Frequently Asked Questions

  1. Prostate Center
  2. Frequently Asked Questions
Frequently Asked Questions

Does prostatitis cause sexual dysfunction (impotence)?

No. Prostatitis does not cause sexual dysfunction (impotence), however, depending on the severity of the patient’s symptoms, the patient may experience loss of sexual desire.

One of the most important reasons for this loss of desire is experiencing pain and burning during ejaculation especially in early stages of prostatitis. As the patient is worried about this pain, he may not want to engage in sexual intercourse. However, this is temporary.

Can prostatitis progress to cancer in the future?

Infection and related reactions in the tissue are known to be triggering factors in some cancer types. For prostate cancer, as previous infections are also recognized as risk factors, there is no study proving that previous prostatitis causes prostate cancer.

What are the laser methods use for the surgical treatment of prostate hyperplasia (BPH)?

Laser started to be used commonly for prostate surgery. GreenLight laser, thulium laser, diode laser and Holmium laser are being used for the surgical treatment of BPH.

How Are GreenLight operations performed?

For GreenLight operation, prostate tissue is vaporized using laser energy. As prostate tissue is eliminated by vaporizing, pathological sample collection is usually not possible.

How Are HoLEP operations performed?

The HoLEP method is performed based on "laser separation" principle instead of "burning by electrical energy". While this method is performed as a closed operation, the prostate is completely removed using a method similar to open prostate surgery. During the operation, spinal anesthesia would suffice. As the prostate tissue is completely removed, the recurrence risk is very low.

Frequently Asked Questions

Is non-surgical treatment possible for prostate cancer?

Treatment of prostate cancer can be organized as surgery, radiotherapy, or hormonotherapy. The treatment is determined by taking the patient’s conditions and general status into consideration.

What is the most frequently used treatment modality in prostate cancer cases today?

As the screening tests for prostate cancer are used more and more today, it can be detected at early stages. The most frequently used treatment for localized early-stage prostate cancer is surgical treatment. If necessary, it can be combined with hormonotherapy or radiotherapy.

What does robotic surgery mean?

Robotic surgery is the performance of laparoscopic (closed) operations under a 3-dimensional image using "da Vinci" robot. Many laparoscopic operations (urological, general surgery, gynecology etc.) can be performed using this method.

What is the place of the surgeon in robotic surgery?

When it comes to robotic surgery, there is a misconception that the operations are performed by the robot. However, the operator is not the robot but the surgeon himself/herself.

What are the complications of prostate cancer operation using robotic surgery?

Anatomic localization of the prostate tissue is very close to the structures providing erection and continence. Therefore, the most important complications of the prostate surgery include erection loss and incontinence.

The main objective of the prostate operation using robotic surgery is the removal of the prostate without leaving any cancerous tissue behind, preserving the nerves maintaining the continuity of sexual functions, and avoiding damage to the structures ensuring incontinence during prostate removal.

With the revealing of the anatomic plane between bladder and prostate, a "Bladder Preserving Technique" has been described in robotic prostate operations. With the operations using this technique, the rates of incontinence substantially decreased.