Types Of Prostate Gland Surgeries And Their Advantages And Risks

The prostate surgery is done to relieve the moderate to severe symptoms caused by enlarged prostate. In prostate surgery, the scope is inserted into the tube that carries urine from bladder. Then a laser is passed through the tube to shrink or remove the excess tissue that blocks the bladder and prevents the urine flow. There are different types of prostate laser surgeries.

In photo selective vaporization of the prostate tissue, the laser is used to vaporize excess enlarged prostate tissue. This vaporization then enlarges the urine tract. In another type of surgery, known as holmium laser ablation of prostate, a different type of laser is used to vaporize the enlarged tissue. In the third type of surgery, the laser is used to cut the enlarged prostate tissue, which blocks the urethra. This surgery is known as holmium laser enucleation of the prostate. In this surgery, the cut enlarged tissue is then further chopped into smaller pieces to remove it easily. This chopping of enlarged tissue into smaller piece is done by an instrument called morcellator.

The type of laser, which the urologist will select for the surgery, will depend on the health of the patient, the size of the prostate gland and availability of the laser in the hospital.

The use of laser surgery has many advantages over other traditional methods for prostate issue. The first benefit is that the chance of bleeding is very low. That makes use of laser for surgery, the best method for patients who take medication to thin blood.  The patients who have some kind of bleeding disorder must also have the laser surgery. The duration of laser surgery is very short compare to other methods and it can be done on outpatient bases. The patient only has to stay for few hours in the hospital. The period of recovery is also short and the need for catheter is only for less than 24 hours. The catheter is used to drain urine from the bladder.  After the laser surgery, the desired results can be seen within same day, while in case of other methods, it may take several days or weeks, before the ease in urine discharge can be noticed.

There are few risks Urologist for Laser Prostate Surgery associated with laser use in prostate surgery. The risks are few as compare to other methods of the treatment. There may be difficulty in urine discharge after the surgery. The patient may need the service of catheter to pass the urine for few days. The possibility of urine infection is remains as long as the catheter is placed for urine discharge. To curb the infection, the patient may have to take antibiotics. The small Urology consultant in Delhi chances of erectile dysfunction are also with laser surgery. But it lack of erection may vary from person to person and will depend on other factors like general health etc. The possibility of semen going back into bladder after intercourse is also there but it does not interfere with sexual pleasure. 

Surgical methods used in treating prostate and their effects

When medication fails to cure the prostate issue, the surgery is the only method to cure the problem can cut the chance of further deterioration in condition of the patient. The surgery the enlarged portion of the prostate is removed.

In Transurethral resection of the prostate (TURP) surgery, the inner portion of the prostate is cut. This procedure is used in move 90 % of BHU surgeries. This procedure is conserved the best surgical treatment for an enlarged prostate. In this surgery, the external scars are not visible because the scope is inserted in the body through urethra.

In open prostatectomy or open surgery, the surgeon removes the enlarge tissue of the prostate after making a cut .This surgery is done when the prostate is very large. In laser surgery, the laser is used to cut the large tissue of the prostate and also shrink it. . In the Transurethral incision of the prostate, surgery, the cuts are made in the prostate gland. This is done to reduce the pressure of prostate on the urethra. This reduction in the pressure enables patient to urinate easily. This surgery is generally preferred for patient with small prostate.

Some patients may get the issue of retrograde ejaculation that is passing of semen into bladder instead of through urethra. In some rare cases, sexual dysfunction may also occur. The reason for this problem may be other than surgery.  The chances of retrograde ejaculation are less in  TUIP surgery method as compare with  TURP. The use of surgery whether TUIP or TURP is based on the size of the prostate and its shape. Use of laser in Urologist for Laser Prostate Surgery removing large prostate gives improvement in urinary flow and quality of life, which is similar to TURP surgery. The side effects after the use of laser surgery are few as compare to other surgeries. Surgery can remove some BHP symptoms but in some cases, it may not relieve all the symptoms.  In patients who have weaker bladder, the chances of urinary problem may continue even after the surgery.  But the chances of such occurrence are rare. With a BHP surgery, the problem of slightly erection may also develop. But patients, who have normal erection before the surgery, will not face any issue of erection after the surgery.

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The best treatment method for enlarge prostate for each patient will be different. The doctor can decide the best method in keeping in mind the severity of the symptoms. The general health of the patient and other medical conditions are also taken into account before deciding the type of surgery to remove the enlarge portion of the prostate. Consultations with the best urologist will help a patient to know the best possible Urology doctor in Delhi NCR surgery and effects of the surgery. The best urologist will have the best facilities at hospital to carry out the required surgery at minimum side effect to patient.