2024-05-09 07:50:19
[People’s News rapporté par Ye Baicheng, Nouveau Taipei]Mr. Wang, a 63-year-old man who suffers from long-term problems such as difficulty urinating, impure urine and nocturia, proposes a new minimally invasive treatment method – maintenance care at Lin’s suggestion Zufeng, urologist at New Taipei United Medical College After Urolift, the International Prostate Symptom Scale (IPSS) score decreased from 21 points to 7 points following surgery, showing that the symptoms improved significantly and the symptoms were improved. the quality of life has greatly improved.
Urologist Lin Zufeng pointed out that BPH (benign prostatic hyperplasia) is a common health problem among middle-aged and elderly men. Symptoms can seriously affect quality of life, such as frequent urgent urination and nocturia, difficulty urinating, and weakened urine flow. and even affect lifestyle habits, not daring to drink more water, urgent urination and leaking due to fear of not having a place to go to the toilet when going out, poor sleep quality at night, etc.
The incidence rate is approximately 50 to 60% in men over 60 years old; if they are over 70 years old, it can reach 80 to 90%. Urinary tract infections, bladder stones, bladder damage, and damage to kidney function can also occur. Prostate enlargement is therefore a problem that cannot be ignored.
He said traditional treatments for an enlarged prostate include long-term drug treatment or varying degrees of surgical intervention, but these treatments often come with significant side effects or require long-term recovery. Drug treatment may require long-term use, including A blockers, 5-A reductase inhibitors, etc., which may cause side effects such as hypotension, nasal congestion, and poor sexual function.
If drug treatment proves ineffective or causes significant side effects, surgical treatment may be considered. Traditional transurethral electrocautery curettage surgery and prostate laser surgery can effectively improve the patient’s symptoms. The surgery requires partial or general anesthesia. The surgery takes 1 to 2 hours. Side effects related to surgery include bleeding, infections. To ejaculate normally following surgery, you will need to have a urinary catheter in place for 1 to 2 days following surgery, and the recovery time following surgery will be longer.
Lin Zufeng further explained that the latest minimally invasive surgical methods include prostate lift (Urolift) and prostate steam ablation (Rezum), which have recently received wide attention. The principle of prostate lift surgery (Urolift) is to use a stapler-like method to separate and fix blocked prostate tissue, thereby improving the smoothness of the urethra. This type of surgery does not require the use of electrosurgery or laser cutting, so it causes less tissue damage, less postoperative bleeding and less pain.
Postoperative “Illustration”: Once the prostate is stretched, the urethra regains its softness. 〈Provided by New Taipei United Medical Hospital〉
He noted that most patients recover quickly following surgery without the need for a urinary catheter. Since Urolift does not damage prostate tissue or affect the sphincter, it will not affect sexual and ejaculation functions, and there will be no urinary incontinence following surgery. Mild side effects may occur following surgery, but usually disappear within a few days.
Before deciding on a surgical option, your doctor will perform a complete evaluation, including blood tests, urine tests, ultrasounds, and a symptom self-rating scale to assess the severity of your symptoms. Additionally, a cystoscope is used to check the condition of the prostate to ensure that the patient is suitable for surgery.
After surgery, patients typically experience immediate improvement, no need for a urinary catheter, and smooth urination. Studies show that the results of a prostate lift can last for at least five years without the need for other treatments. However, in cases of infection, bladder stones, bladder diverticula or enlarged middle lobe of the prostate, Urolift is not suitable for treatment.
Lin Zufeng reminded that prostate retraction surgery is currently not included in health insurance benefits, and patients need to pay for consumables and surgical fees at their own expense. In addition, each patient’s physical condition and specific condition are different, and surgery requires detailed evaluation and examination by a urology specialist to determine whether this treatment is appropriate.
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