Where To Get Treatment For A Large Median Lobe Of The Prostate With Bladder Protrusion In New York
At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men. Same-day virtual video appointments and in-person appointments are available.
Call/text today: or make an appointment online.
We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
One Type Of Food Especially Surprised Me
Almost all health gurus praise this food as super healthy. But carrying out Scotts strategy, I discovered that this food wrecks the prostate receptors.
And almost everyone eats this prostate destroyer daily.
It may be the number one reason you have an enlarged prostate.
After I cut out this one type of food, I felt a huge difference in my urine flow within days.
Scott doesnt discover precise health gems like these sitting on his sofa making theories and speculations.
Unlike most self-claimed health gurus, hes all about cold, hard practicality and effectiveness in the real world you and I live in.
> > > 1 Bedtime Hack To Pee Like A Bull
An enlarged prostate can also be the cause of other problems. If the enlarged prostate is causing symptoms, the best treatment would be a natural remedy. In the meantime, there are treatments for a wide range of conditions that cause a man to experience pain. A common surgical procedure involves an electric loop, laser, or electro-stimulation. The procedure is a safe and effective option for treating enlarged or symptomatic BPH.
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How Common Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is the most common prostate problem for men older than age 50. In 2010, as many as 14 million men in the United States had lower urinary tract symptoms suggestive of benign prostatic hyperplasia.1 Although benign prostatic hyperplasia rarely causes symptoms before age 40, the occurrence and symptoms increase with age. Benign prostatic hyperplasia affects about 50 percent of men between the ages of 51 and 60 and up to 90 percent of men older than 80.2
Innovations In Treatment Of Bph
New procedures are less invasive than many older choices, with good results and comfortable recovery.
Although there is no cure for benign prostatic hyperplasia , also known as enlarged prostate, there are many useful options for treating the problem. Treatments focus on prostate growth, which is the cause of BPH symptoms. Once prostate growth starts, it often continues unless medical therapy is started. The prostate grows in two different ways. In one type of growth, cells multiply around the urethra and squeeze it, much like you squeeze a straw. The second type of growth is middle-lobe prostate growth in which cells grow into the urethra and the bladder outlet area. This type of prostate growth typically requires surgery.
The first line of care for treating BPH is often medication. Doctors may prescribe an alpha blocker to relax the prostate, a 5-alpha reductase inhibitor to reduce the prostate’s size, or both. While medications are helpful for many patients, some may impact a man’s sexual function or only reduce, not eliminate symptoms if the patient has a moderate to severe case of BPH.
In cases where patients have moderate to severe BPH or have a middle-lobe growth and need further treatment, there are a range of BPH-related surgical procedures, including ones that are less invasive than older surgeries. A patient and his doctor will choose the best option based on the size and shape of the prostate, as well as the patient’s preference and overall medical condition.
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Symptoms Of A Large Median Lobe Of The Prostate
Men with a prominently enlarged median lobe of the prostate often experience weak urine flow, frequent urination, urinary urgency, or may experience urinary retention.
Quite commonly, in this situation, the patient may have a very large prostate, which is beyond the effectiveness of medical therapy. Another common situation is a prominent, large median lobe of the prostate protruding into the bladder and blocking the urine flow in a ball-valve fashion.
Urethral Lift Efficacious In Men With Large Median Lobe
Results of the prospective MedLift study establish the efficacy and safety of the Prostatic Urethral Lift procedure for treatment of symptomatic BPH in men with an enlarged median lobe.
San Francisco-Results of the prospective MedLift study establish the efficacy and safety of the Prostatic Urethral Lift procedure for treatment of symptomatic BPH in men with an enlarged median lobe.
The 1-year clinical trial enrolled 45 men at nine centers. Presenting the findings at the AUA annual meeting in San Francisco, Daniel B. Rukstalis, MD, reported that PUL was associated with high patient satisfaction. Recovery occurred quickly after the procedure, and it led to statistically significant improvements in symptoms and ejaculatory function. Erectile function was preserved.
No patients required medications for BPH after the procedure, and there were no cases of serious device/procedure-related adverse events or de novo sustained erectile or ejaculatory dysfunction.
