What effect can I expect from laser treatment to reduce prostate.?
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I have a benign enlarged prostate. Is there a laser treatment that would shrink an enlarged prostate?
This question is basically for Physicians and Surgeons or anyone who has gone through this ailment. I have a benign enlarged prostate. Is there a laser treatment that would shrink the enlarged prostate, without open surgery?
Modern Treatment Options for Enlarged Prostate
One may feel that there are not a lot of options for enlarged prostate patients, but as a matter of fact, more and better treatment options are being discovered by the day. Thanks to modern technology, different techniques are being developed and improved in order to handle different kinds of prostate enlargement conditions.
It may be an age-old affliction, but that doesn’t mean we have to stick with outdated treatment options for enlarged prostate. Traditionally, an enlarged prostate would be treated with physical therapy and painful, invasive surgery. In the past, these methods sometimes came with significant health risks.
But in the modern age, methods that are less invasive – and often also less risky – are being used to treat these conditions. Among these methods is laser surgery, which involves the use of highly concentrated laser light in eliminating overgrown tissue on the prostate. The laser light does not penetrate too deeply, so the tissues around the prostate itself are not damaged. This method still requires some hospital stay, similar to a traditional surgery, but it could be as brief as an overnight stay. Laser prostatectomy is now a popular method of controlling prostate enlargement, though many would still consider it a drastic measure.
Transurethral incision and resection are two less invasive methods of surgery. They are different in that transurethral resection of the prostate (TURP) is considered a major surgery, contrary to transurethral incision (TUIP). As their names imply, TURP involves the surgical removal of obstructing tissues on the prostate, thus making urination easier; on the other hand, TUIP only involves the creation of small incisions that would allow urine to pass out of the body more freely. The chance of needing to return for a second surgery is less in TURP than in TUIP, though the cost of surgery and the recuperation time is often more with TURP.
Medication is a tried and tested method of treating prostate enlargement, one that is most often recommended for men who only suffer from mild to moderate symptoms. Alpha blockers such as Terazosin (Hytrin) and Doxazosin (Cardura) relax the muscles around the neck of the bladder and make it easier to urinate. These medicines, incidentally, are also used in treating high blood conditions. Side effects are often minimal and controllable. Combined with lifestyle changes such as healthier eating, sleeping and exercise routines, medication could be the most cost efficient and most effective treatment options for enlarged prostate, in the long run.
Mensglands.com provides you with info on enlarged prostate symptoms, its treatments and symptoms and how to overcome or reduce the risk of getting it. http://www.mensglands.com/
Enlarged Prostate? Treatment Options Review
An enlarged prostate gland is one of the more common effects of aging in men, but the sad fact is that very few people seem to want to talk about it. The numbers, however, are striking, and they confirm the importance of communication about this health risk! About one in every four men over the age of 40 will experience the effects of prostatic enlargement. With such a significant number of men affected with this problem, it is important to review all of the enlarged prostate treatment options available to help make an educated decision about what is right for your health… or the health of someone you love.
Not surprisingly, some of the more common treatment methods for an enlarged prostate include medications and surgical intervention. There are also a number of natural or herbal remedies which may be effective for some individuals. Some of the most-prescribed pharmaceutical agents are alpha blockers (such as Flomax and Hytrin) and alpha reductase inhibitors (such as Proscar and Avodart). In general, these medications can be effective for many men. While side effects may occur, they are not terribly common. With the appropriate implementation of pharmaceutical therapies, many men may be able to avoid the next step in the enlarged prostate treatment regimen: surgical intervention.
Fortunately, there are minimally-invasive procedures which can be relatively quick, outpatient treatments in a doctor’s office. Some of these options include laser or microwave treatments, and the insertion of small, prostatic stents. If these should prove ineffective, then more invasive surgeries like incision, resection, or laser surgery will need to be considered. The most invasive of these procedures is an open prostatectomy, in which the prostate gland is removed under general anesthesia.
Whatever treatment method you choose for your enlarged prostate, be sure to examine all of your options, and discuss them thoroughly with your health care provider.
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Green Light Laser Treatment For Bph (Enlarged Prostate) And Sexual Dysfunction
Erectile dysfunction is a well recognized complication of the standard treatment for Benign Prostatic Hyperplasia (BPH), or the enlarged prostate. Approximately 10 per cent of patients who have a TURP are left with erectile dysfunction as a result of the procedure.
This is a considerable risk for patients. Although the majority of patients I see with BPH are 65 and above, I do see a number of patients in their fifties. These patients often decide against surgery – even if it means they have to live with symptoms of BPH – because they do not want to risk a complication which would have a major impact on their lives.
Equally, for some patients in the older age group, erectile dysfunction is very important.
At The Prostate Laser Centre, we discuss risks and complications very thoroughly with patients before the procedure. In some cases, patients may be focused on dealing with the symptoms and less concerned about complications pre-operatively. But post-op, once the patient starts to recover, complications can become a major source of anxiety.
This is one reason why Green Light Laser treatment is such an important development. The Green Light Laser provides a high powered, safe and precise means of destroying surplus tissue by vaporising selected areas. By contrast, during TURP, surplus prostate tissue is burnt by electrical currents.
The nerves which control erections are located just at the side of the prostate. During TURP, erection problem can possibly happen due to these nerves being damaged from the heat of the electrical current. The current can be fairly indiscriminating in terms of the areas it targets.
