LASER TREATMENT FOR ENLARGED PROSTATE - Quanta System

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Symptoms of enlarged prostate The symptoms may include: • a less powerful stream of urine and / or an interrupted flow; • difficulty with the beginning of urination; • more urgency and frequent urination; • dripping; • unwanted loss of urine (incontinence); • at night, increased urination; • a feeling that the bladder is not empty. The combination of these symptoms is also called LUTS (Lower Urinary Tract Symtoms). Benefits of the treatment Together with your doctor, it was decided to treat your enlarged prostate with an laser. The hospital uses the Cyber TM, one of the newest and most advanced lasers for prostate surgery. The advantages of laser treatment of the prostate compared to the standard treatment, called TURP include: • less postoperative (after surgery) problems. • a shorter hospital stay • less blood loss after surgery • The bladder catheter stays in for a short time. The advantage over other lasers is that the the Cyber TM enables the urologist in precise targeting laser energy to remove prostate tissue. Higher precision means more safety and fewer complications. In addition, the urologist is able to remove tissue with the laser Cyber TM in order to have this tissue investigated by the pathologist for (eg cancer) The results of tissue examination after your discharge will be discussed with you at the clinic. How do you prepare for? The hospitalization usually begins on the day of the surgery. You must be sober from 24.00 hours at night the day before the surgery. This means that from that time you are no longer allowed to eat drink or smoke. On the ward you will receive a conversation with the nurse and blood will be taken. Do you use blood thinning medication? Than it is sometimes necessary to stop the medication.This is in consultation with your doctor. PATIENT INFROMATION JEROEN BOSCH HOSPITAL 2 van 4
The course of the operation Laser treatment of the prostate occurs under anesthesia with an spinal or under general anesthesia. The urologist brings an instrument through your urethra, a cystoscope. This allows the prostate examined. Through the cystoscope, a laser fiber is inserted. Excess tissue from the prostate is excised and evaporated by the laser piece by piece. This technique is called vapo-resection. The effect is similar to the hollowing of an apple with an apple drill. The wall (the capsule) of the prostate remains. The cut pieces are flushed out with a washing liquid, which runs through the cystoscope into the bladder. There is only an internal wound. Any blood vessels can be coagulated with the laser, to prevent bloodloss. After surgery, a bladder catheter is inserted. When using a laser everyone in the operating room must wear protective goggles. After the operation The bladder catheter is removed the day after surgery when the urine is clear in color is. Next, you must be able to urinate spontaneously (pee yourself). The nurse will after urination with an ultrasound device examine if your bladder is empty. If urinating is no longer a problem you may go home. After surgery, you may temporarily experience problems with urination. Sometimes it may be a difficult to hold your urine. It is also possible that there is some blood in the urine, this is only temporarily do not be alarmed. Please adequate rest and drink lots until the blood disappears. What are the risks? After surgery, bleeding can occur from the prostate. Usually this bleeding stops spontaneously . The urine still remain several days in succession bloody or clots arise and there is a urination problem, please contact us. There may be a urinary tract infection and / or an action associated with epididymitis fever. Usually such an infection can properly be treated with antibiotics. It may take some time before you can hold your urine perfectly again. This is because the sphincter (the "downstream" where the prostate is located) needs time to get used to the powerful stream. After a Cyber TM laser treatment of the prostate, it often happens that after an orgasm the sperm enters the bladder and not out of the penis. The semen is as it were in the wrong direction. The locking mechanism that normally prevents the laser is - together with the excess prostate tissue - removed. There is called a "dry" ejaculation. This is not dangerous to your health. Erectile dysfunction does not occurre after surgery. There is a very small chance that after some time a narrowing of the urethra occurs. This is due to the formation of scar tissue. Sometimes a new (surgical) treatment is necessary. PATIENT INFROMATION JEROEN BOSCH HOSPITAL 3 van 4
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LASER TREATMENT FOR ENLARGED PROSTATE - Quanta System

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