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A wire attached to the resectoscope gets rid of prostate tissue and seals capillary with an electrical existing. A catheter stays in place for one to three days, and a health center stay of one or 2 days is normally needed. TURP triggers little or no discomfort, and full healing can be anticipated by 3 weeks after surgical treatment.
Enhancement after surgical treatment is biggest in those with the worst signs. Significant 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 very low (0. 1%) (questions). However, impotence follows TURP in about 5% to 10% of guys, and incontinence happens in 2% to 4%.
About 200,000 of these treatments are performed each year in the U.S. A prostatectomy for benign illness (BPH) includes elimination of just the inside of the prostate (basic prostatectomy). This operation differs from a extreme prostatectomy for cancer, in which all prostate tissue is removed. Simple prostatectomy offers the finest and fastest possibility to enhance BPH symptoms, but it may not absolutely ease discomfort. fruit.
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In a retropubic prostatectomy, the bladder is pushed upward and the prostate tissue is gotten rid of without getting in the bladder. In both types of operation, one catheter is put in the bladder through the urethra, and another through an opening made in the lower stomach wall - surgeon. The catheters stay in place for three to 7 days after surgery.
Interviewer: For guys who have actually been diagnosed with a bigger prostate, there are a lot of treatment options, but it can be a little frustrating. And some men fear about the adverse effects of those treatment choices. 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 understand the treatment alternatives available for an enlarged prostate and, more significantly, understand what you would want to weigh as a client when you're having a conversation with your physician or urologist about those various treatment choices.
Let's start there. Treatment choices have negative effects. Do they all have adverse effects? Dr. Summers: Sadly, any treatment alternative will have negative effects. The very first one, I think, that has the least side impacts is lifestyle adjustment. If you can lose weight and improve your diet plan, cut out caffeine, you may have some benefit.
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Recruiter: Okay. Can you talk us through that a little bit? If I comprehend, the hierarchy is lifestyle modifications. And you have actually offered us a fantastic reason to desire to do that to avoid the negative effects of medication. However then it would be medication next. Talk us through, what are some of the choices there? Dr.
There are three classifications of medications. However mostly, we begin with alpha blockers. And the most typical 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 simpler. For the most part, it's well tolerated, but the negative effects that bother males 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 the semen come forward out the end of the penis, it reverses into the bladder. Which definitely can be concerning to a lot of men and is among the primary side results of a great deal of various treatments for prostate enhancement (water vapor).
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Summers: No. It is a concern if you're planning to dad more kids. Clearly, that is a fundamental part of recreation. In terms of your total health, it does not make a huge distinction. It does not impact the sensation of orgasm excessive, but it's extremely private. In some men, that can be a real bother - diet.

Sure. Like I would imagine a great deal of these adverse effects are going to be very specific. Dr. Summers: Sure. Yeah. The other medications that we use, 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,.
They obstruct the result of testosterone on the prostate development and over time can trigger some shrinking of the prostate. They are really slow medications to work, and you need to advance those medications for life as soon as you start 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 guys. And it does have the negative effects of causing hair regrowth. The medication that was frequently recommended called Propecia is in this class of drugs. However there are more considerable sexual side results, I will say. Interviewer: Why would a man pick this specific treatment then over perhaps the first one? Dr.
That's a good concern. So, oftentimes, they're combined. We will use both medications. urinary tract infections. There's pretty good data out there to recommend that both of them work practically synergistically together than using either one alone. The other advantage with the finasteride, that we were simply speaking about, is it does reduce the development of symptoms and intensity of the illness, therefore you can lower the threat of progression to the point where one may require surgery by about half.
Recruiter: And you said the one that you have to consider life, state I started, at six months later on, I'm like, "Ah, these negative effects, I can't cope with these." Am I able to then take a various treatment option? Dr. incision. Summers: Sure. You can constantly alter the treatment option.
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Interviewer: Okay. Dr. Summers: So some of those sexual negative effects have actually lasted even once they've come off of it. Now, that's an extremely small percentage of males, however definitely, if you are among those patients, that's going to be an issue for you. transurethral needle ablation. Interviewer: Yeah. And then there's a third classification of drugs as well? Dr.
