Israel treatment of prostate adenoma

Prostate adenoma treatment in Israel

Prostate adenoma is called benign hyperplasia (growth) of the prostate tissue. Men who are faced with the first symptoms of prostate adenoma are in no hurry to seek medical help and go to the doctor only when the problems become significant.

The program for the treatment of prostate adenoma in Israel, developed by the Top Clinic network, allows you to:

• quickly solve problems with urination;
• to restore the sexual function of a man;
• avoid the dangerous complications of urinary stasis.

Myths about BPH

• "The disease only occurs in older men." Indeed, after 50 years, this disease occurs more often. But even at the age of 30, the risk of developing Prostate adenoma in a man is 30%.
• "Over time, the adenoma may disappear on its own." In fact, it only increases with time. Drug therapy can only reduce the symptoms of the disease, and you can get rid of the adenoma or reduce it only with the help of surgery. In the vast majority of cases, minimally invasive interventions are used in the treatment: these procedures, performed using the latest gentle methods, are completely different from a traditional operation.
• "After surgical treatment of prostate adenoma, a man will forever become impotent." It is not true. The sexual function of a man is restored within a few weeks after the operation.

Procedure for the treatment of prostate adenoma in Israel

The treatment prescribed depends on the stage of the disease and the severity of the symptoms:

Option 1. The disease is in the initial stage, the symptoms are not expressed or expressed slightly.

In this case, drugs may be prescribed to relieve the symptoms of cancer (mainly to ease the flow of urine):

• alpha blockers;
• 5-alpha reductase inhibitors;
• phosphodiesterase inhibitors.

Drug therapy is used mainly for the treatment of prostate adenoma in elderly patients, because. some drugs can adversely affect erectile function.

Option 2. Symptoms of the disease are pronounced, prostate adenoma significantly impairs the quality of life of a man, there is a risk of complications.

In this case, an operation is performed.

Step one. The patient comes to the preoperative consultation with Dr. A. Tsivyan, head. department of laparoscopic and reconstructive surgery, which makes the choice of surgical intervention.

Step two. An operation is in progress. There are the following options for surgical treatment of prostate adenoma:

• Transurethral vaporization. It is carried out through the urethra using an endoscope. The overgrown prostate tissue is removed by evaporation (vaporization). For this, an alternating electric current or a laser can be used.
• Transurethral adenectomy. Pathologically altered prostate tissues are removed in the usual way through the urethra using an endoscope.
• Open adenomectomy. The operation is performed by an open method through an incision in the peritoneum. The surgeon removes the overgrown prostate tissue in the usual way.

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. A resectoscope instrument equipped with an optical device and a surgical loop is inserted into the urethra, and resection is performed with its help. This is a very popular method of removing prostate adenoma, as it is less traumatic and is indicated for patients with satellite diseases.

Today, quite rare operations are adenotomy (removal of an adenoma) or prostatectomy (resection of the prostate). Several types of prostatectomy are practiced in Israel, including abdominal (through an incision in the abdominal cavity), laparoscopic (several punctures with a laparoscope). With volumetric hyperplasia, it is possible to perform an operation using a Da Vinci robot.

Despite the fact that these surgical methods of operating on prostate adenoma are quite effective for the treatment of prostate adenoma, they are associated with a number of complications. The prostate is an organ that is well supplied with blood, and any surgical intervention on it causes profuse bleeding. Also, the main complications are erectile dysfunction, retrograde ejaculation, the need for bladder catheterization in the postoperative period and, depending on the method of surgery, a more or less long recovery period. All these complications are minimized or completely eliminated when the adenoma is removed with a green laser.

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Prostate adenoma treatment with green laser

The most advanced method of treating prostate adenoma in Israel today is green laser surgery (PVP). With the help of the Greenlight device, which is a source of a green laser with a power of 120 watts and a wavelength of 532 nanometers, prostate adenoma is evaporated under the influence of high temperature, while healthy tissues are not affected.This is explained by the fact that light with this particular wavelength is well absorbed by the blood vessels and parenchymal tissue, of which the tumor consists.

