Comparison of Different Processing Techniques Prostate Adenoma:
The majority ofbenign prostatic hyperplasia (BPH) associated with "lower urinary tract symptoms" present complications of urinary and sexual function, particularly in ejaculation and erection.
The quality of life of BPH patients is significantly affected by these treatments, hence the need for an optimal technique with no repercussions on sexual function.
An article by Wong and colleagues, published in 2020, carries out a comparative study between the various techniques for treating BPH and prostatic artery embolization, and highlights the consequences of these treatments on sexual function.
Below we present some of these treatments and their potential side effects:
Transurethral resection of the prostate (TURP) is has until now been considered the gold standard for the treatment of BPH. It consists of cutting away excess prostate tissue using an endoscopic resector inserted at the urethra. Despite its effectiveness in reducing prostate size, this technique resulted in retrograde ejaculation* in 70% of patients treated, and anejaculation* in 52% of cases.
Photovaporization and Holmium laser enucleation, are techniques that use lasers to remove the prostate gland (prostatectomy).
Side effects of these techniques include absence of ejaculation or retrograde ejaculation in 30 to 77% of cases; painful ejaculation in 3.3 to 5.4 % of cases; and reduced sperm quality in 21% of cases.
Transurethral microwave therapy (TUMT) uses microwaves to induce necrosis (death) of prostate tissue.
The excessive heat (>60°C) generated by the transurethral probe used in TUMT can affect nerve tissue contributing to sexual function.
8.7% of patients experience impaired erectile function following TUMT, and 17.8% experience erectile dysfunction.
Open prostatectomy, reserved for patients with a large prostate volume was associated with erectile dysfunction in 89% of patients operated on.
Embolization of the prostatic artery (EAP) is an innovative minimally invasive technique for the treatment of prostatic hyperplasia without the need for surgery.
The main advantage of this technique is that it has no long-term impact on erectile or urinary function. In 32% of cases, EAP can even improve erectile function.
Decreased ejaculate was reported in 16% of patients.
A study by Hakimé and colleagues at the Centre Adénome Prostate (European Radiology: in press) on the effects of EAP, which preserves the arteries of the seminal vesicles, found a reduction in ejaculate volume in less than 3 % of cases.
Le Rezum is a technique that uses steam to reduce the size of the prostate. This technique results in a low rate of retrograde ejaculation <10 % and no erectile dysfunction. It requires a catheter for 2 to 3 days due to hematuria, and is only applicable to prostates weighing over 80g.
The urolift involves inserting a nitinol stent (small metal spring) into the urinary tract compressed by the prostate to keep it open. It does not cause retrograde ejaculation or erectile dysfunction. The stent must be changed regularly, and is not applicable to prostates weighing more than 80g.
For prostates weighing less than 80 g, prostatic artery embolization, rezum and urolift are the three techniques that do not affect sexual function. However, for prostates over 80 g, prostatic embolization is the only technique that best preserves the patient's sexual and urinary functions.
*Retrograde ejaculation: excretion of semen into the bladder instead of into the urethra.
*Anejaculation: absence of ejaculation
Reference : Wong et al, Techniques in Vascular and Interventional Radiology, 2020.
Bjr Dr. I am in Cameroon and I had one week of pain in the right testicle with a light inflamation which disappeared at 90% in the 2nd week.nothing to do with an STD.
Thank you for talking to me about this.
Ps: I had a cystestomy operation in 2003 at the njissé foumban hospital, 45 km from douala in western cameroon.
Good morning, sir,
It could be a varicocele. Have you done an ultrasound?
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
It turns out that I have prostate cancer.I have a biopsy.My micturition is mixed with blood.I'm waiting for the results of the analysis.What do you advise me to do? Could I undergo embolization, where in France,what is the cost?
Hello,
I urge you to get in touch with us at admin@adenome-prostate.com
Sincerely
The CEAP team
Hello Mr how are you, very nice questions...if not your andoclinic system is simply affected by infectious type pathogens....
Did you do the varicocele test? If yes, please confirm
Very important.
At what age can a prostate embolization be performed?
Hello,
There is no minimum age for prostate embolization.
Kind regards
The CEAP team
A revolutionary technique. Convincing. I'm interested. Thank you for telling me kəs steps AND the procedure to follow for a consultation and possible treatment.
bonjour je suis en thailande
I am suffering from prostate cancer. I had a scan in a cancer center and it does not affect the bone system.
whole-body bone scintigraphy
clinical history Known case of prostate cancer Gleason score 3 + 3
Radiopharmaceutical Tc99m MDP 20 mCi
techniques: the whole-body scan was performed 4 hours after tc99MDP injection
- The study shows increased radiotracer uptake in the left region, likely to be a benign joint disease.
The remaining skeleton is ordinary
The soft-tissue distribution of radiotracer uptake is also within normal limits.
excretion of the tracer via the KUB system observed.
Conclusion: the area of increased radiotracer uptake in the left elbow region is likely to be benign joint disease, please correlate clinical context
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
I'll give you a quote and explain the latest techniques in cryotherapy cancer removal and how to proceed when you're abroad.
Thank you very much.
