Transurethral Electric Vaporisation of Prostate (TUEVP)
Steps Involved in IVF:
Procedure Description
Transurethral Electric Vaporisation of Prostate (TUEVP) is a modern, minimally invasive procedure aimed at treating benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate. This condition affects many men as they age, leading to various urinary symptoms such as difficulty in urinating, frequent urination, and even urinary retention. TUEVP involves the use of electrical energy to vaporize and resect overgrown prostate tissue, thereby relieving the obstruction in the urethra and improving urinary flow.
During the procedure, a thin tube-like instrument called a resectoscope is inserted through the urethra to access the prostate gland. This device has a small camera and an electrode loop that emits high-frequency electrical energy, which effectively vaporizes excess prostate tissue. The aim is to reduce the size of the prostate and alleviate pressure on the urethra without causing significant damage to surrounding structures.
TUEVP is considered a more advanced and efficient version of other transurethral procedures, as it offers greater precision in tissue removal, minimizing bleeding and reducing the risk of complications. The procedure is also faster than traditional methods, resulting in improved comfort for the patient and a shorter recovery period.
Procedure Duration
The duration of TUEVP typically ranges from 60 to 90 minutes, depending on the extent of prostate enlargement and the patient's specific anatomy. The procedure can often be performed under spinal anesthesia, but in some cases, general anesthesia might be recommended. The patient is usually placed in a lithotomy position, which is commonly used for urological surgeries, allowing optimal access to the prostate through the urethra.
TUEVP is a phased procedure. Initially, the surgeon assesses the prostate size and location through the resectoscope. Next, the electrode loop is activated to vaporize and resect the enlarged tissue systematically. Surgeons use saline irrigation to maintain a clear visual field and to cool the area during the vaporization process. Once the excess tissue is removed, a catheter is often inserted into the bladder to aid urine drainage and prevent blood clot formation. This catheter may be kept in place for one to two days post-procedure.
The recovery time following TUEVP is generally short. Most patients can expect to stay in the hospital for one to two days, and the urinary catheter is usually removed before discharge. Full recovery may take several weeks, during which mild discomfort, urgency, or burning sensations while urinating may occur but tend to subside quickly. After the healing period, patients typically experience significant relief from urinary symptoms.
Benefits
- Minimally Invasive: TUEVP is less invasive than traditional open surgeries, resulting in reduced trauma to the body and quicker recovery.
- Reduced Bleeding: The use of electrical energy in tissue vaporization minimizes bleeding, making it a suitable option for patients with blood clotting disorders or those on anticoagulants.
- Shorter Hospital Stay: Due to its minimally invasive nature, TUEVP often requires a shorter hospital stay, with many patients returning home within 1-2 days.
- Improved Urinary Function: The procedure effectively relieves urinary symptoms, leading to improved quality of life and normal urinary flow in most patients.
- Quick Recovery Time: Compared to traditional surgeries, patients undergoing TUEVP experience faster recovery and can resume normal activities within a few weeks.
Potential Destinations
- India:India is renowned for its cost-effective and high-quality medical care. Hospitals in cities like Mumbai, Delhi, and Bangalore are equipped with the latest urology technology and staffed by skilled surgeons specializing in TUEVP. The affordability, combined with comprehensive care packages, makes it a preferred destination for international patients.
- Turkey:
Turkey has become a hub for medical tourism, offering state-of-the-art facilities and internationally trained urologists. Istanbul and Ankara are popular cities for TUEVP, offering high-quality care at a fraction of the cost found in many Western countries. Additionally, Turkey’s strategic location between Europe and Asia provides easy access for patients from both continents.
- Thailand:
Thailand is known for its world-class healthcare services, with numerous hospitals accredited by international healthcare organizations. Cities like Bangkok and Phuket not only provide expert TUEVP services but also offer a comfortable environment for recovery, thanks to their hospitality and serene surroundings.
- Mexico:
With its proximity to the United States, Mexico has become a prime destination for medical tourists seeking affordable and efficient healthcare. Facilities in cities such as Mexico City and Tijuana are equipped with advanced urological technology and offer TUEVP at competitive prices, often accompanied by medical tourism packages that include transport and accommodation.
- United Arab Emirates (UAE):
The UAE, especially Dubai and Abu Dhabi, has rapidly developed its medical tourism infrastructure, offering high-end healthcare services with a focus on urology and minimally invasive procedures like TUEVP. The country’s modern hospitals, internationally certified medical practitioners, and luxurious recovery options make it an attractive option for medical tourists.
Risks & Considerations
- Urinary Tract Infection (UTI):
Like any procedure involving the urinary tract, TUEVP may lead to a risk of infection, which can cause discomfort, fever, or further complications if not treated promptly.
- Temporary Urinary Symptoms:
After the procedure, some patients may experience burning sensations, blood in the urine, or frequent urges to urinate. These symptoms are usually temporary and improve as the area heals.
- Retrograde Ejaculation:
TUEVP may cause retrograde ejaculation, where semen enters the bladder instead of exiting through the urethra. While not harmful, it can affect fertility and may be a concern for some patients.
- Urinary Incontinence:
Though rare, some patients might experience urinary incontinence post-procedure. This is usually temporary but can persist in some cases, requiring further treatment or pelvic floor exercises.
- Scar Tissue Formation:
There is a potential for scar tissue to form in the urethra or bladder neck, which could cause urethral stricture (narrowing) and potentially require additional procedures to correct.
How to Choose the Right Doctor and Hospital
Selecting the right doctor and hospital is crucial for a successful TUEVP procedure. Patients should look for urologists who are not only board-certified but also have extensive experience performing TUEVP. It's beneficial to inquire about the surgeon's specific training, the number of TUEVP procedures they have performed, and their track record of success. Additionally, patients should seek a doctor who communicates effectively, thoroughly explaining the procedure, its risks, and the expected outcomes.
When choosing a hospital, prioritize those with a dedicated urology department equipped with advanced technology and facilities. Accreditation by reputable international healthcare organizations is a strong indicator of quality standards. Medical tourists should also consider hospitals that offer comprehensive support services, such as translation, transport, and accommodation assistance, to ensure a seamless and comfortable experience during treatment abroad.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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