Urology
Prostate cancer is happening four times a lot of frequently compared to thirty years ago, concerning four in one hundred men diagnosed with the disease die from it. Even according to a report by Singapore General Hospital and National Cancer Center Singapore, as Singapore’s population rapidly ages, this trend is expected to speed up. Typical treatments for prostate cancer embody the surgical removal of the prostate gland (prostatectomy), radiation therapy, implantation of radioactive seeds (brachytherapy) and using low temperature to impede cancer cell metabolism (cryotherapy).
A clinical trial at Singapore General Hospital (SGH), in collaboration with National Cancer Center Singapore (NCCS), might soon provide men with early stage, low-risk prostate cancer a cure. This procedure uses magnetic resonance imaging (MRI) guided ultra sound, constant technology used to treat uterine fibroids in ladies, to assist surgeons find the tumor and surrounding tissues exactly, and focus the pulses of sound waves to burn the tumor. With the so-called MR-guided targeted ultrasound treatment for prostate cancer, the procedure doesn’t harm nearby healthy tissue.
Performed as on a daily basis procedure at either in Singapore General Hospital or National Cancer Center Singapore, the treatment involves inserting a transducer, a tool to rework one type of energy to a different, into the rectum of the patient, who lies on his back together with his legs elevated. No incisions are needed.
During the procedure, tools like real-time MR thermotherapy and a 3D accumulated dose show facilitate monitor and management heat distribution, furthermore as mark the boundaries of the tumor to be burned. Given the precision concerned, it’s not stunning that the patient must keep completely still throughout the treatment. He might given a spinal epidural or place underneath general anaesthesia to make sure minimal or no movement. The procedure will take concerning 3 hours on average to finish.
Benign prostatic hyperplasia (benign prostate tumor) is the excessive growth of prostate cells are not malignant. BPH is different from prostate cancer. BPH may cause no symptoms, but if the tumor is growing, will eventually urge the urethra resulting in discomfort to the patient.
Normally, the prostate develops in accordance with age. Starting from when the small size while still a child growing up to 20 grams at age 30. Prostate size will persist until the age of + / – 50 years. At the age of 80 years, the prostate will grow again weighed 35 grams. But the growth of normal prostate is no direct relationship with BPH.
BPH is a benign tumor in men are most commonly found. If you are aged over 50 years, chances are you have BPH is 50%. When you are aged 80-85 years, chances are it increased to 90%.
BPH symptoms can be classified into two: symptom of obstructive and irritating symptoms. Obstructive symptoms include ‘hesitancy’, weak urinary stream, intermittent urinary stream, not lampias when completed urination, feeling to urinate again after urinating and discharge of residual urine at the end of urination (terminal dribbling).
Which is irritating symptoms include frequency of urination is not normal (too often), waking in the middle of the night because of frequent urination, difficulty holding urine, and pain when urinating. Sometimes it can also occur hematuria (bloody urine).
If you are aged over 50 years, despite not having symptoms like those above, it is highly recommended for examination with uroflowmetry.
If you are a man (especially aged over 50 years) and have the following symptoms:
- Weak urinary stream;
- Intermittent urinary stream;
- Not lampias during urination;
- Feeling to urinate again after urinating;
- Discharge the remaining urine for a few seconds at the end of urination (terminal dribbling);
- Frequency of urination is not normal (too often);
- Waking at night due to frequent urination;
- It’s hard to hold urine;
- Pain when urinating;
- Bloody urine / hematuria
Be alert to the presence of benign prostatic hyperplasia (BPH) or enlarged prostate are classified as benign.
Based on the research, if you are aged over 50 years, chances are you have an enlarged prostate was 50%. When you are aged 80-85 years, chances are it increased to 90%
What are the symptoms of BPH?
Sometimes people do not feel any symptoms of BPH, but if the prostate enlargement continues to grow will eventually urge the urethra / ureter outside resulting in discomfort.
What should I do?
You need to do UROFLOWMETRYexamination to detect prostate enlargement.
What is uroflowmetry?
Uroflowmetry is an examination to determine the firmness of the flow of urine to detect the presence of benign prostatic hyperplasia (BPH) or prostate enlargement.
Preparation needs to be done
There is no special preparation. Patients will be asked to drink a lot and urinate on a device that uses a detector (probe). Furthermore, the computer will analyze the strength of radiance.
Uroflowmetri with ultrasound examination should be with the agreement while it can be directly uroflowmetri.