How Can I Sleep With Enlarged Prostate
Symptoms of mild BPH can often be mitigated by reducing fluid intake before going out in public or before sleep. Avoiding or reducing alcohol and caffeinated beverages may be beneficial. Reducing medications such as decongestants, antihistamines, anti-depressants, and diuretics is often recommended.
Lets Try Something Less Invasive
In our previous articles we discussed drug therapy for BPH and some other minimally invasive therapies. One minimally invasive option for relief from BPH symptoms is rapidly gaining use in the United States, and may become the best option compared to invasive surgeries like TURP.
UroLift is a game-changing technology in the treatment of an enlarged prostate. Rather than an invasive surgery, with a long healing time, UroLift offers a simple solution that can be performed as an outpatient procedure.
During your appointment, your doctor inserts the UroLift device which holds back the prostate tissue that is pressing on the urethra. Only local anesthesia is required for this simple procedure. You can read more about the procedure and the implants here.
Compared with TURP, the healing time is extremely quick. Although there may be discomfort and mild side effects, most of them disappear within two weeks. The biggest advantage compared to surgery is that symptom relief is very rapid as well. In addition, long term results with UroLift are very positive with very few patients requiring additional treatments.
Most men are able to return home the day of the procedure without a catheter. And, since the procedure has been in use, there have been virtually no reports of sexual side effects. These are two of the biggest concerns many patients have in regard to surgery.
What Is The Cost Of Enlarged Prostate Surgery In Pace Hospitals
At Pace Hospitals, we offer world-class prostate enlargement treatment to the patients. Enlarged prostate surgery cost ranges vary from Rs 1,00,000 to 1,35,000 and it depends upon the selection of room for hospital stay, type of surgery, any services availed during treatment apart from the surgery package and approvals in case of cashless treatment such as health insurance, central government health scheme , employees and journalists health scheme , employees state insurance etc.
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How We Ranked The Top 12 Prostate Health Support Pills
Many prostate supplements contain similar ingredients. Most prostate supplements also make similar claims about supporting prostate health. Thats why its tough to separate the best and worst prostate supplements.
Our editorial team was up for the challenge. Here are the ranking factors we used to separate the best and worst prostate supplements available today:
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Why Would You Have Surgery For A Benign Prostate Condition
The prostate is the walnut-sized gland that surrounds the urethra in a male. The urethra is the tube that carries urine from the bladder to outside the body. One of the non-cancerous conditions that can affect the prostate is called benign prostatic hyperplasia , which is also known as enlarged prostate.
BPH is the most common prostate problem in men over age 50. About half of men in their 50s and as many as 90% of men in their 70s and 80s have enlarged prostates.
Enlarged prostate surgery is recommended if less invasive treatments have failed, or if you have severe symptoms such as:
- An inability to urinate.
- Excessive blood in the urine.
- Bladder stones.
Prostate cancer and infertility arent symptoms or causes of BPH. Benign prostatic hyperplasia doesnt cause erectile problems.
Prostate procedures for BPH range from minimally invasive treatments to more extensive surgeries. Your healthcare provider will help you decide which type of prostate surgery is best for you.
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Who Is Eligible For Pae
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.
Best Options For Prostate Surgery
Traditional versus robot-assisted procedures
A diagnosis of prostate cancer that hasn’t spread comes with treatment options such as watchful waiting, hormone therapy, and radiation. But if your doctor recommends prostate removal, you have one very important decision: trust your surgery to human hands or to robotic arms controlled by your surgeon. A study led by researchers at Harvard-affiliated Massachusetts General Hospital and published in the Journal of Clinical Oncology found little difference in the outcomes. “Yes, the two are basically the same in outcomes,” says Dr. William DeWolf, professor of surgery at Harvard Medical School and urologist-in-chief at Beth Israel Deaconess Medical Center. “I don’t see any difference between the two, nor should there be, based on technique.”
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Why Does Enlarged Prostate Cause Frequent Urination
So here again in enlarged prostate, it causes frequent urination. It’s not mainly because the urine is excessively produced, it’s mainly because of overflow incontinence. Many times patient will not be able to completely evacuate or empty their bladder, in this case a person will be passing urine only intermittently and inadequately that’s why a part of urine will always remain stagnant in the bladder and that will continuously irritate the bladder to go for frequent urination. Apart from that, once a person has that median lobe enlargement which is between the two lateral lobes that will relatively open the bladder neck which is a smooth muscle sphincter that will again lead to frequent urination.
