APPLE UROLOGY CLINIC

What is Prostate Gland ?

The prostate is a walnut –sized gland which surrounds the urethra, the tube through which urine passes out of the body.



 As the prostate enlarges, it impinges the flow of urine through the urethra.

IMPORTANT TEST

Treatment option:

‘wait and watch’,

drug therapies, drug therapy includes  tamsulosin, alfuzosin, dutasteride , or combinations as well.

surgery, 

My doctor recommends surgery………

 Only enlarged prostate gland does not necessarily mean surgery.

If it leads to acute urinary retention,

recurrent urinary tract infection,

bladder stone,

renal failure, then surgery may be required

Holmium Laser Enucleation Of Prostate (HOLEP)

HOLEP involves enuclation on the median lobe, followed by the lateral lobes .

The lobes are placed into the bladder  for removal by morcellation.

Minimal blood loss, less catheter time, lesser hospital stay are some advantages of this procedure.

Transurethral Resection Of The Prostate(TURP)

A surgeon inserts a narrow instrument (resectoscope) into the urethra and uses small cutting loops to scrape away excess prostate tissue.

Post operative problems: 
Bleeding,

incontinence,

retrograde ejaculation.

ENDOSCOPY VIEW