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A wire connected to the resectoscope removes prostate tissue and seals blood vessels with an electric present. A catheter stays in location for one to 3 days, and a healthcare facility stay of one or two days is normally needed. TURP triggers little or no pain, and full recovery can be anticipated by three weeks after surgical treatment.
Improvement after surgery is biggest in those with the worst symptoms. Significant enhancement occurs in about 93% of males with severe symptoms and in about 80% of those with moderate signs. The mortality from TURP is extremely low (0. 1%) (approach). Impotence follows TURP in about 5% to 10% of men, and incontinence occurs in 2% to 4%.
About 200,000 of these treatments are carried out annually in the U.S. A prostatectomy for benign illness (BPH) includes elimination of only the inner portion of the prostate (simple prostatectomy). This operation varies from a extreme prostatectomy for cancer, in which all prostate tissue is removed. Simple prostatectomy uses the finest and fastest possibility to enhance BPH signs, however it might not completely alleviate pain. options.
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In a retropubic prostatectomy, the bladder is pushed up and the prostate tissue is removed without getting in the bladder. In both kinds of operation, one catheter is placed in the bladder through the urethra, and another through an opening made in the lower abdominal wall - review. The catheters stay in location for 3 to 7 days after surgical treatment.
Recruiter: For men who have actually been detected with a bigger prostate, there are a great deal of treatment choices, but it can be a little overwhelming. And some guys fear about the side results of those treatment choices. We're going to sort through that today. Dr. Stephen Summers is a urologist at University of Utah Health, and he's going to assist us much better comprehend the treatment options offered for a bigger prostate and, more importantly, understand what you would want to weigh as a patient when you're having a discussion with your doctor or urologist about those various treatment choices.
Let's start there. Treatment choices have negative effects. Do they all have side impacts? Dr. Summers: Regrettably, any treatment alternative will have adverse effects. So the first one, I think, that has the least side results is way of life adjustment. So if you can lose weight and enhance your diet plan, eliminated caffeine, you may have some advantage.
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Interviewer: Okay. Can you talk us through that a little bit? So, if I comprehend, the hierarchy is way of life modifications first. And you have actually given us a terrific reason to wish to do that to avoid the side results of medication. Then it would be medication next. Talk us through, what are some of the options there? Dr.
There are three categories of medications. Mostly, we start with alpha blockers - questions. And the most common medication utilized is a medication called Flomax or tamsulosin. It works to open the prostate and the bladder neck to enable the urine to stream through a bit much easier. For the most part, it's well endured, however the negative effects that bother guys with taking that medication can be dizziness.
And the other one is something called retrograde ejaculation or a sexual negative effects. Which is when a guy orgasms, rather of having the semen come forward out the end of the penis, it goes in reverse into the bladder. Which certainly can be concerning to a lot of men and is among the main adverse effects of a lot of different treatments for prostate augmentation (disease).
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Summer seasons: No. It is a concern if you're preparing to dad more kids. Obviously, that is an essential part of recreation. However in regards to your overall health, it doesn't make a big distinction. It does not impact the experience of orgasm too much, however it's highly individual. In some men, that can be a genuine bother - cases.

Sure. Like I would envision a great deal of these negative effects are going to be very specific. Dr. Summers: Sure. Yeah. The other medications that we utilize, there is a medication that falls into a class called 5-reductase inhibitors. There's a medication called finasteride or Proscar or Avodart or dutasteride,.
They obstruct the effect of testosterone on the prostate growth and over time can cause some shrinking of the prostate. They are extremely sluggish medications to work, and you have to continue on those medications for life once you start them if you're going to experience the benefit of the treatment for them.
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It can cause periodic breast enlargement in men. And it does have the adverse effects of causing hair regrowth. The medication that was typically recommended called Propecia is in this class of drugs. There are more significant sexual side results, I will say (most effective treatment). Interviewer: Why would a male pick this particular treatment then over maybe the first one? Dr.
That's a good question. So, often, they're combined. We will use both medications. management. There's respectable data out there to recommend that both of them work nearly synergistically together than using either one alone. The other benefit with the finasteride, that we were simply speaking about, is it does minimize the development of symptoms and severity of the illness, and so you can decrease the danger of development to the point where one may require surgery by about half.
Job interviewer: And you stated the one that you have to consider life, say I started, at six months later, I resemble, "Ah, these negative effects, I can't live with these." Am I able to then take a various treatment alternative? Dr. semen. Summers: Sure. You can constantly alter the treatment choice.
