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How Do They Scrape The Prostate

What Are The Side Effects

How is a Prostate Biopsy Performed?

Initially, the urethra and surrounding area will be inflamed, and it will be difficult to urinate. The catheter and flushing process can also be uncomfortable and cause bladder cramping.

The urethra, penis, and lower abdominal area will be tender, red, and swollen for a few weeks after surgery, which can interfere with urination. Most people also feel very weak and tire easily for several weeks.

Common side effects of TURP surgeries include:

  • difficulty completely emptying the bladder
  • urinary urgency or the sudden urge to urinate
  • discomfort during urination
  • small dribbles or clots of blood in the urine, for up to 6 weeks

The minor side effects associated with TURP surgeries usually go away as the urethra and prostate tissues become less inflamed, usually within a few weeks.

Though TURP surgeries may or may not be associated with erectile difficulty in some people, they can decrease the volume of semen produced during ejaculation.

As with any medical procedure, especially those involving anesthesia, the surgery for BPH is associated with some medical complications.

Possible but rare risks associated with TURP procedures include:

  • excessive bleeding

Transurethral Resection Of The Prostate

This operation is more often used to treat men with non-cancerous enlargement of the prostate called benign prostatic hyperplasia . But it is also sometimes used in men with advanced prostate cancer to help relieve symptoms, such as trouble urinating.

During this operation, the surgeon removes the inner part of the prostate gland that surrounds the urethra . The skin is not cut with this surgery. An instrument called a resectoscope is passed through the tip of the penis into the urethra to the level of the prostate. Once it is in place, either electricity is passed through a wire to heat it or a laser is used to cut or vaporize the tissue. Spinal anesthesia or general anesthesia is used.

The operation usually takes about an hour. After surgery, a catheter is inserted through the penis and into the bladder. It remains in place for about a day to help urine drain while the prostate heals. You can usually leave the hospital after 1 to 2 days and return to normal activities in 1 to 2 weeks.

You will probably have some blood in your urine after surgery.

Other possible side effects from TURP include infection and any risks that come with the type of anesthesia used.

Warning Signs Of Prostate Cancer I Prostate Cancer Symptoms

Prostate enlargement is one of the most common health problems in senior men, and it is even more common in patients with a family history of such diseases. However, this enlargement may be due to benign or malignant causes, and both of them cause a similar array of signs and symptoms. Therefore, it is important to follow the recommendations by your urologist and perform a routine check-up that includes a digital rectal exam and measures of your prostate-specific antigen .

However, it is important to pay special attention to your own symptoms, as they will give you clues to look for medical help when in doubt. The most specific signs and symptoms of prostate cancer are usually found in a late stage of the disease. Early symptoms are difficult to distinguish from benign causes like prostate hyperplasia, but we should take all of them into consideration if we want an early diagnosis and start a successful treatment. Thus, pay attention to the following signs and symptoms associated with postage cancer:

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What You Need To Know About Prostate Surgery

What is prostate surgery for?

The prostate is a gland located underneath the bladder, in front of the rectum. It plays an important role in the part of the male reproductive system that produces fluids that carry sperm.

Surgery for partial or complete removal of the prostate is called a prostatectomy. The most common causes for prostate surgery are prostate cancer and an enlarged prostate, or benign prostatic hyperplasia .

Pretreatment education is the first step to making a decisions about your treatment. All types of prostate surgery can be done with general anesthesia, which puts you to sleep, or spinal anesthesia, which numbs the lower half of your body.

Your doctor will recommend a type of anesthesia based on your situation.

The goal of your surgery is to:

  • cure your condition
  • maintain the ability to have erections
  • minimize side effects
  • minimize pain before, during, and after surgery

Read on to learn more about the types of surgery, risks, and recovery.

The goal of prostate surgery also depends on your condition. For example, the goal of prostate cancer surgery is to remove cancerous tissue. The goal of BPH surgery is to remove prostate tissue and restore the normal flow of urine.

Problems With Enlarged Prostate Gland

Transurethral Resection of Prostate (TURP)

Benign enlargement of the prostate gland is more common as men get older. It can cause troublesome symptoms, although it doesnt always.

The urethra passes through the prostate gland, so men may have problems urinating if the enlarged gland restricts the flow of urine. If the flow stops completely, a catheter is required to empty the bladder. It is rare for this form of acute urinary retention to cause kidney damage.

An enlarged prostate doesn’t always cause urinary problems. Studies indicate that the size of a man’s prostate gland has little influence on the type or severity of his urination problems. BPH is just one possible cause of urinary symptoms.

Another cause of urinary symptoms can be changes to the muscular wall of the bladder, which may cause spasms of the bladder or weaken the bladder, causing problems passing urine.

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What Are The Procedures For Surgery Of Enlarged Prostate

The most commonly performed surgery for enlarged prostate is transurethral resection of the prostate .

This surgical procedure involves the insertion of a scope or an instrument through the penis to scrap the innermost portion of the prostate piece by piece. This is believed to be the most effective surgical procedure since it can relief your symptoms immediately as well.

Another procedure of enlarged prostate surgery is transurethral incision of the prostate .

