Does endoscopic prostate surgery eliminate health problems for some men?

The prostate is a small gland located between the bladder and the male penis, and it is part of the male reproductive system that secretes a group of fluids, but the most important of these fluids is semen, which transports sperm, and the prostate surrounds the tube that carries urine to the urinary canal. When the gland increases in size and enlarges more than The necessary, it puts pressure on the bladder, which leads to difficulty in urinating, and with time this problem may increase to reach urine retention and the inability to get rid of it and empty the bladder. Thus, the symptoms of the prostate are overcome in men.


Prostatitis is a disease that affects men at all ages, but it is more prevalent among those in their fifties. A man may develop prostatitis suddenly or in stages, according to the cause of the inflammation. In some cases, the inflammation improves with treatment or without treatment, while some types of inflammation persist. for several months.

Prostatitis causes

Infection with a bacterial infection, where bacteria move from the urine to the prostate, and this condition is treated with antibiotics. In some cases, the bacteria are not completely eliminated, the infection may recur and be difficult to treat, turning into a chronic bacterial infection.

Damage to some urinary tract nerves as a result of surgery or trauma may increase the chances of prostatitis.

Prostate symptoms in men

Pain when urinating or in the lower abdomen.
Irregular urination, as well as decreased urine output.
Involuntary urination.
Feeling of pain in different places of the back and abdomen.
Having difficulty urinating.
Continuing drops of urine after the completion of the urination process.
Pain in the penis or testicles.
Pain when ejaculating.


It is a process during which all or part of the prostate gland is removed, and the doctor resorts to this procedure to treat the pathological causes that affect the prostate, the most famous of which are benign enlargement of the prostate and prostate cancer. The type of enlarged prostate, whether benign or prostate cancer.

What are the cases that are not suitable for endoscopic prostate surgery?

Patients who suffer from blood disease problems and blood clotting problems.
If the patient suffers from a heart attack or a blockage in the coronary artery or has had heart surgery.
If the patient has a neurological disease that affects his ability to control urine, such as Parkinson’s disease.
If the patient has prostate cancer and is receiving radiotherapy, in this case, it is better to postpone the endoscopic prostate operation six months after the radiotherapy is completed.
If the patient is receiving treatment for a urinary bladder tumor.
If the patient suffers from inflammation of the bladder, urethra, or kidneys, the operation is postponed until the infections are treated and cured.

When does the doctor decide to perform a laparoscopic prostate operation?

In the event that medications fail to treat the symptoms of prostate enlargement and improve the patient’s condition.
Repeated urinary retention, which requires the installation of a urinary catheter.
When prostate enlargement causes recurring bladder infections or stones in the bladder as a result of not passing urine easily or bleeding with urine.

Laparoscopic prostate operation

This operation is performed under general or regional anesthesia by injecting anesthetic into the back. The endoscopic prostate operation depends on inserting a medical scope through the urethra from the opening of the penis to the prostate. This endoscope consists of a camera and a source of light so that the surgeon can see and a wire is passed An electric current is used to heat it during the removal of the problematic part of the prostate, then the surgeon pumps quantities of water through the endoscope to clean the effects of this surgery, and the operation takes about an hour.

After the operation

After the prostatectomy, the patient has difficulty urinating through the urethra. This is because the urethral canal is swollen after the operation, so a urine catheter is used to enable the patient to urinate easily and to facilitate emptying the bladder of urine. A urine catheter is also used to pump quantities of water into the bladder to clean it of any blood clots or sediments as a result of the operation.

The urinary catheter is removed after the urethra is healed and the patient urinates normally. The patient can return home 48 hours after the operation. The patient may still feel some pain during urination. The doctor may have to temporarily re-position the urinary catheter until the patient’s condition improves. .

What are the advantages of laparoscopic prostatectomy?

The laparoscopic prostatectomy is characterized by its success in overcoming the symptoms of the prostate in men significantly in most cases, and the patient can leave the hospital after two or three days of the operation, and he can return to his normal life within a week.

Operation cost

The cost of prostatectomy in Egypt depends on several factors:

The type of excision: the cost of the operation varies according to the size that is being excised and the condition. Sometimes part of the gland is removed, and sometimes the patient’s condition requires excision of the entire gland.
Reason for eradication: One of the main factors in determining the cost of the operation is the reason for removing the gland, is it because of a cancerous tumor, and does the doctor need to remove some tissue surrounding the tumor as a preventive measure to prevent the spread of the tumor
Procedures accompanying surgery: These include procedures for preparing the patient before the operation, as well as procedures that follow the operation.
Finally, the doctor’s experience, competence and scientific standing are among the most important factors in determining the cost of the operation, as well as the level and equipment of the medical center or hospital in which the operation is performed, and the level of medical care that it provides.

The diseases that affect the reproductive system in men are sensitive diseases and have a great impact on men and their psychological state. Therefore, when experiencing any disease symptoms, you must go to a specialized doctor with experience and competence, and you must search for the best urologist in Egypt or go to the best specialized medical centers. Dr. Mohamed Metwally Sadek, Consultant of Urology, Andrology, Andrology and Infertility is one of the best centers that use the latest treatment techniques.