Dr. Instructor Member Mustafa Yücel Boz made important warnings against benign prostatic hyperplasia, which can be seen in one in 2 men over the age of 50. Dr. Instructor Prof. dr. Boz said: “Benign prostatic hyperplasia (BPH) is a clinical condition that causes difficulty urinating when the enlargement of the prostate gland puts pressure on the urethra to cause obstruction. This is the case. This condition increases with age. The main complaints of patients with benign prostatic hyperplasia, which may be in the form of difficulty starting to urinate, weak and interrupted urination, feeling unable to empty urine completely, frequent urination, sudden urination, night urination, urinary incontinence.
LIKE THE SYMPTOMS OF PROSTATE CANCER
Noting that no special precautions can be taken with diet or exercise against prostate enlargement in men, Dr Instructor Member Boz said: “As a result of aging, almost one in two men after the age of 50 may experience these problems more or less. It is necessary to take care of this situation. In fact, the symptoms of benign prostatic hyperplasia and prostate cancer are similar in the form of difficulty urinating. Benign prostate enlargement can be distinguished from prostate cancer on the basis of prostate examination and whether there is an increase in PSA in the blood. If there is no relief with the medication given, if the person’s symptoms or micturition test do not improve, then we may recommend surgery. In the treatment of BPH, the HOLEP, THULEP, and BIPOLEP methods are emerging as the most up-to-date and effective treatment methods.
TREATMENT IS POSSIBLE WITH 3 CURRENT METHODS
Dr. Instructor Member Mustafa Yücel Boz explained the current treatment methods as follows:
“HOLEP, THULEP and BIPOLEP methods stand out as the most effective methods in benign prostatic hyperplasia. The HOLEP and THULEP methods are similar. There is a difference in the laser source used between these methods. In the BIPOLEP method there is a difference in energy source. If we explain the HOLEP method in terms of easy understanding, if we compare the prostate to an orange, we can open up the area between the peel and the slices so clearly that there is very little bleeding. It has many benefits, especially in terms of bleeding. We can effectively treat prostate enlargement. The recurrence rate is also very low compared to standard prostate surgery. The HOLEP and TULEP methods are technically the same, only the laser energy used is different. The HOLEP method offers the possibility to remove a large amount of tissue without making incisions in the body with less risk of bleeding. The HOLEP method can be applied to all BPH patients, especially those with large prostate enlargement, who require surgical treatment. After the anesthesia evaluation, the procedure can be performed under low back or general anesthesia. Patients can be discharged on the 1st or 2nd postoperative day by removing the catheter and observing the patient’s urine flow.
THE PATIENT HAS A COMFORTABLE SURGERY
Dr. Instructor Member Mustafa Yücel Boz continued his evaluations as follows:
“There are two of the main complications that can occur after prostate surgery. Urinary stricture may develop. This chance is about 5 percent. There may also be a urinary incontinence problem. In this case it is quite rare. These are the negative aspects. As a result, surgical methods of the prostate are applied to patients who do not respond to drug therapy and are unable to relax, that is, patients with surgical indications. The short duration of the operation, the low risk of bleeding and the short postoperative hospital stay make the HOLEP method attractive. After the catheter is withdrawn after surgery, the patient urinates and is discharged.”