This operation resembles TURP, but it is indicated when the size of prostate enlargement is relatively small. It is a non-invasive surgical procedure which means that you will not need to be hospitalized after it.

Similar to TURP, a scope is introduced through the penis till reaching the prostate afterward a small cut is done to widen the hole of urethra as well as bladder opening, rather than completely getting rid of prostate in TURP.

In Simple prostatectomy a small incision is performed in the abdominal area to remove the inner most part of the enlarged prostate, while the superficial part is left.

Simple prostatectomy is definitely performed under general anesthesia. This enlarged prostate surgery involves prolonged procedures and you will need to be hospitalized from five to ten days after having it.

Nowadays there are myriad less invasive techniques to treat prostate enlargement which can be done in your doctors clinic under local anesthesia or other sedations, you will not need to be hospitalized.

Surgery To Remove The Inner Part Of The Prostate Gland

Prostate cancer can press on the tube that carries wee from the bladder. This can make it difficult for you to empty your bladder. Your doctor might suggest that you have an operation to remove some of the cancer so that you can pass urine more easily. This is called trans urethral resection of the prostate .

Surgeons can also use laser surgery to remove the prostate tissue. It works just as well as a TURP, but isn’t available in every hospital.

This operation is also for men with a non cancerous swelling of the prostate, also called benign prostatic hypertrophy .

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Other Forms Of Treatment For Benign Prostate Disease

Other forms of treatment may include:

  • monitor symptoms the condition is monitored closely. Treatment only begins once the condition has progressed and is causing problems
  • medical treatment symptoms of benign enlargement can be treated by medications that relax the muscles around the bladder or that shrink the prostate and delay the need for surgery.

What Is Prostate Surgery

Prostate biopsy procedure explained by urologist

During surgery, your surgeon will remove part of your prostate a small gland that sits at the base of the bladder in men. The gland surrounds your urethra the tube that carries urine from your bladder to your penis.

An enlarged prostate, also known as benign prostatic hyperplasia , is a common condition in older men and the causes are thought to relate to age and changes in hormone level, with older age and family history increasing the risk.

If you have an enlarged prostate, it can press on your bladder and urethra, interrupting urine flow and causing these symptoms:

  • Difficulty starting to pass water
  • Feeling that you havent emptied your bladder properly
  • A weak flow of urine that stops and starts
  • Needing to strain to pass water
  • Getting sudden urges to pass water

Other complications due to blocked urine flow may include:

  • Recurring urinary tract infections
  • Kidney or bladder damage

Your doctor may recommend treatment or refer you to a urology specialist if you have moderate to severe urinary problems which havent improved with:

  • Lifestyle changes to manage urine flow
  • Medication to shrink your prostate, relax your prostate or bladder muscles, or to manage urine flow

The treatment will trim away or destroy the obstructive prostate tissue thats pressing on your bladder and urethra, easing symptoms.

Your consultant will diagnose a prostate enlargement by asking about your symptoms and carrying out tests, which may include:

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Facts Every Man Should Know Before Prostate Cancer Surgery

Many men want to know what prostate cancer surgery is like, including what to expect before surgery and what to expect afterwards.

Here are my findings based upon more than 1,000 phone calls to men the day before surgery, almost 700 visits to men the day after surgery and hundreds of calls from men in the weeks following surgery.

  • Most men experience very little surgical pain – probably 80 percent are like me…I had my surgery on a Monday by Friday I was at a graduation party . I got by with only Advil for pain relief. It’s been described as feeling like they did too many sit-ups.
  • Men really fear the catheter. I let them know that they will be asleep when it is put in. They may be like me and sleep very well with it in. Changing bags from a large capacity night bag to a smaller capacity day bag is simple and doesn’t involve removing the catheter. Walking with the day bag catheter is not a problem. Removal of the catheter is usually done in the doctor’s office after the prescribed timeframe and is relatively pain-free.
  • If all goes as planned, you will be walking the night of surgery and then the next day. Most men go home the following afternoon, unless they are otherwise directed by the doctor.
  • Your biggest discomfort may be from gas pains, hence the walking. For a robotic surgery, they have to fill the body cavity with gas to manipulate the equipment. Until we get rid of the gas in the normal way we do, there can be discomfort.
  • What Happens During Turp

    TURP requires a hospital stay. Procedures may vary depending on yourcondition and your healthcare providers practices.

    Generally, a TURP follows this process:

  • You will be asked to remove any jewelry or other objects that might get in the way during surgery.
  • You will be asked to remove your clothing and will be given a gown to wear
  • You’ll be asked to empty your bladder.
  • An IV line will be put in your arm or hand.
  • You will be positioned on an operating table, lying on your back.
  • You will be given anesthesia to put you to sleep for the procedure. Your legs will be placed in stirrups.
  • Your heart rate, blood pressure, breathing, and blood oxygen level will be monitored during the surgery.
  • Once youre sedated, a breathing tube may be put through your throat into your lungs and you will be connected to a ventilator. This will breathe for you during the surgery.
  • The surgeon may first inspect the urethra and bladder with an endoscope. This is done by passing the scope through the tip of the penis, then into the urethra and bladder. This allows the healthcare provider to examine these areas for any tumors or stones in the bladder.
  • Next, the resectoscope is passed into the urethra. It is used to cut away the pieces of prostate tissue that are bulging or blocking the urethra. Electricity will be applied through the resectoscope to stop any bleeding. The pieces are flushed into the bladder, and then drained out through the urethra.
  • The resectoscope is removed.
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    Inflammation Of The Prostate Gland

    Bacteria sometimes cause prostatitis . More commonly, the underlying cause is uncertain. Consult your doctor promptly if you experience:

    • fever
    • pain in the groin
    • urgent and frequent urination.