How Is Bph Diagnosed And Evaluated
Early diagnosis of BPH is important because if left untreated it can lead to urinary tract infections, bladder or kidney damage, bladder stones and incontinence. Distinguishing BPH from more serious diseases like prostate cancer is important.
Tests vary from patient to patient, but the following are the most common:
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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 .
What Are Your Options When Medication Does Not Work
Most men stop getting taller around age 18, but after 40, they often begin growing elsewhere particularly in their prostate gland. Benign prostatic hyperplasia , also known as an enlarged prostate, affects about 50 percent of men ages 51 to 60 and up to 90 percent of men older than 80.
As the prostate grows, it presses on the urethra, the tube that carries urine out of the body . For about half of men with BPH, this causes urination problems. Common issues include a hesitant, interrupted, or weak urine stream dribbling after urinating a feeling the bladder does not completely empty and more frequent urination. Some men also experience urinary tract infections or urinary incontinence, the involuntary discharge of urine.
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What Is The Best Treatment For Enlarged Prostrate
There is no such best treatment for enlarged prostate. The age-old transurethral resection of prostate with monopolar cautery still is a time twisted and the treatment of choice. But the complication rates with the newer methods like bipolar transurethral resection of prostate, or the transurethral resection in saline , in one way much better than the monopolar transurethral resection of prostate because it will avoid so many postoperative complications, like hyponatremia or TURP syndrome.
The laser and robotics modalities of treatment are one way better when we consider the blood loss, consumption of time if the method is mastered, so laser will take relatively lesser time to inoculate the lobes and then morcellate and extracting glands. Bleeding will be much lesser if the procedure is mastered or done meticulously. Otherwise, these conventional methods of transurethral resection of prostate – monopolar or bipolar are still the best treatment options.
Using Medication To Reduce Symptoms
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Other Available Bph Treatments
Although Rezm and UroLift are the best treatment for enlarged prostate, they arent the only methods available to you. The severity of BPH varies from person to person, so not every treatment will be effective for every patient. Discussing the different treatment options with your doctor to identify the best course of action for you is always your best bet in finding symptom relief. Other available treatments for BPH include:
- Lifestyle changes: These lifestyle changes can include reducing liquid intake, bladder training, abstaining from alcohol and caffeine, and regularly exercising the pelvic muscles.
- Medication: There are two main types of medications used to treat BPH, alpha blockers and five-alpha-reductase inhibitors. Alpha blockers work by relaxing the prostate bladder muscles to encourage urine flow. Five-alpha reductase inhibitors partially shrink the prostate by reducing levels of dihydrotestosterone.
- Surgery: Since there are other less invasive options with a shorter recovery time, surgery is only typically recommended for patients with more severe BPH symptoms. Surgery involves making incisions inside the prostate to remove the excess prostate tissue blocking the urethra.
If youre suffering from symptoms of BPH, contact your nearest Urology Specialist of the Carolinas to schedule a visit with our incredible and experienced staff.
How Long Does Tongkat Ali Take To Increase Testosterone
The effects of Tongkat Ali on testosterone levels vary from person to person. Some people may experience an increase in testosterone within a few weeks, while others may need to take the supplement for several months before noticing any change. Its important to remember that Tongkat Ali is not a quick fix and should be taken consistently over time for best results.
Tongkat Ali has been used for centuries as a natural remedy for various ailments. In recent years, it has become popular for its purported testosterone-boosting properties. When choosing a Tongkat Ali supplement, its important to look for one with high-quality ingredients, effective dosing, and no artificial additives or fillers.
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The Disease May Have Serious And Grave Complications Later On
Urinary Retention When the patient has a complete inability towards urinating, the urine gets accumulated inside the bladder and a catheter may be used for draining it out of the body. Surgery may also be done to improve the condition.
Frequent UTIs If the urine is not adequately drained, frequent infections of the urinary tract may occur. A part of the prostate gland may be removed through surgery if infections are occurring frequently.
