İNTRAPROSTATİC İNJECTİON TREATMENT İN PROSTATİTİS

Ana Sayfa: Hoş Geldiniz

WHO AM I ?

I was born in 1977 in İstanbul.I graduated from Cerrahpaşa Faculty of Medicine.İn 2006 ,I became an urologist at İstanbulTraining and Research Hospital.

I wrote my specialization thesis on chronic prostatitis. Between 2014-2016, I was an academic member at Istanbul BİLGİ UNIVERSITY. I focused on microsurgery,prostate,urinary tract stones and urooncology.I am still working at LİM CLİNİC in Aksaray, İstanbul.

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WHAT DO WE DO IN THE TREATMENT OF CHRONİC PROSTATİTİS?

Chronic prostatitis is one of the difficult diseases to treat .After listening to the story of the incoming patient, we usually perform a rectal examination. Here, the presence of prostatic stiffness nodule is evaluated whether there is sensitivity by pressing the finger. There is usually sensitivity in chronic prostatitis. Then the liquid that comes after the prostate massage is cultured and we do a PCR test. In this test, it is investigated whether there are leukocytes or bacteria in the prostate fluid, and also the fungus is looked at. If there are bacteria, bacterial prostatitis is called nonbacterial prostatitis if there are no bacteria.Intraprostatic injection therapy is applied in both types of prostatitis. For intraprostatic injection, our patient lies down on a table with legs. He puts his feet on both sides. Transrectal USG is performed to view the prostate. The place of the needle from the skin to the prostate in the apical region is numbed with local anesthesia. Then a mixture of antibiotics prepared with a spinal needle is applied to the prostate.Pain is not feel because there is local anesthesia. The same procedure is performed on both prostate lobes and the procedure is completed with a light prostate massage. The success rate is %80. The side effect that is sometimes seen after the procedure is the blood coming from the semen. This is temporary and goes away after the injections are over.. The adjustments are usually 4. It is seen after the session, but it can also be seen after 6 sessions are over.Sessions are held once a week.

Prostate injection is performed by the sterilization method performed in the operating rooms.the probability of contracting an infection from the outside is the same as the probability of an operation. in other words, it is very low, the antibiotics we use do not burn the tissue, do not damage the prostate tissue. the antibiotics we use are not suspended. the pka value of meropenem, for example, is 7.3 as well as some species. in the same figure, the pka value of rifampicin is 7.9. it is not possible for these antibiotics to damage the prostate. normally, these are antibiotics given through a vein. if it had a tissue-burning property, they would also have to damage the vascular tissue.

Another point is the question of a painful treatment of prostate injection. we give a local anesthetic substance to the places where the passes before giving the drug to the prostate. Because of this, there is no pain or it is minimal. Erection does not have a negative effect, and even on the contrary, stronger erections occur.the boundary structure is not damaged. different complaints will not arise after this procedure.The side effects are very rarely. After the injection procedure, you will be able to replace your normal daily activities. only 4-days should not enter into a sexual relationship.