Dr. Manlio Schettini, a well-known urologist from Rome, explains the main causes of prostatic pathology
The increase in prostate volume may be linked to the presence of a carcinoma or even to benign growth, so-called Prostatic Hyperplasia. In the first case the diagnosis is guided by the blood dosage of the PSA, by an accurate clinical visit, by the execution of a Multiparametric Magnetic Resonance and confirmed by the execution of a prostatic biopsy. Prostate Carcinoma can be treated brilliantly both surgically and with non-surgical methods such as Radiotherapy or Focused Ultrasounds: clinical status, patient’s age, general conditions of the same will guide the therapy. In the second case, instead, it will be necessary to study in functional terms the bladder emptying mechanism by measuring the force of the urinary flow and the contraction of the bladder muscle.
If this system is obstructed you can resort to therapies with natural medications, such as Serenoa Repens, Pygeum Africanum, Capsaicin or other, or the use of more powerful drugs such as alpha-lytics or 5-alpha -reductase inhibitors. When drug therapy is no longer effective, a disruption procedure is used, which consists in removing the enlarged part of the prostate that compresses the urethra.
This procedure can be performed in various ways: in the open or in endoscopy. With the latter method, energies such as bipolar electric current or LASER beam can be exploited. The Greenlight is, in fact, a green LASER obtained from lithium triborate vapors electrically absorbed by hemoglobin. This powerful energy is able to vaporize the prostate tissue and dissolve it, eliminating precisely the part of the prostate that obstructs the urinary pathway. Thanks to modern methods, these disastrous interventions have become routine, so we tend to perform them with short admissions allowing a quick return to normal activities, with complete resumption of the voiding function. This powerful energy is able to vaporize the prostate tissue and dissolve it, eliminating precisely the part of the prostate that obstructs the urinary pathway. Thanks to modern methods, these disastrous interventions have become routine, so we tend to perform them with short admissions allowing a quick return to normal activities, with complete resumption of the voiding function.
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