Kidney Damage Damage to kidneys may also occur because of the increased pressure in the bladder due to retention of urine. The infections of the bladder may also reach the kidneys.Bladder stones may occur in the bladder because of urine retention and may be a cause of irritation, infections, and occurrence of blood in the urine. The stones may also obstruct the flow of urine.
Damage to Kidneys and the condition of acute urinary retention are grave and serious conditions.
Does Enlarged Prostate Cause Kidney Failure
In a long term prostate gland enlargement with a lot of obstructive symptoms will lead to back pressure changes in the kidney and if not attended early stage may get into irreversible changes of the kidney and become a chronic kidney disease and end up into a kidney replacement therapy in the form of either dialysis or maybe a kidney transplant in the late situation.
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Treatment Options For Bph
SLUCare urologist Dr. Lindsay Lombardo is one of the first specialists in the St. Louis region to offer Rezum, a new, FDA-approved procedure that can be performed in the doctors office under local anesthesia in about an hour. Rezum uses blasts of water vapor to shrink enlarged prostate tissues, easing the symptoms of BPH. There is minimal downtime or after-care following the procedure, and patients may begin to see improvement in urinary function as early as two weeks after treatment. Best of all, Rezum has no sexual side effects, common with BPH medications. The procedure is effective for about 95% of patients, meaning no additional follow-up procedures are required.
UroLift is a good option for men who did well on BPH medication, but would prefer a solution that relieves symptoms without medication. UroLift is a minimally invasive outpatient procedure in which the surgeon inserts a small device, relieving pressure on the urethra and allowing urine to flow more freely. It accomplishes this without cutting or removing the prostate, thereby preserving sexual function. Men go home the same day with no catheter and no medications.
Treatments Options For High
As a result of family history, lifestyle, diet, and natural hormonal changes, the prostate begins to grow in size as men age, starting in their mid-30s. When the prostate becomes more enlarged over time, it might press against the urethra and block urine flow . This condition is called benign prostatic hyperplasia, or BPH.
Enlarged prostates differ in size. The size can be estimated on digital rectal exam or prostate imaging like an ultrasound. People with very enlarged prostates have several treatment options. However, size is not the only factor used to choose a treatment.
When doctors evaluate the prostate, symptoms are just as important as size. In addition, size and symptoms don’t always correspond. For example, one person might have a mildly enlarged prostate with noticeable symptoms, while another person could have a very large prostate with no symptoms.
To learn about patients’ symptoms, doctors ask a lot of questions about what they feel and see when they urinate. Based on the answers, doctors classify BPH as mild, moderate or severe. During the exam, doctors assess the prostate’s size, and they might order lab tests to assess kidney function and screen for prostate cancer.
All of this information is the basis of a personalized treatment plan. Here are the options for patients with very enlarged prostates, with or without symptoms.
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What Are The Differences Between Prostate Laser Surgery And Turp
Definitely there are advantages with prostate laser surgery – transurethral holmium laser enucleation of the prostate over the regular transurethral resection of prostate either with monopolar or bipolar sources such as early recovery, quicker surgery time and lesser blood loss in laser prostate inoculation.
Using Pads Or A Sheath
Absorbent pads and pants can be worn inside your underwear, or may replace your underwear altogether. These will soak up any leaks.
Urinary sheaths can also help with dribbling. They look like condoms with a tube coming out of the end. The tube connects to a bag that you can strap to your leg under your clothing.
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How Is Bph Treated
In some cases, in particular where symptoms are mild, BPH requires no treatment. At the opposite extreme, some men require immediate intervention if they cannot urinate at all or if kidney/bladder damage has occurred. When treatment is necessary, many men will simply require daily medication. If this fails to completely treat the symptoms, or if there are signs of damage from BPH, the doctor may recommend minimally invasive endoscopic surgery . Or, in some cases, traditional surgery may be recommended.
- Drug treatment: The FDA has approved several drugs to relieve common symptoms associated with an enlarged prostate, including drugs that inhibit the production of the hormone DHT and drugs that relax the smooth muscle of the prostate and bladder neck to improve urine flow.
For surgery, there are many procedures to choose from, and the choice depends largely on your specific prostate anatomy, and surgeon preference and training. These procedures all have a common goal of widening the urethral channel as it passes through the prostate. Procedures include the following: