The new “access ” in the vein controls prostatic hypertrophy

08/08/2019 09:57

VOV.VN – Treatment of prostatic hypertrophy, doctors from Viet Duc University Hospital found a new way to approach from radial artery (arm), helps patients be able to walk again by themselves after surgery.

 

Before, classic way to get into the vessel of embolization technique for management of prostatic hypertrophy open from femoral artery. Recently, doctors from Viet Duc University Hospital (Ha Noi) have found a new way to approach from radial artery (arm), helps patient can sit and walk again by themselves after surgery.

 

Amazing advance in artery interventions

 

According to Dr. Le Thanh Dung, PhD, Deputy chief of Imaging Diagnosis, Viet Duc University Hospital, prostate is a genital gland located between bladder and rectum, around the urethra behind the bladder neck. Previously, benign prostate hypertrophy is quite common within middle-age men, but lately, this disease is rejuvenation. Around 8% from 31-40 age group benign aplasia hypertrophy of prostate, and 80% of 70 years old & above group. Most of the patients do not have clinical symptoms of this disease.

“Even the benign disease, but when the enlargement of the prostatic hypertrophy will obstruct the lower urinary tract, it will cause many problems for patients with urinary disorders such as: urinary retention, night-time urination, pee-urination, intermittent urination. all, have to push, urine residues after urination … seriously affect the quality of life. If left for a long time or symptoms do not improve, there may be dangerous complications such as bladder stones, erectile dysfunction, cystitis, renal stasis due to bladder ureter reflux, even severe illness stones, kidney failure, and death…”, Dr. Le Thanh Dung, PhD emphasizes.

 

Currently, medical treatment is the first choice for cases of hypertrophy with symptoms that are intermediate. Medical treatment has very good inhibitors, reduces the size of prostate and bladder, helps patients to urinate easily, but only a certain stage. When medical treatment is no longer effective, the patient must have surgery to remove the tumor. However, when surgery taken the patient must be undergoing the anesthesia and may have postoperative risks such as urinary incontinence, retrograde ejaculation (80%), erectile dysfunction… which affects life quality.

 

“ Embolization approaching into the radial artery helps the patients with  prostatic hypertrophy won’t bleed, reduce complications, can walk again after intervention and be discharged after 24 hours. Especially, this technique helps younger people remain sexual function, even with patients with prostate tumor which bigger than 100g”- Dr. Le Thanh Dung, PhD 

 

In order to manage mentioned disadvatages, a number of hospitals have applied new treatment method: Although it is benign, but when the enlargement of the prostatic hypertrophy will obstruct the lower urinary tract, it will cause many problems for patients with urinary disorders such as: urinary retention, night-time urination, pee-urination, intermittent urination. all, have to push, urine residues after urination … seriously affect the quality of life. If left for a long time or symptoms do not improve, there may be dangerous complications such as bladder stones, erectile dysfunction, cystitis, renal stasis due to bladder ureter reflux, even severe illness stones, kidney failure, and death.

 

Currently, medical treatment is the first choice for cases of hypertrophy with symptoms that are intermediate. Medical treatment has very good inhibitors, reduces the size of prostate and bladder, helps patients to urinate easily, but only a certain stage. When medical treatment is no longer effective, the patient must have surgery to remove the tumor. However, when surgery the patient must be anesthetized and may have postoperative risks such as urinary incontinence, retrograde ejaculation (80%), erectile dysfunction

 

Arterial embolization intervention to prostate – is a minimally invasive, minimal intervention technique. This is a great progress in vascular intervention of specialized image diagnosis and has been widely applied since 2010 in many countries around the world …

 

In order to perform this technique, the pathway is thought to be the classic that the technician will insert a catheter into the femoral artery (left or right) to the artery that feeds the prostate under the guidance of the bright digital full ultrasound monitor’s to pump grain causing clogging. Arteries that block blood supply, make this route not nourish and become smaller, thereby reducing or losing clinical symptoms, helping to improve and improve the quality of life for patients.

 

“With this method will limit the possibilities and risks of open surgery, especially limit the situation of retrograde ejaculation, less erectile dysfunction, improve the quality of life. However, this method has some disadvantages such as: patients must be immobile for 6-8 hours after the intervention, and there is a risk of bleeding in the small frame.”, Dr. Dung, PhD emphasizes.

 

Intervention through radial artery, reduce many complications

 

To catch up with the popular trend of the world, from 2016, Viet Duc University Hospital has improved the approach through radial artery in the field of intravascular intervention treatment, helping patients not to be immobile in place, can walk right after the procedure, reduce hospitalization and disadvantages in personal activities.

 

“ Radial artery intervention techniques have been used in cardiovascular intervention. Procedures for intravascular interventions such as arterial nodes that treat liver cancer, uterine fibroids, prostatic hypertrophy, endometriosis … have been performed by Imaging Diagnosis department and the goal in the near future is 50% of patients will be performed according to this method”, Dr. Dung, PhD shared.

 

Mr. Nguyen Manh T, 64 years old in Thuong Tin, Hanoi, 7 years ago, used to worry when detecting liver cancer and tumors 4cm in diameter. Mr. T. came to Viet Duc University Hospital for examination, and prostatic hypertrophy tumor was discovered. However, because he was not healthy enough, it should only be intervened to treat liver tumors first, then after his health is stable, he is able to treat prostate. “If Dr. Dung first day had a circuit to treat liver tumors from the leg, then last year for prostatic hypertrophy treatment, Dr Dung chose the path from the arm. After the intervention, I walked on my own and was discharged after 24 hours. Especially, after 3-4 months, prostate tumor from 69g reduced to 36g and I see my health improved significantly every day. To date, nocturnal symptoms, dysuria, and urinary disorder symptoms no longer torture me”, Mr. T. said happily.

 

Dr. Le Thanh Dung, PhD has shared, after the diagnosis of prostate hypertrophy, patients with prostatic cancer were excluded from the test and biopsy, the doctor followed the radial artery ./.

 

Lưu Hường Journalist / VOV journal