The Green Light Laser is far more targeted. Even though it is so powerful that surplus tissue is immediately vaporised, it does not penetrate deep into the tissue. Hence it is believed that it minimizes the risks of erectile dysfunction. In my experience, I have not yet seen erection problems developing after green light laser therapy.
Although Green Light Laser treatment is a relatively new development in the UK, it is well established in America and parts of Europe. A total of 200,000 procedures have been undertaken worldwide. A major study* showed there is a 1 per cent rate of erectile dysfunction following Green Light Laser treatment, compared with 10 per cent for TURP.
A very common side effect after TURP is known as retrograde ejaculation. This means during orgasm, semen passes into the bladder rather than out through the penis. The semen is then voided the next time urine is passed. Retrograde ejaculation is not harmful and for many men it is not problematic, although it does result in less sexual satisfaction and infertility. The risk of retrograde ejaculation following TURP is high, up to 90 per cent. The figures for retrograde ejaculation following Green Light Laser are much lower, at between 29 and 41 per cent.
In conclusion, Green Light Laser offers patients the same result as TURP – rapid relief from the symptoms of BPH. However, with Green Light Laser, this is achieved with much reduced side-effects and complications. These benefits for the patient must be recognised.
* Yakupoglu YK, Donmezer S, Mestci B, Saglam R, Simsek US. Successful treatment of BPH over 100 ml with KTP laser. J Urol 2006 May;175(4 suppl.):463 abstract 1522.
Anurag Golash is Consultant Urologist of The Prostate Laser Centre, Staffordshire and Cheshire, a national network specialising in Green Light Laser treatment for the enlarged prostate.
Enlarged Prostate Treatment – Surgical
Enlarged Prostate Treatment – Surgical
The purpose of this article is to describe various types of surgery techniques used as enlarged prostate treatment.
Patients with BPH may need removal of the enlarged part of the prostate by surgical methods. It is normally the best long-term solution for some patients with BPH. This surgery only removes the portion of the prostate gland that is pressing against the urethra tube. The rest of the gland is left intact as well as the outside capsule. There are different forms of surgery that are used for enlarged prostate treatment.
Transurethral surgery is a type that does not need an external cut. After anesthesia is given the surgeon can reach the prostate by inserting the surgical instrument through the urethra tube. Another form of surgery is the transurethral resection of the prostate or TURP. This method is used for 90 percent of all enlarged prostate treatment surgeries. An instrument is inserted through the penis and uses a light and valves for controlling irrigating fluid, and a small electric loop to cut the tissue and seal blood vessels. The instrument is about 12 inches long and one half inch in diameter. This method of surgery takes about 90 minutes and the excess tissue from the gland is taken to the bladder then flushed after surgery. Most doctors prefer this method because it causes fewer traumas to the body and has a shorter recovery time.
A third form of surgery is called transurethral incision of the prostate or TUIP. It is another minimally invasive form of surgery. Instead of removing excess prostate tissue it widens the urethra by making a few small cuts in the neck of the bladder. The cuts are made where the urethra joins the bladder and in the prostate gland. This form of surgery is still not been proved to give the same relief as TURP or to cause fewer side effects. Doctors believe that it reduces the chance of backward ejaculation where the semen flows backward into the bladder during climax instead of out the urethra.
When the three above methods of enlarged prostate treatment surgery cannot be used, the doctor or specialist may recommend using a surgery that requires an incision. If the prostate gland is extremely enlarged, open surgery may be the only way to correct the problem. Open surgery may be needed if the bladder needs repaired or there are other complications. The place of the enlargement and the patients health will be deciding factors to which surgical method is chosen by your surgeon.
The FDA approved laser surgery in 1996. It uses side-firing lasers to destroy any prostate tissue that is obstructing the urethra. The bursts of energy last between 30 and 60 seconds. The laser causes shrinkage and destroys prostate tissue. There is an advantage of using laser surgery. Very little blood is lost during this surgery and it allows for a quicker recovery time. Doctors are concerned that laser surgery may not be effective on larger prostates. New procedures involving lasers are being used and results have been good.
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LASER PROSTATE Surgery New Thulium Laser 120 treatment postatic hypertrofy
The Laser Urology Centre Arezzo Italy www.urologialaser.it was born thanks to the experience of Doctor Stefano Mattioli, who was the italian urologist who first introduced the use of laser in urologic surgery rooms ever since 1984. Doctor Alessandro Picinotti is another promoter of the centre and the one who means to continue such procedures through divulgation and spreading of information about the use of laser in urology. Doctor Ugo Doria and Doctor Monica Sbragi are part of the equipe as well, both of them own experience in surgery and in medical clinic. The medical staff at the centre can offer qualified information as to the most modern tecniques concerning the use of laser in urologic surgery rooms, since the medicians operate in more than one health care facility and have been gaining, over the years, knowledge and practice of the lasers on the market at present: Tullio Laser, KTP Laser and Holmium Laser. Since 2000 the use of Holmium-Yag Laser spreads over, it can be considered the initiator of a modern era because it is still employed in urologic surgery rooms and it was the beginning of the collaboration of Doc. Mattioli and Doc. Picinotti. In July 2002, Doc. Mattioli shows for the first time another innovative laser, especially for the treatment of prostatic hypertrophy: it was KTP Green-Light Niagara (Corriere Salute 22/10/2002) and, learning the tecnique from his Master, Doc. Picinotti uses it for the second time ever in Italy and today it is still used in …
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