TUNA (transurethral needle ablation)
The following describes what minimally invasive treatment for
BPH?
*Think a hot needle that burns through the tissue
-Low-level radiofrequency delivered by thin needles placed into
prostate to produce localized heat to destroy prostate tissue
while sparing other tissue
,laser prostatectomy
The following describes which minimally invasive treatment for
BPH?
**Hot needle that goes around and destroys the tissue. "light
saber"
-Delivers a laser beam transurethrally to cut or destroy parts of
the prostate
-Fast recovery, very effective, minimal bleeding
,-Catheter afterwards
-Retrograde ejaculation
-a variety of laser procedures use different sources, wavelengths,
and delivery systems. REtreatment rates are comparable to those
of a transurethral resection of the prostate (TRUP). VLAP uses
the laser beam to produce deep coagulation necrosis of the
prostate. The affected prostate tissue gradually sloughs in the
urinary stream.
intraprostatic urethral stents
The following describes which minimally invasive treatment for
BPH?
* Think; literally going into the tissue and opening it up with a
stent, high risk of chronic pain, pressure ulcers inside and
infection; goes right trough the urethra
-Insertion of expandable stents into urethral area of enlarged
prostate
-For patients who are poor surgical candidates
-Chronic pain, infection, and encrustation are potential
complications.
prostate surgery
, Which invasive therapy for BPH does the following describe
*do not start with this unless the disease is bad enough;
-Indications for surgery include
. acute urinary retention
. chronic UTI secondary to residual urine
. Hematuria
.Hydronephrosis
. Other s/s that bother pt; Urgency, frequency, nocturia,
incontinence
TURP (transurethral resection of the prostate)
Surgical approaches
Which one does the following describe?
-Most widely used surgical intervention for BPH
-Literally a roto-rooter that scrapes everything out of the
prostate and is pulled back out.
-resectoscope with cut and cautery loop
-enlarged portion is resected in small pieces (prostate chips)
-Advantages =
.safer