Download 100 Questions & Answers About Prostate Disease by Kevin R. Loughlin PDF

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  • April 11, 2017
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By Kevin R. Loughlin

By way of offering either the doctor's and patient's view, this publication offers authoritative, sensible solutions for your questions about healing procedures.

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50. What types of laser therapy are available? Multiple types of lasers have been used throughout many areas of medical practice. In urology, several types of laser technology have been applied to the treatment of BPH. When considering whether laser therapy is appropriate for his prostate symptoms, it is important for the patient to have a thorough discussion with his urologist about the treatment options and which laser will be used and why. Not every urologist or every hospital has access to every laser that is on the market.

Electrovaporization of the prostate (TUVP) is, in a sense, a derivation of TURP. Rather than a resecting loop, the urologist uses a “roller ball” to heat and desiccate the prostate instead of actually resecting tissue (Figure 8). Electrovaporization a procedure in which electric current is used to destroy prostate tissue. Electrovaporization of the prostate has been most often applied in patients with a history of bleeding disorders or in cases in which it is desired to minimize blood loss. qxd 7/25/06 2:01 PM Page 46 100 QUESTIONS & ANSWERS ABOUT PROSTATE DISEASE (a) (b) Figure 7 (a) Formation of lesions in the prostate.

As is done with a suprapubic prostatectomy, the inner portion of the prostate is shelled out or enucleated. Because the bladder is not opened, it is not necessary to leave a suprapubic tube postoperatively, but a urethral catheter is left in place. Like a suprapubic simple prostatectomy, the patient is usually in the hospital 3 or 4 days postoperatively. In addition to the abdominal approaches described previously here, a benign prostate can be surgically approached via the perineum. The perineum is the area between the scrotum and the anus.

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