In this operation, after the incision of the skin and the underlying tissues in the area below the

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As with the medical academy of motion pictures treatment of BPH and in surgery, we must first answer academy of motion pictures the question "Should we operate" a particular patient or we can continue medical academy of motion pictures treatment. Recommendations of the European Association of Urology (EAU) give us the answer to the question when the time has come to offer the patient stop the medication and switch to surgical treatment. According EAU, surgery should be taken into account in the occurrence of one of the following complications:
-Retsidivirashta And unresponsive to medication urinary retention (after an attempt to remove the catheter) is -Povtaryashti urinary infections -Povtaryashta is haematuria (blood in urine) refractory to treatment with 5-alpha reductase inhibitors -kidney failure -Pikochno-bladder stones - The substantial increase in residual urine We add one more - so ezhki complaints unresponsive to drugs.
Thanks to the intensive development of medical technology, currently urology has subsets and different methods of surgical academy of motion pictures treatment of prostatic hyperplasia. They boil down to two basic types - Endoscopic and open surgery. academy of motion pictures In this article, we will focus on two main representatives of each method, which represent 85-90% of all surgical interventions on the occasion of prostate adenoma. There are new, modern endoscopic surgical techniques using laser hyperthermia, etc., But these will be described in another article devoted to modern trends in the treatment of prostatic hyperplasia.
The important thing about this operation is that it is carried out through the urethra, which is a natural opening of the body, without making additional incisions and without leaving academy of motion pictures scars. Therefore, patients call it "bloodless". In the channel of the penis is inserted into a special tool (resectoscope), which is provided with an increasing optical system reaches to the prostate, and under visual control, the latter is cut (rezitsira) into small pieces, which at the end of the intervention, to evacuate it through the urethra. Cut only adenomatous tissue that presses the urethra and prostatic capsule are retained. For resection using a special loop which cut and coagulate (coagulate) the prostate by means of an electric academy of motion pictures current - monopolar or bipolar. The operation ends with the fixing of the urethral catheter and the rinsing system of the bladder for 2-3 days, which serves to evacuate the urine and blood clots. After clarification of urine in the absence of blood clots in her catheter removed.
Advantages of TUR-P in front of the classic "open" operations are: -Use natural openings - no additional incisions and scars -Faster academy of motion pictures postoperative recovery -With a shorter hospital stay - More precise tissue removal hiprplaziralata -Considerable "kinder" method suitable for more impaired patients
The main disadvantage of the method is that it is only suitable academy of motion pictures for relatively small prostates, the size not greater than 60-70 cm3. (As opretivnoto time is limited to 1 hour) and lack of complications such as large bladder academy of motion pictures stones, diverticulitis and others.
Of course, as with any surgery and TUR-P are possible postoperative complications that we must mention (according to the EAU): - Mortality <2% (the most common reason for that is called. TUR-P syndrome) - Need og transfusion - 2 - EN 5% - Incontinence (urinary incontinence) <2.5% academy of motion pictures - stricture of the urethra or bladder neck = 3.8% - Retrograde ejaculation = 40% - Erectile Dysfunction = 6.5%
We offer you a short film made by a team of Urology.bg, which presents TUR-P. Clearly visible are the constricted urethra and bladder in depth. See how urologist cuts gradually increased prostate and expand channels.
In this operation, after the incision of the skin and the underlying tissues in the area below the navel, to make a small opening of the bladder, through which a finger is removed (enucleated) only adenomatous tissue, and not the entire prostate