Poor Urine Flow And Diabetes
One of the complications of diabetes is bladder underactivity related to damage to its nerves. The nerves innervating the bladder are commonly affected over the years, especially in uncontrolled diabetes. Consequently, the nerve signal for contraction is less efficient, and the bladder contraction is weak. However, diabetes reduces the muscle in the bladder wall that contracts less efficiently. All these situations are caused by weak urine flow.
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.
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Talk To Your Doctor About Medication
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Reducing Your Risk Of Complications
You can help reduce the chance of certain complications by:
- following activity, dietary, and lifestyle restrictions and recommendations before surgery and during recovery
- notifying your doctor immediately of any concerns, such as bleeding, bloody urine, , an increase in pain, or a change in urination
- seeing your doctor as instructed before and after surgery
- taking your medications exactly as directed
- telling all members of your care team if you have any
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What Is The Most Common Approach
A technique called transurethral resection of the prostate is considered to be the standard surgical approach. This procedure involves inserting a thin tube called a resectoscope into the urethra and guiding it through to the prostate. The resectoscope is equipped with a tiny camera and an electrical loop that is used to mechanically remove prostate tissue. The loop produces heat at the same time, which quickly seals off the blood vessels. The resectoscope also has valves that regulate the release of fluid to flush the removed tissue out. TURP takes about 90 minutes and is done under local or general anesthetic. Men who have had this procedure usually need to have a urinary for a few days after, and generally stay in the hospital for two to seven days. They then have to rest and take it easy for a few weeks.
Some variations of TURP are also considered to be standard treatments and have similar outcomes and consequences to conventional TURP. These include transurethral electrovaporization , transurethral vaporesection and plasmakinetic enucleation of the prostate .
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What You Need To Know About Prostate Surgery
What is prostate surgery for?
The prostate is a gland located underneath the bladder, in front of the rectum. It plays an important role in the part of the male reproductive system that produces fluids that carry sperm.
Surgery for partial or complete removal of the prostate is called a prostatectomy. The most common causes for prostate surgery are prostate cancer and an enlarged prostate, or benign prostatic hyperplasia .
Pretreatment education is the first step to making a decisions about your treatment. All types of prostate surgery can be done with general anesthesia, which puts you to sleep, or spinal anesthesia, which numbs the lower half of your body.
Your doctor will recommend a type of anesthesia based on your situation.
The goal of your surgery is to:
- cure your condition
- maintain the ability to have erections
- minimize side effects
- minimize pain before, during, and after surgery
Read on to learn more about the types of surgery, risks, and recovery.
The goal of prostate surgery also depends on your condition. For example, the goal of prostate cancer surgery is to remove cancerous tissue. The goal of BPH surgery is to remove prostate tissue and restore the normal flow of urine.
How To Increase Your Urine Flow
It is very frustrating getting out of the bed in the middle of the night with an urge to pee.
Then, finding yourself standing over the toilet and nothing is happening.
This is a common story for many men and can be a sign of benign prostatic hyperplasia .
BPH affects many men at the age of 50 and over, at a very high percentage. Almost 50% of men are affected at this age bracket.
As you get older, you experience prostate enlargement that can press on the part of your urethra and bladder and can block water passage out of your urethra.
This is not necessarily a sign of prostate cancer, neither does it mean that you are going to get prostate cancer. But it might cause kidney inconveniences.
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Problems With Enlarged Prostate Gland
Benign enlargement of the prostate gland is more common as men get older. It can cause troublesome symptoms, although it doesnt always.
The urethra passes through the prostate gland, so men may have problems urinating if the enlarged gland restricts the flow of urine. If the flow stops completely, a catheter is required to empty the bladder. It is rare for this form of acute urinary retention to cause kidney damage.
An enlarged prostate doesn’t always cause urinary problems. Studies indicate that the size of a man’s prostate gland has little influence on the type or severity of his urination problems. BPH is just one possible cause of urinary symptoms.
Another cause of urinary symptoms can be changes to the muscular wall of the bladder, which may cause spasms of the bladder or weaken the bladder, causing problems passing urine.