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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 very little percentage of guys, however definitely, if you're one of those patients, that's going to be an issue for you. quality. Interviewer: Yeah. And then there's a 3rd classification of drugs also? Dr.
The other category of drugs works mainly on the bladder. It relaxes the bladder, so it deals with the symptoms of the illness, however not does anything truly to the prostate. And so you're actually putting a Band-Aid on treating the symptom, the frequency, the urgency, the getting up at night, but you're not truly attending to the issue.
Dr. Summers: You raise a fantastic point. In some cases we consider surgical treatment even before medications when you're trying to lessen some of those side effects. There are a couple of new or recently developed treatments that I believe are crucial to highlight here. And I highlight them particularly since they do not have those sexual negative effects that are so common with the medications.
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They're done in the workplace with an anesthetic. It's a very fast healing with little downtime or little missed out on work. The very first of those treatments is something called a Uro, Lift. That is a device that is implanted in the prostate that keeps back that prostate obstructing tissue and opens the channel to permit the urine to flow through much easier.
A lot of men do not even have to have a catheter following that procedure, and it does not have any of the sexual side results. There's no risk of erectile dysfunction, there's no danger of retrograde ejaculation, and there's no risk of urinary incontinence following that treatment. Regrettably, not all guys are candidates for that procedure.
However it can be a terrific choice for a lot of men. Recruiter: And exist other surgical choices that you go over with your clients? Dr. Summers: Sure - surgery. I believe it is essential to really understand all of the choices, and so I like to review whatever with my patients prior to entertaining any among them.
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Rezm uses steam or water vapor therapy in an effort to diminish or ablate and eliminate prostate tissue. Therefore, likewise, it's performed in the workplace under an anesthetic and with some moderate sedation (prostate enlargement). We enter and I inject the prostate with the steam. And depending upon the size of the prostate, you might get anywhere from 4 to 10 or even greater injections.
Men following that treatment do need to have a catheter for a couple of days. The recovery can be a bit longer, but there are no constraints. You have the ability to go back to work as quickly as you're able to tolerate things. It similarly does not have any danger of sexual side impacts, consisting of erectile dysfunction or retrograde ejaculation, and no threat of incontinence (cancer).
Dr - caffeine. Summers: Yeah. It has the ability to tailor the treatment a little bit more to a broader variety of prostate anatomy, so various prostate sizes and three-dimensional constructs of the prostate. However both of them are, you know, typically utilized interchangeably, and both are good alternatives for a great deal of men that are enthusiastic to prevent some of the bigger surgeries.
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Summertimes: A lot of times it boils down to the healing. It comes down to experience, company preference too, and duration, you understand, the length of time we've been doing those treatments and what's the long-term information and retreatment rates for each of those (fluids). So, you understand, it enters a little bit more in-depth discussion that I try to tailor to the person.
And how does that fit with type of your expectations and the symptoms that we're wanting to treat?" Job interviewer: Getting close to wrapping this up, exist other choices that we haven't covered yet that we should? Dr. Summers: You understand, I think one of the typical concerns I get in surgical treatments that a great deal of men that speak about it is the TURP, and that stands for transurethral resection of the prostate (purposes).
It's an older treatment-- it's better around, you know, nearly 100 years-- where urologists go in and using a resection knife in the operating room, with the patient asleep, we hollow out the prostate. It's still a frequently practiced treatment. The majority of urologists do a lot of them. It still fits.
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So we have actually, you understand, improved at that treatment. I believe a lot of men come believing that is their only alternative. And, unfortunately, they have, you understand, all had a buddy that has had this done and has had possibly an issue, and they fear and procrastinate putting off treatment because of a few of the negative effects of this older treatment alternative.
And I don't know that I heard any of the important things you spoke about really explicitly say getting rid of the prostate. Dr. Summers: Yeah. That's a typical concern we get too, and it's a bit complicated when you look at images of the prostate. So the majority of the treatment for benign prostate disease does not remove the entire prostate.
That is contrasted and much different than an operation that we provide for prostate cancer. So if a man has prostate cancer, the majority of the time that cancer is on the outside of the prostate, and we have to eliminate the whole prostate - lot. Whereas with benign prostate illness or BPH, that development or augmentation is on the inner part of the prostate that's obstructing and pushing on the urethra.
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Summertimes: Once you remove the entire prostate, yeah. It's no longer functional. In terms of eliminating a part of it, you do lose some function. The function of the prostate is to produce supporting fluid in your semen for sperm. And so, for many men that were dealing with prostate augmentation, that is less of an issue.
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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.