Prostate enlargement is a common disease in older men, with a prevalence of 23% in the 40-year-old population and almost 100% in the 80-year-old. Surgery accounts for 30% of the treatment options for prostate enlargement. It is predicted that more than 1 million prostate surgeries are performed in China every year.
However, several of the surgical procedures currently used in the clinic have certain drawbacks. The company has been involved in the research of prostate disease for decades, and after years of research and practice, Professor Zhang Jiahua has created a new surgical procedure.
The actual fact is that the actual fact is that the particular person is not a person.
For the treatment of prostate enlargement, Professor Zhang said that there are 3 types of treatment methods, namely drugs, surgery and non-drug non-surgical treatments (such as massage). The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. There is also a class of drugs that are used to slow down the process of prostate enlargement, such as Pauline (finasteride), which is usually taken for at least six months to be effective, and needs to be taken for life, and cannot be stopped at will. The patient with prostate enlargement is usually a combination of two types of drugs to both control the symptoms and slow down the process.
Drug therapy is non-invasive, but it also faces 2 problems. One is the lack of compliance with the medication, many patients can not adhere to the medication. The second is that when the enlarged prostate is too large and the condition is severe, the medication cannot be effective. This is when surgery needs to be considered.
Generally speaking, surgical treatment is not recommended for patients with mild symptoms of prostate enlargement. The actual fact is that you will be able to get a lot more than just a few of the most popular and popular items in the marketplace.
Four common surgical procedures have advantages and disadvantages
When it comes to surgery, Prof. Zhang said there are 4 types of surgery, namely open surgery (commonly known as open surgery), transurethral resection of the prostate (TURP), laser and enucleation.
1, open surgery – elimination in
Open surgery is a traumatic procedure, which is very damaging to the body and prone to haemorrhage during surgery, making it difficult to ensure that elderly patients are able to “walk away” from the operating table. This is the first time I’ve ever seen this kind of surgery.
2, transurethral resection of the prostate – temporary “gold standard”, but many complications
The procedure is less damaging compared to open surgery, but it has clear requirements for the size of the enlarged prostate.
In general, TURP is only suitable for patients with prostate <80 grams ("grams" is the weight of prostate enlargement, but it appears as volume during the examination, so calculate the grams by putting the volume x 0.546). Patients with prostatic hyperplasia greater than 80 grams are at great risk for surgery. It is such an indicator that turns away a large number of elderly patients from rehabilitation. This is because many older patients have an enlarged prostate that is larger than 80 grams.
In addition, TURP also has more complications such as hemorrhage, urinary incontinence, and urethral stricture. Patients are also prone to recurrence after surgery due to the number of glands that remain after electrodesection.
3, laser resection – high cost and requirements for the size of prostate enlargement
In the last 10 years or so, laser resection has been extensively researched at home and abroad. The procedure has very little bleeding and good safety. The disadvantages are low efficiency, long operating time, and high cost, usually nearly half as expensive as other surgeries. Large prostate enlargements (greater than 80 grams) are still inoperable.
4, transurethral resection of the prostate – higher incidence of urinary incontinence
In recent years, bipolar plasma “transurethral resection of the prostate” has been actively carried out at home and abroad. The main advantage of this procedure is the absence of electrodes and low bleeding. However, data show that the incidence of permanent postoperative incontinence is 4% to 22% and may develop into permanent incontinence.
Electrodesiccation syndrome: refers to the abnormal manifestations of the circulatory and neurological systems that occur during electrodesiccation. Such as abnormal heart rate, chest pain, dyspnea, and transient black vision.
New type of surgery Breaking out of the historical dilemma
Comprehensive of the above surgical modalities, it is not difficult to find out the difficulties faced by the current surgical treatment: First, how to solve the problem of prostate enlargement above 80 grams. The second is how to reduce the occurrence of post-operative complications.
1. Solve the shortcomings of enucleation – reduce urinary incontinence
The procedure focuses on solving the problem of urinary incontinence after enucleation. The reason for urinary incontinence in enucleation is that the sphincter around the urethra and seminal frenulum is damaged during the process of electrodesection. The new method, however, enters the level of prostate enlargement in a point-cutting (miniature openings in several appropriate areas of the prostate), blunt (non-invasive) manner, avoiding damage to the sphincter around the seminiferous tuber, preserving the normal urethra to the maximum extent, and having no effect on the outer envelope of the prostate. In this way, the urinary function can be effectively controlled and incontinence can be avoided.
2.The advantages of preserving enucleation – safety
The procedure preserves the advantages of enucleation, reduces the possibility of hemorrhage, and reduces the occurrence of electrodesiccation syndrome.
3.Saving cost – less postoperative hospitalization time
The cost of this procedure is about 15,000 yuan. Compared with other surgical methods, it is more economical. The tube can be removed 24 hours after surgery, which greatly shortens the hospital stay and can reduce medical costs by 2,000 to 5,000 yuan per person.
4. Release the limitation of prostate enlargement size
Since it is a multi-directional point cut, no matter how big the prostate enlargement tissue can be removed, not only is it fast, the removal is also very thorough. In the people treated by the new surgical approach, some patients have enlarged prostates weighing even more than 200 grams.
In fact, the new surgical approach did receive good results. With the exception of one patient who experienced post-operative urethral stricture (which was restored by urethral dilation) and one patient who experienced temporary post-operative urinary incontinence (which recovered 3 months after surgery), more than 60 patients recovered well after surgery, including a 98-year-old man with a 100-gram enlarged prostate.