Laser vaporization of prostate adenoma: procedure and rehabilitation

Laser vaporization is a highly effective treatment for prostate adenoma.

Laser vaporization is one of the most highly effective and safe methods of treating prostate adenoma

This procedure is based on the use of an endoscope with a laser at the end. Waves emitted by the laser penetrate the tissue to a depth of 2 mm. Thus, the damaged tissue is "evaporated".With this procedure, the probability of bleeding is significantly reduced due to the fact that the edges of damaged tissue, blood vessels and capillaries are soldered. The process of vaporization is absolutely safe and does not injure nearby organs.

During surgery, it is usually necessary to make an external incision, but laser vaporization does not require this. The endoscope tip is inserted into the urethra of the patient, where the heat wave penetrates the prostate. Such a technique allows reducing the duration of the rehabilitation period.

Advantages and disadvantages of operation

Compared with other adenoma treatment methods, laserThere are quite a few vaporisation positives of .Among them:

• rapid rehabilitation;
• the minimum percentage of relapses;
• a small number of contraindications;
• minimally invasive procedure;
• no problems in the sexual sphere.

The most important distinguishing feature of the operation is a short rehabilitation period. The patient returns to the home lifestyle the next day. Minimally invasive procedures minimally interfere with the work of tissues and organs. The process of "evaporation" of the adenoma passes without bleeding. Also, the probability of internal blood loss is significantly reduced. The prostate gland heals quickly after laser vaporization.

Conducting a routine operation does not guarantee that there will be no relapse of the disease in the future. Vaporization in this respect is much more effective. Prostate adenoma reappears only in 3% of cases. For the most part, the reason for the relapse may be failure to follow the surgeon's recommendations for restoring the body after surgery.

When laser vaporization occurs, "evaporation" of tumor tissues, as well as cauterization of blood vessels and damaged tissues

Very often after surgery, the patient complains of the emerging problems in the intimate sphere - erectile dysfunction. It appears due to violations in the blood supply of the genital organ. With laser vaporization, such problems are diagnosed much more rarely - in 5% of patients. Dysfunction in most cases develops if the patient wears the urinary catheter after the operation for a long time. It is worth noting that after 2-3 months the sexual function of men is fully restored.

Laser vaporization, in addition to benefits, has contraindications, but there are very few of them. This procedure is carried out even in men who have cardiovascular diseases. Problems appear only in cases of oncological form of adenoma or low clotting of blood. In all other cases, the need for surgery can be determined by the attending physician.

Indications for operation

The basic indications of for laser vaporization include:

• urinary problems;
• tumor volume is 30-80 ml;
• pain and discomfort during urination and during intercourse;
• no result after treatment with medications.

Preparatory stage

Preparation of for the operation involves a number of manipulations, namely:

• delivery of urine and blood tests( OAM, UAC);
• analysis for determination of Rh factor and blood group;
• ECG;
• transrectal ultrasound( TRUS) of the prostate;
• consultation of a physician-therapist.

Method for carrying out vaporization

The procedure for conducting the operation is non-contact and involves the use of local anesthesia. The tumor is partially "evaporated", the lumen of the urethra is restored. By the time the whole process takes no more than an hour. After completion of the operation, the doctors observe the patient's condition for several hours.

The method of laser vaporization is based on the use of a laser system. This technology allows you to produce a beam of the desired length through the tip of the fiber. This laser beam and conducts "evaporation" of tumor tissues, as well as cauterizes blood vessels and damaged tissues. The beam penetrates 1-2 mm into the depth of the tissues, so the procedure for removing the adenoma passes layer by layer.

Laser vaporization provides high-precision elimination of the damaged area. As a result, the adenoma is partially excised, the lumen of the urethra is restored. Bloodless surgery to remove adenoma can reduce the likelihood of complications after surgery.

Contraindications to laser vaporization

Operation of laser ablation of pathology is contraindicated in for men with certain health problems. Among them:

• inflammatory processes in acute form;
• kidney disease( kidney failure);
• diseases of the respiratory system( acute bronchitis, asthma);
• liver pathology;
• strokes and heart attacks.

Complications after laser vaporization of prostate adenoma

Any surgical process implies the possibility of complications. The only difference is how much they are expressed. It is important for the patient to choose that treatment technique, which has fewer drawbacks. Almost all men choose laser vaporization for the treatment of adenoma, having previously studied its negative sides and positive characteristics.

Possible complications of following a tumor removal operation can be:

• Urinary incontinence .This phenomenon appears as a sign of post-traumatic syndrome. This symptom is temporary and passes in a few days.
• Burning sensation in the urethra area when urinating and in the rectum with defecation .Painful sensations can last up to 4 weeks.
• Admixture of blood in urine is a common phenomenon. However, with the appearance of bloody discharge after a week, it is worthwhile to be on the alert.
• Violation of erectile function is also temporary. Normal intimate life is restored in about 1-1.5 months.
• Damage to the prostate and bladder .The risk of such damage is always there. However, in most cases, the cause of these problems is the surgeon's mistake.

With regard to bloody discharge, their duration for more than 2 days is an incentive to undergo an additional examination. The frequency of internal bleeding after surgery for laser removal of adenoma is up to 8%.

Rehabilitation stage

Postoperative rehabilitation is a complex of procedures for restoring the normal functioning of the body. The patient can independently accelerate it, if it is strictly followed by medical recommendations.

During the first 24 hours after the operation, you can not eat anything, you are only allowed to drink water in an amount not less than 2.5 liters. This is necessary to remove dead tissue from the body. Perhaps temporary deterioration of the patient's well-being within 48 hours. It can be an intoxication of the body due to the ingress of tissue debris into the patient's blood. In this case, washing with furicilin or chlorhexidine is prescribed.

Another important recommendation is abstinence from sexual intercourse in the first 3 weeks. Physical loads also need to be reduced. When the doctor allows eating, there will be a need for a special diet that excludes all fatty, salty, peppered and fried foods. On the recommendation of a surgeon, it is worth reviewing your diet and lifestyle in general. If the patient had bad habits, then to achieve a positive effect of treatment it is necessary to refuse them and begin to play sports.

The qualification of the attending physician is one of the indicators of the successful operation. That is why the patient before to make a choice in favor of this or that clinic, it is desirable to get acquainted with the reviews of other patients about her.

Recommended for viewing: