invasive procedures. In less invasive procedures, some form of heat is used to destroy the overgrowth. This is possible through Radio frequency: TUNA, Microwave: TUMT, Electrical current (TUVP), hot water (WIT), as well as Laser: ILC, PVP and HoLEP.

Less invasive procedures are suitable for a particular category of patients. These include younger men since most of such procedures do not pose a risk of incontinence and impotence, debilitated elderly patients, men on blood thinning drugs as well as those patients who have severe medical conditions like uncontrolled diabetes, kidney diseases, heart diseases, alcoholism and other problems.

To cure this, enlarged prostate surgery is done. Transurethral surgery is also one of the ways in which no external incision is required. It is a 90 minute operation in which a procedure called Transurethral resection of the prostate (TURP) is used.

An instrument called resectoscope is inserted through the penis. It basically consists of valves which control the irrigating fluid as well as an electrical loop that cuts tissue and seals blood vessels. In the entire procedure, the obstructing tissue is removed one at a time. These pieces of the tissues are carried by the fluid into the bladder and are flushed out at the end of operation.

In some cases, open surgery is also done. In open surgery, external incision is done. This is done when there are more complications and the gland is extremely enlarged. In the beginning, anesthesia is administered to the patient. Then an incision is made. The surgery is conducted and the surgeon removes the enlarged tissue from the gland.

In laser surgery, a laser fiber is passed through the urethra into the prostate and several shots of energy are given. These bursts of energy can last for 30 to 40 seconds. As a result the prostate tissue is destroyed leading to the shrinkage of urethra.

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