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Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by prostate enlargement. The surgeon inserts a scope through the penis tip into the urethra. A laser passed through the scope delivers energy to shrink or remove excess tissue that is preventing urine flow. [7] Different types of prostate laser surgery include:
urethral erosion (4-15%) infection (1-14%) urethral atrophy (4-10%) Other less frequent complications are hematoma, urethral stenosis, urinary fistula. [39] Mechanical failures and non-mechanical complications may lead to surgical revision in 8-45% and 7-17% of cases, respectively. The overall device explantation rates in males is reported to ...
For people who would otherwise leak via the urethra, the Mitrofanoff channel can provide continence and enable them to stop using diapers. [17] Other conditions for which the procedure may be appropriate include urethral cancer, congenital absence of a urethra, Prune Belly syndrome, sacral agenesis, and traumatic loss of urethra from a gunshot ...
The physician will gently insert the tip of the cystoscope into the urethra and slowly glide it up into the bladder. The procedure is more painful for men than for women due to the length and narrow diameter of the male urethra , and results of a 2019 systematic review of the literature found that intraurethral lidocaine greatly reduces this ...
BPH is normally initially treated medically through alpha antagonists such as tamsulosin, or 5-alpha-reductase inhibitors such as finasteride and dutasteride.If medical treatment does not reduce a patient's urinary symptoms, a TURP may be considered following a careful examination of the prostate or bladder through a cystoscope.
Common indications for urinary catheterization include acute or chronic urinary retention (which can damage the kidneys) from conditions such as benign prostatic hyperplasia, orthopedic procedures that may limit a patient's movement, the need for accurate monitoring of input and output (such as in an ICU), urinary incontinence that may compromise the ability to heal wounds, and the effects of ...
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Examination findings such as blood at the urethral meatus, or a high riding prostate necessitate a retrograde urethrogram prior to insertion. [ 8 ] In the United States, catheter-associated urinary tract infection is the most common type of hospital-acquired infection . [ 8 ]