How Common Is Prostate Cancer
About one in nine men will receive a prostate cancer diagnosis during his lifetime. Prostate cancer is second only to skin cancer as the most common cancer affecting males. Close to 200,000 American men receive a diagnosis of prostate cancer every year. There are many successful treatments and some men dont need treatment at all. Still, approximately 33,000 men die from the disease every year.
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What Should I Watch Out For
Symptoms of BPH fall into 2 categories. Those caused by pressure on your urethra are called obstructive. The others start in your bladder.
Some of the obstructive symptoms include:
- Trouble starting to urinate
- You have to stop and restart several times
- Pee dribbles out at the end
If BPH causes changes in your bladder, it may include these signs:
- You suddenly feel a strong need to urinate. Doctors call this âurgency.â
- You have to pee more than 8 times a day. This is called âfrequency.â
- Even after you go, you feel as though your bladder is not empty.
- You wake up often in the night to relieve yourself. This is called ânocturia.â
What Are The Treatments For Bph
Not everyone needs treatment for BPH. Treatment options depend on how much your symptoms bother you, your health, age, and the size of your prostate:
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Lifestyle changes may improve mild symptoms. They include:
- Drinking less before bedtime or going out
- Avoiding or cutting back on beverages with caffeine and alcohol
- Bladder training and exercising the muscles that control urine flow
- Preventing or treating constipation
Medicines can help mild to moderate symptoms by:
Sometimes combining 2 types of medicine helps more than taking just one type of medicine.
Medical procedures can help improve moderate to severe BPH symptoms when medicines don’t help enough. There are several different types of procedures. They all use an instrument inserted into the urethra to either:
Surgery may be helpful when symptoms are severe, other treatments haven’t helped, or you have another problem, such as bladder damage. Different types of surgery are used to:
Most BPH surgery is done with tools inserted into the urethra.
Your provider can explain the possible benefits and side effects of your treatment options so you can decide what’s best for you.
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Prostate Cancer Screening Tests
Prostate cancer screening tests are preventive health screenings you can get through your doctor or at community screenings. These medical screenings are important because early detection by way of preventive screening of cancer can significantly increase your chances of survival. Additionally, prostate cancer does not always have early warning signs, making the screenings even more important.
Roughly one of out nine men will be diagnosed with prostate cancer at some point during their lifetime. If you notice any of these signs and symptoms listed above, or even if you dont, its time to think about prostate cancer screening tests. Talk to your doctor about your risk.
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Diagnosis Of Enlarged Prostate Gland And Urinary Problems
If you are troubled by urination problems, see a doctor no matter what your age. If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests.These may include:
- general examination medical history and review of any health conditions including obesity, diabetes, obstructive sleep apnoea, depression and erectile dysfunction. A rectal examination may be done to check the size and shape of your prostate gland
- a urine check to ensure the prostate is not infected
- a flow-rate check to estimate the speed with which you pass urine
- an ultrasound examination to assess if the bladder is emptying completely and to examine your kidneys
- urodynamics a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.
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Treatment For Prostate Cancer
Treatment of prostate cancer can involve:
- Prostatectomy. The surgical removal of all or part of the prostate gland, which can be done as open surgery or laparoscopically . There are several different types of prostatectomy.
- External beam radiotherapy. This involves x-ray beams, which are focused on the prostate to destroy cancer cells. This is a non-surgical option.
- Permanent seed brachytherapy. This involves implanting small radioactive pellets into the prostate gland to destroy cancer cells.
- Hormone therapy. This may be used instead of radiation therapy or if the cancer has spread too far to be susceptible to prostatectomy or radiation treatment it involves orchiectomy and/or various treatments to lower androgen levels .
- Cryotherapy. This is an option for cases where the cancer is still within the prostate or is locally advanced. It is non-invasive and involves the insertion of cryotherapy needles into the prostate, through which a certain gas is then passed in order to freeze the tissue and thereby also ideally killing the cancer cells.
- Focused ultrasound therapy. This is a non-invasive method of treating prostate cancer using focused beams of ultrasound energy to heat and destroy cancer locations in the prostate.
How Do I Know If Its Frequent Urination
The characteristics of frequent urination are easy to spot. If you feel the need to pee more than four to eight times in one day, odds are that you have issues with frequent urination. Your healthcare provider may ask you a few questions to confirm this symptom. These could include questions like:
- What medicines are you taking?
- How much fluid do you usually drink?
- Are you drinking more than usual?
- Do you drink alcohol or caffeine?
During a visit, the healthcare provider may also take a urine sample to test for bacteria and white blood cells. UTIs are typically discovered this way. An ultrasound could be used to look for tumors or other structural issues that might be causing frequent urination. Another test you may have is a cystoscopy, which is used to look inside your bladder.
