{"id":1586,"date":"2024-07-22T14:41:40","date_gmt":"2024-07-22T14:41:40","guid":{"rendered":"https:\/\/www.ro-boost.ro\/?page_id=1586"},"modified":"2025-11-21T16:26:31","modified_gmt":"2025-11-21T16:26:31","slug":"tratamentul-adenomului-de-prostata","status":"publish","type":"page","link":"https:\/\/www.ro-boost.ro\/en\/tratamentul-adenomului-de-prostata\/","title":{"rendered":"Prostate Adenoma Treatment"},"content":{"rendered":"
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Urology Clinic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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We use state-of-the-art medical equipment to ensure safe and effective treatments.\n

RO-BOOST applies a multidisciplinary approach in the evaluation and treatment of male health conditions, integrating specialists from complementary fields to achieve optimal therapeutic outcomes.<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tAPPOINTMENT<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Prostate Adenoma Treatment<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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What Does the Treatment for Prostate Adenoma Involve?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u00a0When medication therapy no longer provides the expected results, meaning the patient begins to experience recurrent urinary tract infections, or bladder stones develop, or ultrasound shows that the bladder is no longer emptying completely, or even acute retention or urinary blockage occurs, surgical treatment options become necessary.\u00a0<\/p><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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When a man experiences one of the symptoms<\/em><\/strong> of prostate adenoma, there are several options regarding the treatment of this condition:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Medication Treatment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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It represents a first option in the treatment of prostate adenoma. This method is effective in patients with mild to moderate symptoms and is limited over time, as the medication can provide beneficial effects for a period of up to 10\u201315 years.<\/p>

Alpha-blockers<\/strong> are the first type of medication prescribed by the urologist. They relax the muscles inside the prostate and the bladder neck, facilitating the passage of urine. They may cause side effects such as low blood pressure, difficult or absent ejaculation, and nasal congestion.<\/p>

5-alpha reductase inhibitors<\/strong>: They reduce the volume of the prostate gland (recommended for prostates larger than 50 cm\u00b3) and can be used together with alpha-blockers if the PSA level is higher than 1.5 ng\/ml (a possible indicator that the prostate is significantly enlarged). These medications may cause erectile or libido problems. The effect of 5-alpha reductase inhibitors is noticeable after 6 months of treatment. They also reduce PSA levels by more than 50%.<\/p>

In cases of prostate enlargement, the combination of both types of medication is more effective in reducing the risk of complications (particularly urinary retention) and lowering the likelihood of surgical intervention.<\/p><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u00a0When medication therapy no longer provides the expected results, meaning the patient begins to experience recurrent urinary tract infections, or bladder stones develop, or ultrasound shows that the bladder is no longer emptying completely, or even acute retention or urinary blockage occurs, surgical treatment options become necessary.\u00a0<\/p><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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2. Surgical Treatment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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There are several options regarding this type of treatment:<\/p><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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2.1 Classical surgical intervention<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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It is very rarely used today, being reserved only for certain cases of very large prostate adenomas (150\u2013200 cm\u00b3). It involves an abdominal incision and opening of the pelvic cavity, with the complete instrumental removal of the prostate.<\/p>

It requires a long hospital stay (usually at least 14 days), a prolonged healing time for the abdominal wound, and carries a higher risk of postoperative bleeding.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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2.2 Endoscopic interventions<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u00a0This type of surgical intervention has been in routine use for about 20\u201325 years and involves the removal of prostate adenoma through a minimally invasive surgical technique, in which an instrument (endoscope, resectoscope) is inserted through a natural pathway of the body (the urethra) to the area compressed by the excess prostatic tissue. The urologist then removes this tissue using various resection methods (high-frequency electric current, laser, or pressurized water vapor).<\/p>

These treatments are much easier for the patient to tolerate and require significantly shorter hospital stays (5\u20137 days in the case of resection with electric current or laser, or even just a few hours in the case of water vapor resection).<\/p>

As can be seen in the image, the anatomy of the pelvis and urethra ideally allows minimally invasive endoscopic access (without skin incision) through the natural urinary evacuation channel (the urethra) to the prostate, for the purpose of its removal.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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As shown in the image below, by using the endoscopic technique, the urologist has continuous direct optical access to the surgical field (or via a video camera attached to the endoscopic instrument, which transmits the image of the surgical field to a monitor in the operating room).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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The main types of endoscopic intervention for prostate adenoma<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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I. Transurethral resection of the prostate (TURP) \u2013 with laser or bipolar electric current, indicated for a prostate volume between 40 and 80\u2013100 cm\u00b3.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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This medical procedure involves an endoscopic intervention, which requires the insertion of a metal instrument equipped with a video camera. The instrument has a sliding component, represented by a metal loop through which a high-frequency electric current passes, cutting and excising sections of the prostate. The procedure lasts 1\u20132 hours, is performed under anesthesia (spinal or deep sedation), and requires a hospital stay of 4\u201310 days, during which the patient undergoes treatment and has a catheter inserted through the urethra to aid the healing process.<\/p>

It is a surgical method that has been widely used for about 20\u201325 years.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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ADVANTAGES:<\/u>\nRapid improvement in urinary flow, occurring immediately in the postoperative period.\n Recovery period of approximately 1 month after the procedure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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DISADVANTAGES:<\/strong>\n\u2013 Risk of bleeding during or after the procedure;\n\u2013 Risk of developing retrograde ejaculation (in which semen flows backward into the bladder and is eliminated through urination instead of ejaculation);\n\u2013 Risk of developing erectile dysfunction.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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In the video animation below, you can see how a TURP procedure is performed, as well as how the surgical loop carrying an electric current gradually cuts sections of the prostate, which are then released into the bladder and later removed through irrigation with saline solution via a wide-diameter catheter. The main drawback of this type of intervention can also be observed\u2014namely, the repeated bleeding that inevitably occurs when the electric loop cuts through portions of the prostate. These bleedings are immediately coagulated with the same electric loop, but the risk of bleeding restarting at any time in the immediate postoperative period is quite high, which is why a postoperative hospital stay under strict supervision for 5\u20137 days is necessary.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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