Parc Taulí consolidates the laser technique in the surgical treatment of benign prostatic hyperplasia 150 150 Parc Taulí current affairs

The team of the Urology Service of the Hospital de Sabadell has performed about 110 interventions annually with this technique since 2013. It is a less invasive therapy than conventional surgery and provides great benefits to the patient. Benign prostatic hyperplasia affects half of men from the age of 50, and 80% from the age of 80.

Benign prostatic hyperplasia (BPH) is a disease with a high incidence in the male population, which increases with age, and the demand for services is expected to grow in the coming years due to the increase in life expectancy. of the population. Of this population, a high percentage suffering from BPH will require surgical treatment.

Patients with BPH who need treatment are those who have the following symptoms, related to urinary difficulties: increased frequency of urination, difficulty emptying, urinary tract infections, urinary retention, and even cases of urinary incontinence, hematuria and kidney failure. , the first indication for therapy in BPH is medical treatment. Those patients who do not respond clinically, have severe complications, or do not tolerate medical treatment, are candidates for surgical treatment.

The incorporation of the different types of laser in the usual surgical practice in recent years has allowed the use of two types of laser: Holmium and Thulium (with similar characteristics to KTP - green laser)) in the treatment of prostate disease. .

Advantages of the laser technique in the treatment of BPH

Since its implementation in 2013, Parc Taulí urologists have performed an average of 110 annual laser procedures. The use of laser types is indicated by prostate volume and associated pathology (bladder lithiasis). In high-volume prostates or those with severe complications, the conventional open surgical technique (retropubic adenomectomy) is still used.

A high percentage of patients who are candidates for surgery benefit from the laser technique which consists of the use of the Thulium fiber laser (KTP) or the KTP - green laser in small volume prostates, vaporizing the hyperplastic tissue (BPH), is to that is, of adenomatous tissue that has hypertrophied with age; or the Holmium laser fiber used in medium-volume prostates that consists of the removal of all the hypertrophied tissue (enucleation of the adenoma) and subsequent fragmentation and extraction of the same.

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