Prostate surgery open or microsurgery? The prostate gland covers an area of about 4 cm above the urethra. This gland has an internal communication with the urethra. From time to time, different types of fluids come out of the prostate gland through the urethra. The main function of this gland is to control sexual function, maintain the pH balance of semen, and create anti-infective substances.
The prostate gland increases in size with age. The size of the gland in youth is 3 cm. 4 cm wide. Weight is approximately 15 to 18 grams.
Diseases of the prostate gland
60 percent of men age 60 and older suffer from an enlarged prostate. However, many are affected by such problems even at a young age.
Symptoms
When urinating, it feels like there is an obstruction in the urethra. The flow of urine decreases. It seems impossible to hold back urine. Clinical examination and digital rectal examination can determine whether the prostate is enlarged and whether the problem is benign or malignant. If the prostate is enlarged, medication is used to control the disease. However, surgery is necessary.
Prostate microsurgery or open?
In most cases, prostate surgery is performed using minimally invasive procedures or microsurgery. The prostate gland is surgically removed by inserting a special instrument or probe into the path where urine exits. Operating instruments and cameras are inserted through the probe. Microsurgery removes the prostate gland piece by piece. The question is, open surgery is needed in some cases?
When is open surgery?
Bleeding occurs when there is a small cut or wound in any part of the body. Bleeding occurs when the prostate gland is removed in microsurgery. This makes it difficult to see the actual condition of the gland with the help of the camera. The blood needs to be constantly washed off with water. A part of this water gets absorbed in the body. If the prostate becomes very large, more water should be given during the operation. That is, more water enters the body. If the level of absorbed water becomes too high, there is also a risk of heart problems. On average, it takes about 1 minute to extract 1 gram of prostate. So it takes 135 minutes to extract 135 grams of prostate. Meanwhile, according to medical rules, the prostate gland operation needs to be completed within 90 minutes. Now, if 90 grams of prostate is removed from a patient in 90 minutes, 45 grams of prostate will remain. In this case, if the operation is stopped, the fear of future complications from the remaining 45 grams of prostate cannot be ruled out.
Relevance of open surgery
Therefore, a urologist talking about open surgery does not mean he is avoiding microsurgery, but is focusing first on saving the patient’s life. That is, if more water is absorbed in the patient’s body during microsurgery, it can cause heart failure, and water can also accumulate in the lungs.
Tension can be life-threatening. This is why open surgery is best if the prostate gland is too large. But microsurgery methods have also changed a lot. Now laser prostatectomy or saline TURP can be done. In this case, the operation is done by washing the blood with saline. As a result, surgery time can be prolonged. While normal microsurgery takes 90 minutes, the saline TURP procedure takes 30 minutes more. But if the prostate gland is too big and if the surgery can’t be completed in an additional 30 minutes, then there is no point in the operation!
The point is, microsurgery or open-prostate surgery to completely remove the enlarged prostate gland that is obstructing urine. If even a small part remains, it can cause problems in the patient’s body later.
Therefore, the decision of which method of surgery will make the patient completely healthy should be left to the doctor.
Leave a Reply