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.
Choosing To Stop Treatment Or Choosing No Treatment At All
For some people, when treatments have been tried and are no longer controlling the cancer, it could be time to weigh the benefits and risks of continuing to try new treatments. Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.
Some people, especially if the cancer is advanced, might not want to be treated at all. There are many reasons you might decide not to get cancer treatment, but its important to talk to your doctors and you make that decision. Remember that even if you choose not to treat the cancer, you can still get supportive care to help with pain or other symptoms.
Where To Get Prostate / Urolift Procedure / Rezum Procedure / Laser Enucleation Of Prostate / Holep / Surgery In Nyc
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.
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.
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Benefits Of Using Rezm Water Therapy
Having BPH can mean frequent trips to the bathroom and even interrupted sleep. The greatest benefit of Rezm water therapy is how it works to relieve frustrating BPH symptoms that otherwise may still be present. Rezm water therapy does not require painful surgery or medication, and is minimally invasive. Additionally, Itll give you the opportunity to have a strong steady stream without having to take prostate medications or recover from a surgery.
Rezm is a great option for those who want a quick fix. The flexibility of being able to have this procedure done in-office without having to undergo general anesthesia makes Rezm water therapy less invasive than traditional surgeries. You can even go home immediately after the procedure is finished!
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.
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Is Surgery For Me
With the guidance of your physician, only you can make the final decision on whether to go through with surgery. You must weigh the risks versus the rewards and try to envision your life after surgery. Look past the short-term pain associated with the procedure and try to imagine the impact on your lifestyle. Once you review the pros and cons with your physician and understand the procedure to the best of your ability, only then can you make the decision right for you.
Entadfi Approved For Benign Prostatic Hyperplasia
The Food and Drug Administration has approved Entadfi for the treatment of the signs and symptoms of benign prostatic hyperplasia in men with an enlarged prostate for up to 26 weeks.
Entadfi is a fixed-dose combination of finasteride, a 5-reductase inhibitor, and tadalafil, a phosphodiesterase 5 inhibitor. The approval was based on a randomized, double-blind, placebo-controlled phase 3 study that evaluated the efficacy and safety of tadalafil plus finasteride in 696 men.
Patients were randomly assigned to receive tadalafil 5mg with finasteride 5mg or placebo with finasteride 5mg. The primary endpoint was the change from baseline to week 12 in total International Prostate Symptom Score .
Findings showed a statistically significant improvement in the signs and symptoms of BPH when tadalafil was administered with finasteride vs placebo plus finasteride . Improvement in total IPSS was observed starting at week 4 and continued through week 26 .
Entadfi is not recommended for more than 26 weeks because the incremental benefit of tadalafil decreases from 4 weeks until 26 weeks and the incremental benefit beyond 26 weeks is unknown.
Entadfi is supplied as a capsule containing a combination of finasteride 5mg and tadalafil 5mg in 30- or 90-count bottles. The product is expected to be available in early 2022.
References
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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.
The Issue With Supplements
Dietary supplements go through fewer regulatory hurdles than drugs. Drugs must undergo clinical trials to demonstrate to the FDA that they are safe and effective.
The FDA can then approve the new drug, so it can be marketed and sold in the US. However, safety issues are detected with a third of medicines after market approval.
Dietary supplements are considered safe until proven otherwise. Manufacturers are not obligated to conduct clinical trials to prove the efficacy and safety before entering the market.
Brands are free to make a number of health claims related to addressing nutrient deficiencies, supporting general health or supporting a particular body function .
The manufacturers need to follow the claim with the following message: This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
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New Vitality Super Beta Prostate
Super Beta Prostate uses a two-pronged approach to shrinking your prostate and improving urinary function. The first is making sure you dont have any deficiencies in trace minerals like molybdenum, copper, or manganese.
The second is using a high dosage of phytosterols, including their active ingredient, beta sitosterol, a proven supplement for prostate health.
It doesnt have the wide range of herbal extracts youll find in VitaBalance Prostate Plus , but for many men, trace minerals and beta sitosterol are enough to improve their prostate function and health.