After the PUL was initially approved by the FDA, approximately 75% of men with prostates smaller than 80 cc would be considered candidates for this minimally invasive procedure. Based on the results of the MedLift study, we can now say that the PUL is applicable for men with all configurations of the prostate, said Dr. Rukstalis, professor of urology at Wake Forest Baptist Medical Center, Winston-Salem, NC.
Also see –Alcohol and the prostate gland: Friend or foe?
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The Initial Causes Median Lobe Prostate
One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.
Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.
If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.
Now Saturdays Are Fun Days With Grandpa
I take them to the park, the movies, wherever we feel like.
I empty my bladder before leaving, and I dont have to worry for hours.
I dont count the sips of beer during the game just to make it to halftime anymore.
Or map out pitstops before taking a road trip .
And I can visit friends and family without the embarrassment of getting stuck in the bathroom when my bladder just wont let go.
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Median Lobe Prostate Bladder Blockage Options
So I have a median lobe that acts as a ball valve at the neck of my bladder.
I had no idea for many years what was going on. I even went to the emergency room a couple times.
I was holding 1000 CC’s quite often.
One doc wanted to do the church right away. Another doctor taught me how to self catheterize. Another doctor wanted to prescribed Flomax. Doc in Germany wanted to do an ejaculate preserving “EP” TURP.
The median lobe seems to disqualify me for the Urolift. But a doc in Orange County, CA says the Urolift may indeed help me.
I’m young to be going through this. And my wife wants more kids. So I want to have antegrade ejaculation.
Can anyone as they say at the 12-step programs share any experience, strength and hope with this situation?
Median lobe blocking urine flow. I need surgery but I want regular ejaculation.
3 likes, 56 replies
So I Didnt Have To Turn My Life Upside Down
Even then, I experienced an almost immediate difference in urine flow and number of bathroom visits.
And, despite my laziness, an ultrasound confirmed that my prostate had shrunk down to a healthy size within weeks.
- I hardly ever get up to pee at night anymore.
- My bladder completely empties.
- And I havent had any blood in my pee for almost two years now.
Even my PSA blood test, the most accurate test for identifying enlarged prostates, went from a terrifying five to a super-healthy result of one.
Im sure if I had given the plan 100%, my prostate would have healed even faster.
But lazy me, before beginning to work the program, I asked Scott:
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Diet And Pathophysiology Of Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is characterized by histologic cellular proliferation of the Transitional Zone of the prostate. Multifactorial and age-related hormonal changes associated with BPH may also lead to the development of lower urinary tract symptoms . Dietary factors can modulate these physiological disturbances. For example, bioactive ingredients and high caloric densities of different foods may affect the sympathetic nervous system and increase prostate smooth muscle tone observed in BPH . High polyunsaturated fat content may also increase the risk of BPH by causing chronic inflammation and subsequent oxidative damage .
Anthony I. Zarka, … Neal C. Dalrymple, in, 2009
What Causes Bph At What Age Do Men Develop The Condition
Medical professionals do not have a good understanding of what causes an enlarged prostate.
BPH generally begins in a man’s 30s, evolves slowly, and most commonly only causes symptoms after 50.
In benign prostatic hyperplasia, the prostate gland grows in size. It may compress the urethra, which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. Lower urinary tract symptoms from BPH can be due to one of the factors: dynamic, static, and compensatory. Dynamic factors are related to the tone of the muscle surrounding the prostate and the outlet of the bladder whereas static factors are related to the enlargement of the prostate tissue. Dynamic and static symptoms are prostate-related symptoms. Compensatory factors are the result of changes that occur in the bladder as a result of the bladder working harder to push urine past the bladder neck and prostate.
Signs and symptoms of BPH include lower urinary tract symptoms of weak urine stream, difficulty starting the urine stream , straining to urinate, inability to completely empty the bladder, inability to urinate , blood in the urine , leakage of urine , decreased urine flow , and post-void dribbling of urine.
BPH may also be related to the development of bladder stones, recurrent urinary tract infections, and backup of urine in the kidneys .
