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Alternatives To Surgery For Enlarged Prostate

Who Is Eligible For Pae

Rezum Treatment for Enlarged Prostate with Dr. Richard Levin

The PAE procedure is best for candidates who are either ineligible due to pre-existing health conditions or not interested in traditional surgery. An exam with an interventional radiologist can determine if you are a candidate for PAE. At this appointment, you may be asked how often you have urinary symptoms of BPH, how severe they are, and how much they affect your quality of life. Men who have advanced heart diseases associated with smoking or diabetes may not be candidates for PAE.

Alternatives To Enlarged Prostate Surgery

By | Submitted On March 08, 2010

Many men over 40 face enlarged prostate surgery and making this decision can be a tough one. As the prostate enlarges it puts pressure on the urethra and causes many complications for men such as difficulty urinating and not completely draining the bladder. Most men just assume that this condition is expected as we age, and this is actually the case. Fortunately there are many treatment options available today, and you should explore them all with your doctor and family members.

The fact is that no single solution to prostate problems is best for everyone. For some men, with mild enlargement of the prostate, simple solutions like reducing the intake of caffeine and alcohol can do the trick. But for many these simple treatments are just not enough, but other options like prescription medications and natural remedies should still be considered before you go under the knife.

Two alternatives to enlarged prostate surgery:

Prescription medications: There are some very effective drugs available today. One type are called alpha blockers that help relax the bladder wall to increase urine flow. Other drugs known as 5-alpha-reductase inhibitors actually attack the problem head on by shrinking the prostate and dramatically slowing the rate of growth. Side effects to these medications tend to mild if they exist at all. If you experience side effects they will typically go away once you stop taking the medications.

Natural Remedies For Enlarged Prostate

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The prostate is a walnut-shaped gland that wraps around the urethra, the tube that urine flows out of. The prostate is part of the male reproductive system. One of its main jobs, along with other organs, is to add fluid to semen. This is the fluid that carries sperm.

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A New Treatment Option For Men Instead Of Medications Urolift

Urolift System for BPH is an office procedure performed under local anesthesia in less than 1 hour. It opens up the urethra by pulling the prostate away. Urolift is a one-time procedure that is very effective for the treatment of symptoms of BPH in men. Many men who take medications for BPH can instead have a one-time procedure.

Treatment Options For Bph

Rezum System for Treating Enlarged Prostate

The enlarged prostate presses on and blocks the urethra, causing bothersome urinary symptoms like urgent need to urinate, difficulty starting your urine stream, need to push or strain when urinating, dribbling, incomplete emptying, weak urine flow, increased frequency of urination, burning or pain during urination, and frequent nighttime urination.1,2 Luckily, there are treatment options that can help.

Most men living with enlarged prostate symptoms take prescription medications after theyre diagnosed, although these often dont provide adequate relief and may cause dizziness, fatigue, and sexual dysfunction. Medications may not need to be a lifelong burden, however, and men dont need to wait until surgery is required to address the problem. In fact, they can avoid traditional surgery altogether.

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Why Choose New York Urology Specialists For Treatment Of Enlarged Prostate Problems

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
  • We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
  • We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.
  • Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

Enlarged Prostate: Benign Prostatic Hyperplasia

Benign prostatic hyperplasia is a common urologic condition caused by the non-cancerous enlargement of the prostate gland as men get older. As the prostate enlarges, it can squeeze down on the urethra. This can cause men to have trouble urinating and can lead to symptoms of BPH. The symptoms associated with BPH are known as lower urinary tract symptoms .

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Treatments Toconsider Before Surgery

There may be non-surgical alternatives to prostate surgery, depending on your circumstances.

If your enlarged prostate is only mildly troublesome, you may feel that you dont yet need surgery. Surgery may have more impact on your quality of life than the symptoms so you may want to think carefully about other options.

Watchful waiting

If the problem isnt bothering you too much, your doctor may recommend simply monitoring the situation. Recent research indicates that one third of men get over their prostate symptoms without treatment, one third stay the same and the other third’s symptoms get more troublesome.

Prescription medications

There are several medications that work in different ways and can help relieve symptoms of benign enlarged prostate.

  • Alpha-blockers such as prazosin, tamsulosin, sildenosin or terazosin can help relax the muscles in your prostate and around the opening to your bladder. As long as your prostate isnt too large, they can produce a quick result.
  • 5-alpha reductase inhibitors can shrink your prostate over time by counteracting the hormonal changes that have been making your prostate grow. They include finasteride and dutasteride. They take at least 6 weeks to work and up to 6 months to have maximum benefit.
  • Tadalafil, a drug used to treat erectile dysfunction, can help with an enlarged prostate.

If one medication doesnt work by itself, your doctor may suggest a combination of drugs.

