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A wire connected to the resectoscope eliminates prostate tissue and seals blood vessels with an electrical existing. A catheter stays in place for one to three days, and a medical facility stay of a couple of days is usually required. TURP causes little or no pain, and complete recovery can be anticipated by three weeks after surgery.
Improvement after surgical treatment is biggest in those with the worst symptoms. Marked improvement happens in about 93% of males with extreme symptoms and in about 80% of those with moderate signs. The death from TURP is very low (0. 1%) (tube). Impotence follows TURP in about 5% to 10% of men, and incontinence takes place in 2% to 4%.
About 200,000 of these procedures are carried out every year in the U.S. A prostatectomy for benign illness (BPH) involves elimination of just the inner part of the prostate (simple prostatectomy). This operation differs from a extreme prostatectomy for cancer, in which all prostate tissue is eliminated. Easy prostatectomy uses the best and fastest possibility to enhance BPH symptoms, but it might not totally minimize discomfort. rights.
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In a retropubic prostatectomy, the bladder is pressed upward and the prostate tissue is removed without getting in the bladder. In both types of operation, one catheter is placed in the bladder through the urethra, and another through an opening made in the lower stomach wall - exercises. The catheters remain in place for three to seven days after surgery.
Job interviewer: For men who have been diagnosed with a bigger prostate, there are a great deal of treatment options, however it can be a little overwhelming. And some men fear about the adverse effects of those treatment alternatives. 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 better understand the treatment alternatives readily available for an enlarged prostate and, more notably, comprehend what you would want to weigh as a client when you're having a conversation with your physician or urologist about those various treatment alternatives.
So let's start there - prostate symptoms. Treatment choices have negative effects. Do they all have side results? Dr. Summers: Regrettably, any treatment choice will have adverse effects. The first one, I guess, that has the fewest side impacts is way of life modification. If you can lose weight and improve your diet plan, cut out caffeine, you may have some advantage.
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Recruiter: Okay. So can you talk us through that a little bit? So, if I understand, the hierarchy is lifestyle changes initially. And you've given us a terrific reason to desire to do that to avoid the adverse effects of medication. However then it would be medication next. So talk us through, what are some of the choices there? Dr.
There are three classifications of medications. Mostly, we begin with alpha blockers - lifestyle changes. 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 flow through a bit much easier. For the a lot of part, it's well endured, but the side impacts that bother males with taking that medication can be lightheadedness.
And the other one is something called retrograde ejaculation or a sexual side effect. Which is when a male orgasms, instead of having the semen stepped forward out the end of the penis, it reverses into the bladder. Which definitely can be worrying to a great deal of guys and is among the primary adverse effects of a lot of various treatments for prostate enlargement (device).
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Summertimes: No. It is a concern if you're planning to dad more kids. Clearly, that is a vital part of recreation. In terms of your general health, it doesn't make a huge difference. It doesn't impact the sensation of orgasm excessive, but it's highly individual. In some males, that can be a real bother - care.

Sure. Like I would imagine a great deal of these adverse effects are going to be really private. 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 result of testosterone on the prostate growth and over time can trigger some shrinkage of the prostate. They are very slow medications to work, and you have to continue on 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 side result of triggering hair regrowth. The medication that was typically prescribed called Propecia is in this class of drugs. There are more substantial sexual side effects, I will state (tube). Interviewer: Why would a man choose this specific treatment then over possibly the first one? Dr.
That's a great question. Frequently, they're combined. We will use both medications. something. There's quite excellent data out there to recommend that both of them work almost synergistically together than using either one alone. The other benefit with the finasteride, that we were simply speaking about, is it does decrease the progression of signs and severity of the disease, and so you can decrease the danger of progression to the point where one might need surgical treatment by about half.
Interviewer: And you said the one that you have to take for life, state I began, at 6 months later, I resemble, "Ah, these negative effects, I can't cope with these." Am I able to then take a different treatment alternative? Dr. allergies. Summers: Sure. You can constantly change the treatment choice.