The CEAP team
Thank you very much for your responsiveness
Hello,
I urge you to get in touch with us at admin@adenome-prostate.com
Sincerely
The CEAP team
Hello,
I have a 142 prostate adenoma. They want to do surgery, but I'm afraid of the etectil and evaluation CSS.
Can I consider embokisation?
I'm Senegalese.
What do I have to do to be able to come and do this embolization?
What are the costs and steps involved?
I am 67 years old; I have BPH with a 79g prostate and a Psa of 5.5 ng/ml.
Can I be a candidate/eligible for L'embolisation?
If so, what will be the approximate cost of the operation in France, the cost of the stay in France, the duration of the stay and any related expenses?
What medical (and even administrative) records do I need to collect?
Do your departments make rounds in Abidjan for operations of this kind?
Thanks for getting back to me.
I have BPH and would like to have embolization of the prostatic arteries. I would like to know the steps and procedures to follow as I am a Moroccan living in Morocco.
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
I have BPH and would like to have embolization of the prostatic arteries. I would like to know the steps and procedures to follow as I am a Moroccan living in Morocco,
Hello,
We have a dedicated program for foreign patients, on the "International" tab of our website.
If you send me an e-mail about admin@adenome-prostate.comI'd be delighted to explain it all to you.
Sincerely
The CEAP team
Bravoo to the whole team....the prostate issue today has almost become an unavoidable danger stalking all men....I would like this technique to be approved and put into training in local hospitals... the world really needs it......
The worse we eat, the worse it gets...let's fight together....
I have a prostate of 120 cm3 I have an average urinary flow I have the technique of embolization but this technique is not well developed in Morocco.
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
Hello,
I'm also interested in prostate embolization and, if I can't do it in Morocco, I'd like to do the operation in Bordeaux if possible.
Hello, is there a risk of bladder necrosis due to the passage of microbeads to the bladder arteries?
Good morning, sir,
Multiple necroses can occur, which is why we emphasize the need to perform this procedure in a highly specialized center with experienced interventional radiologists.
In our center, we have never had a problem with necrosis of any kind.
Kind regards
The CEAP team
Hello,
We have a dedicated program for foreign patients, on the "International" tab of our website.
If you send me an e-mail about admin@adenome-prostate.comI'd be delighted to explain it all to you.
Sincerely
The CEAP team
Concise and understandable explanations. Thank you very much. I am in the case with a prostatic adenoma cured thanks to the action of cortisol used for a year. But the hypertrophy persists and causes me rottenness and dysuria. I am interested in knowing the price of EAP. I am in KINSHASA (RDC)
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
Hello Doc,
I've just been diagnosed with HPB, and the medication (Contiflo) has affected my quality of life: dizziness, blocked nose ...and I'm interested in your technique.
Please contact me
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
Good evening, I have an enlarged prostate because I am sexually inactive (almost no erection, I urinate very often and above all I am constantly constipated.
I have a mechanical valve to compensate for aortic insufficiency.
I took alpha blockers which affected my heart muscle.
I would very much like to benefit from the embolization technique.
Please contact me.
Good morning, sir,
Please send your request and contact details to
admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
Hi I have a heperrophy prostatitis with erectile dysfunction but no urinary problem only pain that bothers me is there a solution to make this pain disappear
It's possible, mr.
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
I'll give you a quote and explain the technique and how to proceed when you're abroad.
Thank you very much.
The CEAP team
I have a hon for years medication are made so that I have difficulty with erection my sperm count is weakened as well as its quality I would like once and for all to finish with these drugs and find a normal life the sexual desire is great but the means are not the same any more
Good evening, Doctor.
I am 27 years old and I have an enlarged prostate and I would like to follow your treatments remotely.
I'm in Chad, a country in Central Africa.
Given your young age, recovery is quite possible.
I am 61abs old,and I have BPH 41mmx48mmx36,7mm(38cc)since 2015, and since then I am under treatment with tamsulosin 0,4mg. I would like to be treated by a technique that does not affect sexual relations, what are the steps to take to get an appointment with the price?
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
You've made the right choice
62 years old prostate vomiting problem
Since 2015, 28 radiotherapy sessions
And also a hormonotherapie treatment
To date, a new increase in PSA
Is there a new solution to this problem?
No surgery or radiotherapy to cause undesirable adverse effects
Thank you
Good morning, sir,
Radiotherapy? For an enlarged prostate or cancer?
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
Good morning, sir,
Embolization has no undesirable side effects. It's an outpatient procedure: you go to the hospital in the morning and you're home in the afternoon.
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
Interested
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
Hello, how much does an embolization operation cost?
Good morning, sir,
Please send your request and contact details to admin@adenome-prostate.com
Thank you very much.
Best regards,
The CEAP team
I had a prostatic embolization a year ago in France. Everything went well. As far as my urinary tract is concerned, it was a success. On the other hand, my PSA has been rising ever since.
No bacterial infection detected, even after prostatic massage. MRI and ultrasound were normal.
Questions:Normally my PSA should have gone down. My urologist doesn't understand. Does the hypothesis of chronic prostatitis without infection explain the steady rise in PSA (from 12 to 19 in one year)?
Thank you for your help
Good morning, sir,
The reason for the increased PSA level can vary; Cancer, Hypetrophy, Prostatitis....
I would advise you to have an MRI to assess the situation of your prostate today.
Kind regards
The CEAP team