| Laser surgery |
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laser surgery is a safe tool that need a special experience for its application. The coagulation or heating of the tissues leads to its shrinkage and diminution of the size of the prostate without affecting the integrity of the mucous membrane lining the urethra. This permits a smooth healing and rapid recovery avoiding the hazards of an operation. The prostate is the male gland situated underneath the bladder neck and resting on the muscles of the pelvic floor. It surrounds a part of the urethra. It is composed of two lateral lobes, a median lobe and the so called seminal Colliculus. This is a small rounded part at the tapered region of the prostate distally where the semen ejects during ejaculation and is considered as the lowest limit of the prostate during operations. The prostate is responsible for the secretion of the largest part of the semen and is highly influenced by the male hormone testosterone. It enlarges at aging causing trouble at micturition. The mechanism of enlargement is not yet understood. The treatment is usually medical or surgical. There are many types of laser that are used by me, namely the green light laser, the ND-YAG laser and the Revolex laser. Patients suitable for laser surgery re those who do not profit from medications or have agonising symptoms in particular the obstructive symptoms like weakness of the urinary stream, dribbling after micturition or even complete obstruction of urine. The irritative symptoms, for example running for bladder evacuation in urgency, burning during bladder evacuation and patients suffering from disturbed sleep may also indicate the coagulation of the prostate with laser. Patients who do not want to may go through the risk of operation by electro resection as bleeding, incontinence or urethral stricture may profit also from the operation. It is now possible to treat any size of the prostate by laser. |