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Benign prostatic hyperplasia (BPH), also known as prostate adenoma, is a disease that primarily affects men over 50 years and is the second most common cause of surgery in the NHS, after cataract surgery. Dr. Jose Maria Pena Outeiriño, Chief of Urology at Sacred Heart USP explains that "BPH is a noncancerous growth of the size of the prostate that can cause problems with urination."This disorder affects 25% of men between 40 and 50 years and its prevalence increases with age to reach 80% of men 70 years.
As noted by Dr. Pena Outeiriño, "as it increases the size of the prostate, this increase compresses the urethra that makes urination becomes increasingly difficult. The bladder develops abnormal behavior and begins to contract even when it contains small amounts of urine, causing more frequent urination. As a result of this alteration, the bladder wall becomes thicker and irritable and ultimately weakens, loses elasticity and the ability to empty completely. "
Symptoms
The symptoms of BPH, Dr. Pena Outeiriño continues, "are expressed by the difficulty to hold urine (urinary frequency, day and night, feeling of urgency that can even cause urge incontinence) and difficulty emptying the bladder (delay in starting urination, sensation of incomplete voiding, postvoid dribbling, decreased force of stream, intermittent urination, urinary retention, overflow incontinence, urinary tract infections). "
Photoselective vaporization (PVP) Green Laser: The Ultimate Solution
Photoselective vaporization of the prostate is a painless and outpatient removal of the prostate gland, indicated for benign prostatic hyperplasia (BPH).
PVP, says Dr. Pena Outeriño, "is done through a very thin optical system is inserted into the urethra, through which circulates a fiber laser Green laser energy applied directly to the area to be removed. The light shines in the prostate has a special affinity for blood vessels and vaporizes the prostate tissue causing symptoms, it is completely removed without causing bleeding. "
Unlike other treatments that penetrate deep into fabrics, high power green laser vaporizes tissue, but penetrates minimally in normal tissue of the prostate, with symptoms of irritation are significantly reduced and recovery is rapid and painless.
"The advantage of immediate vaporization laser photoselective vaporization method is that it produces green blood loss and leaves behind obstructing tissue that may impede the flow of urine (other treatments leave behind a significant amount of tissue, creating a minimal change in the size of the prostate). The result is an immediate improvement of the patient with the disappearance of the symptoms that prompted the intervention in more than 93% of cases, "said Dr. Pena Outeiriño.
This method was developed after five years of clinical research at the Mayo Clinic in Rochester, Minnesota, (USA). A series of further studies conducted at Oakwood Annapolis Hospital in Wayne, Michigan - confirmed that the method was extremely effective and comfortable for the patient.
Existing treatments so far
- Pharmacotherapy. - Suppressors hormone and alpha blockers. These medications should be taken continuously, are expensive. They can lose effectiveness over time or interact with other prescription drugs. They also have non-negligible side effects, including erectile dysfunction include, dizziness, headaches and fatigue.
- Invasive surgical treatments:
- Transurethral resection of the prostate (TURP): A method and invasive endoscopic surgery, which requires between 2 and 6 days of hospitalization. The patient's recovery period is between 4 and 6 weeks and has significant complications such as blood loss and need for transfusions, painful urination, impotence, retrograde ejaculation, incontinence, infections, bladder neck contracture, etc..
- Open surgical prostatectomy: When prostate volume exceeds 60 to 70 cc this surgical technique is performed with open incision, requiring a longer admission (5-10 days) and presents greater risks than the RTU.
Benefits of green laser PVP
The Green Laser FVP method combines the best of both worlds for BPH patients: is minimally invasive and provides results as durable as the more aggressive surgical options. This method provides the clinical benefits of urologist TURP or open prostatectomy without the complications associated with these treatments.
According to clinical data, said Dr. Pena Outeiriño, "no other procedure for the treatment of BPH shows a relief of symptoms so immediate and dramatic as the method by KTP laser PVP Green. This technique can be administered on an outpatient basis, does not cause blood loss and recovery time is extremely fast, with excellent results. "
With three features: comfort, safety and effectiveness unmatched by any other existing technique to present the results of this technique are:
- Immediate relief of symptoms.
- Very fast recovery (3 to 20 hours) and painless
- Durable - 5-year follow-up at the Mayo Clinic no patient has required to be treated again.
- Virtually no blood loss - minimal risk of blood transfusion - ideal for patients on anticoagulants.
- Method clinic, does not require hospitalization (maximum (12 to 24 hours in exceptional cases).
- Does not require catheterization, the probe will remain for the duration of spinal anesthesia.
- Very low percentage of complications. After 5 years of follow-up at the Mayo Clinic has not been any cases of incontinence or impotence.
- Can be applied in elderly or high surgical risk, because it is a minimally invasive technique.
Results USP LVP Unit Sacred Heart
From March 2006 to March 2012 we have treated 365 patients KTP Green Laser with the following results
- No patient has had to be transfused
- At 95% of patients withdrew the catheter within 24 hours
- 95% of patients were discharged from the clinic, before 24 hours
- 0.5% of patients have had minimal urinary incontinence, which resolved within a month.
- All patients one month after the intervention had a peak flow more than 75% improvement, compared to the previous laser treatment.
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