PROSTATE TREATMENT

The prostate gland is found only in males. It sits below the bladder and wraps around the urethra. The urethra is the tube that carries urine out of the body. The prostate helps produce semen.A transurethral resection of the prostate (TURP) is surgery to remove parts of the prostate gland through the penis. No incisions are needed.

The surgeon reaches the prostate by putting an instrument into the end of the penis and through the urethra. This instrument, called a resectoscope, is about 12 inches long and .5 inch in diameter. It contains a lighted camera and valves that control irrigating fluid. It also contains an electrical wire loop that cuts tissue and seals blood vessels. The wire loop is guided by the surgeon to remove the tissue blocking the urethra one piece at a time. The pieces of tissue are carried by the irrigating fluid into the bladder and then flushed out at the end of the procedure.

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HOLEP

  • HOLEP  holmium laser enucleation of the prostate – a laser attached to a resectoscope is used to cut away excess prostate tissue 

  • Transurethral laser resection or vaporisation of the prostate – a thin tube called a cystoscope is inserted into the urethra and a laser attached to the cystoscope fires pulses of energy to burn away prostate tissue

  • prostatic urethral lift (PUL) implants – a surgeon inserts implants that hold the enlarged prostate away from the urethra so that the urethra is not blocked; this helps to relieve symptoms like pain or difficulty when peeing

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