Thanks to its high-quality ingredients and strong reviews, its a smart choice.
What Procedure Is Better Than Turp
Open prostatectomy This procedure may be more effective than a TURP if you have very severe prostate enlargement, although it’s rarely used nowadays because of modern alternatives such as HoLEP and because it carries a higher risk of long-term complications, such as erectile dysfunction and urinary incontinence.
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Surgical Treatment For Enlarged Prostate
- Transurethral resection of the prostate . In this surgery, the inner portion of the prostate is removed. Used 90% of the time, this is the most commonly used surgical procedure for BPH.
- Open prostatectomy . The surgeon makes an incision and removes the enlarged tissue from the prostate.
- Laser surgery Laser surgery uses laser energy to destroy prostate tissue and shrink the prostate.
- Transurethral incision of the prostate . This surgery does not involve removing prostate tissue. A few small cuts are made in the prostate gland to reduce the prostates pressure on the urethra, making urination easier.
What Is An Enlarged Prostate
Many men will experience an enlarged prostate in their lifetime. Learn about the symptoms of an enlarged prostate, what causes it, and how to treat an enlarged prostate here.By the time you reach the age of 60, you have a 50/50 chance of having an enlarged prostate. When you blow out 85 candles on the birthday cake, the likelihood increases to 90%.
You might be wondering, If its so common, whats the big deal about having benign prostatic hyperplasia ?
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Diagnosis Of An Enlarged Prostate
The doctor will ask some detailed questions about the symptoms and by doing a physical exam. This will include:
- Urine test: The doctor will analyze the sample of your urine which can help to detect the infection or conditions which can cause the symptoms.
- Blood test: This will indicate kidney problems
- Digital rectal exam: The doctor here inserts a finger into the rectum to check for prostate enlargement
If the condition is bad, the doctor will recommend:
- Prostate biopsy: In transrectal ultrasound, needles are used to take some tissue samples of the prostate. By examining the tissue, the doctor can determine the problem.
- Cystoscopy: This is a lighted, flexible instrument which is inserted into the urethra, which allows the doctor to see the inside of the bladder. The doctor will give the anesthesia.
- Transrectal ultrasound: An ultrasound probe is inserted in the rectum to measure and examine your prostate.
Laser Therapy Is A Minimally Invasive Surgical Therapies Can Effectively Treat Benign Prostatic Hyperplasia
Most men experience prostate gland enlargement as they age. This is a condition called benign prostatic hyperplasia . Any family history of prostate problems or any abnormalities with your testicles may raise your risk for BPH.If you dont get treatment for it, BPH can cause bladder, urinary tract, or kidney problems.
Laser therapy is a minimally invasive surgical therapies can effectively treat benign prostatic hyperplasia. A high-energy laser destroys or removes overgrown prostate tissue. Laser therapy generally relieves symptoms right away and has a lower risk of side effects than does nonlaser surgery. Laser therapy might be used in men who shouldn’t have other prostate procedures because they take blood-thinning medications.
The options for laser therapy include:
Ablative proceduresThese procedures vaporize obstructive prostate tissue to increase urine flow. Examples include photoselective vaporization of the prostate and holmium laser ablation of the prostate . Ablative procedures can cause irritating urinary symptoms after surgery, so in rare situations another resection procedure might be needed at some point.
Enucleative proceduresEnucleative procedures, such as holmium laser enucleation of the prostate , generally remove all the prostate tissue blocking urine flow and prevent regrowth of tissue. The removed tissue can be examined for prostate cancer and other conditions. These procedures are similar to open prostatectomy.
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Diagnosis Of Prostatic Enlargement
Diagnosis of prostatic enlargement/ BPH is done through:
The physician may ask for lab tests to estimate the condition or to help him identify the underlying cause. they include:
Urine analysis.
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What Is The Outlook For Men Who Have Benign Prostatic Hyperplasia Surgery
Benign prostatic hyperplasia surgery has a very high success rate. However, for the best results from treatment, you should seek medical help at the earliest signs of a problem. Also, talk with a doctor if you are experiencing symptoms of BPH after surgery.
