The Prostate is a walnut-sized gland surrounding the neck of the bladder in males. It grows naturally without problems with age, but in some men’s the prostate gets enlarged and compresses the urethra making urination difficult leading to a condition called Benign Prostatic Hyperplasia (BPH), It is characterized by frequent urinating at night, difficulty in getting a steady urine stream and feeling of un-empty bladder after urination.
Prostatitis:
Prostatitis is inflammation of prostate caused by bacteria, it’s a type of men’s urinary tract infection, the symptoms include fever with chills, frequent urination, pain urinating or ejaculating, pelvic pain and cloudy urine.
Prostate problems, particularly BPH are the natural part in men who are growing older. Prevention is better than cure there are specific steps to be taken to keep the prostate healthy such as low saturated fat diet and consuming high fruits and vegetables, maintaining hygiene of penis to prevent prostatitis.
Antibiotics for treating prostatitis, prostate cancer can be treated with surgery, chemotherapy or radiation therapy.
Surgical Management: Surgical interventions to treat prostate related problems includes:
TURP (Transurethral Resection of the Prostate): It is a urological procedure to remove the excessive growth of prostate gland resulting from BPH. Its performed under general anesthesia the urologist uses a thin metal tube containing a light, camera and a loop wire called resectoscope which is inserted into the urethra and reaches the prostate then electric current is used to heat the loop wire cuts away a section of the prostate finally a catheter was inserted to pump fluid to bladder and flush away the pieces of prostate.
Bipolar Enucleation of the Prostate
It is a new method similar to TURP by using plasma kinetic resection system, which is becoming important in recent years and the first choice of treatment for larger sized prostate glands. Here the urologist performs the procedure under general anesthesia by using resectoscope for visualization; the resectoscope is inserted via the mouth of the urethra to reach the prostate gland after it an incision is made near the ejaculatory duct. Then by using a laser of 200 waltz bilateral lobes of the prostate are detached, then the blood vessels are coagulated to resects the adenoma. Finally, the urologist inserts a catheter to irrigate prostate pieces.
HoLEP (Holmium laser enucleation of the prostate)
A minimally invasive procedure for severely enlarged BPH Performed under general anaesthesia were the urologist inserts a resectoscope into the bladder through the urethra and using a laser fibre to cut away pieces of prostate which is then flushed into bladder, then chopping up the pieces of prostate and sucked out using a special instrument. After removing the pieces the bleeding points are carefully ligated with the laser then the catheter is placed to flush the bladder and to remove any remaining clots or pieces.
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