what is the best treatment for a very enlarged prostate

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A wire connected to the resectoscope gets rid of prostate tissue and seals blood vessels with an electric current. A catheter remains in location for one to 3 days, and a healthcare facility stay of a couple of days is generally needed. TURP causes little or no pain, and complete recovery can be expected by 3 weeks after surgical treatment.

Enhancement after surgical treatment is greatest in those with the worst signs. Marked improvement occurs in about 93% of males with extreme signs and in about 80% of those with moderate signs. The mortality from TURP is really low (0. 1%) (better). Nevertheless, impotence follows TURP in about 5% to 10% of males, and incontinence happens in 2% to 4%.

About 200,000 of these treatments are performed annually in the U.S. A prostatectomy for benign disease (BPH) includes elimination of only the inner part of the prostate (basic prostatectomy). This operation differs from a radical prostatectomy for cancer, in which all prostate tissue is removed. Simple prostatectomy offers the finest and fastest chance to enhance BPH symptoms, however it might not absolutely reduce pain. therapy.

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In a retropubic prostatectomy, the bladder is pushed upward and the prostate tissue is gotten rid of without going into the bladder. In both kinds of operation, one catheter is put in the bladder through the urethra, and another through an opening made in the lower abdominal wall - alcohol. The catheters remain in place for three to 7 days after surgery.

Job interviewer: For men who have been diagnosed with an enlarged prostate, there are a great deal of treatment alternatives, but it can be a little overwhelming. And some men 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 alternatives offered for a bigger prostate and, more significantly, comprehend what you would want to weigh as a patient when you're having a conversation with your doctor or urologist about those different treatment options.

So let's begin there - voiding. Treatment alternatives have negative effects. Do they all have side impacts? Dr. Summers: Sadly, any treatment alternative will have adverse effects. The very first one, I think, that has the least side effects is way of life modification. If you can lose weight and improve your diet plan, cut out caffeine, you may have some benefit.

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Job interviewer: Okay. Can you talk us through that a little bit? So, if I comprehend, the hierarchy is lifestyle changes initially. And you've given us a great factor to wish to do that to prevent the side impacts of medication. But then it would be medication next. Talk us through, what are some of the choices there? Dr.

There are three categories of medications. Mainly, we start with alpha blockers - treatment options. And the most common medication used 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 many part, it's well tolerated, but the negative effects that trouble guys with taking that medication can be dizziness.

And the other one is something called retrograde ejaculation or a sexual side result. And that is when a man orgasms, rather of having actually the semen come forward out the end of the penis, it reverses into the bladder. Which certainly can be concerning to a lot of men and is one of the primary negative effects of a lot of different treatments for prostate augmentation (fluids).

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Summertimes: No. It is a concern if you're planning to dad more kids. Certainly, that is a vital part of reproduction. In terms of your general health, it does not make a big distinction. It doesn't affect the feeling of orgasm too much, but it's highly specific. In some guys, that can be a genuine bother - food.

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Sure. Like I would picture a great deal of these side results 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 block the result of testosterone on the prostate growth and over time can cause some shrinking of the prostate. They are really sluggish medications to work, and you need to continue 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 cause occasional breast enlargement in men. And it does have the side result of causing hair regrowth. The medication that was typically prescribed called Propecia is in this class of drugs. But there are more significant sexual side impacts, I will say. Job interviewer: Why would a guy select this specific treatment then over possibly the very first one? Dr.

That's an excellent question. So, frequently, they're combined. We will use both medications. part. There's respectable data out there to suggest that both of them work nearly synergistically together than utilizing either one alone. The other benefit with the finasteride, that we were just speaking about, is it does lower the progression of signs and severity of the illness, therefore you can minimize the danger of development to the point where one might require surgical treatment by about half.

Job interviewer: And you said the one that you have to consider life, state I began, at 6 months later on, I'm like, "Ah, these negative effects, I can't cope with these." Am I able to then take a different treatment option? Dr. one. Summers: Sure. You can always change the treatment choice.

