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Prostate HealthProstate Diseases

前列腺疾病創新治療技術 (Only available in Chinese)

前列腺增生與前列腺癌均為男士不容忽視的前列腺健康問題；而隨著年齡增長，男士患上前列腺疾病的風險亦會愈來愈高。除了出現泌尿困難外，若確診前列腺癌，更會有性命危險。而隨著醫療科技進步，前列腺診斷與治療亦取得了創新發展，若能及早處理相關前列腺健康問題﹐治療的功效亦會更理想🔎。 💁🏻‍♂️前列腺增生治療 ✔️針對輕至中度前列腺增生患者： - 水蒸氣熱力治療(Rezum) - 前列腺提拉術(Urolift) ✔️針對前列腺體積較大患者： - 前列腺水刀消融術(Aquablation) - 雙極/鈥激光前列腺剝離術 ✔️針對血尿或出血風險較高患者： - 綠激光前列腺汽化術 - 前列腺動脈栓塞術 💁🏻‍♂️前列腺癌診斷 ✔️針對特異抗原指數(PSA)升高的男士： - 磁力共振掃描(MRI)融合活檢超聲波圖像 - 經會陰前列腺活檢 - PSMA 正電子電腦掃描 💁🏻‍♂️前列腺癌治療 ✔️針對高侵略性前列腺癌患者： - 新一代微創機械人Versius，進行複雜性較高的切除前列腺手術。 ✔️針對患有局限性前列腺癌患者： - 套嶄核磁影像導向放射治療系統MR-Linac ✔️針對局部性和低危前列腺癌患者： 局部定位治療，包括： - 高強度聚焦超聲(HIFU) - 冷凍療法(Cryotherapy) - 微波消融(Microwave ablation)

Prostate HealthBenign Prostatic Hyperplasia

Innovations in Benign Prostatic Hyperplasia (BPH) Surgery

If patients develop symptoms related to benign prostatic hyperplasia (BPH) which do not respond well to medications, surgery can be considered. Traditionally, transurethral resection of the prostate (TURP) can be offered to alleviate symptoms related to BPH. During the surgery, prostate tissue will be resected endoscopically, resulting in a wide channel for urination. Usually TURP would require spinal or general anaesthesia, and patients can be discharged within 3-4 days.  Recently, there have been a lot of advances in BPH surgery, and they include Rezum, Urolift, Aquablation, Bipolar / Holmium laser enucleation of the prostate, GreenLight laser vaporization and prostatic artery embolization. For patients who are concerned about the peri-operative risks of surgery, minimally invasive treatment such as Rezum and Urolift may be considered. Rezum works by delivering water vapour into the prostate gland, the prostate tissue will be ablated and resorbed. Urolift works by placing implants which can compress the prostatic tissue and result in a widened channel for urination. General anaesthesia is usually not needed for these procedures, and patients can usually be discharged on the same day of surgery. Both procedures are more suitable for men with mild to moderate BPH. Rezum   Urolift For patients with very big prostates, it is usually more difficult to ensure a good removal of prostate tissue. Treatment options such as Aquablation and Bipolar / Holmium laser enucleation of the prostate may be considered. During Aquablation, prostate contour can be marked on ultrasound, and then ablated by a robotically controlled waterjet technology. During Bipolar / Holmium laser enucleation of the prostate, the prostatic capsule is first identified during the procedure, and then the prostate tissue will be enucleated and removed.     Aquablation   Enucleation of the prostate For patients with recurrent hematuria or at high risk of bleeding (e.g. on anti-coagulants), treatment options such as GreenLight laser vaporization and prostatic artery embolization may be considered. GreenLight laser has the property of vaporizing the prostate tissue and controlling bleeding at the same time. Prostatic artery embolization works by occluding the blood supply to the prostate gland, hence reducing bleeding and causing shrinkage of the prostate tissue. Apart from good hemostatic effects, both procedures are able to improve lower urinary tract symptoms at the same time. GreenLight laser vaporization Prostatic Artery Embolization The above are just general information about the various types of BPH surgery. Patients should seek advice from urologists, understand the pros and cons of each treatment option before deciding on the most appropriate treatment plan.