The other category of drugs works primarily on the bladder. It relaxes the bladder, so it treats the signs of the disease, however not does anything actually to the prostate. And so you're really putting a Band-Aid on treating the sign, the frequency, the urgency, the getting up in the evening, but you're not actually dealing with the issue.
Dr. Summers: You bring up a great point. Often we think about surgery even before medications when you're attempting to reduce some of those negative effects. There are a couple of new or just recently developed treatments that I believe are crucial to highlight here. And I highlight them particularly due to the fact that they do not have those sexual side results that are so typical with the medications.
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They're performed in the workplace with a local anesthetic. It's an extremely fast healing with little downtime or little missed out on work. The 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 allow the urine to flow through much easier.
A great deal of guys do not even need to have a catheter following that treatment, and it doesn't have any of the sexual adverse effects. There's no threat of erectile dysfunction, there's no risk of retrograde ejaculation, and there's no threat of urinary incontinence following that treatment. Not all men are prospects for that treatment.
However it can be a fantastic choice for a great deal of guys. Recruiter: And exist other surgical alternatives that you go over with your clients? Dr. Summers: Sure - article. I believe it is necessary to actually know all of the choices, and so I like to evaluate whatever with my patients prior to entertaining any one of them.
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Rezm uses steam or water vapor therapy in an effort to shrink or ablate and get rid of prostate tissue. Therefore, likewise, it's carried out in the workplace under an anesthetic and with some mild sedation (enlarged prostate). We go in and I inject the prostate with the steam. And depending on the size of the prostate, you may get anywhere from 4 to 10 or perhaps greater injections.
Male following that treatment do have to have a catheter for a couple of days. The recovery can be a little bit longer, but there are no restrictions. You're able to go back to work as soon as you have the ability to tolerate things. It similarly does not have any threat of sexual negative effects, including impotence or retrograde ejaculation, and no danger of incontinence (enlargement).
Dr - control. Summers: Yeah. It has the ability to tailor the treatment a little bit more to a more comprehensive variety of prostate anatomy, so various prostate sizes and three-dimensional constructs of the prostate. But both of them are, you understand, frequently used interchangeably, and both are great choices for a lot of men that are enthusiastic to avoid a few of the larger surgical treatments.
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Summertimes: A great deal of times it comes down to the healing. It comes down to experience, provider preference too, and duration, you understand, how long we've been doing those treatments and what's the long-term information and retreatment rates for each of those (adhd). So, you understand, it gets into a little bit more thorough discussion that I attempt to customize to the individual.
And how does that fit with sort of your expectations and the symptoms that we're aiming to deal with?" Job interviewer: Getting near wrapping this up, are there other alternatives that we have not covered yet that we should? Dr. Summers: You understand, I believe one of the common concerns I get in surgical treatments that a great deal of males that talk about it is the TURP, which represents transurethral resection of the prostate (transurethral surgery).
It's an older treatment-- it's better around, you understand, practically 100 years-- where urologists go in and using a resection knife in the operating space, with the client asleep, we hollow out the prostate. It's still a frequently practiced treatment. Most urologists do a great deal of them. It still has its location.
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So we have actually, you know, improved at that procedure. However I think a great deal of males come believing that is their only choice. energy. And, sadly, they have, you know, all had a pal that has actually had this done and has had possibly a problem, and they fear and put things off postponing treatment due to the fact that of a few of the negative effects of this older treatment choice.
And I don't know that I heard any of the things you discussed actually explicitly state removing the prostate. Dr. Summers: Yeah. That's a common question we get too, and it's a bit confusing when you take a look at pictures of the prostate. So the majority of the treatment for benign prostate illness does not remove the entire prostate.
That is contrasted and much various than an operation that we provide for prostate cancer. If a male has prostate cancer, most of the time that cancer is on the exterior of the prostate, and we have to remove the whole prostate. Whereas with benign prostate illness or BPH, that growth or enlargement is on the inner part of the prostate that's blocking and pushing on the urethra.
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Summer seasons: When you eliminate the entire prostate, yeah. It's no longer functional. In terms of eliminating a portion of it, you do lose some function. The function of the prostate is to secrete supporting fluid in your semen for sperm. Therefore, for a lot of men that were dealing with prostate enlargement, that is less of a concern.
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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.