Laser removal of the prostate in Stavropol

A surgeon from Stavropol performed demonstrative operations to remove prostate adenoma using a laser in GKB 1

The head of the surgical department of the Stavropol Regional Clinical Consultative and Diagnostic Center, Evgeny Bolgov, performed demonstrative operations to remove prostate adenoma using a laser at City Clinical Hospital 1. A visiting specialist operated on four patients of the clinic.

Note that surgery, which removes overgrown tissue, is considered the most effective way to treat Prostate adenoma. This surgical intervention is high-tech.

"There are different technologies for performing operations that reduce the volume of the prostate gland. Among them, in urology, those performed with the help of laser radiation are gaining popularity more and more rapidly. Therapy takes place in a short time. The patient recovers in a short period of time. beautiful," says Evgeny Bolgov.

On the same day after the operation, patients could already move freely around the ward, and three days later they would be discharged home.

"Laser enucleation of adenoma is a modern approach to the treatment of prostatic hyperplasia, which has reached a large size. With its help, it is possible to effectively deal with neoplasms, the volume of which exceeds even 100 cc, which means that it is quite possible to return to normal the patient even in very advanced cases," said Magomedali Alibekov, head of the urology department of the City Clinical Hospital 1.

Removal of prostate adenoma by laser: operation cost

Prostate adenoma, which is of a pronounced clinical nature, must be removed. In medicine, the term "benign prostatic hyperplasia" is used to define this disease.

Surgical intervention on the prostate is carried out using various methods: both laser and plasma and radio waves. The possibility of traditional, surgical intervention is not excluded.

Modern technologies have stepped forward and today it is possible to treat prostate adenoma in one visit to a specialist.

Methods for removing prostate adenoma with a laser (laser enucleation)

Adenomectomy. An operative method of intervention, which is performed under general anesthesia. This treatment method has some contraindications :

• Prostate cancer;
• Chronic adhesive processes in the pelvis;
• Cardiovascular disease;
• High body temperature;
• Diabetes mellitus at all stages;
• After a heart attack;
• Diseases of the respiratory system;
• Inflammatory processes in the body;
• After adenomectomy.

Transurethral resection is performed by removing a section of hyperplastic tissue of the organ by introducing a special instrument through the urethra.

In addition to the above methods for removing prostate adenoma, various manipulations are used, which include needle ablation. For local coagulation, special bipolar electrodes are inserted into the soft tissues of the prostate by a direct method.

Laser-assisted vaporization and ablation are also available for prostate treatment.

The vaporization method can be conditionally called one of the most sparing methods of treatment, since it is carried out exclusively under local anesthesia.

The advantages of this type of surgery using a green laser include a minimal risk of bleeding and infection.

The rehabilitation period for the physical recovery of the patient after vaporization is not as long as after other types of surgical intervention.

NOTE!

With the use of a laser, procedures such as ablation, resection, vaporization and enucleation are performed. Their main difference is how the effect on the affected area of the tissue occurs.

As a rule, laser surgery is prescribed if the patient has concomitant diseases. For example, high blood pressure, diabetes, and other diseases.

Full review of laser enucleation of the prostate: methods and cost

The method of using a holmium laser received good feedback from patients operated on the prostate using a laser.

Laser enucleation is a process that removes the overgrown glandular tissue of an adenoma of the prostate that prevents normal urine output. In medical practice, this method has received another name: Holmium laser enucleation of the prostate, abbreviated (HoLEP).

The operation to remove prostate adenoma with a laser is as follows:

• Laser enucleation of prostate adenoma is performed in much the same way as adenectomy, which is performed using a scalpel.
• Laser removal of prostate adenoma is an effective method for removing prostate adenoma, but since this operation requires a qualified specialist and special equipment, it is not performed in all clinics.
• Laser enucleation of prostate adenoma, the price of which varies depending on the territory, is approximately 30-40 thousand.
• Basically, this method is practiced in large cities of the country.
• The cost of treatment of prostate adenoma by laser enucleation abroad is from 5 to 20 thousand dollars.

Laser vaporization (removal of prostate adenoma by laser): how much it costs and how it is performed

In the treatment of prostate adenoma with a laser, the popular method of laser vaporization is widely practiced.

• The green laser acts on the glandular tissue of the prostate, removing prostate adenoma by vaporizing it. At the same time, the capsule itself and the stroma are not affected by the laser.
• Due to the fact that the laser does not penetrate to a depth exceeding 1 mm, vaporization of the adenoma with a laser is carried out in layers, literally one millimeter each. The entire process of the operation is displayed on the monitor.

