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A wire connected to the resectoscope gets rid of prostate tissue and seals capillary with an electric existing. A catheter remains in place for one to three days, and a health center stay of one or 2 days is typically required. TURP causes little or no pain, and complete healing can be expected by 3 weeks after surgery.
Enhancement after surgery is biggest in those with the worst symptoms. Marked improvement takes place in about 93% of males with extreme symptoms and in about 80% of those with moderate symptoms. The death from TURP is extremely low (0. 1%) (effects). Impotence follows TURP in about 5% to 10% of males, and incontinence occurs in 2% to 4%.
About 200,000 of these procedures are performed every year in the U.S. A prostatectomy for benign disease (BPH) includes removal of only the inner portion of the prostate (basic prostatectomy). This operation differs from a radical prostatectomy for cancer, in which all prostate tissue is gotten rid of. Easy prostatectomy uses the finest and fastest opportunity to improve BPH signs, however it might not completely ease discomfort. alcohol.
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In a retropubic prostatectomy, the bladder is pushed up and the prostate tissue is eliminated without getting in the bladder. In both kinds of operation, one catheter is positioned in the bladder through the urethra, and another through an opening made in the lower abdominal wall - changes. The catheters stay in place for three to 7 days after surgical treatment.
Recruiter: For men who have actually been identified with an enlarged prostate, there are a great deal of treatment options, but it can be a little overwhelming. And some men fear about the adverse effects of those treatment alternatives. We're going to arrange through that today. Dr. Stephen Summers is a urologist at University of Utah Health, and he's going to help us better comprehend the treatment options readily available for a bigger prostate and, more importantly, understand what you would want to weigh as a client when you're having a discussion with your doctor or urologist about those different treatment choices.
So let's start there - beta-sitosterol. Treatment choices have side results. Do they all have negative effects? Dr. Summers: Unfortunately, any treatment choice will have side results. So the very first one, I guess, that has the fewest side effects is way of life modification. If you can lose weight and improve your diet, cut out caffeine, you may have some advantage.
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Job interviewer: Okay. Can you talk us through that a little bit? So, if I understand, the hierarchy is way of life changes first. And you have actually given us a fantastic factor to wish to do that to avoid the side impacts of medication. However then it would be medication next. So talk us through, what are a few of the choices there? Dr.
There are three categories of medications. But mostly, we start with alpha blockers. And the most common medication used is a medication called Flomax or tamsulosin. It works to open the prostate and the bladder neck to permit the urine to stream through a little bit much easier. For the a lot of part, it's well endured, but the side effects that trouble guys with taking that medication can be dizziness.
And the other one is something called retrograde ejaculation or a sexual negative effects. And that is when a man orgasms, rather of having actually the semen stepped forward out the end of the penis, it goes backwards into the bladder. Which certainly can be concerning to a lot of men and is among the primary negative effects of a lot of various treatments for prostate enhancement (decision).
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Summer seasons: No. It is a concern if you're preparing to dad more kids. Clearly, that is a vital part of reproduction. In terms of your general health, it doesn't make a big difference. It doesn't affect the feeling of orgasm excessive, however it's highly private. In some guys, that can be a genuine trouble - tadalafil.

Sure. Like I would envision a lot of these side impacts are going to be really specific. Dr. Summers: Sure. Yeah. The other medications that we utilize, there is a medication that falls under a class called 5-reductase inhibitors. There's a medication called finasteride or Proscar or Avodart or dutasteride,.
So they block the result of testosterone on the prostate development and in time can cause some shrinking of the prostate. urination. They are really sluggish medications to work, and you need to continue those medications for life as soon as you begin them if you're going to experience the advantage of the treatment for them.
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It can trigger occasional breast enlargement in men. And it does have the side effect of triggering hair regrowth. The medication that was typically prescribed called Propecia is in this class of drugs. There are more considerable sexual side impacts, I will state (after turp). Interviewer: Why would a male select this specific treatment then over maybe the first one? Dr.
That's a great question. Often, they're combined. We will utilize both medications. study. There's respectable information out there to recommend that both of them work almost synergistically together than utilizing either one alone. The other advantage with the finasteride, that we were just discussing, is it does decrease the progression of symptoms and intensity of the illness, and so you can reduce the danger of progression to the point where one might require surgery by about half.
Recruiter: And you stated the one that you need to consider life, say I began, at 6 months later on, I resemble, "Ah, these adverse effects, I can't deal with these." Am I able to then take a different treatment choice? Dr. amount. Summers: Sure. You can always alter the treatment choice.
