Archive for the ‘After Laser Turp’ Category

Erectile dysfunction is a well known complication of the standard treatment for benign prostatic hyperplasia (BPH) or enlarged prostate. About 10 percent of patients who have a TURP are left with erectile dysfunction as a result of the procedure.

This is a significant risk to patients. Although the majority of patients with BPH, I see 65 and above, I see a number of patients in their fifties. These patients often decide against surgery - even if it means they have to live with the symptoms of BPH - because they do not want to risk a complication that would have a major impact on their lives.

Similarly, for some patients in the age group, erectile dysfunction is very important.

At the Center of the prostate laser, we discuss the risks and complications very well with patients before surgery. In some cases, patients can focus on transactions with symptoms and less concerned with pre-operative complications. But the post-op, once the patient begins to recover, complications may become a major source of concern.

That is why Green Light Laser treatment is such an important development. The Green Light Laser provides high power, safe and accurate means of destruction of excess tissue by vaporization of selected areas. In contrast, during TURP, prostate tissue excess is burned by electric currents.

The nerves that control erection are located next to the prostate. During TURP erectile dysfunction, may possibly occur because of these nerves are damaged by heat from electrical current. The current can be quite indiscriminate in relation to the matters covered.

The green laser light is much more focused. Even if it is so powerful that the excess tissue is immediately vaporized, it does not penetrate deeply into the fabric. It is therefore considered that minimizes the risk of erectile dysfunction. From my experience, I have not seen the erection problems in development after laser therapy, light green.

Although Green Light Laser treatment is a relatively new phenomenon in the United Kingdom, it is well established in America and parts of Europe. A total of 200,000 procedures have been undertaken in the world. A major study has shown * there is a rate of 1 percent of erectile dysfunction after Green Light Laser treatment, compared with 10 percent for TURP.

A very common side effect after TURP is known as retrograde ejaculation. This means that during orgasm, semen passes into the bladder rather than through the penis. The semen is then rescinded the urine during the next rose. Retrograde ejaculation is not harmful and for many men, it is not problematic, even if it resulted from sexual satisfaction and less infertility. The risk of retrograde ejaculation after TURP is high, up 90 percent. The numbers of retrograde ejaculation after Green Light Laser is much smaller, ranging between 29 and 41 per cent.

In conclusion, Green Light Laser offers patients the same results as TURP - a rapid relief of symptoms of BPH. However, with Green Laser Light, this is achieved with much less side effects and complications. These benefits to the patient must be recognized.

Yakupoglu YK *, S Donmezer, Mestci B, Saglam R, Simsek United States. Successful treatment of BPH over 100 ml with KTP laser. J Urol May 2006, 175 (4 Suppl.): 463 abstract 1522.

indications and cons of laser-guidance TURP is also belows:
surgical indications (1) The obstruction is caused by mild symptoms of prostate hyperplasia and signs as many times nocturia, difficulty urinating, urinary flow thinning, interrupted urination. An increase in residual urine of more than 60ml or urinary retention occurred (2) determined cerebral vascular complications in patients with stable angina must be at least three months after infarction patient examination infarction recovered, should patients six months of stroke in stable condition after two months, patients in cancer is under control before underwent a transurethral resection of the prostate. Combined urinary retention, urinary tract infection in patients with drainage of the urine should first control the infection, before transurethral resection of the prostate. (3) benign prostate gland hyperplasia in patients are less than 60g suitable for transurethral resection of the prostate laser TURP. Contraindication for surgery patients
(1) cardio-cerebrovascular disease: severe hypertension, acute myocardial infarction, failed to control heart failure, recent hemiplegia due to stroke. (2) respiratory diseases: severe bronchial asthma, emphysema, lung infection, reduced lung function significantly. (3) a severe liver and kidney dysfunction. (4) systemic haemorrhagic disease. (5) severely diabetic state has not been controller. (6) acute infections of the urinary tract in the reproductive system are not under control. (7) The proliferation of the gland is too large to do more than 60g, which are generally not suitable for transurethral resection of the prostate due to longer operative time, bleeding is relatively large. But for those who underwent surgery, which is not an absolute indication-cons. (8) of patients with pacemakers should not accept this procedure in general. However, some people do not think it's like cons-indication. Transurethral resection of the majority of cons-indication is relative, the patient's condition has improved after treatment, under tightly controlled conditions that can be done transurethral resection of prostate surgery laser TURP.

My health problems started about 15-20 years ago. The problems started as pain in the left side, front and back. It is expected to start in the back, the migration of my hand and then move up as high as my breast, including my stomach. The severity of the pain is intense and seems to move in these areas. I also have severe bloating and gas that are trapped because of my ability to pass gas or stool normal. Normally, I pass gas all the time, day and night. Normally, I do not belch, but just below the expulsion of gas. Sometimes, I have a small bowl movement, but spend much time in the bathroom with no result other than the increase in pain and exhaustion. If the intestines do not function well, nor urination. Sometimes there is a mucous substance, with or without a stool. The pain is so intense that I can not sit or stand on a recovery. It is almost impossible to sleep in this case. The pain is unbearable. There is no way you focus on your daily routine, work, etc. The pain is the only thing you can think of! Bactrim is a drug that was prescribed to support me when the problem began. This has not been prescribed by my doctor, but by my urologist to my request Physicians. It seemed to take care of the problem as long as I took Acidophilus in collaboration with Bactrim. I had to take two of these drugs every day or the pain would be back in a few days. It was a clear indication to me that I have a kind of infection, but know idea where it comes from, intestines, stomach, gallbladder,? I also notice that I cough a very thick Flem when I'm on Bactrim, especially just after I eat. I do not think anything I cough when I tried to get off of Bactrim and in agony. A year ago my family doctor suggested that I could get out of Bactrim. . In one week, I had all the pain mentioned above. It took a week after I started taking Bactrim again, to provide relief. After all this, the diagnosis was that it was caused by not being able to empty my bladder when you urinate. October2, 2009 I had a procedure done by my urologist called shrinks (Laser Turp) The procedure of the prostate around the urethra, which makes it easier to empty the bladder. I did urinate better now and spend less time going to the toilet. October 15.2009 We thought we could eliminate Bactrim for good. A week later, all the pain mentioned earlier was back. October 21.2009 I started taking Bactrim again on October 26.2009 and now feel better. Any suggestion what I can do? If I take Bactrim for the rest of my life, that's good, but I'm really interested to know where this infection is coming and things could get worse as I age. 11-25-09 had a longer range and less so. The diagnosis was diverticulosis, it still does not explain what happens when out of the antibiotic, Bactrim