Prostate hypertrophy before the age of 50! Differences in prostate surgery options? After the operation, he exclaimed that his traffic was "back to 20 years old"
Prostate hypertrophy before the age of 50! He peed 4 times a night and returned to his 20s after treatment
Benign prostate hypertrophy is the most common urinary system problem among men around the world. It may not only cause lower urinary tract symptoms, but also cause inflammation, urinary retention and other urinary disorders, often leaving patients unable to urinate even if they want to. Research in recent years has pointed out that as the longevity of the population increases, the prevalence of prostate hypertrophy continues to rise, and prostate hypertrophy is not uncommon among young adults in their 40s and 50s.
“Prostatic hypertrophy is a disease that affects almost half of men, and it may significantly affect urination!” Zeng Wenxin, an attending physician at the Department of Urology at Chi Mei Hospital, pointed out that the prevalence of prostate hypertrophy is about 50% in men aged 50 years old. The 70-year-old group is as high as about 70%. Most of the drugs taken clinically can only treat the symptoms and cannot effectively shrink the prostate. Surgery plays an indispensable role when drugs cannot effectively control the disease. The current six major indications for prostate surgery include: recurrent urinary tract infection, acute urinary retention, bladder stones, bladder diverticulum, recurrent hematuria, and impaired renal function.
Mr. Wang, a 47-year-old patient with prostate hypertrophy, needs to exert a lot of force to urinate and has problems with unclean urination. He often feels the urge to urinate after going to the toilet. He needs to get up to urinate 3 to 4 times at night, which is serious. Affects sleep and quality of life. Although the prostate is only slightly fat, about 35ml (normal is about 20ml), there is obvious obstructive flow rate in the urodynamic examination. After taking the medicine for 3 months, the improvement was limited, so he resorted to water vapor therapy. The urinary catheter was successfully removed during a follow-up visit one week after the operation. Mr. Wang said that his urination felt like he was 20 years old again, and he did not need to Take your chronic prostate medication again.
Will prostate surgery necessarily cause bleeding? Water vapor ablation can be completed in as little as 15 minutes
Dr. Zeng Wenxin pointed out that in the past, the standard surgical treatment for prostate hypertrophy was “transurethral prostate curettage”, which uses electrosurgery to scrape out the blocked prostate tissue piece by piece. The operation involves a large amount of blood loss and a long operation time. There are fewer organizations. In the past ten years, “transurethral laser prostate enucleation” has been developed. The prostate is completely removed with laser from the rim of the prostate where there are few blood vessels. The amount of bleeding is significantly reduced and the operation time is shortened. Within 1 to 2 hours, the largest and most complete prostate tissue can be removed. Although prostate surgery has continued to improve, there are still some complications that are difficult to overcome, such as retrograde ejaculation (an incidence of 60 to 70%) and bladder neck stenosis (an incidence of 1 to 2%).
Dr. Zeng Wenxin said that the new prostate water vapor ablation method enters through the urethra, inserts a fine needle into the tissue at the point of prostate hypertrophy, and releases high-temperature water vapor to destroy the prostate tissue, causing the hyperplastic tissue to slowly shrink, thereby improving the condition. Obstruction of urination. The operation time is only about 5-15 minutes at the fastest, and the blood loss is very low. The incidence of retrograde ejaculation is only 3%. It is suitable for those with prostate size between 30-80ml, those who are relatively young and need to preserve ejaculation function, and those with high anesthesia risks. Ethnic group.
However, destroying prostate tissue with water vapor will cause local swelling of the tissue after surgery. It is recommended to temporarily place a urinary catheter 1 week after surgery to avoid acute urinary retention. The urine catheter valve can be used to freely control urination, so there is no need to carry a urine bag, and normal cleaning and bathing can be performed without affecting daily activities. However, this procedure uses water vapor ablation with fine needles, and its effect on prostate volumes exceeding 80ml is unclear, so it is currently not recommended.
The choice of prostate hypertrophy surgery varies from person to person and must take into account clinical data and related complications.
“With the rapid development of medical technology, patients have more choices, and they are no longer just a doctor.” Dr. Zeng Wenxin reminded that every patient’s condition is different, and each patient has a different treatment method that is most suitable for him or her. In the past, surgical treatments for prostate hypertrophy included traditional bipolar electrosurgical curettage and laser prostate enucleation surgery. Although the treatment effects are good, there are no more minimally invasive and outpatient surgical options.
Dr. Zeng Wenxin analyzed that prostate water vapor ablation provides a more suitable treatment for patients who require minimally invasive surgery, and has the characteristics of shorter operation time, less bleeding, and faster recovery. However, every patient with prostate hypertrophy has his or her own suitable treatment method. Patients should choose the best treatment method with their attending physician based on clinical data, prostate size, risk of complications, etc.
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