There is no evidence that BPH increases the risk of developing prostate cancer. However, the symptoms of BPH and prostate cancer are similar. The American Urological Association and the American Cancer Society recommend annual prostate screenings for men ages 55 to 69. Men at high risk such as African-American men and men with a family history of prostate cancer should begin screening at age 40.
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Best Prostate Supplements Top Mens Prostate Support Pills
- Friday, March 5, 2021 1:30am
Did you know that prostate enlargement is a condition that impacts 50% of men between the ages of 51 and 60, and a much higher rate for men over the age of 80? This is a condition that comes with discomfort, and in some cases, pain that is relatively excruciating. Since the prostate is essential in not only a mans fertility, but also the bladder and urinary tract functions, possible solutions for this issue were hunted down. After some extensive research, the following guide was compiled to share everything there is to know about prostate supplements, starting with our top 10 picks, which are entirely based on those gathered by the Review Player team:
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Treatment Option For Bph: The Urolift System
Urologists at UCLA Urology are now offering UroLift, a new treatment option for benign prostatic hyperplasia .
UroLift Offers Relief for BPH
When Jeff Brenner first began experiencing bothersome urinary symptoms in his 40s, he attributed it to middle age and figured it was something he could live with.
An enlarged prostate compresses on the urethra, making it difficult for urine to flow.The UroLift Device is placed through the obstructed urethra to access the enlarged prostate.The device compresses the tissue and delivers tiny implants to lift and hold prostate tissue out of the way, thus opening the urethra. The permanent implants keep the tissue in place, like tiebacks on a window curtain.The UroLift Device is removed, leaving an open urethra for urine to flow.
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New Treatment For Enlarged Prostate Shows Fewer Side Effects
A noninvasive method could offer men with an enlarged prostate effective treatment with fewer complications.
A new treatment could provide men with relief from symptoms of an enlarged prostate with fewer side effects than traditional methods.
The minimally invasive technique isnt entirely new, but a study presented this week at the Society of Interventional Radiologys Annual Scientific Meeting shows that the method could be an alternative to commonly used treatments for benign prostatic hyperplasia .
This innovative treatment offers less risk, less pain and less recovery time than traditional surgery, said Dr. Sandeep Bagla, the studys lead researcher and an interventional radiologist at Inova Alexandria Hospital in Virginia, in a press release. We are hopeful that further research will confirm it to be an effective therapy for BPH.
BPH affects about one-third of men 50 years or older, and 90 percent of men 85 years or older. According to Medscape, up to 14 million men in the United States experience symptoms due to an enlarged prostate.
Researchers looked at the medical records of 78 men who were treated for an enlarged prostate using the new technique prostate artery embolization. Doctors performed the procedure as part of their routine clinical practice, not through a clinical study.
Considering Complementary And Alternative Methods
You may hear about alternative or complementary methods that your doctor hasnt mentioned to treat your cancer or relieve symptoms. These methods can include vitamins, herbs, and special diets, or other methods such as acupuncture or massage, to name a few.
Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctors medical treatment. Although some of these methods might be helpful in relieving symptoms or helping you feel better, many have not been proven to work. Some might even be harmful.
Be sure to talk to your cancer care team about any method you are thinking about using. They can help you learn what is known about the method, which can help you make an informed decision.
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How Effective Is Pae
PAE is a new and promising procedure. In a study published in 2016, 630 patients underwent a prostate artery embolization procedure. The study found that the procedure had a positive effect on urinary symptoms as well as overall quality of life. This positive effect lasted 1-3 years in 82% of the patients and lasted 3-7 years in 76% of the patients. Additionally, there was no urinary incontinence or sexual dysfunction reported.
With the high success rate of PAE, men ineligible for surgery are able improve their quality of life by eliminating or reducing uncomfortable BPH symptoms. Be sure to speak to your urologist to help determine the best approach for you.