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A wire connected to the resectoscope gets rid of prostate tissue and seals capillary with an electrical current. A catheter remains in place for one to 3 days, and a hospital stay of one or two days is typically required. TURP triggers little or no pain, and complete healing can be expected by three weeks after surgical treatment.
Enhancement after surgery is greatest in those with the worst signs. Significant enhancement occurs in about 93% of males with serious symptoms and in about 80% of those with moderate symptoms. The death from TURP is really low (0. 1%) (prostate gland). Impotence follows TURP in about 5% to 10% of guys, and incontinence occurs in 2% to 4%.
About 200,000 of these treatments are carried out every year in the U.S. A prostatectomy for benign illness (BPH) involves removal of just the inside of the prostate (basic prostatectomy). This operation varies from a extreme prostatectomy for cancer, in which all prostate tissue is eliminated. Simple prostatectomy provides the very best and fastest opportunity to improve BPH symptoms, but it may not totally relieve discomfort. age.
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In a retropubic prostatectomy, the bladder is pressed upward and the prostate tissue is removed without entering 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 - alpha-blockers. The catheters stay in place for three to 7 days after surgery.
Job interviewer: For guys who have actually been identified with a bigger prostate, there are a great deal of treatment choices, however it can be a little overwhelming. And some guys fear about the negative 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 assist us much better comprehend the treatment choices offered for a bigger prostate and, more importantly, comprehend what you would desire to weigh as a client when you're having a conversation with your doctor or urologist about those various treatment options.
So let's start there - transurethral surgery. Treatment options have side effects. Do they all have adverse effects? Dr. Summers: Sadly, any treatment alternative will have negative effects. So the very first one, I think, that has the fewest negative effects is way of life modification. If you can lose weight and improve your diet, cut out caffeine, you may have some benefit.
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Interviewer: Okay. Can you talk us through that a little bit? If I comprehend, the hierarchy is lifestyle modifications. And you have actually given us a great reason to wish to do that to avoid the side results of medication. Then it would be medication next. So talk us through, what are some of the alternatives there? Dr.
There are 3 categories of medications. Primarily, we begin with alpha blockers - office. And the most typical medication utilized is a medication called Flomax or tamsulosin. It works to open the prostate and the bladder neck to allow the urine to flow through a little bit much easier. For the most 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 result. And that is when a guy orgasms, instead of having the semen come forward out the end of the penis, it reverses into the bladder. And that certainly can be concerning to a lot of men and is one of the primary adverse effects of a great deal of various treatments for prostate enhancement (enlarged prostate).
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Summertimes: No. It is an issue if you're preparing to daddy more kids. Certainly, that is a fundamental part of reproduction. However in regards to your general health, it does not make a huge difference. It does not affect the experience of orgasm too much, however it's extremely specific. In some guys, that can be a genuine bother - breast cancer.

Sure. Like I would imagine a great deal of these side impacts are going to be very 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,.
They block the effect of testosterone on the prostate growth and over time can cause some shrinkage of the prostate. They are extremely sluggish medications to work, and you need to continue those medications for life when you start them if you're going to experience the benefit of the treatment for them.
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It can trigger occasional breast enlargement in guys. And it does have the adverse effects of causing hair regrowth. So the medication that was frequently recommended called Propecia is in this class of drugs. But there are more substantial sexual negative effects, I will say. Interviewer: Why would a male choose this particular treatment then over possibly the first one? Dr.
That's an excellent concern. Often, they're integrated. So we will utilize both medications. 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 decrease the development of signs and intensity of the illness, therefore you can reduce the danger of development to the point where one might require surgery by about half.
Recruiter: And you said the one that you have to take for life, say I began, at six months later on, I resemble, "Ah, these side effects, I can't cope with these." Am I able to then take a different treatment alternative? Dr. diagnosis. Summers: Sure. You can always change the treatment alternative.
