{"id":7056,"date":"2021-10-27T06:33:40","date_gmt":"2021-10-27T03:33:40","guid":{"rendered":"https:\/\/prostatefocaltherapies.com\/prostat-buyumesi-icin-fokal-tedavisi-bph-hifu-ile\/"},"modified":"2025-09-26T06:31:03","modified_gmt":"2025-09-26T03:31:03","slug":"prostat-buyumesi-icin-fokal-tedavisi-bph-hifu-ile","status":"publish","type":"page","link":"https:\/\/prostatefocaltherapies.com\/tr\/prostat-buyumesi-icin-fokal-tedavisi-bph-hifu-ile\/","title":{"rendered":"Prostat B\u00fcy\u00fcmesi \u0130\u00e7in Fokal Tedavisi – BPH (HIFU ile)"},"content":{"rendered":"\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Prostat Bezi B\u00fcy\u00fcmesi (BPH) i\u00e7in Fokal Tedavi<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Benign Prostat Hiperplazisi (BPH) Tedavisinde Fokal Tedaviler<\/h2>

(Kriyoablasyon, HIFU, IRE)<\/em><\/p>

Bug\u00fcne kadar, benign prostat hiperplazisi (BPH) i\u00e7in geli\u015ftirilen minimal invaziv cerrahi teknikler aras\u0131nda tedavi etkinli\u011fi a\u00e7\u0131s\u0131ndan anlaml\u0131 bir fark olmam\u0131\u015ft\u0131r. Bu prosed\u00fcrlerin ba\u015far\u0131 oranlar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131ran \u00e7al\u0131\u015fmalar genellikle y\u00f6ntemlerin benzer etkinlik sundu\u011fu ve yan etkilerinin genellikle kabul edilebilir seviyelerde oldu\u011fu sonucuna varmaktad\u0131r. Bu ko\u015fullar alt\u0131nda, odak noktas\u0131 hasta i\u00e7in uygun olanlar aras\u0131ndan en az yan etkiye<\/strong> sahip tekni\u011fin se\u00e7ilmesine kayar (\u00e7o\u011fu durumda birden fazla y\u00f6ntem uygun olabilir). <\/p>

Fokal terapi<\/strong> , BPH i\u00e7in di\u011fer t\u00fcm invaziv yakla\u015f\u0131mlardan farkl\u0131 olarak, penil \u00fcretra yoluyla herhangi bir m\u00fcdahale i\u00e7ermemesi<\/strong> bak\u0131m\u0131ndan bir y\u00f6ntemdir. Bunun yerine, prostat dokusunun istenen k\u0131sm\u0131n\u0131 kesmek (yok etmek)<\/strong> i\u00e7in \u00e7e\u015fitli enerji kaynaklar\u0131 kullan\u0131l\u0131r. <\/p>

Fokal terapi, BPH’yi<\/strong> herhangi bir \u00f6nemli yan etkiye neden olmadan<\/strong> TURP, Plazmakinetik TURP veya HoLEP gibi yayg\u0131n olarak kabul edilen y\u00f6ntemler kadar <\/strong>etkili bir \u015fekilde tedavi edebilir. Ek olarak, i\u015flem s\u0131ras\u0131nda penis \u00fcretras\u0131na eri\u015filmedi\u011fi i\u00e7in \u00fcretra darl\u0131\u011f\u0131 riski<\/strong> \u00f6nlenir – bu da bir ba\u015fka \u00f6nemli avantajd\u0131r. <\/p>

Di\u011fer bir\u00e7ok minimal invaziv cerrahi y\u00f6ntemle (TURP, bipolar-Plazmakinetik TURP, HoLEP gibi) kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, fokal terapi a\u015fa\u011f\u0131daki faydalar\u0131 sunar:<\/p>

  • Penis \u00fcretras\u0131ndan giri\u015f yok<\/li>
  • Derin (genel) anesteziye gerek yoktur<\/li>
  • Hastaneye yat\u0131\u015f zorunlulu\u011fu yok<\/li>
  • \u0130\u015flem s\u0131ras\u0131nda kanama olmaz<\/li>
  • Kateter yerle\u015ftirildikten sonra s\u00fcrekli mesane irrigasyonuna gerek yoktur<\/li>
  • Kalp veya beyin pili olan hastalarda kullan\u0131m\u0131 g\u00fcvenlidir<\/li>
  • Tedaviden sonra \u00e7ok d\u00fc\u015f\u00fck retrograd ejak\u00fclasyon riski (%5’ten az)<\/li><\/ul>

    Fokal tedaviler, d\u00fc\u015f\u00fck yan etkileri nedeniyle son y\u0131llarda klinik pratikte yayg\u0131n olarak kullan\u0131lan bir y\u00f6ntem olan Rezum<\/strong> ile \u00f6zel olarak kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, Rezum’un t\u00fcm avantajlar\u0131n\u0131 ve<\/strong> herhangi bir \u00fcretral giri\u015fim gerektirmemesi<\/strong> gibi ek bir fayda sunarak \u00fcretra darl\u0131\u011f\u0131 riskini ortadan kald\u0131r\u0131r.<\/p>

