By Kevin R. Loughlin
Through offering either the doctor's and patient's view, this publication provides authoritative, useful solutions in your questions about treatment plans.
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Additional info for 100 Questions & Answers About Prostate Disease
Qxd 7/25/06 2:02 PM Page 52 100 QUESTIONS & ANSWERS ABOUT PROSTATE DISEASE 48. What is minimally invasive surgical treatment of BPH? Even though open prostatectomy and TURP, TUIP, and TUVP have been commonly performed, reliable operations, urologists have sought procedures that are less invasive and easier on the patients. These procedures have become known as minimally invasive surgical treatment (MIST) of BPH. These MIST techniques include laser procedures, hyperthermia and thermotherapy, radiofrequency ablation, balloon dilation of the prostate, urethral stents, and high-intensity focused ultrasound.
Laser technology continues to evolve rapidly, and not every hospital or urologist has access to every laser technology. The patient should discuss with the urologist what laser is to be used in his treatment and why, as well as what are the individual urologist’s results. 52. What is microwave therapy of the prostate? Microwave energy has been used to treat BPH using both transrectal and transurethral approaches, but most modern machines use the transurethral route. Current machines deliver microwave energy to the prostate via a transurethral catheter, and a transrectal balloon monitors rectal temperature simultaneously.
It controls the growth of the prostate indirectly as it is converted by 5 alpha reductase into DHT. A schema that depicts the action of 5 alpha reductase appears in Figure 5. 34. What types of 5 alpha reductase inhibitors are available? The enzymes 5 alpha reductase are present in two isoforms: type 1 and type 2. Type 1 is found predominantly in extra prostatic tissues such as the skin and liver, although it is also found in the prostate. Type 2 is found predominantly in the prostate. Two drugs have been developed that inhibit 5 alpha reductase.
100 Questions & Answers About Prostate Disease by Kevin R. Loughlin