Best Prostate Treatment in Lebanon and Middle East With Dr. Fouad Khoury
In this interview Dr. Fouad El Khoury talked about the best prostate treatment in Lebanon and Middle East: Rezum water vapor therapy; which makes it possible to perform a prostate surgery in 5 minutes to treat benign prostatic hyperplasia (BPH); while preserving ejaculation and sexual function.
What is benign prostatic hyperplasia (BPH)?
BPH is the most common prostate problem in men, especially at the age of 50 and over. It is a condition in which the prostate, a gland of normal volume 18 to 20g and which has the role of secreting a liquid that accompanies the sperm to nourish it, grows in size in the transitional zone.
BPH is also called benign prostatic enlargement and affects the urinary system; on the other hand, the congestion of the prostate does not cause urinary problems because it is located in the peripheral zone.
Having BPH does not seem to increase the risk of developing prostate cancer, but a man who has BPH may have undetected cancer at the same time.
In BPH, the prostate gland surrounds the urethra or the enlargement of the prostate can lead to the blockage of the urethra so you can develop urinary problems: difficulty urinating, low stream of urine, frequent urination at night, constant need to urinate, dark reddish urine, weak lower limbs, back pain…
The first step and decision are to take a drug.
The options include:
-Alpha-blockers: These medications relax bladder neck muscles and muscle fibers in the prostate, so the patient can urinate without any problem. But the alpha-blockers can cause a delayed ejaculation (the seminal fluid goes back into the bladder).
-Medications that reduce the volume of the prostate but cause erectile dysfunction.
-Medications for erectile dysfunction (Cialis): these drugs given every day can also cause relaxation of the muscles of the bladder.
Medication may not have a good prognosis for life, sometimes it may last for 6 months.
When the treatment by medications failed, the urologist assumed a surgical treatment:
–Transurethral resection of the prostate (TURP): This operation is usually performed under general anesthesia, a surgeon passes an instrument called a resectoscope through the opening of the penis and into the urethra and rises towards the prostate to remove the excess prostate tissue. But the disadvantage is that the patient who takes anticoagulants must stop them before the operation, and this surgery causes a problem in ejaculation.
– Rezum water vapor: recently approved by the FDA in 2015, makes it possible to perform a prostate surgery in 5 minutes while preserving ejaculation and sexual function.
This operation consists of throwing steam through an instrument into the enlarged area of the prostate; the vapor carries energy that will be diffused into the molecules which will be killed and discarded by the immune system.
It lasts 5 to 10 minutes under local anesthesia and the number of vapor ejections depends on the volume of the prostate.
Once you have made the decision to have the Rezūm water vapor therapy you will have some pre-procedure instructions to follow, which may include:
-The procedure itself is quick and simple, taking only a single office visit.
-Depending on the size of the prostate, the procedure consists of two to seven injections, each nine seconds long.
-Upon arriving, you will be instructed to eliminate urine, and the bladder is then checked. If there is still more urine in the bladder, it’s drained to avoid having to drain it during the procedure.
-Both the prostate and the penis are numbed. The Rezūm device is inserted, a needle is deployed, and vapor is injected into the prostate for nine seconds. This vapor disperses between cells, then cools, releases heat, and gently disrupts the prostate’s cells.
Because of the initial swelling, a catheter is then inserted, which will remain for two to five days; the catheter is hooked to a bag that stays on the leg and is covered by pants.