    Fokal Terapide Kullan\u0131lan Enerji Kaynaklar\u0131<\/h2>

    Kriyoablasyon:<\/strong><\/h3>

    Kriyoterapi s\u0131ras\u0131nda deri yoluyla prostata ince metal problar yerle\u015ftirilir. Bu problar, yak\u0131ndaki prostat dokusunu donduran bir gazla doldurulur. Hedeflenen doku dondurularak yok edilirken, sperm kanallar\u0131, sinirler, mesane ve \u00fcretra gibi \u00e7evre yap\u0131lar zarar g\u00f6rmeden kal\u0131r<\/strong>.<\/strong> <\/p>

    \"\"<\/p>

    IRE (Geri D\u00f6n\u00fc\u015f\u00fcms\u00fcz Elektroporasyon):<\/strong><\/h3>

    IRE tedavisinde ince metal problar deriden prostata sokulur. Problar aras\u0131nda g\u00fc\u00e7l\u00fc elektrik alanlar\u0131 olu\u015fur ve h\u00fccre \u00f6l\u00fcm\u00fcne neden olur. Geri D\u00f6n\u00fc\u015f\u00fcms\u00fcz Elektroporasyon (IRE) olarak bilinen bu y\u00f6ntem, istenen prostat dokusunu kesmektedir. Sperm kanallar\u0131, sinirler, mesane ve \u00fcretra gibi \u00e7evre yap\u0131lar<\/strong> korunur<\/strong>.<\/strong> <\/p>

    \"\"<\/p>

    HIFU (Y\u00fcksek Yo\u011funluklu Odaklanm\u0131\u015f Ultrason):<\/strong><\/h3>

    HIFU, prostat dokusunu yok etmek i\u00e7in y\u00fcksek yo\u011funluklu ultrason enerjisi kullan\u0131r. Ses dalgalar\u0131, \u0131s\u0131 \u00fcretmek i\u00e7in belirli bir noktaya odaklan\u0131r. V\u00fccutta belirli bir noktaya iletilen enerji, s\u0131cakl\u0131\u011f\u0131 saniyeler i\u00e7inde yakla\u015f\u0131k 90\u00b0C’ye y\u00fckselterek dokuyu tahrip edebilir. \u00c7evreleyen doku sa\u011flam kal\u0131r ve hedeflenen tedavinin yak\u0131ndaki sa\u011fl\u0131kl\u0131 prostat dokusuna zarar vermeden<\/strong> verilmesine izin verir.<\/strong> <\/p>

    <\/p>

    \"\"<\/p>

    Kriyoablasyon ve IRE (monopolar), HIFU’dan farkl\u0131 olarak rektal toksisite riski ta\u015f\u0131mad\u0131klar\u0131 i\u00e7in<\/strong> BPH tedavisinde \u00f6ne \u00e7\u0131kan se\u00e7enekler haline gelmi\u015ftir.<\/p>

    Literat\u00fcrde bu konuda s\u0131n\u0131rl\u0131 say\u0131da \u00e7al\u0131\u015fma bulunsa da, 2023 y\u0131l\u0131nda yay\u0131nlanan en son meta-analiz<\/strong>, bu y\u00f6ntemlerin hem etkili oldu\u011funu hem de daha az yan etkiyle ili\u015fkili<\/strong> oldu\u011funu bildirmi\u015ftir.<\/strong><\/p>

    \"\"<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    Prostat Bezi B\u00fcy\u00fcmesi (BPH) i\u00e7in Fokal Tedavi Benign Prostat Hiperplazisi (BPH) Tedavisinde Fokal Tedaviler (Kriyoablasyon, HIFU, IRE) Bug\u00fcne kadar, benign prostat hiperplazisi (BPH) i\u00e7in geli\u015ftirilen minimal invaziv cerrahi teknikler aras\u0131nda tedavi etkinli\u011fi a\u00e7\u0131s\u0131ndan anlaml\u0131 bir fark olmam\u0131\u015ft\u0131r. Bu prosed\u00fcrlerin ba\u015far\u0131 oranlar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131ran \u00e7al\u0131\u015fmalar genellikle y\u00f6ntemlerin benzer etkinlik sundu\u011fu ve yan etkilerinin genellikle kabul edilebilir seviyelerde […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7056","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/pages\/7056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/comments?post=7056"}],"version-history":[{"count":1,"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/pages\/7056\/revisions"}],"predecessor-version":[{"id":7072,"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/pages\/7056\/revisions\/7072"}],"wp:attachment":[{"href":"https:\/\/prostatefocaltherapies.com\/tr\/wp-json\/wp\/v2\/media?parent=7056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}