Prostate and erectile dysfunction, advances in treatments

Written by: Dr. Javier De la Riva de la Viña
Edited by: Top Doctors®


How is the holmium laser treatment?

With the help of engineering and research, we now have three tools whose use supposes great advantages for our patients. First, talk about the consolidation of surgery of benign prostatic hypertrophy with laser, particularly with the holmium laser, which is the one that goes the furthest and with which we get great results in terms of imitating surgery perfectly conventional open. But, avoiding precisely having to perform external wounds to be an endoscopic approach. With holmium laser surgery of benign prostatic hypertrophy or BPH we eradicate all the tissue to be removed with definitive results for the rest of the patient's life. And, in addition, it is a technique that produces minimal bleeding. It avoids having to be transfused and allows us to discharge the majority of patients in 24-48 hours, urinating without having to carry a probe. We have taken a giant step with this minimally invasive technique with respect to the rest of the surgical techniques of benign prostatic hypertrophy.





What new tests do we have to detect prostate cancer?

When instead of facing the benign problem of prostatic hypertrophy or BPH that I mentioned earlier, there are signs that we may be facing a malignant process or prostate cancer, thanks to these new analyzes we can avoid having to perform a large number of biopsies of the prostate. In our beautiful country that is Spain, we diagnose over 30,000 new cases of prostate cancer each year. The prostate biopsy is not free of risks and complications such as infections, bleeding, urinary retention, etc., which makes it advisable that it is not a technique to be performed and repeated if its use is not inexcusable. Precisely, now these other tests in urine and blood, which are called PCA3, 4Kscore test, PCAST. Or P-CAST, etc., which are not already analysis of substances, but genetic analysis, make it possible to screen the number of biopsies to be performed, as they inform us of which cases are really in which the probability that we are in prostate cancer it is high, compared to those in which, with only one follow-up, we can dispense with performing such biopsies because these analyzes indicate that there is no or very low possibility that we are at the beginning of a tumor process.


What new technique has improved the treatment of erectile dysfunction?

Finally, comment that today we already have more than medication for the treatment of erectile dysfunction or impotence coeundi of the male. It is a physical therapy at the expense of shock waves, whose treatment is imparted in a certain number of sessions per treatment and which produces a revitalization of the microcirculation of the corpora cavernosa of the penis or, so to speak, of the damaged vascular structures. that prevent a good arrival of blood and a good engorgement of these erectile structures. The treatment is a harmless treatment, it is not painful, it does not require anesthesia, we do it in an outpatient setting and it usually offers good results. So that those who have a good response to the medication, can do without it. Those who did not have a good response to the medication began to have a good response to the medication. And those who had absolutely no response to medication with vasoactive drugs that we have in themarket and, in maximum tolerable doses, they also begin to be able to have their sexual potency preserved and, therefore, it is a treatment that has surpassed, so to speak, everything we had that was, until now, little.

*Translated with Google translator. We apologize for any imperfection

By Dr. Javier De la Riva de la Viña

Dr. Javier de la Riva of Vine is a prominent urologist first class. Doctorate in Medicine from the Complutense University of Madrid, has held numerous prestigious publications and regularly participates in conferences and congresses of the specialty of urology. He is currently Chief of Urology at the University Hospital Madrid Montepríncipe.

*Translated with Google translator. We apologize for any imperfection

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