Urology Clinic
We use state-of-the-art medical equipment to ensure effective and safe treatments.
Prostate Adenoma Treatment
What Does the Treatment for Prostate Adenoma Involve?
When a man experiences one of the symptoms of prostate adenoma, there are several treatment options available for managing this condition:
Medication Treatment
This is a first-line treatment option for prostate adenoma. It is effective for patients with mild to moderate symptoms but has a limited duration, typically up to 10-15 years. When medication no longer provides the desired results, symptoms may worsen, leading to recurrent urinary infections, bladder stones, or incomplete bladder emptying, as confirmed by ultrasound. In severe cases, acute urinary retention or urinary blockage may occur, requiring surgical treatment options.
2. Surgical Treatment
There are two options for this type of treatment:
2.1. Adenomectomy or classic surgical intervention, specifically transurethral resection of the prostate (TURP) (using laser or bipolar electric current) for a prostate volume of up to 80-100 cm³.
This medical procedure involves an endoscopic intervention, where a metal instrument equipped with a video camera is inserted. The instrument features a sliding component, represented by a metal loop, through which a high-frequency electric current passes, allowing it to cut and excise sections of the prostate. The procedure lasts approximately 1-2 hours and is performed under spinal anesthesia or deep sedation. After the intervention, the hospitalization period ranges from 4 to 10 days, during which the patient undergoes postoperative treatment and has a catheter inserted to aid in the healing process.
ADVANTAGES: Rapid improvement in urinary flow, occurring immediately in the postoperative period. Recovery period of approximately 1 month after the procedure.
DISADVANTAGES: Risk of bleeding during or after the procedure. Risk of retrograde ejaculation, where semen flows into the bladder and is expelled through urination instead of ejaculation. Risk of erectile dysfunction.
2.2. Prostatic Vaporization
This medical procedure also involves an endoscopic intervention, where a thin metal instrument equipped with a fine needle is inserted into the prostate. Using this needle, 4 to 10 micro-injections are made into the prostate, through which pressurized water vapor is introduced. Once inserted, these vapors gradually cause atrophy and eventual disappearance of the excess prostatic tissue over a period of 2-3 months after the procedure. The procedure is minimally invasive, requiring only local anesthesia and can be performed either in an outpatient setting or in a hospital, with a hospital stay of up to 12 hours if necessary.
ADVANTAGES: No bleeding occurs. No retrograde ejaculation. No erectile dysfunction. Procedure can be performed on an outpatient basis or with a maximum hospital stay of 12 hours. Only local anesthesia is required.
DISADVANTAGES: The atrophy and resorption process of the prostate tissue takes up to 3 months.
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