Advanced Prostate Treatments
What is the prostate?
The prostate is a gland in the male urogenital tract, below the bladder. It surrounds the urethra, which conducts urine from the bladder, through the penis.
The main object of the prostate is to produce a fluid that transports semen during ejaculation. In younger men it usually has the size of a walnut.
On this page we highlight a few prostate treatments, but for cancer treatments see Prostate Cancer
Benign Prostatic HyperPlasia (enlarged prostate)
In middle-aged men, the prostate usually begins to grow again and this (non-cancerous) enlargement of the prostate is known as BPH. This can make it progessively more difficult to pass urine.
Enlarged prostate is a very common condition in older men and about 80% of men are affected by the age of 80. Symptoms may include:
Frequent urination, especially at night.
Weak urinary stream.
Sudden urge to urinate.
Difficulties at start and end of urination.
Inability to empty the bladder completely.
Pain or burning during urination.
Pressing or straining during urination
The American Urological Association has developed a questionnaire to assist patients and physicians to determine the severity of BPH symptoms. AUA Benign Prostatic Hyperplasia questionnaire.
Transurethral Resection of the Prostate (TURP)
Possible side effects include bleeding with possible need for blood transfusion, infection, incontinence and reduced sexual performance (erectile dysfunction).
The usual treatment for this is a Transurethral Resection of the Prostate (TURP), commonly known as a 'rebore', where part of the inside of the prostate is planed off and the tissue chips are sucked away, through the urethra.
Flow rate is increased, so that emptying of the bladder is returned to normal. Symptoms are reducedand this has proved to be both a reliable and a durable treatment.
The procedure may be performed under full or local anaesthesia and takes between 30 and 90 minutes. After surgery, the patient remains in hospital with a urinary catheter for 2-3 days.
GreenLight™ Laser Prostatectomy
GreenLight Laser treatments can now be offered instead of TURP procedures and these have similar efficacy, but greatly reduced side effects.
Hospital stays and catheterisation are usually reduced to overnight at most and sometimes same day discharge is possible. For most patients, the symptoms quickly subside and the urine flow returns to normal.
Because tissue is vapourised and sealed simultaneously, likelihood of bleeding is greatly reduced, making the need for transfusion rare. Patients on blood-thinning medication do not have to stop this in order to undergo GreenLight Laser treatment.
GreenLight is a minimally invasive procedure that is performed with a thin laser fibre, which uses a special endoscope (cystoscope) inserted into the urethra.
A powerful beam quickly heats the prostate tissue, evaporating the part selected for removal and this process continues until all of the enlarged prostate tissue is removed.
GreenLight laser therapy is as effective as TURP, but has fewer side effects. The result is a wide open channel for urine flow, but with much lower risks of side effects, including erectile dysfunction or bleeding, which has to be expeced with TURP.
Patients on blood-thinning medication do not have to stop this in order to undergo GreenLight Laser treatment.
University hospitals (2) in New York plus university, municipal and private hospitals in Germany. Includes advanced robotic surgery with high success rates and GreenLight laser.
Note: MHL (PPM Consult Ltd.) has no commercial or contractual relationship with the manufacturers.
Expert robotic surgery or GreenLight Laser treatment both offer fewer side effects than conventional surgery for enlarged prostate.
Major private hospitals in Switzerland or Austria.
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