Assoc. Prof. Dr. Mustafa Kirac, a urologist, explained the Plasma Kinetic TUR-P treatment administered in benign prostate treatment.

The prostate gland begins to enlarge from the age of 30. The enlarging prostate is usually benign. Malignant enlargement of the prostate causes prostate cancer. Cancer is more common in men older than 45 years, those who eat a fatty diet, and those with a family history of benign prostatic hyperplasia.

A person with benign prostatic hyperplasia (BPH) may have problems with both the storage and discharge of urine in the bladder. There are complaints such as frequent urination, difficulty urinating, bifurcated urination, urination at night, delay in the onset of urination, and a feeling of lack of complete discharge after urination. Rarely, more advanced findings such as bleeding and obstruction may be seen in patients. Stones may form in the bladder due to insufficient discharge of urine. Especially in people with a larger prostate, the probability of obstruction and bleeding is high. In untreated patients, sudden deterioration in renal function due to obstruction and renal failure may occur.

Treatment Of Benign Prostatic Hyperplasia

There are many different methods for treating BPH. Diet, medication, and surgical treatments are included. Each patient is evaluated individually. Many factors affect the treatment plan.

Dietary change is recommended for every patient. It is recommended to regulate fluid intake and limit foods such as hot, sour spices and pickles. Diuretic beverages such as excessive coffee, tea and coke should be avoided.

Drugs are the first-line treatment for patients with BPH who do not require surgery. The most commonly used drugs in the treatment are drugs called alpha blockers that makes the bladder outlet loosen.

Plasma Kinetic TUR-P is currently the gold standard method in the surgical treatment of BPH. This method is performed through different energy sources and different methods. The urinary canal is entered with a lighted endoscopic device. A washing liquid passes through the endoscope and the prostate is visualized by the liquid. The prostate is cut endoscopically and taken out piece by piece. Plasma Kinetic TUR-P is a newer and up-to-date technique. Basically, the prostate is visualized endoscopically and it is cut piece by piece and taken out like the classical TUR procedure. The difference of the plasma kinetic TUR-P method is the device used. This method is a bipolar system. In other words, no electrical current is transmitted to the patient. Energy passes through two points at the end of the device used. Another important difference of this system is that the energy used is plasma kinetic energy instead of electric current. In addition, physiological saline is used as a washing liquid.

This method is much safer, especially for people with a pacemaker or other heart disease. The procedure provides less bleeding, less risk of complications, and a more efficient cutting process. Since saline is used as the washing liquid, liquid poisoning called TUR syndrome and seen in the classical TUR-P method is not seen.