The cost of surgery for BPH. Different operations — different prices.
Benign prostatic hyperplasia is a common urological disease, common in men older than 50 years. About 15% of patients with BPH require surgical intervention.
Operation is appointed to people with severe or moderate symptoms, especially in cases when the delay of the outflow of urine is insoluble, or if the enlarged prostate is accompanied by frequent urinary tract infections, presence of blood in the urine, kidney stones or bladder. The cost of surgery in various hospitals may vary. Basically it depends on the type and expertise of the doctor.
The main indications for surgical intervention
Surgical treatment of prostate adenoma are shown in the following cases:
- acute urinary retention;
- with a large amount giperplazirovannah prostate (over 80 cm3);
- with a large volume of residual urine (more than 50 cm3);
- incontinence, frequent urination in night.
There are also other indications for surgical intervention, but their individually determined by the attending physician.
The price of any surgery on the prostate adenoma depends on several factors:
- The method in which the surgery will be performed.
- The duration of stay in hospital after surgery.
- The type of anesthesia.
- Qualification and experience of the surgeon.
- The level of technical equipment of the medical center.
- The pricing policy of the medical center in which surgical and subsequent treatment.
Transurethral resection of the prostate (TURP)
The most common operation is an endoscopic treatment of BPH is known as transurethral resection of the prostate. This type of operation requires hospitalization and is performed using spinal or General anesthesia.
Under regional or under General anaesthesia, an endoscope is inserted through the penis men in the urethra and applied to the prostate. A special cutting loop is removed small pieces of the prostate to the formation of a wide channel in the prostate, which will be free to pass urine.
If the patient's prostate is not much enlarged, that it will make a small incision to reduce the narrowing of the urethra. This procedure is called incision of the bladder neck or transurethral incision.
What awaits the patient after TURP
The duration of hospital stay after transurethral resection of prostate is about two days. After surgery to remove part of the prostate is established, the catheter for removing blood clots or blood in the bladder. When the urine is completely cleared from the blood, the catheter is removed andthe patient is discharged home.
For 7 weeks men undergoing surgery, you should avoid constipation, sexual, and tense motor activity. Due to the inflammation and irritation caused by the operation, some time will continue frequent urination.
The result of study revealed that:
- 8-10 of the 10 men who underwent surgery for removal of prostate adenoma, there was a significant improvement;
- in patients after transurethral resection, the scale (intensity) of symptoms was much lower than those who chose to wait with the operation.
On average, patients experience noticeable relief of the symptoms of BPH by 85%. For example, if the scale of symptoms before surgery was 25 points, then after the procedure has decreased to 4 points.
Electro-vaporization of the prostate
This type of operation is similar to transurethral resection, the difference between them consists in the features of loop — force of its current is 290 watts.
Electro-vaporization is becoming more prevalent due to minimize the risk of bleeding after tissue processing loop, which immediately coagulates the vessels.
Endoscopic method in which removes part of the prostate tissue with a laser. Laser resection is performed to relieve disorders caused by BPH.
The results of this method are similar with the results of TURP, but it is associated with less variety of complications, faster recovery, shorter period of catheterization, and no need for hospitalization.
Less than 1% of patients experience after laser resection erectile dysfunction and have retrograde ejaculation. Also after laser resection may be a slight burning sensation after urination in rare cases, there is urinary incontinence.
This kind of surgery for removal of prostate adenoma is the treatment for 3-4% of patients who have damage of the bladder, the large size of the prostate and other serious violations.
Open prostatectomy is assigned when the prostate is so enlarged (2.9 to 3.4 oz), which is less traumatic surgery (transurethral resection) cannot be performed.
Furthermore, open surgery in case of BPH is shown to help men:
- urinary bloating;
- persistent or recurrent urinary tract infections;
- pathological changes in the ureters, bladder or the kidneys;
- obstruction the output portion of the bladderbladder;
- the presence of blood clots and blood in the urine.
Contraindications to performing this type of surgery are prostatectomy and previous surgery on the pelvic organs, fibrotic gland and prostate cancer.
In the treatment of BPH by surgery, open prostatectomy is performed or via a suprapubic or retropubic incision.
The best method of anesthesia is the epidural or spinal. Regional anesthesia helps reduce bleeding during the procedure and the risk of possible complications (such as postoperative deep vein thrombosis or pulmonary embolism.
General anesthesia is used if the patient has a medical or anatomical contraindications for regional anesthesia.
To date, the improvement of surgical instruments allowing to a minimum level to reduce blood loss. For 6-7 weeks after open surgery in patients with marked urinary incontinence.
A bladder condition mostly depends on what he was before the operation. Retrograde ejaculation occurs in approximately 55-75% of patients after surgery. Erectile disorders occur in 3-6% of patients undergoing the procedure.
The most common complications after open surgery are myocardial infarction, pulmonary embolism, stroke and venous thrombosis. The frequency of any of these complications is less than 1%.