Regaining free flight despite a large adenoma Removal of a large prostatic volume: surgery, HoLEP laser or adenomectomy with Dr. Olivier Dumonceau, urologist in Paris 17th. Consultation appointment FAQ \u2013\u2026<\/p>\n","protected":false},"featured_media":5042,"menu_order":0,"template":"","class_list":["post-4795","besoin_patient","type-besoin_patient","status-publish","has-post-thumbnail","hentry"],"acf":{"dumonceau_subtitle":"Regaining free flight despite a large adenoma","dumonceau_intro":"Removal of a large prostatic volume: surgery, HoLEP laser or adenomectomy with Dr. Olivier Dumonceau, urologist in Paris 17th.","dumonceau_related_expertises":"","dumonceau_related_besoins":"","dumonceau_card_excerpt":"Removal of a large prostatic volume: surgery, HoLEP laser or adenomectomy with Dr. Olivier Dumonceau, urologist in Paris 17th.","dumonceau_form_shortcode":"","dumonceau_primary_label":"Consultation appointment","dumonceau_primary_url":"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/olivier-dumonceau\/booking\/telehealth-suggestion","dumonceau_secondary_label":"","dumonceau_secondary_url":"","dumonceau_card_image":5042,"dumonceau_hero_image":4210,"dumonceau_videos":[{"url":"https:\/\/www.youtube.com\/watch?v=uwzo5rk3Tvk","title":"My review in video"},{"url":"https:\/\/www.youtube.com\/watch?v=m--9_vD0U4o","title":"My review in video"},{"url":"https:\/\/www.youtube.com\/watch?v=4D4czt0WP5U","title":"My review in video"}],"dumonceau_video_eyebrow":"","dumonceau_video_section_title":"","dumonceau_video_section_text":"","dumonceau_faq_title":"FAQ \u2013 Frequently Asked Questions","dumonceau_faq_items":[{"question":"What is meant by a \"large prostate volume\"?","answer":"A normal prostate weighs 20 to 25 grams. A prostate weighing over 80 to 100 grams is considered a large adenoma: at this stage, the obstruction is often significant, and some minimally invasive techniques are no longer effective. The volume is precisely measured by ultrasound or MRI."},{"question":"What is the best technique for a large adenoma?","answer":"Laser enucleation (ThuLEP\/HoLEP) has become the standard: it removes the entire adenoma through natural pathways, regardless of its size, with less bleeding and a shorter hospital stay than classic surgical adenomectomy."},{"question":"What are the risks of not treating a blocking adenoma?","answer":"Chronic obstruction can lead to complete urinary retention, infections, bladder stones, and eventually, bladder distension and kidney damage. Treating these complications before they occur preserves bladder function."},{"question":"Does surgery for a large adenoma protect against prostate cancer?","answer":"No. Enucleation removes the adenoma (central area) but leaves the prostatic capsule in place, where cancer can develop. Therefore, PSA monitoring remains necessary after the procedure."}],"dumonceau_sidebar_rdv_title":"","dumonceau_doctor_band_title":"","dumonceau_doctor_band_text":"","dumonceau_doctor_band_points":null,"dumonceau_doctor_band_image":"","dumonceau_page_cta_title":"","dumonceau_page_cta_text":"","dumonceau_closing_highlights":null,"dumonceau_blocks":[{"acf_fc_layout":"image_text_block","eyebrow":"","title":"Introduction","content":"
An enlarged prostate gland<\/b> causes significant compression of the urethra and bladder base, resulting in a mechanical obstruction to urine flow. When medication is no longer sufficient, surgical or endoscopic intervention to remove or unblock the prostate<\/b> becomes necessary.<\/p>
It is not just about relieving symptoms: it is often an essential step to preserve bladder function, avoid complications (acute retention, infections, kidney failure) and restore good urinary comfort.<\/p>
The chosen procedure must be adapted to your anatomy, your general condition, your expectations and the size of the prostate.<\/p>","image":4210},{"acf_fc_layout":"list_block","eyebrow":"","title":"What is meant by \u201clarge, blocking prostate volume\u201d?","text":"","items":[{"item":"We are talking about a large prostate volume (often >80\u2013100 g) accompanied by severe symptoms of urinary discomfort or complications."},{"item":"This volume causes an obstruction of the urinary tract: the passage of water is slowed, incomplete or blocked."},{"item":"When the urethra is severely compressed, the bladder struggles to expel urine, which promotes high post-void residual, bladder overload, and even reflux into the upper urinary tract."},{"item":"This type of blockage often requires a true \u201cunblocking\u201d rather than simple medical relief."