New way to treat prostate

　　When it comes to prostate hyperplasia, elderly friends may not be unfamiliar with it. Some people are still suffering from it and suffer unspeakably. Uncle Wang is a typical example.

　　Uncle Wang is 86 years old. Since 6 years ago, he has been going to the toilet more often in the middle of the night (increased nocturia). He has to wait for a while and exert force to urinate. After urinating, there is still urine dripping, and the symptoms are getting worse. Multiple Hospital The results of his examination showed prostatic hyperplasia, and it was severe. The doctor told him that the best treatment was surgical removal. The uncle considered that he was old, in poor physical condition, and had high blood pressure and coronary heart disease , and also found out that surgery may cause complications such as infection, difficulty urinating, urinary incontinence, water intoxication, etc., and decided not to have surgery.

　　Since there is no surgery, the uncle can only take the trouble to find a doctor to prescribe medicine every week. Although taking medicine can provide some relief, it cannot completely solve the problem, and sometimes acute urinary retention occurs due to weather changes or mood changes, which makes him tortured and miserable. Half a year ago, Uncle Wang's pain finally came to an end because he made up his mind to undergo prostate surgery. After the operation, Uncle Wang said happily and regretfully that if he had known this, he would have avoided a lot of suffering if he had done the surgery earlier.

　　However, Uncle Wang only knew one thing but not the other. This treatment method, called "transurethral vaporization of the prostate", has only been developed in recent years. It is characterized by the combined application of electrocautery and vaporization produced when electric current passes through a resistor (such as human tissue). In surgery, doctors often use these two effects interchangeably to stop bleeding and cut. When it is necessary to stop bleeding, the electrocautery effect is used. At this time, intermittent bursts of electrocoagulation current with low energy are used. Where the current passes, surface coagulation occurs in the tissue to achieve hemostasis. ； When cutting, the vaporization heat effect is used. At this time, a continuous and high-energy electric cutting current is used. Wherever the current passes, the tissue cells are rapidly heated and ruptured to form gases to escape, leaving space to achieve the purpose of cutting. If necessary, the tissue can be clamped for inspection. In the old surgical methods, hemostasis and incision could only be performed separately. Due to the development of science and technology, the electrodes currently used have been improved, and "transurethral vaporization of the prostate" can perform cutting and hemostasis at the same time.

　　through clinical Practice has proven that this surgery has the following advantages: ① It only requires resection through the urethra, and the patient is spared the pain of surgery.； ②Rapid tissue removal and short operation time ； ③During the entire operation, the veins are closed, the wound surface has almost no bleeding points, water reabsorption is reduced, and the chance of water intoxication is also greatly reduced. ； ④The tissue resection is complete, with little residual necrotic tissue, and postoperative urethral irritation symptoms are mild. ； ⑤It is suitable for various types of prostate hyperplasia, and because it causes little damage to the patient, it is also suitable for the elderly, weak and critically ill patients. ； ⑥The removed tissue can be subjected to pathological examination to obtain a pathological diagnosis. In other words, it combines the advantages of previous surgical methods while avoiding their disadvantages. It has obvious effects, less bleeding, short operation time, and few complications. It is not only suitable for mildly hyperplasia of the prostate, but is also effective for patients with moderate and severe hyperplasia.

　　Currently, transurethral vaporization of the prostate has attracted increasing interest. Some people think it is a new type of transurethral resection of the prostate that is safer, more economical and more effective. Although its long-term efficacy needs further clinical verification and long-term follow-up observation, we still have reason to believe that transurethral vaporization of the prostate is likely to become one of the most commonly used methods to treat prostatic hyperplasia, serving elderly friends in need.