Why You Might Need Surgery
The prostate is normally a walnut-sized gland that sits underneath your bladder and surrounds the urethra, a tube that carries urine out of your body from the bladder. A mans prostate gland begins to hypertrophy around age 40.
An enlarged prostate, also known as benign prostatic hyperplasia , may begin to cut off the flow of urine from the bladder. The condition is more common in older men. BPH-associated growth of the prostate is not caused by cancer.
While its true that BPH is common, its a condition that can be treated. You should consider the possible complications when picking among your options.
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Immediately After A Prostatectomy
After the operation, you can expect that:
- Nurses will monitor your vital signs.
- You may be given oxygen for up to 24 hours following surgery.
- You will probably be given antibiotics to prevent infection.
- For a day or so, you will have a catheter in your urethra and bladder with a continuous wash-out. This is to prevent blood building up and clotting, which could cause a blockage.
- If you had an open prostatectomy, your wound will be dressed and you will have a tube draining your abdomen. The tube will be removed after several days.
- Pain will be managed with injections, tablets or both. Pain is rarely a significant problem following TURP.
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Causes Of Poor Urinary Flow After Surgery
Immediate after cystoscopy, endoscopic prostate resection or prostate surgery , reduced urine flow is typical, and it is due to inflammation and swelling of the urethra after the surgical trauma. The obstruction is usually transitory. After days, the urine flow will improve along with the inflammation recovery. If the poor urinary stream occurs after weeks to a few months, most likely the obstruction is due to a urethral scar, and we have to consider the further procedure.
Poor urinary flow after other surgeries, like inguinal hernia surgery, may be related to transitory bladder hypo-function because of epidural anaesthesia.
Other pelvis surgeries like hysterectomy or low anterior colon resection may be the reason for hesitancy and low urinary flow. It may be due to accidental nerve damage during the operation.
In all cases, the patient needs bladder catheterization to void the bladder and preserve the kidney function.
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Inflammation Of The Prostate Gland
Bacteria sometimes cause prostatitis . More commonly, the underlying cause is uncertain. Consult your doctor promptly if you experience:
- pain in the groin
- urgent and frequent urination.
Treatment with antibiotics is essential for acute bacterial prostatitis. Admission to hospital is often necessary and, as with chronic bacterial prostatitis, specific antibacterial drugs are required for a long time.
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Radiation Cystitis Causing Hematuria
Less common but challenging to treat is what we call radiation cystitis. This occurs in 1-2% of men after radiation treatment to the pelvis all the prostate. The bladder and the prostate become friable and bleed easily. Hematuria as a result of radiation cystitis typically occurs many years after treatment. A number of treatment options available, including fulguration, intravesical instillations, medical treatment. Hyperbaric oxygen treatment has been shown to be beneficial for men with persistent intermittent hematuria.
If you experience blood in urine before, after, or during treatment for prostate cancer, urological evaluation should be sought.
How Does The Itindtm Procedure Work
The iTind procedure is a straightforward treatment performed by a urologist either in the hospital or a clinic. The device is placed in the prostatic urethra in a folded configuration. During the 5 to 7-day treatment, it slowly expands and exerts gentle pressure at three precise points to widen the opening through which urine flows through the prostatic urethra and then out of the body. After 5 to 7 days, the device is completely removed. Clinical trials demonstrate that the newly remodeled prostatic urethra will continue to provide long-lasting relief of BPH symptoms.2
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Medication For Urinary Problems
Your doctor may suggest various medications to help ease your urinary problems, including:
- medications to reduce the tone of the muscles of the urethra and prostate to minimise any constriction to urine flow caused when these muscles contract
- medication to reduce the size of the prostate gland. These medications work by blocking the action of male hormones produced by the prostate gland
- medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination
- the over-the-counter preparation ‘saw palmetto’ is sometimes used. This may help some men, especially if frequent urination at night is a problem.
However, recent reviews of the evidence for using saw palmetto as a treatment for mild or moderate urinary symptoms did not show any improvement, compared to no treatment, in men with BPH.