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Interviewer: Okay. Dr. Summers: So some of those sexual adverse effects have actually lasted even once they've come off of it. Now, that's a very little percentage of males, but definitely, if you're one of those clients, that's going to be a concern for you. fluid. Interviewer: Yeah. And then there's a third classification of drugs too? Dr.
The other category of drugs works primarily on the bladder. It unwinds the bladder, so it deals with the symptoms of the disease, but does nothing really to the prostate. Therefore you're really putting a Band-Aid on treating the symptom, the frequency, the seriousness, the getting up at night, but you're not really resolving the problem.
Dr. Summers: You raise a great point. Often we think about surgical treatment even prior to medications when you're trying to reduce some of those side impacts. So there are a couple of brand-new or just recently developed treatments that I think are necessary to highlight here. And I highlight them particularly since they do not have those sexual side results that are so common with the medications.
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They're performed in the office with a regional anesthetic. So it's an extremely quick recovery with little downtime or little missed out on work. The 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 the channel to allow the urine to stream through simpler.
A great deal of men do not even need to have a catheter following that treatment, and it doesn't have any of the sexual adverse effects. So there's no risk of impotence, there's no danger of retrograde ejaculation, and there's no risk of urinary incontinence following that procedure. Not all males are prospects for that treatment.
It can be an excellent alternative for a lot of guys. Job interviewer: And are there other surgical options that you go over with your clients? Dr. Summers: Sure - transurethral surgery. I believe it is very important to truly understand all of the options, therefore I like to review whatever with my patients prior to captivating any among them.
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Rezm uses steam or water vapor treatment in an effort to shrink or ablate and get rid of prostate tissue. And so, likewise, it's carried out in the office under an anesthetic and with some moderate sedation (prostate enlargement). 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 even greater injections.
Male following that treatment do need to have a catheter for a few days. The recovery can be a bit longer, however there are no restrictions. You have the ability to return to work as quickly as you have the ability to tolerate things. It similarly does not have any danger of sexual adverse effects, consisting of erectile dysfunction or retrograde ejaculation, and no threat of incontinence (flomax).
Dr - age. Summers: Yeah. So it has the ability to customize the treatment a little bit more to a wider variety of prostate anatomy, so various prostate sizes and three-dimensional constructs of the prostate. Both of them are, you know, frequently utilized interchangeably, and both are great alternatives for a lot of men that are hopeful to prevent some of the bigger surgical treatments.
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Summer seasons: A great deal of times it comes down to the recovery. It comes down to experience, service provider choice too, and duration, you know, how long we have actually been doing those treatments and what's the long-lasting information and retreatment rates for each of those (tumt). You know, it gets into a little bit more extensive conversation that I attempt to customize to the person.
And how does that fit with sort of your expectations and the symptoms that we're wanting to deal with?" Job interviewer: Getting near to covering this up, exist other choices that we haven't covered yet that we should? Dr. Summers: You know, I believe one of the typical questions I get in surgical treatments that a lot of men that talk about it is the TURP, and that stands for transurethral resection of the prostate (types).
It's an older treatment-- it's better around, you understand, almost 100 years-- where urologists enter and using a resection knife in the operating space, with the patient asleep, we hollow out the prostate. It's still a typically practiced procedure. Most urologists do a lot of them. It still fits.
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We've, you know, gotten much better at that treatment. But I believe a great deal of men come thinking that is their only option. treatment options. And, sadly, they have, you know, all had a good friend that has actually had this done and has actually had maybe a problem, and they fear and hesitate delaying treatment due to the fact that of a few of the side effects of this older treatment alternative.
And I do not understand 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 common question we get too, and it's a bit complicated when you look at images of the prostate. Many of the treatment for benign prostate disease does not eliminate the whole prostate.
That is contrasted and much different than an operation that we provide for prostate cancer. If a man has prostate cancer, many 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 development or enhancement is on the inner part of the prostate that's obstructing and pressing on the urethra.
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Summers: As soon as you eliminate the entire prostate, yeah. Definitely, it's no longer practical. 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.
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