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Job interviewer: Okay. Dr. Summers: So a few of those sexual negative effects have actually lasted even once they have actually come off of it. Now, that's a really little portion of men, however certainly, if you are among those patients, that's going to be an issue for you. penis. Interviewer: Yeah. And after that there's a third classification of drugs also? Dr.
The other category of drugs works mostly on the bladder. It relaxes the bladder, so it deals with the symptoms of the illness, but not does anything truly to the prostate. Therefore you're truly putting a Band-Aid on treating the symptom, the frequency, the seriousness, the getting up during the night, however you're not really addressing the issue.
Dr. Summers: You raise a fantastic point. In some cases we think about surgery even prior to medications when you're attempting to lessen some of those negative effects. So there are a couple of brand-new or just recently established treatments that I think are essential to highlight here. And I highlight them particularly due to the fact that they do not have those sexual adverse effects that are so common with the medications.
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They're done in the office with a local anesthetic. It's an extremely fast recovery with little downtime or little missed work. The very first of those treatments is something called a Uro, Lift. That is a gadget that is implanted in the prostate that keeps back that prostate blocking tissue and opens up the channel to permit the urine to flow through easier.
A great deal of males do not even have to have a catheter following that treatment, and it does not have any of the sexual adverse effects. There's no threat of erectile dysfunction, there's no threat of retrograde ejaculation, and there's no risk of urinary incontinence following that procedure. Sadly, not all men are candidates for that procedure.
But it can be an excellent option for a great deal of guys. Job interviewer: And are there other surgical alternatives that you talk about with your clients? Dr. Summers: Sure - remedy for b.p.h.. I think it's essential to actually know all of the alternatives, and so I like to review everything with my clients prior to entertaining any among them.
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Rezm uses steam or water vapor treatment in an effort to diminish or ablate and remove prostate tissue. Therefore, similarly, it's carried out in the office under a regional anesthetic and with some mild sedation (alpha-blockers). We enter and I inject the prostate with the steam. And depending on the size of the prostate, you might get anywhere from 4 to 10 or perhaps higher injections.
Male following that procedure do need to have a catheter for a few days. The healing can be a bit longer, but there are no constraints. You have the ability to return to work as soon as you have the ability to tolerate things. It similarly does not have any danger of sexual negative effects, including erectile dysfunction or retrograde ejaculation, and no danger of incontinence (uroxatral).
Dr - treatment. Summers: Yeah. So it has the capability to tailor the treatment a bit more to a more comprehensive variety of prostate anatomy, so different prostate sizes and three-dimensional constructs of the prostate. Both of them are, you know, often used interchangeably, and both are good alternatives for a lot of guys that are enthusiastic to avoid some of the larger surgeries.
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Summer seasons: A lot of times it comes down to the healing. It boils down to experience, service provider choice too, and period, you understand, for how long we have actually been doing those treatments and what's the long-lasting data and retreatment rates for each of those (growth). You know, it gets into a little bit more extensive discussion that I attempt to customize to the person.
And how does that fit with sort of your expectations and the symptoms that we're aiming to deal with?" Job interviewer: Getting near covering this up, are there other choices that we have not covered yet that we should? Dr. Summers: You understand, I believe one of the typical concerns I get in surgical treatments that a lot of males that discuss it is the TURP, and that represents transurethral resection of the prostate (after turp).
It's an older treatment-- it's better around, you know, nearly 100 years-- where urologists enter and utilizing a resection knife in the operating room, with the client asleep, we hollow out the prostate. It's still a frequently practiced procedure. The majority of urologists do a lot of them. It still fits.
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We have actually, you know, gotten much better at that procedure. I think a lot of guys come thinking that is their only option. And, sadly, they have, you know, all had a friend that has actually had this done and has had maybe a problem, and they fear and procrastinate putting off treatment due to the fact that of a few of the negative effects of this older treatment alternative.
And I do not understand that I heard any of the important things you discussed actually explicitly say removing the prostate. Dr. Summers: Yeah. That's a common question we get too, and it's a bit complicated when you take a look at images of the prostate. Many of the treatment for benign prostate disease does not get rid of the entire prostate.
That is contrasted and much different than an operation that we provide for prostate cancer. If a male has prostate cancer, many of the time that cancer is on the outside of the prostate, and we have to eliminate the whole prostate. Whereas with benign prostate illness or BPH, that growth or augmentation is on the inner part of the prostate that's obstructing and pushing on the urethra.
