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Le Dr George Tie a réalisé plus de 1 800 interventions urologiques en 13 ans de pratique. Il exerce au Ponderas Academic Hospital, accrédité par la JCI, qui est un centre d'excellence en chirurgie robotique. Un bilan préopératoire complet coûte environ 960 $. Une chirurgie TUIP coûte généralement entre 2 576 $ et 3 630 $, tandis qu'une prostatectomie robotisée da Vinci s'élève à environ 19 907 $, incluant l'intervention et le séjour hospitalier.

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Tout ce que vous devez savoir sur les principales méthodes de traitement de l'HBP

Méthode de thérapie médicamenteuse

Alpha-bloquants

Les alpha-bloquants sont utilisés pour détendre les muscles autour du fond de la vessie afin de faciliter la vidange de la vessie. La seule contre-indication à l’utilisation des alpha-bloquants est l’hypotension.

Alpha-bloquants pour le traitement d’une hypertrophie de la prostate :

Inhibiteurs de la 5-Alpha Réductase

Les inhibiteurs d'enzymes ou inhibiteurs de la 5-alpha réductase sont des protéines qui ralentissent les processus métaboliques et réduisent le niveau d'hormones qui provoquent une hypertrophie de la prostate. Les inhibiteurs enzymatiques réduisent également le taux de PSA dans le sang.

Les spécialistes prescrivent 2 principaux inhibiteurs enzymatiques pour le traitement de l’HBP :

Thérapie combinée

La thérapie combinée est un mélange d'alpha-bloquant et d'inhibiteur de la 5-alpha réductase. L'association de médicaments est utilisée uniquement en cas de progression de l'HBP. Les spécialistes prescrivent cette méthode de traitement lorsque l'alpha-bloquant ne suffit pas à guérir l'hypertrophie de la prostate.

Thérapie mini-invasive

TUMT pour le traitement de l'hypertrophie de la prostate

La thermothérapie transurétrale par micro-ondes (TUMT) est une procédure mini-invasive basée sur la destruction du tissu prostatique par la chaleur. TUMT ne traite pas l’hypertrophie de la prostate, mais réduit les symptômes urinaires causés par l’HBP.

Traitement AU THON

L'ablation transurétrale à l'aiguille est utilisée pour traiter les symptômes de l'hyperplasie bénigne de la prostate. La procédure TUNA est réalisée à l'aide d'ondes radio transmises par des aiguilles. L’énergie des radiofréquences affecte et détruit le tissu prostatique. La sensation de brûlure est le seul effet secondaire possible après TUNA.

Interventions chirurgicales

Résection transurétrale de la prostate

La résection transurétrale de la prostate (TURP) est le type de chirurgie le plus courant pour l'hyperplasie bénigne de la prostate, selon le National Institute of Health . La procédure est utilisée pour traiter le blocage de l’urètre. Le risque le plus courant pouvant survenir après une RTUP est le saignement.

Chirurgie au laser

La chirurgie au laser consiste à détruire le tissu prostatique à l'aide d'un laser à haute énergie. Pour effectuer une intervention chirurgicale au laser, un spécialiste utilise un cystoscope, qui fait passer une fibre laser à travers l'urètre jusqu'à la prostate. La chirurgie au laser exclut presque tout risque de saignement. Cependant, ce type de chirurgie n’est pas efficace pour le traitement d’une hypertrophie de la prostate.

Prostatectomie

La prostatectomie consiste à pratiquer une incision pour atteindre la prostate. Un urologue peut retirer la totalité ou une partie seulement de la prostate. La prostatectomie est utilisée dans les cas où la prostate est volumineuse, lorsqu'un patient présente des complications ou lorsque la vessie est endommagée.

"},"guide_mc":{"text":"

Arrivée

Diagnostique

Élaboration d'un plan de traitement

Traitement

Suivi

Réhabilitation

Veuillez noter que seul un médecin peut déterminer un plan de diagnostic et de traitement en fonction des caractéristiques individuelles. Autres options de traitement possibles : embolisation de l'artère prostatique, lifting urétral prostatique et thérapie à la vapeur d'eau.

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