What Is Prostatic Enlargement
Prostatic enlargement means that the prostate becomes bigger due to its overgrowth. Usually, its referred to as benign prostatic hyperplasia .
Normally, the prostate is located around the urethra . And its important for the viability of the sperms.
Enlargement is a physiological event that arises as a result of the regular proliferation of prostate glandular cells and vacuoles.
Being enlarged, the prostate compresses the urethra and affects the urine and semen outflow. So, prostatic enlargement can lead to urinary incontinence and fertility problems.
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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.
What To Expect And Side Effects Of Rezm
Following the procedure, your doctor prescribes pain medication for your recovery. Most patients return to regular activities within a few days following treatment. The main precaution following the procedure is limiting strenuous activity until the catheter is removed.
In a majority of cases, individuals are able to fully recover from the procedure within a few days to a week. Improvement in BPH symptoms is often noted within a few weeks, and after three months, most individuals feel a complete relief from symptoms.
Rezm has fewer side effects compared to surgical therapies. Potential side effects are similar to symptoms of BPH, such as frequent or painful urination, inability to urinate or to completely empty the bladder, and blood in the urine. However, most potential side effects are usually mild to moderate and typically resolve within several weeks following Rezm. Your urologist will give instructions on how to prevent or manage any symptoms. If symptoms recur in the future, the treatment can be repeated.
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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.
Laser Surgery For An Enlarged Prostate Is No More Effective Than Standard Surgery
This is a plain English summary of an original research article
Two procedures to treat men with enlarged prostates are both effective, new research has shown.
A benign enlarged prostate is not cancer and is not usually a serious threat to health. But it is common in men over 50 and some need surgery to treat troublesome urinary symptoms caused by the growing prostate. The most common procedure is transurethral resection of the prostate which is usually successful but can lead to complications such as bleeding in some men.
The UNBLOCS trial compared the effectiveness of TURP to a new laser procedure which might reduce a patients hospital stay and cause fewer side effects. The thulium laser, ThuVARP, vaporises excess prostate. Men who needed a prostate operation were asked to consent to either procedure without knowing which one they would receive.
One year later, men in both groups were satisfied with their surgery. They reported similar improvements in their urinary symptoms and quality of life. There was no difference between the two procedures in terms of hospital stay or complications. However, men in the TURP group achieved a faster urinary flow rate . TURP was also slightly more cost-effective and faster to perform than the laser procedure.
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Large Prostate With Few Symptoms
Patients with very enlarged prostates may have few symptoms or mild symptoms. Doctors verify that there are no problems with kidney or bladder function. If not, they know that the enlarged prostate is not harming the body. In this case, doctors may recommend just watching the prostate or doing non-surgical treatments. Options include changing certain eating and drinking habits and urinating less often. Patients can take medications that relax the prostate, such as tamsulosin, or shrink the prostate, such as finasteride or dutasteride. Patients also may try supplements like saw palmetto to help their 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.
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.
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A New Treatment Option For Men Instead Of Medications Urolift
Urolift System for BPH is an office procedure performed under local anesthesia in less than 1 hour. It opens up the urethra by pulling the prostate away. Urolift is a one-time procedure that is very effective for the treatment of symptoms of BPH in men. Many men who take medications for BPH can instead have a one-time procedure.
Questions To Ask Yourself About Enlarged Prostate Treatment
When you discuss the treatment options for an enlarged prostate with your doctor, keep these points in mind:
- How much are my symptoms bothering me?
- Do they keep me from doing things I enjoy?
- How long do I want to deal with them?
- Am I willing to accept small risks to improve my symptoms?
- Do I understand the risks?
- Am I ready to do something about this problem?
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Side Effects Of Urolift System For Bph Compared To Side Effects Of Medications For Enlarged Prostate
Highest quality scientific studies compared Urolift to placebo or sham treatment. It revealed that men have significant improvement in their urinary symptoms after the Urolift procedure that is similar to or better than those typically achieved with medications. In addition, no men experienced any significant side effects of treatment.
- Men treated with Urolift did not experience problems with ejaculation. This compares favorably with medications commonly used for an enlarged prostate which often causes ejaculatory problems.
- Men treated with Urolift experienced improved sexual satisfaction after 1 year compared to non-treated men. This compares favorably to medications and other surgical treatments for BPH which tend to worsen sexual satisfaction in men over time.
- Men treated with Urolift did not experience dizziness or stomach upset, common side effects of medications.
