Drug treatment of prostate adenoma in Israel

The cost of treating prostate adenoma in Israel is from -1,150

The study of the nature of the disease of prostate adenoma and methods of its treatment has been carried out in Israel for several decades, and today the process of development of Prostate adenoma has been fully studied, many effective methods of therapy, both medical and surgical, have been developed. At the moment, the treatment of prostate adenoma in Israel in a fairly short period (from several days to 2 weeks) allows you to achieve results that fully satisfy the patient, taking into account his wishes.

The advantages of diagnosing and treating prostate adenoma in the Assuta clinic:

• Guaranteed quality examination, early detection of a dangerous pathology, if any.
• In most cases, the choice is with conservative methods of treatment.
• Sparing surgery for prostate adenoma, full preservation of body functions, use of modern techniques.

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Physicians

• Dr. Andrey Nado is a well-known urologist surgeon, uses innovative methods for the treatment of prostate adenoma, laparoscopic surgery, green laser treatment.
• Professor Jack Baniel is a surgeon specializing in robotic surgery, nerve-sparing prostate surgery.
• Dr. Mario Sofer, Head of the Department of Endoscopic Urology, Specialist in Microsurgery for BPH.

How is prostate adenoma treated in Israel

Patients arriving for treatment in Assuta undergo a complete diagnosis within 1-2 working days, the final of which is a consultation with a urologist.

The preliminary survey plan looks like this:

On the first day, the patient takes blood, urine and culture tests. After that passes URO-ultrasound (Do not TRUS). The next day, with the results of tests and ultrasound, the patient gets a consultation with a urologist. During the consultation, the doctor analyzes the results of the tests, also reviews the images / imaging discs taken at home and recommends the necessary treatment. As a rule, the treatment of this pathology among our patients is handled by Dr. Nado. Dr. Nadeau is a highly qualified urologist, head of the Department of Lap Urology and for many years has been included in the annual list of the best urologists in Israel according to Forbes magazine. If the patient has undergone conservative treatment in the past and it has not brought results, then surgical treatment will most likely be recommended. The doctor discusses the technique of the operation with the patient, focusing on the pros and cons of each of them. Sometimes, the choice of surgical technique remains with the patient due to the identity of the predicted results in his case.

Diagnosis of prostate adenoma in "Assuta"

Diagnosis of prostate adenoma is primarily aimed at excluding prostate cancer, since a benign and malignant tumor can have similar symptoms, in the initial stages it is almost impossible to distinguish them. The most reliable method to exclude prostate cancer is a biopsy of the tumor, which is performed during transrectal ultrasound (TRUS). The PSA test plays an important role in the diagnosis, and although it often gives false positive results, an increase in the PSA level warrants a biopsy. With normal PSA values, ultrasound, detailed blood and urine tests are performed, the results of the diagnosis are summed up by a consultation with a urologist.

Methods of treating prostate adenoma in Israel

Drug therapy

Treatment tactics are determined by the size of hyperplasia at the initial stage of drug treatment. Drugs of two types, alpha-blockers and inhibitors of the 5-alpha-reductase enzyme, can relieve spasm and swelling, prevent the conversion of testosterone to dihydrotestosterone, thereby inhibiting the growth of adenoma. Physiotherapy is also used to relieve symptoms. Therapeutic methods only slow down the development of adenoma, lifelong medication is often necessary, but a complete cure of adenoma by medicinal methods is almost impossible. In most cases, the effectiveness of conservative therapy decreases over time, and sooner or later surgical treatment is updated.

Surgical treatment of adenoma

Drug therapy is excluded for patients with absolute indications for surgical treatment - with acute urinary retention, renal failure, bleeding, bladder stones. Surgical methods for the treatment of prostate adenoma are also resorted to when conservative therapy is ineffective.

The standard operation for the treatment of prostate adenoma in Israeli clinics is transurethral resection of the prostate (TUR) - removal of the tumor through the urethra, which before the advent of the green laser was considered the "gold standard" of Israeli urology. It is indicated in the treatment of small tumors.The urethra introduces a resection tool equipped with an optical device and surgical loop, and with its help resection produces. This is a very popular method of removing the prostate adenoma, as it is small-acting and shown to patients with satellite diseases.

Rare enough adenotomy operation (adenoma removal) or prostatectomy (prostate resection) today. In Israel, several types of prostatectomy are practiced, including the strip (through a cut on the abdominal cavity), laparoscopic (several barcas laparoscope). With volumetric hyperplasia it is possible to carry out an operation using the robot da Vinci.

Despite the fact that these surgical methods for operating the prostate adenoma are quite effective for the treatment of prostate adenoma, they are associated with a number of complications. Prostate is an organ that is well supplied with blood, and any surgical intervention on it causes abundant bleeding. Also, the main complications are a violation of an erectile function, retrograde ejaculation, the need for a bladder catheterization in the postoperative period and, depending on the operation method, a more or less long-term recovery period. All these complications are reduced to a minimum or completely excluded when removing the adenoma with a green laser.

