The prostate is one of the most common problem organs in the male body. Although prostate diseases are mostly seen from the age of 50, they can sometimes cause problems in young men. The most common intervention in this situation is prostate surgery.
What is Prostate Surgery?
Patients who do not respond to drug treatment in prostate enlargement, who initially respond to drug treatment, but whose drug becomes insufficient over time and cannot use drugs due to side effects, can be treated with prostate surgery.
In addition, depending on prostate enlargement; Prostate surgery should also be planned for patients with stones in their bladder, recurrent bleeding from the urinary tract, frequent urinary tract infections, and those who cannot empty their urine at all.
In determining the prostate surgery method, the patient's age, medications, additional diseases and prostate size are taken into account.
How is Prostate Surgery Performed?
Transurethral Prostate Resection (TUR-P):
In the transurethral resection of the prostate (TUR-P) operation, the prostate tissue is burned from the inside with the help of electrical energy and removed in small pieces. Since the risk of bleeding is high in this surgery, blood thinners (anti-aggregant-coagulant) drugs that the patient has to use, if any, are discontinued 1 week in advance and can be restarted at the earliest 1 week after the surgery.
After the procedure, the patient should stay with the catheter for at least 3-4 days. It has been reported in many studies that TUR-P syndrome, urethral stricture, infection, urinary incontinence, difficulty in urination, retrograde ejaculation, and the need for reoperation were observed after this method.
Open Prostatectomy:
Prostate size 100 gr. and above, open prostate surgery can be applied. In this surgery, the urinary bladder is opened along with the skin and subcutaneous tissues of the patient and the prostate is removed with the help of fingers.
Since the bleeding rates are quite high during this surgery, blood support may be required frequently. After the procedure, the patient should stay with the catheter for at least 1 week. In addition, the hospital stay is longer than other methods.
Laser in Prostate Surgery:
With the use of lasers in urology, surgical operations have started to be performed by using lasers in prostate surgery.
These methods are;
Greenlight laser, photoselective vaporization of the prostate (PVP); Prostate enucleation with thulium laser (ThuLEP), prostate resection with thulium laser (TmLRP), prostate ejaculation with diode laser (DiLEP), prostate vaporization with diode laser (DiLVP), prostate resection with holmium laser (HoLRP), and prostate enucleation with holmium laser (HoLEP).