Natural remedies

Large Prostate With Significant Symptoms

Prostatic artery embolization: A non-surgical treatment for enlarged prostate | UCLAMDChat

For patients who have moderate or severe symptoms that have failed medical therapy from very enlarged prostates, the optimal treatment is often surgery. For very enlarged prostates, there are four main surgical options:

  • Open prostatectomy – The surgeon makes an incision and removes some of the enlarged prostate. This is done rarely today because less invasive surgeries through the urethra work well with fewer side effects.
  • Transurethral resection of the prostate – Going in through the urethra, with the aid of a small camera, the surgeon removes tissue to open up the channel, which can help the urine flow and take some of the pressure off the bladder. Tissue is removed with bipolar energy that shaves off pieces of the prostate. While this method is less invasive than open prostatectomy, it still can have side affects, such as bleeding, infection, need for repeat resection, erectile dysfunction, and scarring.
  • Transurethral laser ablation of the prostate – This is where the urine channel is opened up using a high-powered holmium laser to vaporize the prostate tissue. Like TURP, the procedure can help urine flow and symptoms from enlarged prostate. The use of the laser may decrease the need for a catheter or reduce bleeding after the procedure. A high-powered laser that uses “Moses effect” pulses has the potential to remove the tissue more efficiently, so the procedure time can be shortened.
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    Going The Natural Route

    Its important to remember that just because a supplement is labeled natural doesnt always mean its safe, healthy, or effective. Remember that the FDA doesnt regulate herbal remedies like it does prescription and over-the-counter drugs. That means you cant be totally sure that whats listed on the label is inside the bottle.

    Herbal remedies can also cause side effects and interact with other medications you take. Check with your doctor before trying any natural supplement.

    50 percent of males aged 51 to 60.

    While it may not be possible to prevent BPH, it can be treated especially if detected early. If you begin to experience BPH-like symptoms in your urinary tract, like a reduced urine stream, sudden urges to urinate, or the need to urinate several times during the night, its worth talking with your doctor as soon as possible to see if early treatment is necessary.

    Find Your Bph Symptom Score

    The International Prostate Symptom Score is a common method for screening and diagnosing benign prostatic hyperplasia . The survey asks seven urinary symptom questions and one quality of life question to help determine the severity of your BPH.

  • Abrams, et al., Neurourology and Urodynamics 2002
  • Maximilian, et al., BJU Intl 2012
  • Tubaro et al. 2003 Drugs Aging
  • AUA 2003 Guidelines
  • Roehrborn et al. Can J Urol 2017
  • 4155 Hopyard Road

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    How Do You Shrink An Enlarged Prostate And Lower Psa Naturally

    One way to shrink an enlarged prostate is through medication, but if you are not ready to take prescription medication, there are some more natural approaches that you can explore, like changes to your diet and exercise routine.

    A 2013 review showed that many males with BPH also had vitamin D deficiency. The review also discusses additional studies that focused on increasing vitamin D intake which showed promising results in reducing BPH. Either through supplements or vitamin D-rich foods, increasing vitamin D in your diet may cause a reduction in BPH symptoms.

    Obesity may also play a role in the severity of BPH symptoms. Positive changes to your diet may also help with BPH, particularly with the inclusion of more fruits and vegetables like tomatoes that can also lower the risk of developing prostate cancer and bell peppers that are rich in vitamin C.

    Butterfly Medicals Device So Far Approved In Europe Is Inserted In A Quick Outpatient Procedure To Allow Free Flow Of Urine

    Florida Hospital Physician Group Urology Specialist First in Brandon to ...

    Half of men over age 51 and 90 percent of men over 80 suffer from non-cancerous benign prostatic hyperplasia . That means they have trouble urinating because of an enlarged prostate.

    Butterfly Medical has developed an innovative metal coil, shaped roughly like a butterfly, to stop BPH symptoms without drugs or surgery.

    Any urologist can insert the device in an outpatient procedure in less than 10 minutes.

    For the 30 million men around the world with BPH, Butterfly is a potential gamechanger.

    Pharmaceutical and surgical alternatives such as TURP as well as ablative technologies such as laser, steam and radio frequency energy to shrink prostate tissue all can have serious side effects, including erectile dysfunction.

    Plus, if you do surgery, its a one-way street, Idan Geva, Butterfly Medicals CEO, tells ISRAEL21c.

    Butterflys approach is reversible. If it doesnt work, whether after two weeks or two years, the device can be removed the same way that it went in using a flexible cystoscope inserted into the urethra under local anesthesia.

    Go with the flow

    Butterflys device pushes out the lateral lobes of the overgrown or sagging prostate so that urine can flow easily from the bladder to the urethra.