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Summertimes: When you get rid of the whole prostate, yeah. Certainly, it's no longer functional. In regards to eliminating a portion of it, you do lose some function. The function of the prostate is to produce supporting fluid in your semen for sperm. Therefore, for a lot of guys that were treating prostate enhancement, that is less of a problem.
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1. What are the risks and benefits of enlarged prostate treatment?
There are many risks and benefits to enlarged prostate treatment. The risks include but are not limited to:
- Surgery: There is always a risk of complications with any surgery, such as infection, bleeding, or damage to nearby organs.
- Radiation therapy: Radiation therapy can cause side effects, such as fatigue, skin irritation, and diarrhea. It can also increase your risk of developing a second cancer.
2. What are the side effects of enlarged prostate treatment?
There are many potential side effects associated with enlarged prostate treatment, and the specific side effects will vary depending on the particular treatment approach used. For example, medical therapies such as alpha-blockers and 5-alpha-reductase inhibitors can cause side effects such as dizziness, lightheadedness, headache, fatigue, and sexual dysfunction.
3. What is the success rate of enlarged prostate treatment?
The success rate of enlarged prostate treatment can vary depending on the approach used. For example, surgery to remove the prostate (prostatectomy) is usually successful in relieving urinary symptoms. However, the success rate of this approach is lower for men who have had previous surgery or radiation therapy to the pelvis. In addition, surgery can sometimes cause urinary incontinence or erectile dysfunction.
4. What are the long-term effects of enlarged prostate treatment?
The long-term effects of enlarged prostate treatment are not fully known. However, treatment for an enlarged prostate can have serious side effects, including urinary incontinence, sexual dysfunction, and decreased urine flow. In some cases, treatment for an enlarged prostate can also lead to urinary tract infections, bladder stones, and kidney damage.
5. What are the costs of enlarged prostate treatment?
The costs of enlarged prostate treatment can vary depending on the severity of the condition and the course of treatment recommended by the doctor. In some cases, medication may be all that is needed to manage the symptoms of an enlarged prostate. However, more severe cases may require surgery to remove the prostate gland. The cost of surgery can range from $5,000 to $10,000, depending on the hospital and the surgeon.
6. What are the alternatives to enlarged prostate treatment?
There are many potential alternatives to enlarged prostate treatment. Some men may choose to wait and see if their symptoms improve on their own, while others may opt for lifestyle changes or complementary and alternative therapies.
Surgery is the most common treatment for an enlarged prostate, but it is not the only option. Some men may be candidates for minimally invasive procedures, such as transurethral microwave therapy (TUMT) or transurethral needle ablation (TUNA).
7. What is the best way to prepare for enlarged prostate treatment?
The best way to prepare for enlarged prostate treatment is to talk to your doctor about your specific situation and what treatment options are available. You may also want to ask about side effects of the various treatment options and how to manage them. Additionally, you may want to read up on the subject and learn as much as you can about the different treatment options. This will help you make an informed decision about which treatment is right for you.
8. What are the expectations for enlarged prostate treatment?
There are a number of different expectations for enlarged prostate treatment, depending on the underlying cause of the condition. In general, however, treatment for enlarged prostate is aimed at relieving symptoms and improving urinary function.
If the enlarged prostate is due to benign prostatic hyperplasia (BPH), treatment may involve medications such as alpha-blockers or 5-alpha-reductase inhibitors. These medications can help to shrink the size of the prostate and improve urinary symptoms.
9. What are the follow-up care requirements after enlarged prostate treatment?
After treatment for an enlarged prostate, it is important to have regular follow-up appointments with your doctor. You will likely need to have a digital rectal exam (DRE) and a prostate-specific antigen (PSA) test at each visit. Your doctor may also recommend other tests, such as a urinary flow test or a transrectal ultrasound.
It is important to take any medications prescribed by your doctor and to attend all scheduled appointments.
10. What are the risks and benefits of enlarged prostate surgery?
There are many risks and benefits associated with enlarged prostate surgery. The risks include, but are not limited to, bleeding, infection, and urinary incontinence. The benefits include, but are not limited to, relief from urinary obstruction and urinary incontinence.
The risks and benefits of enlarged prostate surgery will vary depending on the individual case and the type of surgery performed. In general, however, the risks of enlarged prostate surgery include bleeding, infection, and urinary incontinence.
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1. What is the best treatment for enlarged prostate?
There is no one-size-fits-all answer to this question, as the best treatment for an enlarged prostate will vary depending on the individual's specific situation and health condition. However, some common treatments for an enlarged prostate include medications, surgery, and lifestyle changes.