}]},{"acf_fc_layout":"video_section_block","eyebrow":"","title":"Expertise in Laser Enucleation","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=uwzo5rk3Tvk"},{"acf_fc_layout":"list_block","eyebrow":"","title":"Signs and suggestive complications","text":"","items":[{"item":"Very weak urinary stream, intermittent or dribbling"},{"item":"Difficulty starting or needing to strain to urinate"},{"item":"Sensation of incomplete drainage"},{"item":"Nocturia (frequent urination at night)"},{"item":"Urgent need or urinary urgency"},{"item":"Recurrent urinary tract infections"},{"item":"Acute retention (complete inability to urinate)"},{"item":"Renal failure or impaired renal function secondary to vesicoureteral obstruction"}]},{"acf_fc_layout":"text_block","eyebrow":"","title":"Pre-intervention diagnosis","content":"
Before making any decision, a thorough assessment is essential to ensure the suitability of the indication:<\/p>
This assessment helps to define the extent of the obstruction, the remaining bladder capacity, and the optimal choice of intervention.<\/p>"},{"acf_fc_layout":"video_section_block","eyebrow":"Expertise","title":"What are the side effects of prostate adenoma treatments?","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=m--9_vD0U4o"},{"acf_fc_layout":"list_block","eyebrow":"","title":"Techniques for removing the blocking volume","text":"","items":[{"item":"Allows for the complete removal of the adenoma, without strict volume limits."},{"item":"It is a reference technique for large prostates: effectiveness, reasonable operating time, good hemostatic control."},{"item":"Results comparable to open surgery, with a frequently lower complication rate."},{"item":"A well-established technique for moderate volumes, but limited in cases of very large prostates."},{"item":"Higher risk of bleeding or incomplete resection if the volume is too large."},{"item":"A classic option when the volume is very large or in complex shapes."},{"item":"Requires an incision, longer hospitalization, but allows good control of the obstruction."},{"item":"Laser pulses, vaporization, thermal or steam techniques (e.g., the REZUM technique) to reduce prostate volume in a less invasive way."},{"item":"Useful when the volume to be removed is moderate or as a complement depending on the anatomy."},{"item":"For prostates exceeding 80 to 100 g, laser enucleation (HoLEP) is often preferred for its tolerability and effectiveness."},{"item":"Open surgery is reserved for extreme cases or when other techniques are not feasible."}]},{"acf_fc_layout":"list_block","eyebrow":"","title":"Why consult a specialist urologist?","text":"","items":[{"item":"To accurately assess bladder obstruction, volume, and function"},{"item":"To offer the best surgical technique suited to your case"},{"item":"To anticipate risks, optimize preparation and monitoring"},{"item":"To help you make an informed decision, taking into account your priorities (rapid recovery, minimizing side effects)"},{"item":"For rigorous postoperative follow-up, including monitoring, bladder retraining and adjustment if necessary"}]},{"acf_fc_layout":"video_section_block","eyebrow":"Experience","title":"Patient journey office","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=4D4czt0WP5U"},{"acf_fc_layout":"list_block","eyebrow":"","title":"Side effects of prostate treatments","text":"","items":[{"item":"Prostate monitoring after age 50"},{"item":"Prostate cancer screening"},{"item":"REZUM (water vapor thermotherapy)"},{"item":"UroLift (transurethral implants)"},{"item":"Holmium Laser \/ ThuLEP"},{"item":"Robot-assisted radical prostatectomy"}]},{"acf_fc_layout":"text_block","eyebrow":"","title":"Patient Journey","content":"
Let me introduce you to the typical patient journey, my approach to urology, and how I work.<\/p>"},{"acf_fc_layout":"text_block","eyebrow":"","title":"Are you suffering from urinary blockage due to an enlarged prostate?","content":"
Minimally invasive surgical solutions allow for fast and lasting relief.<\/p>
Urology Clinic Paris Op\u00e9ra \u2013 Paris 17th<\/strong>
Expertise in laser surgery and modern techniques<\/strong>
Book your appointment today<\/strong><\/p>"}]},"_links":{"self":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4795","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient"}],"about":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/types\/besoin_patient"}],"version-history":[{"count":2,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4795\/revisions"}],"predecessor-version":[{"id":5002,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4795\/revisions\/5002"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/media\/5042"}],"wp:attachment":[{"href":"https:\/\/www.dumonceau-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}