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A wire attached to the resectoscope eliminates prostate tissue and seals capillary with an electric current. A catheter remains in place for one to 3 days, and a hospital stay of a couple of days is typically required. TURP causes little or no discomfort, and complete recovery can be anticipated by three weeks after surgery.
Enhancement after surgical treatment is greatest in those with the worst symptoms. Marked improvement takes place in about 93% of males with extreme signs and in about 80% of those with moderate signs. The death from TURP is very low (0. 1%) (doctor). Impotence follows TURP in about 5% to 10% of males, and incontinence happens in 2% to 4%.
About 200,000 of these procedures are brought out annually in the U.S. A prostatectomy for benign illness (BPH) involves removal of only the inside of the prostate (easy prostatectomy). This operation differs from a extreme prostatectomy for cancer, in which all prostate tissue is gotten rid of. Easy prostatectomy provides the very best and fastest opportunity to improve BPH signs, however it may not completely reduce discomfort. erectile dysfunction.
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In a retropubic prostatectomy, the bladder is pressed up and the prostate tissue is eliminated without getting in the bladder. In both kinds of operation, one catheter is placed in the bladder through the urethra, and another through an opening made in the lower stomach wall - prostate surgery. The catheters stay in place for three to 7 days after surgical treatment.
Job interviewer: For guys who have been detected with a bigger prostate, there are a lot of treatment alternatives, however it can be a little frustrating. And some guys fear about the side impacts of those treatment options. We're going to sort through that today. Dr. Stephen Summers is a urologist at University of Utah Health, and he's going to help us better comprehend the treatment choices 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 doctor or urologist about those various treatment choices.
So let's begin there - device. Treatment choices have negative effects. Do they all have negative effects? Dr. Summers: Unfortunately, any treatment alternative will have side effects. So the very first one, I guess, that has the least negative effects is way of life modification. So if you can slim down and enhance your diet, eliminated caffeine, you may have some benefit.
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Recruiter: Okay. Can you talk us through that a little bit? If I understand, the hierarchy is way of life changes. And you have actually given us an excellent reason to desire to do that to prevent the negative effects of medication. Then it would be medication next. Talk us through, what are some of the options there? Dr.
There are 3 classifications of medications. But primarily, we start 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 permit the urine to flow through a bit simpler. For the most part, it's well endured, however the adverse 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. Which is when a guy orgasms, rather of having actually the semen come forward out the end of the penis, it goes backwards into the bladder. And that certainly can be concerning to a lot of males and is one of the main negative effects of a lot of various treatments for prostate augmentation (research).
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Summers: No. It is a concern if you're planning to father more kids. Obviously, that is a fundamental part of recreation. However in terms of your overall health, it does not make a big difference. It doesn't affect the experience of orgasm excessive, however it's extremely private. In some males, that can be a real bother - decision.

Sure. Like I would envision a great deal of these adverse effects are going to be extremely individual. 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 obstruct the effect of testosterone on the prostate development and over time can trigger some shrinkage of the prostate. They are very sluggish medications to work, and you have to continue on those medications for life once you start them if you're going to experience the advantage of the treatment for them.
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It can cause periodic breast enlargement in males. And it does have the side effect of causing hair regrowth. The medication that was frequently recommended called Propecia is in this class of drugs. However there are more significant sexual adverse effects, I will say. Recruiter: Why would a guy choose this specific treatment then over possibly the very first one? Dr.
That's a great question. So, usually, they're integrated. We will use both medications. prostate growth. There's quite good information out there to suggest that both of them work almost synergistically together than utilizing either one alone. The other advantage with the finasteride, that we were simply discussing, is it does reduce the development of symptoms and seriousness of the disease, and so you can lower the risk of progression to the point where one might require surgery by about half.
Interviewer: And you stated the one that you have to take for life, state I began, at 6 months later, I resemble, "Ah, these side results, I can't cope with these." Am I able to then take a different treatment alternative? Dr. urinary tract infections. Summers: Sure. You can always alter the treatment option.
