نشر يوم 19. August 2021

Male Problem Zone

Men often grimace at the mention of the prostate. Even with obvious problems in the urinary tract: a visit to a urologist is not popular and is often postponed for a long time. Yet modern surgical methods help to restore the patient's health and well-being.

„My problems with urination have been weighing on me more and more, especially at night. My quality of life suffered as a result." Johann Paschke* (78) was no longer willing to put up with it. The prostate gland, also known as the prostate gland, which together with the testicles is one of the reproductive organs, was to blame for his complaints. The gland, which is about four centimeters in size, is located directly under the urinary bladder, where it encloses the urethra in the form of a ring, which conducts urine from the bladder through the prostate and penis to the glans. At the back, it borders on the rectum, the rectum. In a 20-year-old, the prostate weighs about 20 grams, but from the age of 50, its tissue begins to grow slowly, and it can weigh up to more than 100 grams. Not everyone suffers equally from this benign prostate enlargement, but many develop symptoms in the lower urinary tract that require treatment: they have to go to the toilet very frequently, have difficulty urinating, the bladder does not empty completely, the stream becomes thin, it dribbles. Urologists use an ultrasound examination to check whether the enlargement has already led to the formation of residual urine in the bladder. This poses the risk of germs spreading, causing inflammation and damage to the kidneys. Various medications can alleviate the symptoms - depending on their severity - but cannot permanently eliminate them. Johann Paschke ultimately decided to have an operation to reduce the size of the prostate, which was too large: "I had a lot of respect for an operation. But my problems didn't get less, they got stronger, something had to happen." Fast, gentle, safe The Berliner was lucky, within a short time he was able to arrange a preliminary consultation at the Vivantes Friedrichshain Hospital. The urological senior medical team with Dr. Tom Fischer and Dr. Maximilian Königbauer operates here with the gentle and safe aquablation method. This involves removing the excess prostate tissue with a high-pressure water jet. The procedure combines the imaging of an ultrasound device with the minimally invasive technique of an endoscope - the Aquabeam surgical robot performs the treatment itself. Studies show: The method is as effective as the conventional procedure of transurethral resection of the prostate (TURP). Erectile function is not affected, and about 80 percent of sexually active patients can continue to experience ejaculation. Johann Paschke recalls, "I was so relieved: from the first contact to the preliminary consultation to the day of surgery, it took just under a week." Everything also went optimally in the post-operative care. "The measurements gave the best results, and I am satisfied," the 78-year-old sums up in a relaxed manner.

*Name changed.

Operation Aquablation

Dr. Maximilian Königbauer describes the course of the procedure: "Before the operation, we insert an ultrasound probe via the rectum and virtually mark the prostate tissue to be removed. In the OR, we insert a thin endoscope through the urethra. At its end is a computer-controlled precision nozzle. From this, the fine water jet now removes the previously marked adenoma tissue with millimeter precision. We monitor the treatment via a monitor. It can be interrupted or adjusted at any time. As a rule, the patient can be discharged home after two to three nights."

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