Prostate Diseases Diagnosis and Treatment Center

What Does the Gleason Score 6 Mean?

Gleason score 6 is the pathological designation of a prostate cancer of the best grade. The Gleason score is a scoring system that is given according to the changes in the cellular basis during the diagnosis of the material sent after biopsy and surgery with auxiliary methods.

What is Local Cancer?

Local prostate cancer refers to disease that is confined to the prostate. This conclusion is reached according to the results of the imaging and digital rectal examination findings before and after the biopsy. Local prostate cancer includes all diseases that do not exceed the capsule, do not involve lymph stations and do not spread to distant organs.

What does high PSA mean?

PSA (Prostate Specific Antigen) is a type of enzyme and normally has a reproductive function. It is the enzyme that allows the sperm fluid to liquefy after ejaculation during intercourse. Determination of the PSA enzyme level is possible with a blood test. If the PSA test is high for the age of the patient, it is called PSA elevation.

Is Prostate Biopsy Painful?

Prostate biopsy is the procedure of taking multiple biopsy with the help of ultrasound, usually from the breech canal (between the rectum and the egg bag in some centers) in case of suspected prostate cancer. Usually 10-12 pieces are taken. Extra pieces are also taken in repetitive biopsies and those with suspicious lesions in MRI. This procedure can be performed in the outpatient clinic, in the patient's room or in the operating room.

What is the Risk of Prostate Surgery?

There are different types of prostate surgery. Endoscopic prostate scraping (TUR-P) surgeries in benign prostate enlargement, laser surgeries such as HOLEP, open prostate removal surgeries can be performed. Among these surgeries, endoscopic prostate scraping and HOLEP surgeries are performed without any incision, and patients are sent home without any problems with an average of 2-3 days of hospitalization.

How is HoLEP Prostate Surgery Performed?

The HOLEP method is based on the principle of removing the enlarging lobes of the prostate from the capsule endoscopically with the aid of a laser device. Prostate tissues are thrown into the bladder with the manipulation of endoscopic instruments by entering the correct plane with the laser.

How to Tell if the Prostate Is Benevolent?

After the first evaluation in patients who have complaints about the prostate or for routine control, an opinion is obtained after digital rectal examination and blood tests. At this stage, especially when interpreting the PSA test, it is decided whether the patient is in the risk group for malignant disease according to the age of the patient, according to the previous PSA values, the size of the prostate and the free PSA value.

How Many Grams of Prostate Is Surgery Necessary?

The required size of the prostate gland in an adult male is between 18-25 cc. This measurement is usually done by ultrasonography. Prostate enlargement is diagnosed in patients larger than this measurement. However, not every patient with prostate enlargement needs treatment. Because half of the patients do not cause any complaints.

Useful Information for Your Health