Prostate enlargement is also known as prostate hyperplasia. It is a very common disease among elderly men. Prostate enlargement may be related to some diet and lifestyle habits. As for the problem of how to treat prostate enlargement, it can generally be treated through minimally invasive treatment. (1) Transurethral electrovaporization of the prostate (TUVP) is suitable for BPH patients with poor coagulation function and small prostate volume. It is another option for TUIP or TURP. The main innovation is the electrode metal material, which makes its biological thermal effect different from the former. Due to the rapid thermal conversion, it can produce a high temperature of 400℃, which quickly causes tissue vaporization or coagulative necrosis, and its hemostatic characteristics are extremely significant. (2) Transurethral plasma bipolar resection of the prostate (TUPKP) and transurethral plasma excision of the prostate (TUKEP) are transurethral prostatectomy procedures that use a plasma bipolar resection system and are performed in a similar manner to monopolar TURP. The main advantages of TUPKP include less intraoperative and postoperative bleeding, reduced transfusion rates, and shortened postoperative catheterization and hospitalization time; TUKEP removes the prostate within the capsule, which is more in line with the anatomical structure of the prostate. It has the characteristics of more complete removal of prostate hyperplasia tissue, low postoperative recurrence rate, and less intraoperative bleeding.(3) Microwave therapy is suitable for patients who have failed to respond to drug treatment (or are unwilling to take long-term medication) and are unwilling to undergo surgery, as well as high-risk patients with recurrent urinary retention who cannot undergo surgery. (4) Laser therapy: The common feature of laser surgery is that intraoperative bleeding is relatively less, and it is especially suitable for patients with high-risk factors, such as advanced age, anemia, and decreased function of important organs. |
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