Prostate

The prostate is a small gland found only in men. It’s approximately the size of a walnut and gets a little bigger with age. It surrounds the first part of the tube (urethra) that contains urine from the bladder along the penis. The prostate produces a thick, white fluid that mixes with the sperm produced by the testicles to make semen. It additionlly produces a protein called prostate-specific antigen (PSA) that turns the semen into liquid.

What is Prostatectomy (Prostate Surgery)?

Prostatectomy is a surgical process which is carried out by a urologist to treat various kinds of medical conditions related to prostate gland in males. The goal of the surgical operation is to treat prostate cancer and some of the other types of cancer that can affect the pelvic region. The Prostate Surgery is performed under general anaesthesia and involves the partial or complete removal of the prostate.

Different types of treatment options are available for patients with prostate cancer; they depend on various factors including the type of cancer and the stage and grade at which it has been identified as well as the age and general health of the patient. Conventional medical treatment options for prostate cancer include:

TURP :

TURP or Transurethral resection of the prostate is a surgical treatment that is performed to treat any urinary problems which can be the result of an enlarged prostate. TURP is a procedure to resect the prostate which may be enlarged in a circumstance known as benign prostatic hypertrophy (BPH), commonly found in elderly men. The prostate is a small, chestnut shaped gland composed of various lobes enclosed in a fibrous capsule. Located in front of the rectum and just below the bladder, the prostate also surrounds the urethra, the canal through which urine is passed out of the body.

Bipolar TURP :

Most doctors recommend removal of the enlarged part of the prostate because the best long-term solution for patients with Benign Prostatic Hyperplasia (BPH). Only the tissue that is pressing against the urethra is removed, leaving the relaxation intact. Surgery typically relieves the obstruction and incomplete bladder emptying as a result of BPH. During a Bipolar TURP operation, surgeon inserts an instrument called a resectoscope into the urethra through the penis. The resectoscope consists of a light, valves for controlling irrigation fluid, and an electrical cord loop that cuts the obstructing tissue, removes it one piece at a time, and seals blood vessels. The pieces of tissue are carried by the fluid into the bladder and after which flushed out on the cease of the operation. The patient receives a general or spinal anesthesia and can usually go home that same day or after an overnight stay.

HOLEP Prostate :

Holmium laser enucleation of the prostate (HoLEP) is a treatment for an enlarged prostate (benign prostatic hyperplasia). During HoLEP, a laser is used to precisely remove the obstructive part of the prostate, similar to open surgical treatment without the need for incisions. A separate instrument known as a morcellator is then used to reduce the prostate tissue into easily removable fragments. With HoLEP, a urologist remove the whole part of the prostate gland which could block urine flow, which improves urinary symptoms and provides a lasting solution as there is nothing to grow back following this procedure. HoLEP is an effective and less invasive alternative to older, more traditional techniques of removing prostate obstructions. In addition, HoLEP preserves removed tissue for microscopic examination.