Laparoscopic prostatectomy

One of the methods used in the treatment of benign prostatic hyperplasia is laparoscopic prostatectomy - TURP, but what are the reasons for prostatectomy, what are the side effects after prostatectomy, what is the cost of prostatectomy, and what are the tips after prostatectomy?

• What is laparoscopic prostatectomy or removal?

Laparoscopic prostatectomy is the most important surgery currently to treat an enlarged prostate, as it aims to remove the inner part of the prostate that surrounds the urethra or urethra; To treat the problems and symptoms of an enlarged prostate, and it is considered one of the most common and used operations, and it is usually performed under general anesthesia. Below are the details of the operation, how it is performed, what are the risks and risks of the operation, and its results.

• Reasons for prostatectomy and when do we resort to endoscopic surgical intervention?

The prostate is removed and removed in many cases, including the following:

1. Prostate medication fails to treat symptoms caused by an enlarged prostate, which occurs in about 10% or more of cases.

2. The impossibility of treatment by prostate catheterization, such as the presence of severe sensitivity to medical dyes or the unavailability of treatment centers in some countries.

3. Benign prostatic hyperplasia causes other complications or side effects, such as recurrent infections in the bladder, or the formation of stones as a result of urine stagnation, or bloody bleeding with urine.

• Details of the laparoscopic prostate removal process?

The operation is done through total anesthesia (general anesthesia), during which the patient loses consciousness, and a medical examination must be requested before the operation in sufficient time. To find out whether the patient can tolerate general anesthesia.

Spinal anesthesia can also be used sometimes, in which the lower body is numbed by an injection of the anesthetic into the spinal cord in the back, followed by a temporary loss of sensation below the midsection; This means that you will not feel any pain during the procedure.

Prostate surgery is performed through the urethra or through the tip of the penis through the urethra, using a medical telescope inserted from the opening of the penis into the place of the prostate.

This binocular contains a light source and a camera; so that the surgeon can see, and a wire through which an electric current is passed; To heat it and then cut out the problematic parts of the prostate.

Amounts of water are pumped through the scope during the procedure to rinse out the parts of the prostate that have been removed.

The surgery takes about 60 minutes to perform, and it may increase or decrease according to the size of the parts to be removed from the enlarged prostate.

After the procedure, the patient returns to his hospital room to recover.

• TURP Laparoscopic Prostatectomy

If you are going to have a prostatectomy, you should prepare for it by doing the following:

If you do not do any exercise, it is advisable to do some exercises that increase physical fitness for at least half an hour a day.

If you are a smoker, it is recommended to stop or reduce smoking, in order to reduce the possibility of complications in the heart or lungs after the operation.

You may be asked to undergo some medical tests and tests.

If you are taking medications that prevent blood clots, it is advised to stop taking these medications some time before surgery. To reduce the possibility of bleeding during it.

Warfarin should be stopped 4 to 5 days before the operation.

Aspirin and clopidogrel should be discontinued 10 to 14 days before the operation.

• Advantages of laparoscopic prostatectomy?

The process is characterized by its efficiency in significantly improving the symptoms of an enlarged prostate, if it is suitable for the patient in terms of the size of the enlargement.

Side effects after prostatectomy - Effects of prostatectomy - Complications of laparoscopic prostatectomy

Prostate removal is generally a safe procedure, but like other surgeries, it is not without some potential risks, such as:

One of the risks of the operation and its most frequent complications is semen reflux (one of the effects of prostate treatment on the sexual aspect of men), where the patient loses the ability to ejaculate semen from the penis during marital relations; The semen refluxes backwards (into the bladder) rather than escaping out, but does not lose the pleasure associated with ejaculation (orgasm), a common symptom that occurs in 9 out of 10 men.

Loss of the patient's ability to control urine (urinary incontinence), although this is a temporary symptom that will disappear within a few weeks after the operation.

The most risk that the patient is exposed to due to surgery is bleeding; Due to accidental injury to a blood vessel during cutting in the tissues of the prostate and urethra, which may require blood transfusion to the patient to replace it, but the incidence does not exceed one case in every 35 cases.

1. Bleeding may continue for quite some time.
2. Urinary tract infections.
3. Erectile dysfunction after the operation.
4. The man's inability to have children is also permanently lost in most cases.
5. Urethral stricture.
6. Urethral obstruction with blood clots.
7. Death rate does not exceed 1 in every 1000 patients.
8. Postoperative TURP syndrome, see details below.

General anesthesia problems are sometimes life threatening.

out of every thousand patients dies due to complications from the operation, such as severe infections or its effect on the patient’s heart.

• Cost of prostatectomy

Costs vary according to the place where the surgery is performed from one hospital to another, and from one country to another, such as Egypt, Saudi Arabia, Turkey, India or Britain, as well as the experience and skill of the treating surgeon necessary for a successful and safe procedure.

• Does prostatectomy prevent erection?

The patient may experience erectile dysfunction after the operation.

Marital relationship after prostatectomy (removal of the prostate and sexual intercourse) and does prostatectomy cause impotence?

Regurgitation of semen during intercourse is a common complication of ejaculation