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Interviewer: Okay. Dr. Summers: So a few of those sexual negative effects have lasted even once they have actually come off of it. Now, that's a really little percentage of guys, however certainly, if you're one of those clients, that's going to be an issue for you. prostatic. Recruiter: Yeah. And then there's a 3rd category of drugs? Dr.
The other classification of drugs works mostly on the bladder. It relaxes the bladder, so it deals with the signs of the illness, however not does anything actually to the prostate. And so you're truly putting a Band-Aid on treating the sign, the frequency, the urgency, the getting up at night, however you're not really addressing the problem.
Dr. Summers: You bring up an excellent point. In some cases we consider surgical treatment even before medications when you're attempting to lessen some of those side impacts. So there are a number of new or just recently established treatments that I think are very important to highlight here. And I highlight them particularly due to the fact that they do not have those sexual side effects that are so common with the medications.
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They're performed in the workplace with an anesthetic. It's a very quick healing with little downtime or little missed 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 up the channel to enable the urine to flow through simpler.
A lot of men do not even need to have a catheter following that treatment, and it does not have any of the sexual adverse effects. There's no risk of erectile dysfunction, there's no threat of retrograde ejaculation, and there's no risk of urinary incontinence following that procedure. Not all males are candidates for that treatment.
It can be a terrific option for a lot of guys. Job interviewer: And are there other surgical alternatives that you talk about with your clients? Dr. Summers: Sure - medication. I think it's essential to truly know all of the choices, and so I like to evaluate everything with my patients prior to captivating any among them.
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Rezm uses steam or water vapor therapy in an effort to shrink or ablate and remove prostate tissue. And so, similarly, it's carried out in the workplace under an anesthetic and with some mild sedation (enlargement). We go in and I inject the prostate with the steam. And depending upon the size of the prostate, you may get anywhere from 4 to 10 or even higher injections.
Men following that procedure do have to have a catheter for a couple of days. The healing can be a bit longer, but there are no constraints. You're able to go back to work as quickly as you have the ability to endure things. It similarly does not have any threat of sexual adverse effects, including erectile dysfunction or retrograde ejaculation, and no danger of incontinence (urge).
Dr - medication. Summers: Yeah. It has the capability to customize the treatment a little bit more to a broader variety of prostate anatomy, so different prostate sizes and three-dimensional constructs of the prostate. However both of them are, you understand, frequently utilized interchangeably, and both are great choices for a great deal of guys that are enthusiastic to prevent some of the bigger surgeries.
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Summer seasons: A great deal of times it boils down to the recovery. It comes down to experience, service provider choice too, and duration, you know, the length of time we've been doing those treatments and what's the long-term information and retreatment rates for each of those (alfuzosin). You know, it gets into a little bit more thorough discussion that I try to customize to the individual.
And how does that fit with type of your expectations and the signs that we're looking to deal with?" Interviewer: Getting near covering this up, are there other alternatives that we have not covered yet that we should? Dr. Summers: You understand, I believe among the common concerns I get in surgical treatments that a lot of men that speak about it is the TURP, which means transurethral resection of the prostate (resection).
It's an older treatment-- it's better around, you understand, nearly 100 years-- where urologists go in and utilizing a resection knife in the operating room, with the client asleep, we hollow out the prostate. It's still a typically practiced treatment. Most urologists do a lot of them. It still fits.
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We have actually, you know, gotten much better at that procedure. But I believe a lot of men come believing that is their only choice. saw palmetto. And, regrettably, they have, you understand, all had a pal that has had this done and has had maybe an issue, and they fear and hesitate delaying treatment since of a few of the adverse effects of this older treatment choice.
And I do not understand that I heard any of the things you discussed in fact clearly 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 images of the prostate. So many of the treatment for benign prostate illness does not eliminate the entire prostate.
That is contrasted and much various than an operation that we provide for prostate cancer. So if a man has prostate cancer, most of the time that cancer is on the exterior of the prostate, and we need to remove the entire prostate - prostate symptoms. Whereas with benign prostate illness or BPH, that development or enlargement is on the inner part of the prostate that's obstructing and pushing on the urethra.
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Summertimes: When you eliminate the entire prostate, yeah. Certainly, it's no longer practical. In regards to 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 most guys that were treating 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.