Treating Benign Prostate Enlargement
Treatment for an enlarged prostate is determined by the severity of your symptoms.
If you have mild to moderate symptoms, you won’t receive any immediate medical treatment, but you’ll have regular check-ups to carefully monitor your prostate.
As well as lifestyle changes, medication is usually recommended to treat moderate to severe symptoms of benign prostate enlargement. Finasteride and dutasteride are medications that are commonly used. They block the effects of a hormone called dihydrotestosterone on the prostate gland, which can reduce the size of the prostate and improve associated symptoms.
Alpha blockers may also be prescribed. They help to relax your bladder muscles, making it easier to pass urine. Tamsulosin and alfuzosin are two alpha blockers commonly used to treat benign prostate enlargement.
Surgery is usually only recommended for moderate to severe symptoms of benign prostate enlargement that have failed to respond to medication.
Read more about treating benign prostate enlargement
Causes Of Enlarged Prostate In Dogs
There are many different reasons for your dog to have an enlarged prostate. Larger breeds have higher risk factors for developing this problem than others.
- BPH is the most common form of prostate enlargement. Older intact male dogs are more prone to develop this disorder as part of the aging process and hormonal influence. But neutered dogs are not immune, contrary to what you may have heard from your veterinarian. BPH can cause benign cysts causing discomfort and symptoms.
- A bacterial infection called prostatitis leads to inflammation and an enlarged prostate in your dog. Acute prostatitis can appear suddenly or it can be chronic prostatitis and develop over time. Prostatic infections can lead to abscesses or collections of pus in the prostate. Youll also see other symptoms such as fever or lethargy.
- A prostatic cyst can enlarge the prostate and impede the flow of urine.
- Neutering is a risk factor for prostatic neoplasia meaning tumors that form within the prostate. A 2020 review of two decades of studies confirms this effect of neutering on prostate disorders. Neutering also leads to tumors throughout the dogs body. Studies show a significantly increased risk for these conditions in castrated males and females compared to intact dogs.
Its still promoted as fact that neutering greatly decreases a male dogs risk for prostate disease, but thats not the case. In fact, neutering may increase the incidence and/or hasten the progression of prostatic tumors in male dogs.
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.
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How To Prevent Enlarged Prostate In Dogs
Your dogs immune system is the key to good health. You need to support his immune system with a whole food, raw meat diet to prevent infections from prostate disease. When you remove processed food, you give your dogs other organs more opportunity to detox and fight bacteria instead of the chemicals and toxins from their food.
Antioxidants can assist the prostate in preventing infections along with improving the health of mucous membranes. Vitamin C is a natural anti-inflammatory and can help shrink the prostate to its original size.
Adding probiotics to your dogs diet increases the beneficial bacteria in your dogs gut, which is the foundation of 90% of his immune system.
If you notice your dog has difficulty in peeing or pooping, you can gather a urine or stool sample and have it tested for possible infection. Then you can usenatural antibiotics to eliminate the infection before it becomes serious.
If your dog has prostate problems it might not be obvious, or you might start to notice these things.
Which Treatment Is Right For Me
Ultimately, the decision of which treatment would be best for your enlarged prostate should be decided between you and your healthcare provider. Its important to discuss the process for each procedure with your doctor to determine the best treatment for enlarged prostate. Rezm and UroLift have some key similarities such as they both can be done in office, have minimal to no recovery time, and are noninvasive procedures.
Both treatments will resolve your enlarged prostate symptoms and give you peace of mind. If neither of these options seem right for you, there are alternative methods to treat BPH, such as medications or surgery.
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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.
- Kidney damage.
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.
What Are Other Benign Prostatic Hyperplasia Surgery Options
If your symptoms are severe or minimally invasive surgical treatments dont help with your enlarged prostate, your doctor will likely recommend another kind of surgery. Other prostate procedures include:
Transurethral resection of the prostate : This is the most common treatment for BPH. During this procedure, your urologist will insert a rigid instrument called a resectoscope into the urethra. This is why it is called transurethral. Inserting the scope this way means no cutting into the prostate. They will then use the charged resectoscope to remove the excess tissue that is blocking the urine from leaving the bladder.
You may be put to sleep with general anesthesia. Local anesthesia for the lower part of the body may be used for this procedure. The average in hospital stay for TURP is 1 to 2 days.