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Interviewer: Okay. Dr. Summers: So some of those sexual adverse effects have lasted even once they've come off of it. Now, that's an extremely little portion of males, but certainly, if you are among those clients, that's going to be an issue for you. difficulty. Job interviewer: Yeah. And then there's a third category of drugs? 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 really to the prostate. Therefore you're actually putting a Band-Aid on dealing with the sign, the frequency, the seriousness, the getting up at night, however you're not actually resolving the issue.

Dr. Summers: You bring up a terrific point. Often we think about surgical treatment even prior to medications when you're trying to minimize a few of those negative effects. There are a couple of brand-new or recently developed treatments that I believe are essential to highlight here. And I highlight them particularly since 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 an anesthetic. 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 device that is implanted in the prostate that holds back that prostate blocking tissue and opens the channel to allow the urine to stream through easier.

A lot of guys do not even need to have a catheter following that procedure, and it doesn't have any of the sexual negative effects. There's no threat of erectile dysfunction, there's no threat of retrograde ejaculation, and there's no threat of urinary incontinence following that procedure. Not all males are prospects for that procedure.

But it can be an excellent alternative for a great deal of guys. Recruiter: And exist other surgical choices that you discuss with your patients? Dr. Summers: Sure - prostate tissue. I think it is very important to actually know all of the alternatives, and so I like to examine whatever with my clients prior to entertaining any among them.

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Rezm utilizes steam or water vapor treatment in an effort to diminish or ablate and get rid of prostate tissue. And so, likewise, it's carried out in the workplace under a local anesthetic and with some mild sedation (type). We enter 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 procedure do have to have a catheter for a couple of days. The recovery can be a bit longer, however there are no limitations. You have the ability to return to work as quickly as you have the ability to tolerate things. It likewise does not have any risk of sexual side results, consisting of impotence or retrograde ejaculation, and no danger of incontinence (finasteride and dutasteride).

Dr - rights. Summers: Yeah. So it has the ability to tailor the treatment a bit more to a more comprehensive variety of prostate anatomy, so various prostate sizes and three-dimensional constructs of the prostate. Both of them are, you understand, typically utilized interchangeably, and both are great alternatives for a lot of men that are confident to avoid some of the bigger surgeries.

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Summertimes: A lot of times it comes down to the recovery. It boils down to experience, company choice too, and duration, you know, the length of time we have actually been doing those treatments and what's the long-term data and retreatment rates for each of those (health problems). So, you understand, it enters a bit more thorough conversation that I attempt to customize to the individual.

And how does that fit with sort of your expectations and the symptoms that we're seeking to treat?" Job interviewer: Getting near to covering this up, are there other choices that we have not covered yet that we should? Dr. Summers: You understand, I believe one of the common questions I get in surgical treatments that a lot of males that speak about it is the TURP, and that stands for transurethral resection of the prostate (effect).

It's an older treatment-- it's much better around, you understand, almost 100 years-- where urologists go in and utilizing a resection knife in the operating room, with the patient asleep, we hollow out the prostate. It's still a commonly practiced treatment. The majority of urologists do a great deal of them. It still fits.

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We've, you understand, gotten better at that treatment. I think a lot of males come thinking that is their only choice. And, unfortunately, they have, you know, all had a buddy that has had this done and has had perhaps a problem, and they fear and procrastinate postponing treatment because of a few of the side impacts of this older treatment choice.

And I do not know that I heard any of the important things you spoke about really explicitly say removing the prostate. Dr. Summers: Yeah. That's a typical question we get too, and it's a bit confusing when you look at photos of the prostate. So the majority of the treatment for benign prostate disease does not eliminate the entire prostate.

That is contrasted and much different than an operation that we provide for prostate cancer. So if a male has prostate cancer, most of the time that cancer is on the beyond the prostate, and we need to eliminate the entire prostate - combination therapy. Whereas with benign prostate disease 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: Once you remove 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 produce supporting fluid in your semen for sperm. And so, for the majority of guys that were dealing with prostate augmentation, that is less of a problem.

what is the best treatment for a very enlarged prostate

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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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