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What You Need To Know About The Prostate Median Lobe Prostate
The main purpose of the prostate is to produce semen, a milky fluid that sperm swims in. During puberty, the body produces semen in a large number of cases, including enlarged prostate. This fluid causes the prostate to swell and cause a number of bladder-related symptoms. This is why the prostate is important to the body. It can be caused by many factors, including infection and inflammation.
A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.
While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.
How Is Benign Prostatic Hyperplasia Treated
Treatment options for benign prostatic hyperplasia may include
- lifestyle changes
- minimally invasive procedures
A health care provider treats benign prostatic hyperplasia based on the severity of symptoms, how much the symptoms affect a mans daily life, and a mans preferences.
Men may not need treatment for a mildly enlarged prostate unless their symptoms are bothersome and affecting their quality of life. In these cases, instead of treatment, a urologist may recommend regular checkups. If benign prostatic hyperplasia symptoms become bothersome or present a health risk, a urologist most often recommends treatment.
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Other Points To Consider With Enlarged Prostate
Need for repeat procedures: With minimally invasive procedures for an enlarged prostate, there is a chance you will need to have a repeat procedure later on. Having the procedure when you’re young makes that a near certainty. However, that may be a risk you’re willing to take — to avoid surgery in the short term.
Side effects of treatments: Some BPH treatments cause erection problems, although that risk is low. Men who have normal erections before surgery will not likely have trouble afterward. Some treatments cause retrograde ejaculation . Fertility can also be affected, but is still possible with newer assisted reproductive techniques.
Multiple health problems: If you have other health problems, especially if you are on an anticoagulant and cannot stop taking this medication, your treatment options for enlarged prostate may be affected. For example, if you have had surgery for obstructive sleep apnea or pulmonary surgery in the past, having surgery with general anesthesia may be too risky. However, spinal anesthesia may be an option for you. Or you may wish to have a minimally invasive office procedure that doesn’t require anesthesia at all.
Talk to your doctor about your BPH symptom score, your concerns, and about the plan of treatment that works best for you.
Your Quality Of Life With An Enlarged Prostate
If your enlarged prostate symptoms are mild and not bothersome, there’s likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment. They may just watch and wait.
However, when enlarged prostate symptoms are bothersome or are affecting your quality of life or overall health, it’s time to talk to your doctor about the treatment options. Together you will determine if you would benefit most from medication, a minimally invasive procedure, or surgery.
It’s important to talk with a doctor when you begin noticing changes in urinary function. You need to find out what’s going on so you can be treated for enlarged prostate if necessary. For many men, especially those who are young when the prostate starts growing, getting early treatment can head off complications later on.
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Pathophysiology And Clinical Manifestations
Urethral resistance ensues due to IPP and impedes the hydraulic energy that normally drives micturition . A 2015 fluid structural interaction analysis study demonstrated that IPP predisposed the prostate to deformation caused by intravesical pressure. The authors found that the compression of the prostatic urethra and increased variation of cross-sectional area around bladder neck would diminish urine flow efficiency, as well as compromise the effect of obstruction alleviation treatment . Bladder neck and urethral constraint may be due to the nature of the fascia capsule surrounding the prostate. The prostate is adjoined anteriorly by pubo-prostatic ligaments, posteriorly by Denonvilliers’ fascia, and laterally by endopelvic fascia . Superior to these connections, there is merging with other fascia that leaves the IPP susceptible to the radial component of intravesical pressure, thus leading to prostatic deformation. This study provided further evidence suggesting that IPP influences BOO independently, and that flow deterioration is more resistant to alleviation of obstruction during treatment as the IPP grade increases .
Treating Benign Prostate Enlargement
Treatment for an enlarged prostate will depend on how severe your symptoms are.
If you have mild symptoms, you do not usually need immediate treatment. Your doctor will agree with you if and when you need more check-ups.
You’ll probably be advised to make lifestyle changes, such as:
- drinking less alcohol, caffeine and fizzy drinks
- limiting your intake of artificial sweeteners
- exercising regularly
- drinking less in the evening
Medicine to reduce the size of the prostate and relax your bladder may be recommended to treat moderate to severe symptoms of an enlarged prostate.
Surgery is usually only recommended for moderate to severe symptoms that have not responded to medicine.
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Cost Of Enlarged Prostate Treatment Without Insurance
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.