Transurethral incision of the prostate : This is a similar procedure to TURP. Instead of prostate tissue being removed the bladder neck and prostate are cut to relax the bladder opening, allowing urine to flow more freely. TUIP is most successful on men with smaller prostates.
Simple prostatectomy: This method is a surgical procedure in which an incision is made through the abdomen or performed laporoscopically. The inner portion of the prostate gland is removed, leaving the outer segment intact.
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What If I Can’t Have Surgery
Surgery isnt always an option you may not be fit or well enough for an operation, or you may not like the idea of it. If surgery isnt suitable for you and lifestyle changes and medicines havent worked, your doctor or nurse may suggest using a catheter. This is a thin, flexible tube used to drain urine from your bladder. The catheter may be permanent or temporary.
A permanent catheter is passed up into the bladder through your penis, or through a small cut in your abdomen. The catheter is usually attached to a drainage bag, which you strap on to your body under your clothing. Your doctor or nurse will usually change your catheter every 12 weeks.
A temporary catheter is where you put a catheter in yourself when you need to urinate, rather than leaving one in all the time. Your doctor or nurse will show you how to put the catheter in and tell you how often to use it. Some men can urinate quite well without a catheter and only use it once a day to make sure they empty their bladder regularly. Other men need to use a temporary catheter several times a day.
You can lower your chances of getting a urine infection by keeping your catheter and the area around it clean. You may find the following tips helpful.
Let your nurse know if your catheter isnt draining properly. If urine hasnt drained from your bladder for 2 to 3 hours, contact your GP or district nurse straight away.
Diagnosing Benign Prostate Enlargement
To find out whether your prostate gland is enlarged, you’ll need to have a few tests.
Some tests will be carried out by your GP and others will be carried out by a urologist .
First, your GP will ask about your symptoms. If it seems that you have symptoms of benign prostate enlargement, the next stage is to calculate your International Prostate Symptom Score .
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Benefits Of Using Urolift
As you know, benign prostatic hyperplasia can have a negative impact on a mans quality of life. An advantage of UroLift is that it doesnt just treat BPH symptoms, but it completely removes the blockage to the urethra so that lower urinary tract symptoms do not worsen or reoccur. Similar to Rezm, UroLift is noninvasive and a relatively easy procedure that will have you returning to daily activities in no time.
What Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is a condition in which the prostate, a walnut-sized body part made of glandular and muscular tissue, grows in size. The prostate surrounds part of the urethra, which is the tube that carries urine and sperm out of the body. The benign condition is also called benign prostatic enlargement .
The prostate is located directly beneath the bladder and in front of the rectum. The urethra passes through the prostate, so if the prostate becomes enlarged, it can keep urine or semen from passing through the urethra.
The main function of the prostate is to produce fluid for the semen, the milky fluid in which sperm swims. Sperm is produced in the testicles, which also make the main male hormone testosterone. During puberty, testosterone stimulates the growth and function of the prostate, and helps with the production of fluid for semen.
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How Should This Medicine Be Used
Tamsulosin comes as a capsule to take by mouth. It is usually taken once a day. Take tamsulosin 30 minutes after the same meal each day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take tamsulosin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Swallow tamsulosin capsules whole do not split, chew, crush, or open them.
Your doctor will probably start you on a low dose of tamsulosin and may increase your dose after 2 to 4 weeks.
Tamsulosin may help control your condition, but it will not cure it. Continue to take tamsulosin even if you feel well. Do not stop taking tamsulosin without talking to your doctor.
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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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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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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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How To Treat Prostate Enlargement
The treatment prescribed depends on the degree of the enlargement and the severity of symptoms. Heres how a normal treatment plan works:
1- Changing your style of living
This is the first step in treatment. It safely helps to control the symptoms of prostate enlargement. and its done as follows:
your physician will prescribe you medication if changing your style of living isnt enough to control your symptoms. these medications include:
- Alpha-blockers like tamsulosin help your prostate and bladder muscles to relax.
- Anticholinergic drugs also relax your prostate and bladder.
- Antiandrogenic drugs like finasteride that lower the level of your testosterone to decrease the size of the gland.
- Desmopressin helps you control urination at night.
- Antibiotics in case of inflammation or infection.
Catheters are used when you cant urinate. That can happen when the prostate enlargement is too advanced and it blocks the urine outlet.
Its a safe procedure and the tube can stay in for as long as needed.
The surgical operations done to treat prostate enlargement include:
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.
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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!
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.
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