Advantages of green laser surgery

Green laser treatment has a number of significant advantages over classical operations and over TUR. The green laser procedure is bloodless, as the laser coagulates the blood vessels at the same time. After PVP, there are no complications typical for surgical interventions, in particular, erectile dysfunction. In the postoperative period, 30% of men do not need to use a catheter, since normal urine outflow is immediately restored, others use a catheter for no more than a day. The recovery period is reduced to a few days. After treatment with a green laser, there is no need to use drugs.

In the Assuta hospital, a urologist Dr. Andrey Nado, the head of the department of laparoscopic urology at the Rabin Medical Center, is performing a green laser operation. He is both a practicing surgeon and a lecturer at the Department of Urology at Tel Aviv University. In Israel, more and more patients are choosing not only the elderly, debilitated 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 has in its arsenal several additional minimally invasive methods of treating BPH - transurethral microwave therapy (TUMT), transurethral needle ablation (TUNA), stenting of the narrowed part of the urethra. But these methods have not entered into wide practice, since there are more radical and more effective methods. High Intensity Focused Ultrasound (HIFU) is sometimes used to treat BPH. High-intensity ultrasound is used to heat the tumor up to 1000 degrees Celsius, as a result of which the adenoma tissues are destroyed. This method in most cases allows you to save erectile function. It is also used in the treatment of some forms of prostate cancer in Israel.

Diagnosis and treatment of prostate adenoma in Israel

Director of Urology

Surgical treatment of prostate adenoma in Israel is carried out using minimally invasive techniques. safer for the patient.

In the treatment of prostate adenoma, Israeli doctors do everything to improve the quality of life of a man, maintain potency and reproductive functions.

Top Ichilov treatment of prostate adenoma is carried out by the leading urologists of the clinic:

Professor H. Matskin - head of the urological department; Dr. A. Tsivyan - urological surgeon, specialist in minimally invasive surgery.

The cost of examination and conservative treatment of prostate adenoma in Israel is $1869.

How is the examination for prostate adenoma in Top Ichilov:

The patient, accompanied by a medical coordinator-translator, takes the following tests:

• Detailed clinical and biochemical blood tests, including PSA and testosterone levels.
• Curinalysis and urine culture to rule out an infection that may be causing similar symptoms

Drawing up a treatment plan

After receiving the results of the tests, the patient meets with Professor H. Matskin to summarize the results of the examination and prescribe treatment in Israel. The consultation usually involves a transrectal ultrasound (TRUS) to determine the size and structure of the prostate.

This examination program takes an average of 2-3 working days.

Price of examination and individual treatment program for prostate adenoma: $2,105.

When deciding on the operation, the patient is referred for a preoperative consultation with the urologist-surgeon Dr. A. Tsivyan.

Prostate cancer is a different problem from prostate adenoma, although it can cause similar symptoms and be diagnosed using the same tests. A patient with an enlarged prostate has a higher risk of developing prostate cancer, so it is necessary to undergo regular check-ups even after treatment is completed.

How to get to the diagnosis of prostate adenoma in Top Ichilov:

8-800-2000795 (your call will be automatically transferred to Israel).

Our doctor will contact you within 2 hours.

What is the difference between the treatment of prostate adenoma in Israel and the treatment in the CIS countries?

1. Minimally invasive surgery for prostate surgery. The advantages of minimally invasive techniques are enormous:

• less blood loss during surgery,
• shorter hospital stay,
• less pain,
• quick recovery after treatment.

2. The possibility of early diagnosis of prostate cancer using high-precision equipment. Against the background of the existing prostate adenoma, the initial forms of cancer often develop.And the use of targeted biopsy under the control of TRUS (transrectal ultrasound) allows early detection of prostate cancer. Distinguishing adenoma from prostate cancer can be difficult.

