surgeon: Amil Kumar, MD
Benign Prostatic Hyperplasia (BPH) is the most frecuent disorder of the prostate gland, as a response of the action of dihydrotestosterone. In the majority of men affected , the disease produces urinary symptoms such as urinary retention, recurrent urinary tract infection, bladder stones and renal dysfunction. Men who developed symptoms secondary to BPH should be treated surgically.
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This is a 72 year old male who was suffering from urinary retention and recurrent urinary tract - infection. He underwent a cystoscopy study that showed an enlarged prostate causing his symptoms. |
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This pictures shows an enlarged prostate, obliterating the urethral canal. This particular case underwent transurethral resection of the prostate or TURP. |
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80-90% of the patients undergoing TURP experience significant improvement in the urinary symptoms and uroflow. The operative mortality for TURP is 1% or less.This picture shows the prostatic urethra from inside where the prostatic sinus and both seminal colliculus can be appreciated . |
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Visual Laser Ablation of the Prostate (VLAP) uses the Nd-Yag laser to re-canalize the gland in order to aliviate obstruction. VLAP is a relatively simple technique with a low perioperative morbidity and short time results comparable to classical transurethral resection of the prostate.This new method has become an accepted treatment for benign prostatic hypeplasia in high risk patients. A sideward-firing fiber is inserted in the prostatic area, through the urethra, and coagulates the prostatic tissue with the laser light. This coagulated tissue is removed by sloughing. (see movie) |