Medications: There are a number of different medications that can be used to treat an enlarged prostate, depending on the underlying cause.
2. What are the risks of enlarged prostate?
The risks of enlarged prostate are many and varied. They include, but are not limited to, the following:
-A decrease in the quality of life.
-An increased risk of urinary tract infections.
-An increased risk of kidney stones.
-An increased risk of bladder cancer.
-An increased risk of prostate cancer.
-An increased risk of sexual dysfunction.
-An increased risk of incontinence.
3. What are the symptoms of enlarged prostate?
The most common symptom of an enlarged prostate is difficulty urinating. You may have to urinate more often, or you may feel the need to urinate but have difficulty doing so. You may also have a weak stream of urine or a stream that starts and stops. You may feel like you can't empty your bladder completely.
Other symptoms can include:
-Urinary urgency (feeling an urgent need to urinate)
4. What are the causes of enlarged prostate?
The prostate is a small, walnut-sized gland that is part of the male reproductive system. The prostate is located just below the bladder and in front of the rectum. The prostate produces a fluid that is mixed with sperm to form semen.
The prostate goes through two main growth phases during a man’s life. The first growth phase begins during puberty and is completed by the age of 20.
5. What are the treatment options for enlarged prostate?
There are a number of treatment options for enlarged prostate, which can be divided into medical and surgical options.
Medical options include:
-Alpha blockers: These drugs work by relaxing the muscles in the prostate and bladder neck, making it easier to urinate. Common side effects include dizziness, headache, and urinary tract infections.
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1. Where is the enlarged prostate located?
The prostate is a small, walnut-sized gland that is located in front of the rectum and below the bladder. The prostate is responsible for producing semen, which is the fluid that carries sperm. The prostate also helps to control urine flow. The enlarged prostate is located in the same place as the normal prostate, but it is larger in size.
2. Where did the enlarged prostate come from?
The prostate is a walnut-sized gland that is part of the male reproductive system. The prostate is located just below the bladder and in front of the rectum. The prostate produces a fluid that is mixed with sperm to create semen.
The prostate goes through two main growth phases in a man’s life. The first phase begins at puberty and is completed by the age of 25.
3. Where is the best place to get treatment for an enlarged prostate?
There is no one-size-fits-all answer to this question, as the best place to get treatment for an enlarged prostate will vary depending on the individual's specific situation. However, some general tips that may be helpful include:
- talking to your primary care doctor or urologist to get their recommendations on the best course of treatment
- researching different treatment options and facilities to find one that is a good fit for you
4. Where can I find information on enlarged prostate treatments?
There are a number of different treatments for enlarged prostate, depending on the severity of the condition. In some cases, medication may be all that is necessary to manage the condition. In other cases, surgery may be required.
Medication:
There are a number of different medications that can be used to treat enlarged prostate. The most common are alpha blockers, which work by relaxing the muscles around the prostate. This can help to relieve symptoms such as urinary frequency and urgency.
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1. How does an enlarged prostate affect the body?
An enlarged prostate is a condition that affects men as they age. The prostate is a small, walnut-sized gland that is located just below the bladder and in front of the rectum. The prostate produces a fluid that helps to nourish and transport sperm. The prostate also helps to control the flow of urine.
As men age, the prostate gland can begin to grow larger.
2. How is an enlarged prostate diagnosed?
There are a few different ways that an enlarged prostate can be diagnosed. One way is through a digital rectal exam, which is where a doctor inserts a gloved, lubricated finger into the rectum and feels for any bumps or irregularities. Another way is through a prostate-specific antigen test, which measures the level of PSA in the blood. PSA is a protein produced by the prostate, and levels can be elevated in men with an enlarged prostate.
3. How can an enlarged prostate be treated?
There are a number of ways that an enlarged prostate can be treated. The most common and effective way is through medication. There are a number of different types of medication that can be used to treat an enlarged prostate. The most common type of medication is an alpha blocker. This type of medication works by relaxing the muscles in the prostate and allowing urine to flow more freely.
4. How do lifestyle changes help with an enlarged prostate?
There are a number of lifestyle changes that can help with an enlarged prostate. One of the most important things that men can do is to maintain a healthy weight. Being overweight can contribute to the development of an enlarged prostate. Men who are overweight are also more likely to develop other health problems, such as diabetes, which can further complicate the situation.
Another important lifestyle change is to avoid smoking. Smoking has been linked to an increased risk of developing an enlarged prostate.