[Naidheachdan an t-Sluaigh air aithris le Ye Baicheng, Taipei Ùr]Mr. Wang, a 63-year-old man who has been suffering from long-term problems such as difficulty urinating, impure urine, and nocturia, provides a new and less dramatic treatment method – Recommended Maintenance Care Lin Zufeng, urologist at New Taipei United Medical College After Urolift, the International Prostate Symptom Scale (IPSS) dropped from 21 points to 7 points after surgery, showing that the symptoms are greatly improved and the quality of life is greatly improved.
Pathologist Lin Zufeng pointed out that BPH (Benign Prostatic Hyperplasia) is a common health problem in middle-aged men and the elderly. The symptoms can greatly affect the quality of life, such as frequent urgent urination and nocturia, difficulty with urination and weak urine flow. level, and even affect daily life, not daring to drink more water, urgent urination and leakage due to fear that there will be no place to go to the toilet when you go out, poor quality of sleep at night , etc.
The prevalence rate is about 50% to 60% in men older than 60 years; if they are older than 70 years, it can reach 80% to 90%. happen Therefore, prostate hypertrophy is a problem that cannot be ignored.
He said that traditional treatments for prostate hypertrophy include long-term drug treatment or various levels of surgical intervention, but these treatments often have serious side effects or require long-term recovery. time Drug treatment may require long-term use, including A blockers, 5-A reductase inhibitors, etc., which may cause side effects such as hypotension, nasal congestion, and low sexual function.
If drug treatment is not effective or has severe side effects, surgical treatment may be considered. Traditional transurethral curettage surgery and prostate laser surgery can effectively improve the patient’s symptoms To ejaculate normally after the surgery, you need to have a urinary catheter in place for 1-2 days after the surgery, and the recovery time after the operation is longer.
Lin Zufeng also explained that the least invasive surgical methods include prostate lifting (Urolift) and prostate vapor ablation (Rezum), which have received a lot of attention recently. The principle of prostate lift surgery (Urolift) is to use a stapler-like technique to remove and repair the closed tissue of the prostate, thereby improving the smoothness of the urethra. This type of surgery does not require the use of electrosurgery or laser cutting, so it causes less tissue damage, less postoperative bleeding, and less pain.
“Picture” Postoperative: After the prostate is stretched, the urethra will be restored smoothly. 〈Provided by New Taipei United Medical Hospital〉
He noted that most patients recover quickly after surgery without the need for a urinary catheter. Because Urolift does not damage the prostate tissue or affect the sphincter, it will not affect sexual functions and ejaculation, and there will be no urinary incontinence after surgery. Side effects can occur after surgery but usually resolve within a few days.
Before deciding on a surgical option, your doctor will perform a comprehensive evaluation, including blood draws, urine tests, ultrasound, and a self-symptom rating scale to assess the severity of your symptoms. In addition, a cystoscope is used to examine the state of the prostate to ensure that the patient is suitable for surgery.
After surgery, patients usually experience immediate improvement, no need for a urinary catheter, and smooth urination. Studies show that prostate enhancement results can last at least five years without the need for other treatments. However, if there is an infection, bladder stones, bladder diverticula, or an enlarged central lobe of the prostate, Urolift is not suitable for treatment.
Lin Zufeng reminded that prostate retraction surgery is currently not included in health insurance benefits, and patients must pay for consumables and surgery costs at their own expense. In addition, the physical condition and specific situation of each patient is different, and surgery requires a detailed evaluation and study by a urology specialist to determine if this treatment is appropriate.
2024-05-09 07:50:19
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