{"id":23377,"date":"2026-10-23T13:44:06","date_gmt":"2026-10-23T10:44:06","guid":{"rendered":"https:\/\/urohaber.com\/?p=23377"},"modified":"2026-10-23T13:44:06","modified_gmt":"2026-10-23T10:44:06","slug":"prostat-hastaligi-tedavisinde-ileri-teknoloji-thulium-lazer-prostatektomi-thulep-uzm-dr-kazim-bilecen","status":"publish","type":"post","link":"https:\/\/urohaber.com\/index.php\/2026\/10\/23\/prostat-hastaligi-tedavisinde-ileri-teknoloji-thulium-lazer-prostatektomi-thulep-uzm-dr-kazim-bilecen\/","title":{"rendered":"Prostat Hastal\u0131\u011f\u0131 Tedavisinde \u0130leri Teknoloji, Thulium Lazer Prostatektomi (THULEP) &#8211; Uzm. Dr. Kaz\u0131m Bilecen"},"content":{"rendered":"<p>Prostat, idrar torbas\u0131n\u0131n alt\u0131nda yer alan ve spermin s\u0131v\u0131 k\u0131sm\u0131n\u0131 \u00fcreten, ortas\u0131ndan idrar yolunun ge\u00e7ti\u011fi gland\u00fcler bir organd\u0131r. Prostat bezi 40 ya\u015f sonras\u0131 baz\u0131 erkeklerde b\u00fcy\u00fcmeye ba\u015flar ve ortas\u0131ndan ge\u00e7en idrar kanal\u0131n\u0131 daraltarak prostat hastal\u0131\u011f\u0131 \u015fik\u00e2yetlerine sebep olur.<\/p>\n<p>\u00d6zel Hatem Hastanesi \u00dcroloji Uzman\u0131 Op. Dr. Kaz\u0131m Bilecen, prostat hastal\u0131\u011f\u0131 tedavisinde uygulanan ileri teknoloji Thulium Lazer Prostatektomi (ThuLEP) hakk\u0131nda bilgiler verdi.<\/p>\n<p><b>PROSTAT HASTALI\u011eI (BPH) \u015e\u0130K\u00c2YETLER\u0130 NELERD\u0130R?<\/b><\/p>\n<p>Op. Dr. Kaz\u0131m Bilecen, prostat hastalar\u0131nda g\u00f6r\u00fclen \u015fik\u00e2yetleri s\u0131ralad\u0131: Zor, c\u0131l\u0131z ve ince idrar yapma, s\u0131k idrara \u00e7\u0131kma, geceleri s\u0131k s\u0131k idrara kalkma, idrar\u0131 ba\u015flatmada ve bitirmede gecikme, idrar\u0131n sonunun damla damla uzamas\u0131, idrar geldi\u011finde acil idrar yapma hissi (urgenc), bazen idrar\u0131 yeti\u015ftirememe, idrar ka\u00e7\u0131rma (inkontinans), idrar yapamama, mesanenin idrar ile dolmas\u0131 (glob vezikal) sebebi ile sonda tak\u0131lmak zorunda kal\u0131nmas\u0131.<\/p>\n<p><b>THULEP AMEL\u0130YATI NASIL YAPILIR?<\/b><\/p>\n<p>ThuLEP ameliyat\u0131, prostat hacmine ba\u011fl\u0131 olarak 1-3 saat aras\u0131nda s\u00fcrmektedir. ThuLEP cerrahisinde endoskopik el aletleri ile \u00fcretral mea\u2019dan (d\u0131\u015f idrar yolu giri\u015fi) girerek mesane alt\u0131nda prostat dokusuna ula\u015f\u0131l\u0131r. Prostat dokusu, \u00e7evresindeki kaps\u00fcl dokusundan Thulium Lazer enerjisi yard\u0131m\u0131 ile ayr\u0131larak (sanki bir portakal\u0131n i\u00e7i ile kabu\u011fu aras\u0131na girilerek kabu\u011fundan ayr\u0131lmas\u0131 gibi) mesane i\u00e7ine at\u0131l\u0131r ve mesane i\u00e7ine at\u0131lan prostat dokusu, morselat\u00f6r denen bir alet yard\u0131m\u0131 ile mesane i\u00e7inden yakla\u015f\u0131k 5-10 dakika gibi bir s\u00fcre i\u00e7inde par\u00e7alanarak d\u0131\u015far\u0131 al\u0131n\u0131r.<\/p>\n<p><b>THUL\u0130UM LAZER PROSTAT AMEL\u0130YATININ AVANTAJLARI NELERD\u0130R?