Here you can see and download two videos which feature how prostatic infiltrations act directly inside the prostate blowing up the calcified areas and eventually sterilising them, which is impossible by any other therapy. Such areas, in some cases, are an obstacle to the complete eradication of the illness.
At the beginning of the video, an arrow points out the target (the calcified area), where the injection will be delivered. Then the needle can be seen, and when the liquid injected reaches pressure inside the calcified area, the explosion can be seen too.
Most patients that suffer from prostatitis complain only about urinary symptoms such as nocturia (night-time urination); pollakiuria (daytime urination frequency); urinary urgency; pains during the urination (especially at the beginning and at the end), and dribbling. Very often, in such cases, a study of the urination accompanied by an ultrasound examination, shows bladder neck sclerosis, and there is no need of further tests. The video features a typical surgery. The most salient phases are explained step by step.
TURP in chronic prostatitis
The patient that complained of prostatic symptoms, had already been TURP operated on in Prague, in July 2010. After the surgery only a modest amelioration was observed, until December 2010 when sudden uroseptic fever showed up, and subsequently catheterisation and a seven-day hospital stay was necessary. Since then, the patient never fully recovered, although he got better now. Bacteriological tests showed both urine and sperm were sterile. Transrectal ultrasound showed an inflamed prostate and the study of the haematic flux by color Doppler highlighted notably increased vascularization on the left side. Residue of prominent adenoma was also noticed in the urethra. This explains why a new TURP surgery with a bipolar knife was necessary (See the video).
VIDEO: Urethra and bladder are both hyperaemic with also some hemorrhagic petechiae. Irregular prostatic lodge with modest residual obstruction. The video shows how large quantities of pus are released from the underneath area during the resection. Only resection carried out in each quadrant as far as the capsular floor, can enable us to eliminate all the present pus.
CONSIDERATIONS: The previous surgery was carried out correctly enough in itself. However, not much attention had been paid to the infection in the gland area, which, in its turn, had expanded after the surgery and had involved the whole organ.
TURP with plasma vaporization (TURis-PVP)
These two videos (the first is the presentation by the OLIMPUS*) show how the plasma button for prostatic vaporization works.
Compared with TURP patients, those who had the TURIS with plasma vaporization (TURis-PVP) had less capsular perforation and bleeding (p=0.037 and p=0.013, respectively). Surgery also took less time with TURis-PVP, and hospital stays were half as long. At 6 months, International Prostate Symptoms Scores were 5 for TURP vs. 9.1 for TURis-PVP (p<0.05) and maximum urinary flow rates were 21.8 mL/s and 19.3 mL/s.
“In conclusion TURis-PVP represents a promising endoscopic treatment alternative for patients with benign prostatic enlargement, with good efficacy, reduced morbidity, fast recovery and satisfactory follow-up.”
This video shows how the use of new bipolar resection knives, and other extra tricks, it can enable us to successfully carry out endoscopic resection of a very voluminous prostatic adenoma which until lately would require an open removal surgery.