Preparation before the procedure:
Before surgery, you must arrange a preoperative and an anaesthesiology examination with your general practitioner or internist including the assessment of your general health condition before surgery. The procedure is performed with local anaesthesia or so-called analgesic sedation (administering medication for pain and mild suppression). General anaesthesia is never administered. The condition for the procedure is sterile urine. If you are taking blood thinners, tell your doctor and discuss next steps.
The procedure is performed in the so-called lithotomy position (i.e. lying on the back with lower limbs supported). Subsequently, the surgical field (external genitalia, inner thighs and rectal area) is disinfected to minimise the risk of infection in the urinary system. After disinfecting the surgical field, the surgeon covers the surgical field with sterile drapes.
Just before the procedure itself, a lubricating gel is introduced into the urethra to improve the penetration of the endoscope. Then, an endoscope is inserted, which gradually penetrates the urethra under the optical inspection of the surgeon, who assesses the state of the urethra, gradually penetrating through the urethral sphincter and prostate to the bladder. After entering the bladder, the surgeon evaluates the bladder and the size of the prostate, according to which the number and location of sites for the application of water vapour is determined.
After the procedure, a urinary catheter stays inserted for several days.
The procedure is performed with the administration of antibiotics. Mainly to help with discomfort coming from the inserted catheter, pain relievers are also prescribed as needed in the post-operative period.
After the procedure, the patient is discharged on the same day, approximately 6-10 hours after the procedure, or the following day (if the patient wishes to be under the watchful eye of medical staff after the procedure, or if it suits him better), and sets an appointment to remove the urinary catheter.
The antibiotic is administered before the procedure either in a single dose or over a longer period of time (at the discretion of the physician and the patient’s situation). In the case of a patient with an inserted catheter, antibiotics are always administered over a longer period of time.