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Treatment of Prostate Adenoma Green Laser

The most progressive is not today the treatment of prostate adenoma in Israel is a green laser surgery (PVP). With the help of the GreenLight apparatus, which is a source of a green-colored green laser with a capacity of 120 watts and with a wavelength of 532, the nanometer of the prostate adenoma is evaporated under the influence of high temperature, while healthy fabrics are not affected. It is explained by the fact that light with this wavelength is well absorbed by blood vessels and a parenchymal cloth, from which the tumor consists.

Advantages of the operation with a green laser

Treatment with green laser has a number of significant advantages over classical operations and before the tour. The procedure with a green laser is bloodless, as the laser simultaneously coagulates blood vessels. After PVP there are no complications characteristic of surgical interventions, in particular, violation of the erectile function. In the postoperative period, 30% of men do not have the need to use the catheter, as the normal urine outflow is restored, others use the catheter no more than a day. The recovery period is reduced to several days. After treatment with a green laser, there is no need to use medicines.

In the Hospital "Assuta" Operation with the use of a green laser performs the urologist Dr. Andrei, he needs the head of laparoscopic urology in MC "Rabin", which is simultaneously a practitioner surgeon, and a teacher at the Department of Urology of the Tel Aviv University. Adenoma Prostate Green Laser In Israel, patients are increasingly choosing patients not only elderly, weakened or with concomitant diseases, especially since the cost of treatment is comparable to traditional surgical operations.

Minimally invasive methods of treatment of prostate adenoma

Modern Israeli urology in its arsenal has several additional minimally invasive methods of therapy of DGPA - transurethral microwave therapy (TUMT), transurethral needle ablation (Tuna), stenting the narrowed part of the urethra. But in general, these methods were not included, since there are more radical and more efficient techniques. For the treatment of prostate adenomes, high-intensive focused ultrasound (HIFU) is sometimes used. High intensity ultrasound is achieved by tumor warming up to 1000 degrees Celsius, as a result of which the adenoma tissue is destroyed. This method in most cases allows you to save an erectile function. It is also used in the treatment of certain forms of prostate cancer in Israel.

Treatment of prostate adenoma in Israel

Today, the prostate prostate is not used in relation to the prostate adenoma, but call this pathology of the prostate gland hyperplasia, that is, the growth of prostate tissues. Prostate adenoma is one of the most common diseases in men, especially at the age of 50 and older. In the etiology of the prostate adenoma, such a regularity at the age of 40, it is found in 40% of men, in a 50-year-old in 50%, in 60-year-old in 60% and so on.

In the treatment of prostate adenomes in Israel, new methods are constantly emerging, mostly surgical, which the farther, the easier and more efficient.

We offer you surgical treatment of prostate adenoma at unique prices Operation by Turp 9500, removal of a green laser 10900.

For the treatment of prostate adenoma in Israel, we attract experienced and even famous surgery-urologists who specialize in innovative techniques for operating this pathology.

• Professor Jack Baniel
• Professor Ofer Josifovich
• Dr. Mario Sofer
• Dr. Andrey need
• Professor Amnon Zisman

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Prostate adenoma is a benign neoplasm and, unlike prostate cancer, it does not germinate into neighboring organs and does not metastasis.

The prostate adenoma disrupts the normal operation of urinary tract, which can lead to the development of groin hernia, hemorrhoids, urinary incontinence. With constant incomplete empty of the bladder, an upward infection may occur, damaging kidney and leading to renal failure. The sexual function is also disturbed. Tumor deprives a man the opportunity to lead a full-fledged life. In addition, there is always a risk of tumor rebirth in malignant.

The causes of adenoma are not fully studied, but its occurrence is associated with hormonal changes, which occur with age in the men's body.

In order to prevent the development of prostate adenoma, you need to lead a moving lifestyle. Recently, the disease occurs even at 30 years, although it is believed that this is the lot of elderly and old people. Such an early development of adenoma may occur if a man leads a low-effective lifestyle, abuses alcohol, as well as with frequent vibration, for example, when driving a car.

What diagnostic procedures will need to be held in the treatment of prostate adenoma in Israel

The diagnostics of the condition of the prostate gland includes several standard tests:

• Inspection of a specialist, a finger rectal survey retains its relevance, despite the appearance of modern visualization methods, since this is the fastest way to detect the neoplasm and the ability for a doctor to immediately determine the form, size and texture of hyperplasia. Despite some discomfort, you should not give up this procedure, it takes no more than a minute. If you feel strong pain during a rectal study, it may also point to other problems in the genitourinary system. During this study, the doctor has access only to the rear of the prostate, so this method is only the beginning of the diagnosis;
• Rectal ultrasound examination gives a complete picture of the size of the adenoma, the degree of prostate damage. Lasts about 15 minutes;
• Blood test to a special PSA marker to exclude prostate cancer. The high level of PSA may indicate a malignant process and is the basis for conducting a prostate biopsy. It should be known to the patient that the high level of PSA is not always associated with prostate cancer, as well as the low level of this antigen in 20% of cases, and with a malignant tumor;
• UROFLUMETRIY Testing urine stream;
• In controversial cases, biopsy is performed.

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Treatment Adenoma Treatment Methods in Israel

Adenoma treatment in Israel is carried out using medication therapy, surgical intervention or laser vaporization.