Methods of treatment of prostate adenoma in Israel:

Specialists of the Israeli clinic Ichilov have a wide range of procedures for the treatment of prostate adenoma. These include medications, surgical and minimally invasive techniques. The optimal treatment tactics is determined taking into account the severity of symptoms, the size of the prostate gland, the presence of other diseases, the age and individual characteristics of the patient.

Medicines are the most common treatment for mild symptoms of prostatic hyperplasia. They are used only in elderly patients, because. depress libido.

Alpha blockers - block the synthesis of testosterone, relax the muscles of the bladder neck and muscle fibers of the prostate and facilitate urination. Alpha blockers act quickly. After a day or two, the patient feels relief from the flow of urine and the need to urinate less often. Contraindicated in patients with bronchial asthma.

Inhibitors of 5-alpha reductase (dehydrogenase) - an enzyme that converts inactive testosterone into active dehydrotestosterone. These drugs act slowly, causing the prostate to shrink. Taking drugs causes sexual side effects - impotence (erectile dysfunction), decreased libido or retrograde ejaculation.

Combination therapy is more effective because combines the rapid effect of taking alpha blockers and the delayed effect of taking 5-alpha reductase inhibitors.

A phosphodiesterase inhibitor is used to treat impotence (erectile dysfunction). It can also be used as a treatment for prostatic hyperplasia. It should not be taken in combination with alpha-blockers and nitrates (nitroglycerin).

Top Ichilov can offer several surgical techniques for the treatment of adenoma in Israel. All of them are aimed at reducing the size of the prostate gland and recanalization of the urethra.

All types of operations on the prostate are performed by Dr. A. Tsivyan, an experienced urologist surgeon.

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• Transurethral resection of the prostate (TUR)

TUR is a standard procedure in which a surgeon inserts a resectoscope into the urethra and removes everything but the outer (healthy) part of the prostate gland. After TUR, hematuria or microhematuria persists for a long time, because the prostate produces substances that prevent blood clotting.

When carrying out this procedure, the experience of the doctor is extremely important.

• Transurethral incision of the prostate (TUIP or TIP)

This operation is performed with a moderate enlargement of the gland or with significant concomitant diseases, when other operations are considered too risky. The procedure is performed with special instruments that are inserted through the urethra. But instead of removing prostate tissue, the surgeon makes one or two small incisions in the prostate to open up the urethra to allow urine to drain more easily.

This type of surgery is usually done for very large prostates, bladder damage, or other complicating factors (bladder stones). The surgeon makes an incision in the lower abdomen, along the natural crease. The operation does not require long postoperative hospitalization.

• Minimally invasive surgery
• Laser surgery

The procedure involves the use of a high-energy laser to destroy or remove excess prostate tissue. The laser technique results in an immediate reduction in symptoms and has a lower risk of side effects than TUR. An indication for laser surgery is the patient taking blood-thinning drugs due to another pathology and the impossibility of performing standard procedures for excising the adenoma.

Types of laser surgery:

• Holmium laser prostate ablation (HOLAP)
• Visual laser ablation of the prostate (VLAP)
• Laser enucleation of the prostate (HoLEP)
• Photoselective vaporization of the prostate (PVP)
• Transurethral microwave thermotherapy (TUMT)

During the procedure, the doctor inserts an electrode through the urethra to the prostate area. Microwave energy from the electrode generates heat and destroys the inside of the enlarged prostate gland, reducing its volume and making it easier to urinate. This procedure has a lower risk of complications than TUR but is only done for mild prostate enlargement. After a while, a second procedure may be required.

Prostatic stents are tiny metal or plastic structures that are inserted into the urethra to keep it open.Plastic stents need to be changed every four to six weeks, but this makes it possible to delay the surgical procedure if there are any contraindications at that time.

How to get treatment for prostate adenoma:

We will contact you within 2 hours and arrange your visit as soon as possible.