Prostate enlargement New treatments
＃If there is no drug effect, do surgery
＃New medical technology ‘Euro lift’
＃No damage to the urethra or appendix.
＃Elderly people and hypertension patients are ok to do this surgery.
＃20 minutes of treatment time, discharge on the day
Many middle-aged men in Korea suffer from hypertrophy of the prostate. In addition, the number of patients with hypertrophy of the prostate is increasing. According to the Korea National Health Insurance Corporation, the prevalence of hypertension in men in their 40s was 2.6% in 2012, but it increased about 4 times to 10.5% in 2016. The percentage of those in their 60s increased from 19.9 percent to 37.5 percent, while those aged 80 or older increased from 43.3 percent to 53.8 percent. The problem is that even if you have prostate enlargement, you do not go to the hospital. According to Lee Ji-yong, director of the urology department of Proud Urology, “About 37% of patients develop disease without seeking a hospital,” said Lee. “In patients who have actually visited a hospital, many cases of prostate hypertrophy are considered natural aging processes. The risk of the same disease is growing, so if you have symptoms, you should find a urologist right away. ”
◇ If the urine is tapered and the going toilet often are suspicious
Prostate hyperplasia is a disease in which the prostate, the reproductive tract surrounding the urethra, under the bladder becomes increasingly enlarged. The prostate is originally about 15 to 20 grams, the size of the walnut. However, from age 40 onwards, it becomes more and more aging. If it is severe, it becomes big enough for a mandarin or a baseball ball. If the enlarged prostate pushes the urethra, symptoms of voiding dysfunction appear. The urine stems are tapered, urine is low, and not cool. Urine frequency is also increased than usual. If left untreated, urinary tract infection, bladder stones, acute urinary retention (the urine is not properly held, the bladder is swollen or the urine is refluxed by the kidney) · The risk of acute renal failure is increased. Lee Ji-yong said, “If you find it early, you have less complications and can treat it with drugs.”
◇ Surgical treatment if there is no improvement after medication
Medication is recommended in the early stages of benign prostatic hyperplasia. Alpha sympathomimetic blockers, and alpha-reductase inhibitors to reduce prostate size and speed urine (urine speed) can be. If there is no effect on medication, surgery is inevitable to excise the prostate tissue. People with acute urinary incontinence and People who are at high risk for complications such as prostrate enlargement, kidney function, etc., are also considered for surgical treatment. However, prostatectomy may cause side effects such as urethral or appendicular injury, and general anesthesia is necessary.
◇ New medical technology Euro lift, reduce risk of side effects
In recent years, there have been treatments that do not require the removal of prostate tissue. It is a ‘Euro lift’ procedure. It has been approved by the US Food and Drug Administration (FDA), and in 2015, it was listed as a new medical technology in Korea. The Euro lift principle is to stretch the urethra by pulling a tiny thread of nickel and titanium alloy through the endoscope to pull the prostate gland. There is no risk of damage to the urethra or appendicitis due to the need for prostatectomy. In addition, general anesthesia is not necessary, and even if it is old or cardiovascular disease can be received. In a study by the University of Southern Illinois in the United States, 140 patients who had enlarged prostate gland (30 ~ 80g) due to enlarged prostate gland were treated by EuroLift.
As a result, the prevalence of international prostate symptom score (IPSS, symptom of urinary disturbance was higher with higher scores) was 22.2 in the control group, but improved to 11.2 in 3 months after the procedure. The maximum urinary flow rate also increased from an average of 8 ml / s before the procedure to 12.3 ml / s after 3 months of the procedure. In September last year, domestic research came out. After a year of follow-up for 13 people who underwent EuroLift surgery, the international prostate symptom score and quality of life improved, and urinary frequency increased. There were no complications related to the condition. However, if the prostate tissue is larger than 100 g, it may be difficult to perform the lift lift procedure.
Lee Ji-yong, director of the hospital, said, “The procedure time is short about 20 minutes and it is possible to be discharged on the day so that we can live everyday life.” When choosing a hospital for treatment, it is better to choose a hospital equipped with such facilities said. Proud Urology has facilities for infection control such as UV disinfection system, air shower, and quadruple obstruction door.
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