Laser vaporization of prostatic adenoma is considered one of the effective methods of treatment. Prostatitis develops in the prostate gland of a man. The disease is accompanied by inflammation of the lobes of the organ. In this case, there is a decrease in urinary excretion and accumulation of fluid in the bladder. These symptoms cause the patient a number of various problems. To quickly eliminate the cause of the disease, it is necessary to perform a surgical procedure.
Operation characteristic of
Laser vaporization is carried out with a special nozzle. At the end of the endoscope is a laser that produces thermal waves. The wave can penetrate into various tissues to a depth of 1-2 mm. This reduces the risk of injury to neighboring organs or tissues.
The heat wave has a harmful effect on the inflamed areas of the prostate gland. Pathogenic tissues are melted under the influence of a laser. When vaporization occurs, evaporation of the damaged tissue takes place. Also this method is accompanied by additional positive effects.
Laser vaporization reduces the risk of bleeding. This is due to the soldering of the edges of the damaged tissue. Sealing of blood vessels and small capillaries also occurs.
Laser vaporization does not require an external cut from the surgeon. The nozzle is inserted into the small pelvis using an endoscope. It penetrates the prostate through the urethra. Due to this introduction of the instrument, the patient undergoes a rapid recovery.
Preparatory measures
Before any surgical intervention, the patient is not recommended to eat or drink. The last power should be done 8-10 hours before laser vaporization. For 1-2 hours before the beginning of the surgical treatment it is necessary to make a cleansing enema. You can put it on your own or seek help from a nurse. After a complete cleansing, one should not use water.
It is necessary to pass a number of different analyzes. When the doctor's adenoma is interested in the indicators of urine and blood. A general and biochemical study of these liquids is carried out. You should also establish a blood group and a rhesus male. This is necessary if there is a risk of bleeding.
After examining general tests, the patient needs to undergo a cardiac examination. For 5 days before laser vaporization, an ultrasound examination of the heart should be performed. Also it is necessary to pass an electrocardiogram. If a patient has a history of having any problems with the cardiovascular system, a cardiologist consultation is necessary.
It is worth paying attention to the treatment. Many men have various chronic ailments that are treated with a medicamentous method. Some drugs have a detrimental effect on blood clotting. This quality has all the anticoagulants. In this case, you should cancel taking these medicines two days before vaporization.
Despite the rapid recovery, a man should not come to the clinic while driving. Anesthesia can have a residual effect within 24 hours. In order not to be exposed to danger, it is necessary to abandon self-management of transport.
How is the operation
The technology of vaporization is the instantaneous evaporation of the prostate adenoma. The prostate quickly takes on a natural size. Edema from the urinary canal disappears. Urinary excretion is normalized.
When vaporization, the patient is injected into a short anesthetic. All effects are carried out within 20-30 minutes. During this period, the surgeon spends the laser on the urinary system and penetrates the prostate gland. With the help of thermal waves, the affected tissue is gradually peeled from the prostate. This reduces the risk of injury or rupture of the organ shell.
The laser is small in size. Due to this there is a point effect on the adenoma. Inflamed tissue completely eliminates the edge. At the same time, there is a rapid sealing of the vessels and antiseptic treatment of the wound.
After laser vaporization, the endoscope is removed from the urethral canal. In some patients, recovery of the diameter of the urethra occurs not immediately. In this case, a catheterization is necessary. A tube is inserted into the urethral canal, which does not allow the canal to shrink. At the outer end of the catheter is attached a urine collecting device. The catheter is worn until the patient is completely restored after vaporization. If the urethral lumen of the patient is normal, catheterization is not required. The patient can carry out urination independently.
Rehabilitation therapy
Restorative therapy with laser vaporization of adenoma is carried out in outpatient settings. During the first 24 hours, the patient is not recommended to eat. The first day allowed to take water. At the same time, the volume of consumed liquid should be increased to 2.5 liters. This helps increase diuresis. Passage of urine through the urethral canal helps to restore its natural diameter.
Also carried out drug therapy. For several days the patient needs to take anti-inflammatory and antibiotic medications. This treatment helps to accelerate the restoration of the prostate after removal of the adenoma.
Also in the first three days, it is necessary to wash the bladder with an antiseptic solution. This is necessary to remove the decay products and fibers that accumulated during the disease. Washing is carried out with a sterile solution of furacilin or aqueous chlorhexidine. If a man has a catheter after the operation, the rinsing is carried out quickly. After that it is necessary to change the urinal. If the catheter is not installed, flushing is carried out through a special nozzle. Remains of the same fluid from the bladder are also excreted by the catheter.
The patient also needs to follow the diet. He is forbidden to eat fried and fatty foods. Salted and pepper dishes are not recommended. The first 2-3 weeks should be abandoned by increased physical exertion and sexual activity.
Positive effects of operation
Laser vaporization has many advantages over other ways to eliminate prostatic adenoma. The following positive aspects stand out:
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Fast recovery of the organism; - Bloodlessness operation;
- Reduced recurrence of adenoma;
- No erectile dysfunction;
- The minimum number of contraindications.
The main advantage of laser vaporization is a short postoperative period. Complete recovery of the patient occurs the next day after vaporization. Also, this surgical intervention is considered bloodless. When the adenoma is melted, the patient does not experience bleeding. In this case, the risk of developing internal bleeding is reduced. The healing of the prostate occurs quickly.
Conventional surgery does not affect the recurrence of prostate adenoma. With laser vaporization, the return of adenoma occurs in 3% of patients. In most cases, this is due to non-compliance with the rules of the recovery period.
In many cases, after a surgical procedure, the patient has various problems in the sexual sphere. Erectile dysfunction often develops. This is due to a violation of blood supply to the cavernous bodies of the penis and prostate. When laser vaporization of the adenoma, such violations are observed in 5% of men. They arise on the background of long-term use of a catheter for urination. Complete restoration of sexual function in these patients occurs on the 3rd month after vaporization.
Laser vaporization has a minimum number of contraindications. It is performed in men with heart diseases. Problems can arise with the oncological form of adenoma or the presence of low blood coagulability. In other cases, the appointment of the operation is at the discretion of the attending physician.
Prostate adenoma is an unpleasant problem for men. To quickly and effectively eliminate the disease, you need to seek help from a specialist. The doctor will prescribe the necessary examination and select an effective technique for treating prostate adenoma.
