Prostate Surgery

Bipolar resection of prostate is the standard treatment procedure for the BPH condition. Prostate enlargement is also known as Benign Prostatic Hyperplasia (BPH), mostly seen in men above 60 years of age, is an non-malignant enlargement of the prostate gland, thus compressing urethra resulting in improper/ obstructive flow of urine causing retention of urine in the bladder. The bipolar electric loop along with saline irrigation, facilitates transurethral resection of prostate with minimal water intoxication, without diathermy pad/ obturator stimulation

What are the advantages over prostate surgery:

  • Better results.
  • Safer modality.
  • Better quality of life post-treatment.
  • Surgery time: only 1 to 1 and half hour.

Symptoms Of prostate problem:

  • Obstructive urination.
  • Inability to relieve urine.
  • Frequent urination.
  • Constant ache/ stiffness in lower back, hips, thighs.
  • Blood in urine/ semen.
  • Painful ejaculation/ troublesome erection.
  • Painful/ burning during urination.
  • Dribbling urine.
  • Severe:
  • Leaky bladder.
  • Recurrent infections.
  • Kidney damage.

Diagnostic Tests For Prostate Problems:

  • Digital rectal exam.
  • Blood/ Urine tests.
  • Urine flow analysis.
  • Cytoscopy.
  • Ultrasound scan.
  • Prostrate biopsy.
  • Scrotal ultrasound- Doppler mode.

Preparation:

  • Avoid blood thinning agents Plavix (clopidrogel) and Coumadin (Warfarin).
  • With the consultation of your doctor, avoid pain relievers like ibuprofen/ naproxen sodium/ aspirin, etc.
  • Avoid eating/ drinking after midnight.

Prostate Problem Treatment:

  • A surgical cum visual instrument named resectoscope is inserted through the tip of the penisand into the urethra to the prostate area.
  • This way no cuts need to be made to access the prostate.
  • The resectoscope is facilitated with valves to control irrigated fluids, to cut the tissue/ seal blood vessels it has an electrical loop and also a light to observe.
  • With the help of this resectoscope’s electric loop,  a bipolar electrical current is used to create an ionized energy for tissue vaporization, and thus the enlarged tissues inside the affected prostate glands are trimmed piece by piece, carried into the bladder by the irrigating fluids.
  • These are completely removed at the end of the operation.

Risks Of Prostate Problems:

  • Hospitalization upto 1 to 2 days.
  • Heavy blood in the urine.
  • Blockage of urethra.
  • Damaged kidney function.
  • Laxatives maybe required.
  • Catheterization may be required to avoid potential blood clots/ blood in the urine.
  • Sudden low sodium blood levels.
  • Dry orgasms.
  • Erectile dysfunction.
  • Difficult urination.
  • Possibility of urinary tract infection.

Follow-up:

  • Prostate tissue, after this treatment, is tested for the possible risk of cancer cells.
  • Athletic supporter for pressure relief.
  • Healthy diet and lifestyle.
  • Avoid alcohol/ caffeine/ smoking.
  • Avoid before bedtime fluids.
  • Double voiding the bladder at a single visit.
  • Relaxation therapy.
  • Regular mild exercise avoid strenuous activity.
  • Drink liquids in small amounts not large amounts at once.
  • Don’t resist the urge to urinate.
  • Avoid sexual activity for upto 6 weeks.
  • Avoid decongestants.
  • Avoid antihistamines.
  • Regular check-up and tests.
  • Prevention & precaution is better than cure.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.