    Treatment with antibiotics is essential for acute bacterial prostatitis. Admission to hospital is often necessary and, as with chronic bacterial prostatitis, specific antibacterial drugs are required for a long time.

    Recovering From Enlarged Prostate Surgery

    Thousands of men to benefit from new prostate therapy ...

    Recovery timeline

    We aim to get you back to everyday life as quickly as possible, although everyones different and your treatment and recovery will be personal to you. If you have a catheter, you can expect to return home once it has been removed, this is usually within three days. You can expect to resume driving and gentle activities such as walking after one to three weeks of recovery, though you should always stop if you start to feel any pain. You may also be able to go back to work if you have a desk-based job and you should be able to have sex if youre comfortable enough. A full recovery can take anywhere between four to eight weeks.

    Urinating after TURP

    After TURP, youll be unable to urinate as your urethra will be swollen. Youll need to use a catheter until the swelling has gone down, this is usually around two days after your procedure, but it can be a little longer if you are still having difficulties. You may find it painful and difficult to control the flow at first, but this will get better after a few days.

    Your lifestyle after treatment

    For TURP and laser prostate surgery, youll have a catheter which will be left in place for one to three days until swelling in your urethra has gone down. Once you can pass water normally, you can go home.

    When you’re ready to leave hospital, youll need to arrange for someone to collect you and you may want them to stay with you for the first 24 hours. After treatment, its normal to experience these temporary symptoms:

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    Shrink The Prostate Without Expensive Drugs Surgery Or Side Effects

    Prostate problems affectmost men over 50.

    For some men it means increased urgency and waking up 3 or 4 times a night. For other men it means public incontinence, pain or even prostate cancer.

    Eventually, many men give up and wrongly believe that their only options are expensive pills their doctor kept pushing them to take.

    These men often end up enduring the nasty side effects, only to discover that the medication they were prescribed is very often a temporary solution at best. Other men are so desperate, they let a surgeon slice into them, digging and scraping and cutting out the prostate gland.

    Other men are so desperate, they let a surgeon slice into them, digging and scraping and cutting out the prostate gland.

    These men suffer high rates of sexual dysfunction or even permanent impotence .

    Many men think that prostate disease is a natural part of getting older, that its inevitable and just something they have to suffer with.

    These men couldn’t be more wrong.

    Because Prostate Disease is not a symptom of age.

    its a metabolic disease, which means…

    Prostate problems can be defeatednaturally without drugs, surgery or side effects.

    How Do I Prepare For My Turp

    You are an important member of your own healthcare team. The steps you take before surgery can improve your comfort and outcome.

    You can prepare for TURP by:

    • Answering all questions about your medical history and medications. This includes prescriptions, over-the-counter drugs, herbal treatments, and vitamins. It is a good idea to carry a current list of your medical conditions, medications, and at all times.

    • Getting preoperative testing as directed. Testing will vary depending on your age, health, and specific procedure. Preoperative testing may include a , EKG , blood tests, and other tests as needed.

    • Losing excess weight before the surgery through a healthy diet and exercise plan

    • Not eating or drinking before surgery as directed. Your surgery may be cancelled if you eat or drink too close to the start of surgery because you can choke on stomach contents during anesthesia.

    • Stopping as soon as possible. Even quitting for just a few days can be beneficial and help the healing process.

    • Taking or stopping medications exactly as directed. This may include not taking aspirin, ibuprofen , and blood thinners.

    Questions to ask your doctor

    Facing surgery can be stressful. It is common for patients to forget some of their questions during a doctors office visit. You may also think of other questions after your appointment. Contact your doctor with concerns and questions before surgery and between appointments.

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    Transurethral Electro Resection Of The Prostate

    Removing the enlarged part of the prostate is usually the best long-term treatment for an enlarged prostate gland. The portion of the gland that is not squeezing the urethra stays in place. The outside capsule around the gland is also untouched.

    Transurethral electro-resection of the prostate is the traditional way to remove prostate tissue using minimally invasive surgical techniques. No outside incision is needed. Theres less pain, fewer complications and faster healing.

    With TURP, an instrument called a resectoscope is inserted through the penis. This device is about 12 inches long and half an inch around. It has a light, valves for controlling irrigating fluid and an electrical loop that cuts tissue and seals blood vessels. During the surgery, the surgeon uses the wire loop to remove the tissue one piece at a time. The pieces are carried by the fluid into the bladder and then flushed out at the end of the operation. The surgery lasts about 90 minutes.

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