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New Laser Treatment For Enlarged Prostate Problems
Avoid surgery postoperative bleeding, but is more expensive
Among men older than 50 years, benign prostatic hyperplasia is extremely common, although their existence does not always translate into symptoms. At that age and affects 40% of men, but its incidence increases with age, to the point that reaches 90% of men over 80 years.
The new treatment involves vaporization of prostate tissue by high-power laser, which can restore the normal flow of urine. This green laser is an alternative to prostate surgery, which is currently considered the treatment of choice for patients at risk of complications.
"With this new treatment no bleeding during or after treatment, like surgery. Furthermore, it allows the patients returned almost immediately to their daily activities,"
That hospital has one of the two systems of green light laser operation in the country (there is just one in South America). "So far we have used in eight patients, all with spectacular postoperative results," said Dr. Mazza, who insisted on "the absence of bleeding, which are complicating prostate surgeries.
But as usual with the latter one generation treatments, their cost is much higher than that of conventional surgery green laser -15,000 pesos, against 5000 for surgery) - and still is not among the benefits covered by undertakings health insurance companies.
Urinary difficulties, feelings of not completely emptying the bladder or need to get up several times at night to urinate are some of the most common symptoms of benign prostatic hyperplasia. Without treatment, the overgrowth of this gland surrounding the urethra can bring even more serious complications.
"The main complication is claudication of the bladder, not being able to pass urine, stops working, which specifies the use of a catheter," says Dr. Mazza. Other complications include urinary tract infections, stone formation in the bladder or kidney failure. "
To avert these complications, and alleviate the symptoms of the disorder, patients with benign prostate hyperplasia often use different substances as drugs-blockers, which improve bladder emptying, or drugs such as finasteride, that reduce the adenoma prostate, or surgery.
"At the moment, the use of this laser is intended for patients with small or medium adenomas, while the bigger ones we continue with conventional surgery because it would require a very prolonged and very costly," said Mazza.
The laser fiber is inserted through the urethra and makes reaching the prostate where the prostate adenoma tissue is vaporized into slices (see illustration)
The procedure is performed under general anesthesia and takes about an hour. Once completed, stays for a few hours to finish a tube of tissue extract as water evaporated. "While it may be an outpatient, we prefer that the patient boarding pass the night and next day breakfast and can resume their daily tasks," he said Mazza.
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Millions of men across the world suffer from prostate problems and our aim is to provide information about and solutions to prostate problems in order to help to maintain prostate health. Among the various prostate problems, the most common are the enlargement, prostatitis, and prostate cancer.