What Are The Symptoms Of Enlarged Prostate
When the prostate becomes enlarged, it can block the urethra and impair bladder function. Symptoms that may indicate this is happening include:
- Urinating many times a day and being unable to hold off urination
- Problems starting a urine stream or a weak or interrupted stream, followed by dribbling at the end
- Waking at night to urinate and accidental loss of urine
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New Treatments For Enlarged Prostate Show Success
According to Harvard Medical School, by the age 60, half of all men will have an enlarged prostate, a condition also known as benign prostatic hyperplasia or BPH. By age 85, that proportion reaches 90 percent.
Thats the bad news.
The good news, according to Dr. Hugo Davila, one of Vero Beachs top urologists as well as a robotic and pelvic reconstruction surgery specialist, is there are multiple options for treating BPH, including two new procedures called Rezum and UroLift that are delivering excellent results.
The first step that we always do, says Davila, who is with Florida Healthcare Specialists, is try what we call behavioral changes.
What that means is we look into your diet and then if you tell me, Hey, Dr. Davila, I love to drink coffee. I like tea. I drink Coke, I may say, Well, we need to stop that because maybe the frequency, the urgency, the waking up at night is due to that. About 30 to 35 percent of the time well fix the problem just by looking to the diet.
Before going on to discuss other treatments, Davila is quick to quash one major misconception about the condition: BPH is not a symptom or precursor of prostate cancer. In fact, it doesnt even marginally raise your risk of getting prostate cancer.
One, he says, is retrograde ejaculation, meaning that when the man has an orgasm and an ejaculation, rather than going forward, it will go backward into the bladder.
The effects of both procedures tend to last about five years.
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:
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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.
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.
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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.
Prevention From An Enlarged Prostate
Lifestyle changes are not able to completely prevent the enlarged prostate but they can surely good for your prostate. For beginners, a heart-healthy diet or exercise can help you to manage your weight, which is good for your prostate. To reduce the symptoms you can follow these simple steps:
- Do some exercises to strengthen the pelvic floor muscles
- Lower the amounts of fluid you intake, especially before you go to bed
- Pee when you feel the urge because it will be easier on your bladder
- Limit the amount of caffeine you take in, these can make you pee more
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What Is The Best Treatment For An Enlarged Prostate
An enlarged prostate happens when the gland has grown bigger. Prostate enlargement can happen to most of the men when they get older. It doesnt raise the risk of prostate cancer. This article will tell you about the diagnosis and the treatment for enlarged prostate.
What Is Enlarged Prostate
Enlarged prostate refers to the state in which the prostate is enlarged but not cancerous.
Hormonal changes and cell growth resulting from the aging process may cause the prostate to swell, often impinging upon and compressing the urethra. This causes the bladder walls to become thicker and can prevent the bladder from emptying completely.
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Treatment Options For Enlarged Prostate
For men over 50, prostate problems are common. The prostate gland is located just below the bladder and surrounds the top portion of the urethra, which is the tube that drains urine from the bladder. The prostate’s primary function is to produce the fluid that nourishes and transports sperm.
As men age, the prostate gland tends to grow larger. Benign prostatic hyperplasia, also called prostate gland enlargement, can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder, or bladder, urinary tract or kidney problems. Fortunately, a wide variety of treatments are available for enlarged prostate, including medication, minimally invasive therapies and surgery.
On the next Mayo Clinic Radio program, Dr. Mitchell Humphreys, a Mayo Clinic urologist, will highlight prostate health and treatment options for benign prostatic hyperplasia. Also on the program, Dr. Francisco Lopez-Jimenez, a Mayo Clinic cardiologist, will discuss sex after a heart attack. And Dr. Bruce Levy, a Mayo Clinic orthopedic surgeon, will share how his patients’ experiences with lack of privacy during surgery led him and his wife to found a new company, COVR Medical.
To hear the program, find an affiliate in your area.
Use the hashtag #MayoClinicRadio, and tweet your questions.
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Access archived shows or to the podcast.
Mayo Clinic Radio produces a weekly one-hour radio program highlighting health and medical information from Mayo Clinic.
What Are The Risk Factors For Enlarged Prostate
Researchers are still largely unclear on what causes the prostate to become enlarged but risk factors include:
- Age: As many as 90 percent of men over the age of 80 have an enlarged prostate.
- Family history: Men who have a family history of the condition are more likely to suffer from it.
- Other health issues: Men who suffer from obesity, heart disease, or type 2 diabetes have higher rates of an enlarged prostate diagnoses.
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What Are The Causes Of Prostatic Enlargement
Prostatic enlargement is considered a normal consequence of aging. About 80% of men in their nineties have an enlarged prostate.
However, the specific underlying causes for prostate enlargement or BPH are not yet identified. yet, its associated with various factors such as:
3- Genetic mutations
Recent studies have shown that the increase in the bodys susceptibility and readiness to the genetic pathological mutations in these cells that lead first to benign enlargement and then cancer due to the high rate of environmental and food contamination.
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.
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