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Symptomatic treatment of an enlarged prostate usually involves a combination of medication and lifestyle changes. A diet rich in fruits and vegetables may be the best option if you suffer from chronic urination. It will help the body adjust to the increased size of the prostate. Also, taking regular urination intervals will help retrain the bladder to function properly. Inactivity also contributes to urine retention, and cold temperatures can increase the urge to urinate.
Invasive treatment of enlarged prostate includes medication that relieves the pressure on the urethra and bladder. However, if the condition is severe, it may require surgical intervention. If treatment is not successful, the enlarged prostate can become a potentially life-threatening disease. As the hormone levels in the body change, the enlarged prostate can lead to various complications, including urinary retention and even cancer. This is why it is critical to see a doctor for further evaluation.
Scheduling Appointments For Blood In Urine 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. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating urinary problems in men and women. He has performed hundreds of bladder, kidney, vaginal, and prostate surgeries.
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Schedule An Appointment With Dr Shteynshlyuger:
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Dr. Alex Shteynshlyuger is a fellowship trained board-certified with expertise in evaluation and treatment of urinary problems in men. He uses modern effective and proven treatment methods including prostate enucleation and Urolift for BPH. He is highly recommended by top primary care physicians in the New York area.
He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.
If you or someone you know has been experiencing urological symptoms, to take advantage of Dr. Shteynshlyugers expert advice. Please feel free to Contact Us with any questions.
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How To Treat Frequent Urination
Treating frequent urination is focused on treating the underlying cause. This will vary based on the problem. Some treatments and coping strategies include:
- Frequent urination related to nerve problems may require lifestyle changes, drugs or surgery.
- A UTI may require treatment with antibiotics.
- An enlarged prostate may require surveillance, medication, or surgery.
- Vaginitis may require treatment with medication in the form of a cream, tablet, or suppository.
- If frequent urination is accompanied by incontinence, it may be helpful to protect clothes by wearing an incontinence pad. You may also protect bedding with a pad.
- Avoiding too much fluid just before bed and avoiding alcohol and caffeine may also help.
There is a stepwise plan for managing overactive bladder with incontinence with frequency or urgency . This includes dietary changes, medications such as Oxytrol or Gemtesa , and other interventions.
Urge incontinence is differentfrom stress incontinence which has different management.
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Frequent Urination In Men: Causes Symptoms Treatments
Frequent urination in men is not just a nuisance. It greatly affects your quality of life.
Yet many men accept it as a natural part of getting older.
This is simply not true.
Going to the toilet more often than you are used to whether at day or during the night is a sign that something is wrong. And that something is your prostate.
Treatment For An Enlarged Prostate
Treatment for BPH varies depending on the severity of your condition.
Medication options include:
- Alpha blockers help men urinate easier.
- 5-alpha reductase inhibitors5-alpha reductase inhibitors help shrink the prostate.
- Combination drug therapyTaking an alpha blocker and 5-alpha reductase inhibitor together.
- Tadalafil Typically used to treat erectile dysfunction, they can also treat BPH.
Surgical options include:
- ProstatectomyA prostatectomy is a commonly performed procedure that removes part of the prostate. Surgical correction of an enlarged prostate has the largest number of complications, so it should only be considered when other options have failed.
- Transurethral prostatectomy A transurethral prostatectomy is the most commonly used treatment for BPH. During a TURP procedure, the core of the prostate is removed to shrink the prostate. Most men experience symptom relief from this procedure.
- Transurethral incision of the prostate During a transurethral incision of the prostate, your urologist will relieve pressure on the urethra by making small incisions on the prostate gland. Not everyone is a candidate for this procedure.
- Open prostatectomyIf the prostate is very large, your doctor may recommend an open prostatectomy. During an open prostatectomy, large prostatic nodules are removed through the bladder. Complications from an open prostatectomy are common, so this is used as a last resort.
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What Is An Enlarged Prostate
An enlarged prostate is when your prostate gland becomes larger than normal. It’s also called benign prostatic hyperplasia or BPH for short. Benign means not cancer. And hyperplasia means too much cell growth. BPH isn’t cancer and it doesn’t increase your risk of getting prostate cancer.
Usually, the prostate gland continues to grow during adult life. That’s why BPH is the most common prostate condition in people over age 50. As the prostate gets bigger, it may press against the bladder and pinch the urethra. This can slow or block the flow of urine out of your bladder.
Over time, the bladder muscle may become weak from trying to pass urine through a narrow urethra. When this happens, your bladder may not empty completely when you urinate. A narrowed urethra and weak bladder cause many of the urinary problems you may have with BPH.
Transurethral Electro Resection Of The Prostate
Removing the enlarged part of the prostate is usually the best long-term treatment for an enlarged prostate gland. The portion of the gland that is not squeezing the urethra stays in place. The outside capsule around the gland is also untouched.
