Florence Nightingale Istanbul Hospital
Florence Nightingale Hospital in Istanbul is part of the Group Florence Nightingale Hospitals and is one of the world’s most prestigious hospitals that offers its patients state-of-the-art methods of diagnosis and treatment.
The Urology Center at Florence Nightingale Hospital in Istanbul is based on experts who successfully manage diagnostic and therapeutic processes in a patient-oriented manner.
Prof. Ahmet Tunç ÖZDEMİR, invites you to discuss your case!
Renowned urologist, with extensive experience in the field, comes to visit Romania for patients who need medical advice for urological pathologies.
Benign prostatic enlargement (BPH) is one of the most common health problems faced by men at an advanced age and can significantly affect their quality of life if left untreated.
Although many methods of treatment for BPH have been described, one of the most technologically advanced among these is HoLEP, Prostate Enucleation with Holmium laser.
For patients with active complaints due to prostate enlargement, surgical treatment becomes inevitable if they do not benefit from medical treatment. For many years, the endoscopic method was preferred for small-volume prostates (<90 g), and the open surgical method was preferred for larger prostates (> 90 g).
However, rapid advances in laser technology have allowed large prostates to be treated with endoscopic surgery with HoLEP.
- Description of the HoLEP surgical procedure
HoLEP surgery can be performed with both general anesthesia and spinal anesthesia (by numbness below the waist). With specially developed camera instruments, the entire urethra is evaluated for stenosis, starting with the initial orifice of the urinary tract (urethra) at the tip of the penis ( urethral mea ). Growing prostate tissue is seen, and then the bladde (urinary bag) is reached. The inside of the bladder is evaluated for a completely suspicious formation. Then, the growing prostate tissue is drawn with a Holmium laser from certain boundaries until the prostate capsule is visible. All prostate tissue is separated from the capsule and sent to the bladder. Again, with the help of a specially developed device called a Morselator, the prostate tissues are divided into small pieces in the bladder and removed from the body by aspiration. After making sure that there is no Holmium laser bleeding, the procedure is completed by placing one probe. HoLEP surgery removes all the remaining prostate tissue in the prostate capsule, and pathological examination of these tissues reduces the likelihood of recurrence of the disease in the coming years to a point where there is no possibility and allows the diagnosis of other diseases. HoLEP is an effective and safe technique that can be used safely for prostate of any size.
- HoLEP Advantages
The main and major advantages here are that patients face fewer complications after surgery compared to open surgery, the rehabilitation period is shorter, and their quality of life is less affected in the early postoperative period.
- Why is HoLEP technique important?
It is important how deeply the energy used in endoscopic surgery acts on the tissue. The laser energy used in the HoLEP technique spreads to a much shallower depth in the tissue than in other techniques. For this reason, the probability of damaging the nerves that pass around the prostate and ensure the strengthening with this energy, is significantly reduced. For this reason, patients do not have erection problems. In addition, the structure called the sphincter that provides urinary retention may be damaged in other surgical techniques, but due to the fact that this structure is outside the surgical field in HoLEP surgery, this structure can be clearly protected, and after surgery, there are no complaints. of urinary incontinence.
- Patient recovery after HoLEP technique operation
Other important advantages of the HoLEP operation are that the stay in the hospital after the operation is quite short, the catheter can be removed on the first day after the operation and there is less chance of bleeding compared to other surgeries. The patient can return to daily life in a fairly short period of time and can regain his sexual health. HoLEP is a technique that can be safely applied to a prostate of any size.