At the early stage of the prostate adenoma, drugs are treated in Israel. After the diagnosis, the specialist will appoint individually selected drugs, which can be divided into two groups: Alpha receptor blockers (preparations for muscle prostate fibers) and 5-alpha-reductase enzyme blockers (preparations for reducing the secretion of D-hydroenenone hormone and prostate volume ).

Surgical treatment of prostate adenoma

It should be known that the prostate adenoma progressive disease and is not cured of drugs, but they can slow down the development of hyperplasia and facilitate the symptoms of the disease. If drug treatment does not give the necessary effect, and over time, the effectiveness of drug therapy falls, then the question of surgical intervention arises. With acute state of urine delay, renal failure, bleeding no one will spend time on the pills, the urgent operation is done.

• If the case is very heavy, the adenoma of large sizes, then the open operation is carried out if not, then the operation is carried out without an endoscopic instrument. Such an operation lasts no more than an hour and is carried out under gentle anesthesia.
• Prostate is removed through the urethra channel by a resectoscope with a surgical loop. Despite the effectiveness of this operation, it often gives a number of complications. First of all, pronounced bleeding, as the prostate organ well supplied with blood. Secondly, the injury of nerves often leads to erectile dysfunction. Retrograde ejaculation is not excluded.After the operation, the patient urinates through the catheter for several days.
• To date, the most progressive method of treating prostate adenoma in Israel is green laser vaporization. PVP photoselective vaporization of the prostate is a new minimally invasive treatment for adenoma, which is an excellent alternative to surgical treatment. For PVP use a special laser installation "Green Laser" (Green Laser).

-Green laser is a narrow beam of light with great energy. The laser is green because it uses a wavelength that lies in the green part of the visible spectrum and is 532 nm long. Light of this wavelength is most well absorbed not only by blood vessels, but also by parenchymal tissue. And this is exactly the tissue of which the tumor consists. Absorbing the energy of the light beam, this tissue acquires such a temperature that it simply "evaporates", and without bleeding.

The "Green laser" has proven its high efficiency and a number of advantages over other methods. It does not injure deep-lying tissues, is a bloodless method and completely removes the tumor, which leads to a lasting effect. In addition, the PVP method does not cause such frequent complications as impotence. Today, in the treatment of prostate adenoma in Israel, this method is one of the most popular, especially when it comes to small adenomas.

Cost of treatment for prostate adenoma in Israel

Prices for diagnostics and surgical operations in the treatment of prostate adenoma in Israel are quite affordable. The price depends on the qualifications of the surgeon and the attending urologist, the method of the operation.

Treatment of prostate adenoma in Assuta

How is prostate adenoma treated in Israel?

• Medical method.

If medical treatment is ineffective, an operation is performed to remove the overgrown tissues. In Assuta, operations for prostate adenoma are performed in a minimally invasive way - through the urethra. This procedure is called a transurethral resection of the prostate (TURP). Removal of overgrown tissues can be done with a special device - a shaver, similar to a circular razor. The operation lasts 1.5-2 hours and is performed under general anesthesia or epidural anesthesia.

• Surgical treatment - laser vaporization of prostate tissue. Such an operation is also performed through the urethra and is practically bloodless: the destruction of overgrown tissues is carried out by evaporation. A special apparatus heats tissues up to 1000 degrees, evaporating them millimeter by millimeter. The procedure lasts about an hour. Such an operation is no less effective than the removal of "extra" prostate tissue in the traditional way. Immediately after such an operation, the patient's pain disappears, urination and erectile function are restored.

Hospitalization after minimally invasive surgical treatment of prostate adenoma takes 1-2 days.

A patient of the Assuta Top clinic shares his impressions about the treatment of prostate adenoma in Israel.

What is prostate adenoma?

Prostate adenoma is a benign growth of its tissues that occurs in men with age.

The urethra in men passes through the prostate gland. Therefore, adenoma is manifested mainly by difficulty in urination and the occurrence of urge to urinate at night, during sleep. As a result of squeezing by the overgrown tissues of the prostate gland of the urethra, the urine stream becomes weak, and urine remains in the bladder, which becomes the reason for night visits to the toilet. The most severe manifestation of prostate adenoma is acute urinary retention - a complete cessation of urination.

The degree of urination disorders depends not so much on the size of the adenoma as on the direction of its growth.

What is the difficulty in diagnosing prostate adenoma?

Manifestations of prostate adenoma are very similar to the symptoms of prostate cancer. In addition, these are two different diseases that can be observed in one patient. And it happens that a person takes the symptoms of a malignant tumor for manifestations of adenoma.

Only a thorough diagnosis by a qualified specialist can completely exclude prostate cancer.

The price of the diagnostic and treatment package is $1,768

In the Assuta clinic, the diagnosis of prostate adenoma is carried out in just 3-4 days.

Professor Haim Matzkin, one of Israel's leading urologists, and an experienced specialist in urological surgery, Dr. Alex Tzivian, conduct an examination and prescribe treatment.

When diagnosing prostate adenoma, the Assuta clinic (Israel) uses the following methods:

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