Transurethral electro-resection of the prostate is the traditional way to remove prostate tissue using minimally invasive surgical techniques. No outside incision is needed. Thereâs less pain, fewer complications and faster healing.
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Is Drinking A Lot Of Water Good For Your Prostate
If you have BPH or prostatitis, make an effort to reduce your caffeine intake by cutting back on coffee, soda or energy drinks. Avoiding caffeine can make a big difference in your urinary health. Another important drink for you prostate is water. Stay hydrated, and do not try to drink less to reduce your urine.
When Should I See My Doctor
The process and problems of urination are complex, and your doctor needs to perform a thorough assessment to diagnose the problem of frequent urination accurately.
He/she will ask questions to know more about the history of your symptoms and gather information from a physical exam.
Some important things to know include the following:
- When did it start?
- How does it compare with what you consider to be a normal urination pattern?
- Does it happen during the day, night, or both?
- Do you experience other symptoms?
- How much fluid do you drink? How much caffeine and alcohol do you consume?
- What medications are you taking?
Apart from asking about your family history and a physical exam, the doctor may also ask you to undergo some tests that help determine the cause of frequent urination.
These include a urine analysis, imaging tests like an ultrasound, neuro tests to rule out nerve disorders, and urodynamic tests to know how the urinary system stores and releases urine.
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What Exams Tests And Procedures Diagnose Bph
A physical exam is required to see if other medical problems may be causing your BPH symptoms. The healthcare provider will order a digital rectal exam to examine the prostate gland. The healthcare provider may feel the prostate by inserting a gloved, lubricated finger into the rectum. The rectal exam allows your doctor to roughly estimate the size and consistency of the prostate. Most importantly, it allows the doctor to feel for lumps or hard areas that could indicate the presence of prostate cancer. Your doctor may check your urine for blood or signs of infection. Your blood may be tested for kidney problems , for PSA levels , a screening test for enlarged prostate, prostate cancer, prostatitis, and urinary tract infections
Some men are referred to a specialist for further tests. Urologists specialize in diseases of the male and female urinary tracts and of the male genital tract. Before you are treated for BPH. It is important for the doctor to rule out other possible causes of an enlarged prostate, such as prostate cancer, which is benign or non-cancerous.
Further Treatments To Control The Cancer
Your first treatment may help keep your cancer under control. But over time, the cancer may change and start to grow again. If this happens you might be offered other treatments, including:
- more hormone therapy
- clinical trials
More hormone therapy
Your prostate cancer may respond well to other types of hormone therapy, such as abiraterone , enzalutamide , steroids or oestrogens, or to a combination of treatments.
More chemotherapy
If youve had hormone therapy on its own as a first treatment, you might be offered a chemotherapy drug called docetaxel . This may help some men to live longer, and can help to improve and delay symptoms. If youve already had docetaxel, you might be offered more docetaxel or another chemotherapy drug called cabazitaxel .
Radium-223
This is a type of internal radiotherapy that may be an option if your cancer has spread to your bones and is causing pain. A radioactive liquid is injected into your arm and collects in bones that have been damaged by the cancer. It kills cancer cells in the bones and helps some men to live longer. It can also help to reduce bone pain and delay some symptoms, such as bone fractures. Read more about radiotherapy for advanced prostate cancer.
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Bladder And Urinary Troubles
A prostate tumor that has grown significantly in size may start to press on your bladder and urethra. The urethra is the passage the carries urine from your bladder out of your body. If the tumor is pressing on your urethra, you might have trouble passing urine.
One of the common areas for prostate cancer to spread to is the bladder, because the two organs are close. This can cause additional problems with urination and bladder function.
Some symptoms your bladder and urethra are being affected by cancer include:
- urinating more frequently
- getting up in the middle of the night to pee
- feeling like you have to urinate often and not actually passing anything
Its not as common, but prostate cancer can also spread to your bowel. The cancer first spreads to the rectum, which is the part of your bowel closest to the prostate gland.
Symptoms of cancer thats spread to the bowels include:
Beware Frequent Urination Could Be A Sign Of Prostate Disease
Dr Manish Ahuja, Consultant Urologist, explains some of the frequent signs and symptoms of prostate disease.
Prostatic diseases are common among ageing men causing significant morbidity. The prostate problem can be led due to the current circumstances like ageing, weather change, travel or business-related stress, the water of different places, etc. However, due to the sedentary lifestyle and an increase in age. As men get older, the quality of life gets hampered as the prostate gland enlargement, can be caused due to lower urinary tract symptoms. Research data from India show that almost 65% of men aged 40 years and above suffered from these annoying symptoms as per research data from India. Then why most of these patients are unseen?
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