<\/b><\/p>\n<ul>\n<li>Klasik TUR-P tekni\u011fi yakla\u015f\u0131k 80-100 grama kadar olan prostatlara uygulanabilmekte ve ne kadar iyi uygulansa da prostat\u0131n tamam\u0131 temizlenememekte, art\u0131k doku kalmaktad\u0131r ve prostat tekrarlayabilmektedir. Oysa ThuLEP ameliyat\u0131 100 gram\u0131n \u00fczerindeki prostatlara da ba\u015far\u0131 ile uygulanabilmekte ve TUR-P ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda neredeyse prostat dokusu kalmad\u0131\u011f\u0131 i\u00e7in prostat\u0131n tekrarlama ihtimali yok gibidir.<\/li>\n<li>B\u00fcy\u00fck prostatlarda da uygulanabilir.<\/li>\n<li>Mesane ta\u015f\u0131 ve prostat\u0131n birlikte oldu\u011fu hastalarda ayn\u0131 seansta iki problem de tedavi edilebilir.<\/li>\n<li>Kalp damar hastal\u0131\u011f\u0131 olan, koroner stenti olan ve kan suland\u0131r\u0131c\u0131 kullanan hastalarda uygulanabilir.<\/li>\n<li>\u00c7ok daha az kanama g\u00f6r\u00fcl\u00fcr (a\u00e7\u0131k cerrahi veya kapal\u0131 TUR ameliyat\u0131na g\u00f6re).<\/li>\n<li>Hastanede kal\u0131\u015f s\u00fcresi \u00e7ok daha k\u0131sad\u0131r (normal ko\u015fullarda 1-2 g\u00fcn i\u00e7inde sondas\u0131z olarak hastaneden \u00e7\u0131k\u0131labilir).<\/li>\n<li>Sonda daha k\u0131sa tutulur (normal ko\u015fullarda 1-2 g\u00fcn i\u00e7inde sondas\u0131 \u00e7\u0131kar\u0131l\u0131r).<\/li>\n<li>\u0130drar ak\u0131\u015f h\u0131z\u0131 \u00e7ok daha y\u00fcksektir (prostat gland\u0131 tamamen \u00e7\u0131kar\u0131ld\u0131\u011f\u0131ndan dolay\u0131, TUR ameliyat\u0131 ve di\u011fer tedavi tekniklerine g\u00f6re).<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Prostat hastal\u0131\u011f\u0131 tedavisinde Thulium lazer prostatektomi (ThuLEP) y\u00f6nteminin nas\u0131l uyguland\u0131\u011f\u0131n\u0131, avantajlar\u0131n\u0131 ve kimler i\u00e7in uygun oldu\u011funu detaylar\u0131yla \u00f6\u011frenin.<\/p>\n","protected":false},"author":1,"featured_media":23378,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[119,117,102,118,116],"class_list":["post-23377","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cinsel-saglik","tag-ameliyati","tag-doku","tag-idrar","tag-mesane","tag-prostat"],"_links":{"self":[{"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/posts\/23377","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/comments?post=23377"}],"version-history":[{"count":1,"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/posts\/23377\/revisions"}],"predecessor-version":[{"id":23379,"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/posts\/23377\/revisions\/23379"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/media\/23378"}],"wp:attachment":[{"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/media?parent=23377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/categories?post=23377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urohaber.com\/index.php\/wp-json\/wp\/v2\/tags?post=23377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}