    Butterflys implant is made of a metal called nitinol. Geva says nitinol is flexible at cold temperatures, which is how it can be inserted. It then expands and becomes hard at body temperature.

    CE Mark of approval

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    Medications For Treatment Of Bph And Enlarged Prostate

    Typically, the first treatment option for men with enlarged prostate includes one or more medications such as Flomax, Uroxatral, Proscar, Rapaflo, Jalyn, or Avodart. In addition, medications such as Vesicare, Enablex, Detrol, Enablex, and Toviaz may be used for symptoms of frequent urination. These medications need to be taken daily and lifelong.

    Other Things To Consider

    Before you have one of these procedures, talk with your doctor about whether youâll be given something to numb the area or whether youâll be given something so you wonât be awake during the procedure. What you get and where you have it depends on the procedure.

    Your doctor will give you instructions on how to prepare for any of them.

    Surgery can ease many BPH symptoms, but it may not relieve them all. If there are certain complications, such as a weak bladder, there may still be urinary problems after surgery, although this is rare.

    With any BPH surgery, there may be side effects or complications such as bleeding, narrowing of the urine tube also known as urethral stricture, urinary incontinence or leakage, erectile dysfunction, and retrograde ejaculation.

    The best treatment for an enlarged prostate is not the same for every man. Talk to your doctor about the risks and benefits of each procedure.

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    What Are The Types Of Prostate Surgery For Benign Prostatic Hyperplasia

    Several minimally invasive surgeries may be used for benign prostatic hyperplasia. These include:

    GreenLight laser: Photoselective vaporization of the prostate is a treatment that vaporizes prostate tissue to create a channel in the urethra for free urination. This is surgical treatment performed in the operating room under general anesthesia.

    Plasma button electrovaporization: Prostate tissue is removed using low temperature plasma energy. Tissue is vaporized. This is an operating room-based therapy and requires an anesthetic.

    Water vapor therapy : Water vapor is directly delivered to the prostate tissue. Over a 3-month period the tissue is destroyed and reabsorbed by the body. This is an office-based therapy and is performed under a local nerve block.

    UroLift®: A mechanical approach that places implants to pin the lateral prostate lobes out of the way to reduce obstruction. This is an office-based procedure performed under a local nerve block.

    Prostatic artery embolization: This approach uses catheters to deliver agents that block blood flow to the prostatic artery to reduce symptoms of BPH by shrinking tissue. This prostate procedure uses local anesthesia and doesnt require a hospital stay.

    Cost Of Enlarged Prostate Treatment Without Insurance

    How to Treat An Enlarged Prostate (Benign Prostatic Hyperplasia): 12 Natural Treatments

    At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.

    At New York Urology Specialists, we offer a flat-fee all-cost-included Rezum procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

    At New York Urology Specialists, we offer a flat-fee all-cost-included Urolift procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.

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    Large Prostate With Few Symptoms

    Patients with very enlarged prostates may have few symptoms or mild symptoms. Doctors verify that there are no problems with kidney or bladder function. If not, they know that the enlarged prostate is not harming the body. In this case, doctors may recommend just watching the prostate or doing non-surgical treatments. Options include changing certain eating and drinking habits and urinating less often. Patients can take medications that relax the prostate, such as tamsulosin, or shrink the prostate, such as finasteride or dutasteride. Patients also may try supplements like saw palmetto to help their symptoms.

    Side Effects Of Urolift System For Bph Compared To Side Effects Of Medications For Enlarged Prostate

    Highest quality scientific studies compared Urolift to placebo or sham treatment. It revealed that men have significant improvement in their urinary symptoms after the Urolift procedure that is similar to or better than those typically achieved with medications. In addition, no men experienced any significant side effects of treatment.

    • Men treated with Urolift did not experience problems with ejaculation. This compares favorably with medications commonly used for an enlarged prostate which often causes ejaculatory problems.
    • Men treated with Urolift experienced improved sexual satisfaction after 1 year compared to non-treated men. This compares favorably to medications and other surgical treatments for BPH which tend to worsen sexual satisfaction in men over time.
    • Men treated with Urolift did not experience dizziness or stomach upset, common side effects of medications.

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    Scheduling Appointments For Enlarged Prostate Treatment At New York Urology Specialists

    We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.

    We offer affordable appointment prices with or without insurance. We offer weekday, weekend, and evening office hours.

    Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of urinary problems in men. He is one of the few urologists who offers a full range of treatment options for BPH . He specializes in all aspects of care for men with an enlarged prostate and urinary problems, including frequent urination at night, difficulty emptying the bladder, urinary urgency, and incontinence. He has successfully treated thousands of men with urinary problems, including urinary retention, painful urination, and frequent urination.


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