Prostate

Overview

The treatment for the enlargement of the prostate gland is offered with the latest technology. Transurethral Needle Ablation of Prostate (TUNA),which is a recent minimally invasive technology, is available at the institute.  The conventional Transurethral Resection of Prostate (TURP) method, which is the "gold standard" , is routinely practiced with the most modern equipment. Open surgeries done for prostate are less than 1%.

TUNA

This is one of the modalities in the treatment of enlarged prostate. It is an OPD procedure and may be performed under local anaesthesia. This is done by sophisticated Instrument. It has a probe which goes through the urethra and the temperature in the prostate is selectively raised to around 50 degrees centigrade. With this, the prostate tissue undergoes necrosis, in effect obstruction to urinary passage is relieved, Advantage of this method Is you do not have to remove the prostate, therefore anatomy Is preserved; hence there Is no alteration In sexual life.

TURP (Transurethral Resection of Prostate)

TURP the commonest type of operation (90%) for prostate problem performed nowadays Is Transurethral Resection of Prostate (TURP). This means removing the obstructing adenoma through the urethra (urine passage) with the help of a Resectoscope. This method is preferred since there is no external Incision, minimum blood loss, fewer complications and shorter recovery period. For TURP an Instrument called Resectoscope is passed through the penis which allows the doctor to look Inside. It has an electrically heated and charged wireloop on the Inner end for cutting. The Urologist cuts the obstructive tissue, piece by piece. At the end of the procedure the tissues are Hushed out with water This is the best method available at the moment. It is known as Gold Standard method for treatment of prostatic obstruction. This requires expertise and experience. It Is very safe and hospitallsatlon Is only 4 days; blood transfusion rate Is less than 2%. Mortality Is less than 0.5%. Complications like bleeding, stricture of urethra and incontinence of urine can occur. Overall complication rate Is less than 5%. Bleeding and stricture can be easily controlled by cystoscopy. In 95% of patients incontinence Is temporary and consists of slight dribble at the end of micturition. 62 to 70% patients have normal sex except they have no ejaculation.