The prostate is a small organ about the size of a walnut. It lies below the urinary bladder (where urine is stored) and surrounds the urethra (the tube that carries urine from the bladder). The prostate makes a fluid that helps to nourish sperm as part of the semen (ejaculatory fluid). Prostate problems are common in men at age of 50 year and older.
For the patient of benign prostatic hyperplasia (BPH) many endoscopic prostate surgery are common in practice. These endoscopic prostate surgery are following.
- Transurethral resection of the prostate (TURP)
a surgeon inserts a resectoscope into the urethra. The resectoscope is a tool that allows a surgeon to see the enlarged prostate gland. The surgeon then place a cutting loop through the resectoscope to remove small pieces of the prostate gland tissue. As he runs an electrical current through the cutting loop the prostate gland is cut in small pieces (chips). After finishing cutting away chips, the surgeon will flush the urethra and the bladder to remove the tissue that has been extracted from the prostate. Finally, a catheter is inserted to allow the passage of urine out of the body. When the catheter is removed a few days later, the patient passes urine with wider channel.
- Holmium laser enucleation of the prostate (HoLEP)
In this procedure, a laser is used to cut and remove the excess prostatic tissue that is blocking the urethra. After enucleating prostate tissue, another instrument (morcillator) is put to cut and suck the enucleated prostate tissue into small pieces and thus prostate is easily removed in this procedure bleeding is very minimal. So HoLEP can be an option for men who have a severely enlarged prostate or risk of bleeding
- Bi Polar TURP
This procedure is similar to TURP but here a newer technology is used to decrease the fluid absorption.This procedure is very patient friendly and suitable for patient with large prostate, Patient with risk of bleeding and patient with cardiac disease
- Laser Bladder Neck Incision
Bladder Neck Incision is a surgical procedure where the cause of obstruction above prostate at bladder neck here.Bladder neck is incised sharply with laser at 5 & 7 O clock position to widen the bladder neck
- Transurethral Incision of the Prostate (TUIP)
This procedure is used when urinary symptoms are caused by an small size enlarged prostate. A resectoscope is inserted through the urethra and prostate is cut in one or two small grooves to open the urinary channel and to allow urine to pass through more easiy.
- Pain in the back, belly, or side(Flank)
- Pain or burning during urination
- Urgence & frequence of Urination
- Blood in the urine
- Cloudy or smelly urine
- Nausea and Vomiting
- Fever and chills
- Endoscopic Removal of Kidney Stones
- Holmium Laser Lithotripsy using Flexible Uretero-Renoscope.
- MINI-PERC and MICRO-PERC -It is a further Miniatarisation/Smaller version of PCNL
- Percutaneous Nephrolithotomy (PCNL).
- RIRS (Retrograde Intrarenal Surgery) with Holmium Laser.
The Benefits of Endoscopic Surgical Procedures Can Include:
- Small incisions or few incisions
- Less pain
- Low risk of infection
- Short hospital stay
- Quick recovery time
- Less scarring
- Reduced blood loss