Prostate operation, where it is a small gland inside the pelvis, present in men only and is the size of a walnut, and surrounds the urethra, which is a thin tube through which urine passes to be excreted outside the body and the prostate is the largest gland of the male reproductive system, where its tasks are to manufacture the alkaline fluid, which is about The 30% of semen, including production, fovatase acid, citric acid and calcium along with fat and protein, and the prostate site is located at the base of the bladder and diaphragm in the reproductive system, and we have talked previously and in the past about the symptoms and causes of the prostate, and we will expand now With surgery, as with the development of science and modern technologies, prostate surgery has become easy and foolproof, and it is considered a safe and simple operation, as well as a variety of options and techniques.
Prostate operation aims to completely remove a cancerous tumor (malignant or benign) with all tissues completely with tissue margins that are devoid of cancer cells with lymph glands in order to ensure and prevent the spread of cancerous cells in the body or their return, and prostate enlargement cancer is one of the cases. A common condition that affects men and may increase after aging, and this matter is still not understood, or the presence of a bacterial or viral infection, or even exposure to (cancer) a malignant or benign tumor, and the presence of an enlarged prostate does not increase the risk of prostate cancer except with similar symptoms and Tumor formation where prostate cancer forms slowly and may take fifteen years.
Treatments in a prostate operation are either by excision, hormonal therapy, or through internal or external radiotherapy, and treating a prostate operation may affect some side effects that are negative, such as:
1- Loss of sexual desire.
2- Erectile dysfunction.
3- Urinary incontinence.
Prostate operation via laser is for people with cancer, but the case is benign cancer and they have difficulty urinating and weakness in the urinary tract and prostate, where after urine and blood laboratory tests, the specialist doctor may resort to a laser and it is called laser vaporization, where water, salt and water are used. The doctor removes only the inner core of the prostate, and the specialist doctor may keep an external tube for three days, after which the patient can urinate comfortably and this process is completely safe until the anesthesia is local and the patient speaks with the doctor during the operation to ensure psychological comfort and takes time about ( 40 - 70) minutes only, after which the patient can resume his daily life and leave the medical center the same day.
And again we mention the symptoms of prostate surgery, the most important of which are:
1- Pain, burning, difficulty, and change in color in urination.
2- Pain in the abdomen, lower back, or groin.
3- Pain between the scrotum and the rectum area.
4- Severe pain in the penis and testicles.
5- Flu symptoms.
Can a specialist doctor differentiate before prostate surgery if the tumor is benign or malignant?
Yes, it is possible to differentiate between benign and malignant hyperplasia by performing a careful autopsy examination of prostate samples. As for examining blood samples, it is an indication of the presence of prostate disease.
Does an enlarged prostate affect fertility and semen quality?
Yes, there is an effect on fertility, since the majority of semen and in a large percentage are formed in the prostate gland and enlargement contributes to reducing the amount of semen and thus decreasing fertility.
Before prostate surgery, the specialist must ask the patient for comprehensive examinations related to it, ultrasound imaging, a biopsy of the gland and its examination to find out and detect a cancerous tumor and how to deal with it, and inform the doctor of all the medicines that the patient takes and stop any blood thinners such as Take aspirin a week before and fasting eight hours before the operation.
And prostate surgery is performed to relieve the patient from the following complications and risks:
(Difficulty urinating, urgent frequency of urination, with slow urination, inability to completely empty the bladder, and urinary tract infection).
Beginning of prostate laser surgery, and there are types of:
1- Photo-selective evaporation.
2- Partial or complete resection using the Holmium laser.
And the specialist doctor or surgeon chooses the appropriate procedure according to the condition and health of the patient, and the results are often satisfactory and long-term in laser surgery in prostate surgery.
Prostate surgery can also be performed via a robot, where the specialist surgeon controls the course of the operation through a control panel close to the patient, and the control is very precise, since the surgical tools in the work of the robot are equipped with a three-dimensional camera, and the robot’s mechanism is often considered to preserve the nerves that maintain sexual ability. For the patient after prostate surgery to reduce pain and blood loss.
The method of radical resection is standard in a prostate operation, but behind the pubic area, the surgeon makes an incision in the lower abdomen of the patient from below the navel, even before the pubic bone, and the excision is done very carefully to take care of the blood vessels and surrounding nerves and closes the incision with medical and cosmetic stitches.
And the method of simple prostatectomy in a prostate operation through a long and flexible endoscope, and the incision is also below the navel, and if the patient has a problem with the bladder or what is called (hernia), this procedure will be an opportunity for the specialist surgeon to repair them at the same time from the prostate operation.
And in what kind will be after the operation, this is the introduction of a tube for drainage by the specialist for a certain period of one to three days, and if the patient encounters any pain, it will disappear by taking mild analgesics.
Isabel Medical Center in Istanbul - Turkey provides all medical treatments and health advice for a healthy body and works to conduct all surgeries with a high level of expertise and accuracy as it is distinguished by a highly experienced medical staff of specialized doctors and qualified nurses with high skills, and all except Modern technologies and advanced medical devices present in Isabel Medical Center, nothing prevents you from hesitating to contact us and request a free consultation and visit us.
Key words: prostate surgery