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Job interviewer: Okay. Dr. Summers: So a few of those sexual adverse effects have actually lasted even once they've come off of it. Now, that's a really small percentage of males, however certainly, if you're one of those patients, that's going to be a concern for you. page. Job interviewer: Yeah. And then there's a third classification of drugs also? Dr.
The other category of drugs works mostly on the bladder. It unwinds the bladder, so it deals with the signs of the illness, but does absolutely nothing truly to the prostate. And so you're really putting a Band-Aid on treating the symptom, the frequency, the urgency, the getting up during the night, however you're not truly attending to the issue.
Dr. Summers: You raise an excellent point. Often we consider surgery even prior to medications when you're trying to decrease a few of those negative effects. There are a couple of brand-new or recently established treatments that I think are important to highlight here. And I highlight them particularly because they do not have those sexual negative effects that are so typical with the medications.
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They're performed in the workplace with an anesthetic. It's an extremely fast recovery 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 holds back that prostate obstructing tissue and opens up the channel to permit the urine to stream through simpler.
A lot of guys do not even have to have a catheter following that treatment, and it does not have any of the sexual side impacts. So there's no risk of impotence, there's no threat of retrograde ejaculation, and there's no risk of urinary incontinence following that procedure. Not all guys are prospects for that procedure.
However it can be a fantastic choice for a lot of men. Recruiter: And are there other surgical choices that you discuss with your patients? Dr. Summers: Sure - some. I think it is essential to really know all of the options, and so I like to review everything with my patients prior to amusing any one of them.
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Rezm utilizes steam or water vapor treatment in an effort to diminish or ablate and eliminate prostate tissue. Therefore, likewise, it's performed in the office under a regional anesthetic and with some mild sedation (tamsulosin). We go in and I inject the prostate with the steam. And depending on the size of the prostate, you might get anywhere from 4 to 10 or perhaps higher injections.
Male following that procedure do have to have a catheter for a few days. The recovery can be a bit longer, however there are no limitations. You're able to go back to work as quickly as you have the ability to tolerate things. It similarly does not have any danger of sexual negative effects, including erectile dysfunction or retrograde ejaculation, and no danger of incontinence (best treatment).
Dr - enlargement. Summers: Yeah. So it has the capability to tailor the treatment a bit more to a wider range of prostate anatomy, so various prostate sizes and three-dimensional constructs of the prostate. But both of them are, you know, typically used interchangeably, and both are good alternatives for a lot of males that are confident to prevent some of the larger surgical treatments.
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Summertimes: A lot of times it boils down to the recovery. It comes down to experience, service provider choice too, and period, 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 (safety). You know, it gets into a little bit more extensive 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 wrapping this up, exist other options that we haven't covered yet that we should? Dr. Summers: You understand, I believe among the typical questions I get in surgical treatments that a lot of guys that discuss it is the TURP, and that means transurethral resection of the prostate (health conditions).
It's an older treatment-- it's better around, you know, almost 100 years-- where urologists enter and utilizing a resection knife in the operating space, with the patient asleep, we hollow out the prostate. It's still a commonly practiced procedure. The majority of urologists do a lot of them. It still has its place.
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So we have actually, you understand, improved at that treatment. I believe a lot of men come believing that is their only alternative. And, regrettably, they have, you understand, all had a buddy that has actually had this done and has actually had perhaps a complication, and they fear and hesitate delaying treatment due to the fact that of some of the negative effects of this older treatment alternative.
And I don't know that I heard any of the things you discussed really clearly say removing the prostate. Dr. Summers: Yeah. That's a typical concern we get too, and it's a bit complicated when you look at photos of the prostate. Many of the treatment for benign prostate disease does not eliminate the entire prostate.
That is contrasted and much various than an operation that we do 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 get rid of the entire prostate - people. Whereas with benign prostate disease or BPH, that growth or augmentation is on the inner part of the prostate that's blocking 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 getting rid of a part of it, you do lose some function. The function of the prostate is to produce supporting fluid in your semen for sperm. Therefore, for a lot of men that were dealing with prostate enhancement, 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.
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