Prostate Enlargement Surgery :
Robotic Assisted Aquablation
Robotic-assisted aquablation is a surgical technique for treating prostate enlargement (BPH) and has been recognized as a new medical technology in the field of BPH treatment by the Ministry of Health and Welfare in December 2021.
This surgery has also received KFDA & FDA approval and has demonstrated excellent safety and outcomes in various clinical studies conducted in the United States. Robotic technology and computer assistance are used to precisely remove the prostate, making it suitable for prostates of all sizes and shapes. The procedure employs a waterjet technique without the use of thermal energy.
Advantages of Surgery
Very low complication rates : Since it avoids resection of the portion of the prostate that leads to complications, the risk of side effects such as urinary incontinence, retrograde ejaculation, and erectile dysfunction is significantly reduced.
Lower risk of stricture: Because no heat is used, the likelihood of urethral strictures and bladder neck strictures is markedly reduced.
Minimal postoperative side effects: With a short procedure and recovery time, patients can often go home on the same day as the surgery.
Minimally Invasive Procedure : UroLift
When is UroLift necessary needed? UroLift treatment is suitable for cases where prostate enlargement causes urinary obstruction, leading to bothersome lower urinary tract symptoms (LUTS). It is a minimally invasive treatment approach that involves fixing the enlarged prostate tissue to alleviate urethral constriction.
How Does UroLift Work?
During UroLift, small implants are used to hold the enlarged prostate tissue away from the urethra, relieving the constriction that causes urinary symptoms.
Surgical Procedure
In UroLift, we aim to secure the urethral space with the minimum number of staples after confirming an enlarged prostate. This minimizes the use of staples and maximizes the space within the prostate.
Advantages of UroLift
UroLift is a highly effective procedure that can be completed in a short period, approximately 10-20 minutes, under local anesthesia. It is simple and safe, reducing the risk associated with longer surgeries.
The procedure takes just 10 minutes to complete, and it is relatively gentle on the body. With minimal incisions, the recovery is quick, allowing patients to resume their daily activities, including showering and driving, as soon as the day after surgery.
Holmium Laser Enucleation of the Prostate (HoLEP)
The laser employed in Holmium Laser Enucleation of the Prostate (HoLEP) surgery is a cutting-edge device with both incision and coagulation capabilities, setting it apart from other laser devices. Operating at a wavelength of 2,100 mm, it enables effective incisions with minimal thermal damage, offering a distinct advantage of achieving hemostasis during surgery, resulting in reduced bleeding.
This versatile laser can be applied not only in prostate surgery but also for incisions in the ureter, urethra, and bladder neck, as well as the fragmentation of urinary stones.
The use of a high-performance Holmium laser ensures precise ablation of the targeted surface without causing damage to deeper tissues. Surgeons must exhibit skilled surgical techniques, delicately excising tissue along the boundary between hypertrophic tissue and the capsule to prevent the laser from affecting normal tissue. Only experienced practitioners can perform this procedure swiftly and accurately.
Peripheral blood vessels connected to hypertrophic tissue must be dissected for hemostasis, and bleeding during the dissection process needs careful control to ensure a positive prognosis after surgery.
Indications
- If symptoms do not improve with drug treatment.
- When the prostate becomes significantly enlarged.
- If there are recurring urethral infections.
- When accompanied by the presence of bladder stones.
- In cases where there is a sudden and complete inability to urinate.
- When kidney function is abnormal due to bladder outlet obstruction.
Transurethral Resection of the Prostate (TURP)
Prostate enlargement, known as benign prostatic hyperplasia (BPH), indicates the growth and enlargement of prostate tissue. The prostate is a walnut-sized gland located beneath the bladder in adult males but can grow to the size of an orange. As the prostate enlarges, it can exert pressure on the urethra, the passage through which urine is expelled. This can lead to weakened urine flow, frequent trips to the bathroom, and symptoms like straining to urinate. In more severe cases, urinary retention, where urine cannot be voided, can occur, potentially leading to deterioration of kidney function if left untreated
TURP is the standard treatment for benign prostatic hyperplasia and is performed using endoscopy, involving the use of electrical current to resect prostate tissue. A resectoscope is inserted through the urethra, and with the infusion of irrigation fluid, an electrical loop is used to resect and cauterize the prostate tissue. The removed tissue is then excreted externally.
When medications are ineffective or have minimal impact, TURP is a lower-risk and highly effective alternative to open surgery. It involves the removal of enlarged prostate tissue to widen the entrance of the urethra.
Indications
- Individuals who find it inconvenient to take prostate medication daily.
- Those who are not satisfied with previous treatments for benign prostatic hyperplasia.
- Individuals who have concerns or reservations about anesthesia.
- Those who have fears of potential side effects following prostate surgery.