NOTE!

Vaporization of prostate adenoma with a green laser is performed exclusively by the method of local anesthesia and is carried out through the transurethral opening.

Pros of the laser vaporization method:

The advantages of this innovative method of removing the prostate include a minimal risk of possible complications, such as bleeding and infection, since the removed pieces of glandular tissue are not excreted into the bladder, but are evaporated.

Disadvantages of the laser vaporization method:

The disadvantages of laser vaporization of prostate adenoma include the impossibility of histological examination of the excised tissue material.

The time spent by the patient on the operating table depends on the size of the formation to be vaporized. On average, the whole procedure takes about 60 minutes.

As in other cases, the price of vaporization of prostate adenoma using a surgical laser is determined by the location of the clinic and its level.

Method of execution

Laser resection of prostate adenoma has some similarities with transurethral resection, abbreviated (TUR), but is performed using the Holmin laser, abbreviated (HoLRP).

Today, this method is one of the most productive methods of surgical intervention, which allows you to act on the gland by resection to reduce its volume. The surgeon piece by piece removes the tissues of the overgrown prostate gland and brings them out of the body.

Plasma ablation: main differences

Plasma ablation of prostate adenoma is a method of cold plasma ablation. This method differs from the above-described Holmin laser ablation in that plasma is used here to influence the glandular tissue of the prostate.

• The process of removing prostate adenoma occurs by local burning of the glandular tissue of the prostate.
• To perform needle ablation, a needle is inserted into the prostate tissue through the transurethral canal, which is an electrode that has a local action with plasma, radio waves or a laser.
• As a result of this exposure, microfoci of tissue necrosis are formed.

Using this technology, you can solve the problem of difficulty urinating and get rid of the accompanying symptoms of the manifestation of the disease. In particular, the method of plasma ablation of prostate adenoma is recommended for older patients, as it is minimally invasive. Laser ablation is performed under the influence of local anesthesia.

Pros of plasma ablation with a laser:

The advantages of the above method include an extremely low percentage of postoperative complications, such as hematuria, critical urinary retention or urethral stricture.

Disadvantages of plasma ablation:

After the surgical intervention for the removal of prostate adenoma, symptoms of intoxication are possible. This phenomenon is caused by the entry into the blood of necrotic tissues formed after their cutting off during the operation. To improve well-being, you need to take more fluid.

WARNING!

Plasma ablation on prostate adenoma is highly discouraged for those individuals who have been diagnosed with impaired renal function.

Which laser treatment for BPH is the safest?

Of all currently available methods for removing prostate adenoma with a laser, the vaporization method can be called the most productive.

Cost of surgery to remove benign hyperplasia

The price of this service varies greatly and depends primarily on the level of the clinic and its regional affiliation. Since the equipment for this type of manipulation is expensive, it is not offered everywhere.

• In Belarus, laser surgery can be performed in its capital - the city of Minsk
• Abroad, the removal of prostate adenoma will cost even more. But the level of service here is much higher. In Israel, laser surgery costs about 17,000 euros. A little cheaper (about 5 thousand dollars) in South Korea, and in Germany about 15 thousand euros.

It is known that with a properly performed surgical intervention, the asymptomatic period will last from 10 to 15 years. If you adhere to preventive measures for prostate adenoma, then even longer. As a rule, repeated surgery may be required only in rare cases, for example, when the disease recurs. In this case, palliative intervention is performed: a stent is installed in the bladder, namely at the site of its compression, which expands the prostate tissue.

Rehabilitation period

The rehabilitation period lasts at least 14 full days - until the very discharge. At this time, it is imperative to adhere to the following rules:

• Plentiful drink;
• Moderate exercise;
• Avoid sudden movements;
• A special diet that promotes good defecation (to avoid constipation);
• Rejection of fatty, fried and spicy foods;
• No alcohol;
• Sexual abstinence.

If necessary, the doctor prescribes antibiotics to the patient.

NEED TO KNOW!

After surgery, swelling of the mucous membrane lining the bladder may occur. In this regard, it becomes necessary to use a special urinary catheter, which contributes to the unhindered discharge of urine from the bladder.

During the rehabilitation period after the prostate adenoma has been removed, the patient should be under the supervision of his attending physician.

Video on how laser prostate adenoma is operated on: