2024-03-25 20:29:52
New treatment method for prostate disease
When it comes to prostate disease, there are two main types: prostatic hyperplasia and prostate cancer. Benign prostatic hyperplasia affects almost every older man; prostate cancer is also very common, and the chance of men getting it increases with age. There is a saying: “All men will eventually develop prostate cancer if they do not die from any other cause.”
Men suffering from benign prostatic hyperplasia generally experience symptoms such as weak and intermittent urinary flow, difficulty starting to urinate, inability to urinate clearly, frequent urination, and inability to urinate at night. There are many ways to treat benign prostatic hyperplasia. You can use drugs first. If the symptoms are more serious, you can have surgery. When I was in surgical training, there was only one surgical treatment for benign prostatic hyperplasia, transurethroscopic electroresection surgery (TURP). This type of surgery involves more bleeding and has many complications. It is necessary to flush the bladder for a period of time following surgery to prevent blood clots from coagulating in the bladder and blocking urination.
Later, there was green laser vaporization, which used green laser to vaporize prostate tissue (Vaporization). However, this surgery takes a long time, is not suitable for huge prostates, and is not as common as TURP. Another kind of laser, Holmium, uses enucleation method to remove a very large prostate, and is used by many urological surgeons. A very common complication of these surgeries (70 to 80%) is retrograde ejaculation. Some patients may experience complications such as erectile dysfunction, stress urinary incontinence, and urethral narrowing following surgery.
Therefore, in recent years, the medical community has developed a new generation of treatment methods, including robot-assisted water jet resection (Aquablation) and water vapor therapy (REZUM), which have better results. Even newer are the prostate urethral lift (Urolift) and the temporary implantation of nickel-titanium alloy device (iTIND). These new generation prostate surgeries have improved safety, reduced complications, improved sexual function preservation, and can be performed under local anesthesia or under anesthesia monitoring. The length of stay can also be shortened, increasing the options for urologists and patients.
In terms of prostate cancer treatment, traditional treatment methods are mainly surgical resection and electrotherapy. Nowadays, surgical resections are assisted by robotic arms to increase the accuracy of surgery. Newer treatment methods in recent years include high-energy ultrasound (HIFU), cryotherapy (Cryotherapy) and microwave ablation (Targeted microwave ablation). They are all local treatment surgeries. Doctors can choose the appropriate energy according to the location of the tumor. The complications of local treatment are lower than those of surgery and electrotherapy, but the chance of recurrence is higher, but the advantage is that it can be used repeatedly. The treatment of prostate disease confirms the rapid development of medicine and its continuous innovation.
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