Prostate operations – indications, methods, rehabilitation. How Much Does Prostate Surgery Cost?

Prophylactic examinations of the prostate gland (prostate gland, prostate gland) should be performed regularly after a man turns 50. Follow-up visits are crucial in detecting early-stage prostate cancer. This is important because it is the second most commonly diagnosed cancer in men. Once a diagnosis is made, the procedure of choice is usually a prostate resection.

What is the prostate?

The prostate is part of the male genitourinary system. Located near the perineum (exactly under the urinary bladder), it adjoins the anterior wall of the anus. That is why prostate examination is performed via the rectal route.

The prostate gland is extremely important for reproduction because it is responsible for the production of the fluid that is part of the semen. It contains substances that nourish sperm and stimulate their mobility.

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Prostate diseases

Prostate problems are usually referred to in the context of two diseases: prostate enlargement and cancer. While inflammation and benign gland hyperplasia are treated primarily with pharmacological agents, neoplasm is often an indication for surgical prostatectomy. This procedure is then called a prostatectomy.

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Prostate surgery – methods

Until recently, the common method of prostate removal was open radical prostatectomy, i.e. removal of the prostate gland. With the development of minimally invasive surgical techniques, the popularity gained, among others, radical laparoscopic prostatectomy, the use of which reduces the risk of complications and minimizes pain.

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Laparoscopic prostatectomy

During the procedure, the surgeon makes several incisions through which he inserts surgical instruments and a camera. In this way, the entire prostate gland as well as the lymph nodes can be removed, which is sometimes necessary in the case of cancer.

Laparoscopy reduces the risk of damage to the nerve structures adjacent to the prostate, thanks to which patients after this procedure report less erection problems. However, this does not mean that there will be no complications. It is also worth remembering that rehabilitation will be necessary to return to normal functioning (both physiologically and sexually).

Laser prostate removal

Another method of treating prostate diseases is HoLEP (ang. Holmium laser Enucleation Of the Prostate), i.e. laser prostate enucleation. The laser beam emitting device is inserted into the end of the urethra and bladder. The gland is then precisely cut out and cut into smaller pieces. These are removed through the urethra.

The precision of the laser beam causes minimal damage to the tissues surrounding the prostate after the procedure. The advantage of the procedure is also a much shorter recovery time. Satisfactory sexual performance usually regains after about a month.

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Transurethral resection of the prostate (TURP)

When conservative treatment of benign prostatic hyperplasia is ineffective and the symptoms persist, then surgical intervention should be considered. The so-called gold standard is currently transurethral resection of the prostate – TURP for short.

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The procedure is performed using a resectoscope, i.e. an endoscopic tool with an optical system and an electric loop. They are introduced through the urethra, and then the tissue of the overgrown prostate is excised. The sections are then removed with a special syringe or flushed through a resectoscope component called a sheath.

Prostate Incision Surgery (TUIP)

You can also get rid of benign prostatic hyperplasia by transurethral incision of the prostate (TUIP). The indication for this treatment is, among others identification of respiratory and cardiovascular diseases that make TURP surgery impossible.

Prostate incision is also performed in young, sexually active men who, due to the severity of clinical symptoms, qualify for surgical treatment of benign prostatic hyperplasia. The procedure is also performed in patients who cannot tolerate pharmacological treatment.

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The operation involves inserting a resectoscope through the external urethral opening. However, the tissues are not removed, but only precisely incised. This allows the prostate to part sideways, which reduces the mechanical pressure on the urethral area. The most common are incisions in the prostate gland and the bladder neck.

How Much Does Prostate Surgery Cost?

Laparoscopic prostate excision is a procedure with an average cost of around $ 15. zloty. The laser procedure is cheaper and usually costs between 8500-10. zloty. You have to pay even less for transurethral resection of the prostate gland (TURP) – the average price is PLN 5300. The cheapest procedure is prostate incision (TUIP). Usually it costs about PLN 4700.

Rehabilitation after prostate surgery

Prostate surgery can lead to urinary incontinence problems. This is due to changes in the functioning of the urethral sphincters. The condition of the bladder muscles can be improved through rehabilitation. Many doctors emphasize that it is crucial for regaining sexual performance and eliminating the problem of urinary incontinence.

Rehabilitation usually begins 4-5 weeks after the surgery and mainly includes pelvic floor muscle exercises, i.e. Kegel muscles. Experts recommend performing them for about 30 minutes a day in series of 10 or 15 minutes.

The first effects of training can be noticed after a few weeks. It usually takes 7 to 9 months for sexual performance to be fully achieved. Regular exercise will shorten this time.

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