Treat The Underlying Condition
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Why Might I Need Turp
TURP is most often done to relieve symptoms caused by an enlarged prostate.This is often due to benign prostate hyperplasia . BPH is not cancer.It is a common part of aging. When the prostate gland is enlarged, it canpress against the urethra and interfere with or block the passage of urineout of the body.
Sometimes a TURP is done to treat symptoms only, not to cure the disease.For example, if youre unable to urinate because of prostate cancer, butsurgery to remove the prostate isnt an option for you, you may need aTURP.
There may be other reasons for your healthcare provider to recommend aTURP.
Surgical Methods For Performing A Prostatectomy
Traditionally, prostatectomies are carried out by open surgery, in which the surgeon makes a single, long incision in the skin and then removes the prostate gland and any other required surrounding tissues. However, due to technological advancements, it has become possible to carry out a prostatectomy using less invasive methods such as laparoscopic surgery , or its subtype, robotic prostatectomy.
Good to know: In cases where only part of the prostate is to be removed, it is possible to perform the procedure without cutting into the surrounding skin at all. For example, a transurethral resection of the prostate can be performed by inserting a thin tube called a resectoscope into the bladder through the urethra to remove the prostate tissue.
The three main surgical methods of prostatectomy are:
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Alcohol And Weak Urinary Flow
Alcohol causes dilatation of the veins. The prostate and the bladder neck are widely surrounded by large veins draining the blood from those organs. The more the veins dilate, the less efficient the blood drainage from the prostate and the bladder neck is. It results in blood congestion, prostate swelling and contraction of the bladder and neck. Consequently, the urinary flow will be weak.
How Is Postoperative Bleeding Diagnosed
Your healthcare provider will look for the source of your bleeding. He will ask about your health, and if you or anyone in your family has a bleeding disorder. He will ask what medicines you take, including over-the-counter medicines, and vitamin or herbal supplements. You may also need any of the following:
- Blood tests may be done to show how well your blood clots.
- Procedures such as endoscopy and angiography may be used to find the source of your bleeding, or to control it. An endoscope is a long, bendable tube with a light on the end of it. An angiogram is a picture of your arteries. You may be given a dye to help the blood vessels show up better. Tell the healthcare provider if you have ever had an allergic reaction to contrast dye.
- Surgery may be done in the same area to pinpoint where the blood is coming from.
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Transurethral Resection Of The Prostate
In transurethral resection of the prostate, your surgeon inserts an instrument into the urethra to shave prostate tissue with electrocautery, a process that involves an electrically activated wire loop, to remove the part of the prostate that is blocking urine flow.
Using general or spinal anesthesia in the hospital, doctors perform this procedure to relieve severe symptoms of benign prostatic hyperplasia. It typically requires one to three days in the hospital.
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Solutions For Better Urine Flow
There are medications to treat low urine flow problems. And if it persists, surgery is a viable option.
There are management exercises and stress management practices that can help curb the issue and put your urinary tract under control.
The following are some practices and exercises you can do.
Keep Yourself Active: Involving yourself in various forms of exercises. Things like walking, swimming and jogging can help reduce urinary tract problems.
Do Kegel Exercises: While at the toilet, stand and sit for at least 5 to 15 times, this is to allow muscle contraction, which helps stop and start the flow of pee. Relax for 5- 10 seconds and start the process again, do it 3-5 times a day and it will help you to control this dysfunction.
Meditate: Meditation helps reduce stress, nervousness and tension, and this causes some people to urinate more often.
Double Voiding: After feeling that you are done peeing, try to go once more after a little time. This will help you empty your bladder and save the next trip.
What Is An Enlarged Prostate Or Bph
The prostate is a small gland located right below the neck of the bladder and is part of the male reproductive system. The urethra, which carries urine from the bladder outside the body, runs through the prostate gland.
A healthy prostate gland is approximately the shape and size of a walnut. As men age, the prostate gland often becomes enlarged. This very common process is called Benign Prostatic Hyperplasia , or enlarged prostate. This causes the prostate to press against the urethra, causing chronic and sometimes troublesome lower urinary tract symptoms that can severely affect your quality of life. These include:
- Difficult urination
The canal that transports urine from the body.
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