How Is Benign Prostatic Hyperplasia Treated
Treatment options for benign prostatic hyperplasia may include
- lifestyle changes
- minimally invasive procedures
A health care provider treats benign prostatic hyperplasia based on the severity of symptoms, how much the symptoms affect a mans daily life, and a mans preferences.
Men may not need treatment for a mildly enlarged prostate unless their symptoms are bothersome and affecting their quality of life. In these cases, instead of treatment, a urologist may recommend regular checkups. If benign prostatic hyperplasia symptoms become bothersome or present a health risk, a urologist most often recommends treatment.
How Is Advanced Prostate Cancer Diagnosed
If youve previously been diagnosed with prostate cancer, be sure to tell your doctor if you have any new symptoms, even if youve completed treatment.
To determine if prostate cancer has returned or has spread, your doctor will likely order some imaging tests, which may include:
You probably wont need all of these tests. Your doctor will choose the tests based on your symptoms and physical exam.
If any of the images reveal abnormalities, it doesnt necessarily mean that you have cancer. Additional testing may be necessary. If they find a mass, your doctor will probably order a biopsy.
For a biopsy, your doctor will use a needle to remove samples from the suspicious area. A pathologist will then analyze the removed cells under a microscope to see if theyre cancerous. The pathologist can also determine if you have an aggressive form of prostate cancer.
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 Ã¢saw palmettoÃ¢ 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.
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Diagnosis Of Blood Clots In Urine
A medical expert will order specific tests to determine the cause of the blood clot in the urine. The series of examination procedures may include urinalysis and intravenous pyelogram .
Moreover, cystoscopic examination may be performed which involves the use of a tiny camera in viewing the urethra to detect possible tumors in the urethra. Kidney x-ray may also be used in order to detect kidney abnormalities in patients especially when other tests cannot provide reliable findings.
There are other various tests like urine culture, abdominal ultrasound, and MRI, also helpful in identifying the condition of internal organs. See signs of internal bleeding.
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What Is The Treatment For Advanced Prostate Cancer
No matter where prostate cancer spreads, its still treated as prostate cancer. Its harder to treat when it reaches an advanced stage.
Treatment for advanced prostate cancer involves targeted and systemic therapies. Most men need a combination of treatments and they may have to be adjusted from time to time.
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Urethral Bleeding After An Open Prostatectomy Is A Rare Condition
Suppose you are a man who has gone through prostate cancer surgery. In that case, you may be wondering what is causing your post-operative bleeding. Urethral bleeding after radical prostatectomy is a rare complication, the cause being distal to the urinary sphincter and unrelated to the pelvic vessels. The performance of CT angiography and subsequent embolization is the treatment of choice, avoiding open surgical revision with less morbidity. Here are the key points you need to know:
- Urethral bleeding after radical prostatectomy is a rare condition
- The cause of the bleeding is distal to the urinary sphincter and unrelated to the pelvic vessels
- CT angiography and subsequent embolization is the recommended treatment, which avoids open surgical revision
- This treatment has less morbidity associated with it.
Are There Side Effects From Having A Urinary Catheter
Yes, there can be side effects or unwanted changes in your body when you use a urinary catheter. Side effects are different from person to person. Some people have no or very mild side effects. The good news is that there are ways to deal with most of the side effects. There are several side effects that you may have if you have a urinary catheter. They are bladder spasms, blood in your urine, and infections.
Blood in your urine. It is normal for the urine draining from your catheter to have some small blood clots. This is very common if you have had prostate cancer surgery. Blood clots are made when blood cells in your body join together to form a mass. Your urine can also become blood-tinged from time to time. When your urine is blood-tinged, it has a pinkish color. It is important to call your doctor or health care team if you notice more blood in your urine or if you see larger sized blood clots in the urine. Some clots can block your catheter from draining. You should regularly check that urine is draining from the catheter into your urine collection bag. It is important for you to drink healthy liquids when you have a catheter. This will help flush out your bladder.
Urinary tract infections. Infections of the urinary tract are very common. An infection is when germs enter your body causing you to have a fever or pain, redness, and swelling in one part of your body. To lower your risk of getting an infection:
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The Initial Causes Blood In Urine Prostate Cancer
One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.
Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.
If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.
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Prostate Cancer Screening Tests
Prostate cancer screening tests are preventive health screenings you can get through your doctor or at community screenings. These medical screenings are important because early detection by way of preventive screening of cancer can significantly increase your chances of survival. Additionally, prostate cancer does not always have early warning signs, making the screenings even more important.
Roughly one of out nine men will be diagnosed with prostate cancer at some point during their lifetime. If you notice any of these signs and symptoms listed above, or even if you dont, its time to think about prostate cancer screening tests. Talk to your doctor about your risk.
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What Are Different Prostate Open Surgery Approaches
The most traditional way to remove your prostate gland is with open surgery. The surgeon makes a single long incision on the skin and removes any inflammation or obstruction around it, which may have been causing problems for years before now!
In some cases, though- especially when other methods dont work- this procedure might be necessary again to solve those issues more effectively.
Recently, surgeons have started using laparoscopic tools to perform prostatectomies. In this procedure, they make several smaller incisions and use long surgical instruments, which are held by robotic arms or control panels for the precise movement of the device.
Blood In Urine: Symptoms Causes And Treatment
One of the most stressful experiences in life is to suddenly be confronted with a new health problem we hadnt even considered before. Its especially true when its related to something we do every day for our entire lives. You move along with your life as usual, not even thinking about something as seemingly innocuous as using the bathroom. And then one day you look down in the toilet and see bloody urine.
Its perfectly natural to feel some panic set in as you stare into the toilet, wondering if that really is blood in the urine or just some trick of the light. Or maybe some other reason that could explain what you see. Most people will immediately run to the internet to frantically search: what causes blood in urine?
The term for the presence of blood in urine is hematuria, and there are many possible reasons why you might be experiencing this ailment. For that reason, its important to understand the causes and potential related symptoms for your own peace of mind and to give you a sense of when its time to talk to your doctor.
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If Youre Having Radiation Therapy To The Pelvis
Radiation therapy to the pelvis can cause side effects such as:
- Bladder problems
- Fertility problems
- Changes in your sex life
You might also have some of the same problems people get from radiation to the abdomen, such as nausea, vomiting, diarrhea, or constipation.
Radiation to the pelvis can cause problems with urination, including:
- Pain or burning sensations
- Blood in the urine
- An urge to urinate often
Most of these problems get better over time, but radiation therapy can cause longer-term side effects as well:
- Radiation cystitis. If the radiation damages the lining of the bladder, radiation cystitis can be a long-term problem that causes blood in the urine or pain when passing urine.
- Urinary incontinence. Radiation treatments for certain cancers, such as prostate and bladder cancer, may make you unable to control your urine or have leakage or dribbling. There are different types and degrees of incontinence, but it can be treated. Even if incontinence cant be corrected completely, it can still be helped. See Bladder and Bowel Incontinence to learn more. This side effect is most often a problem for men being treated for prostate cancer, but some of the information might also be helpful for women dealing with treatment-related incontinence.
Other Professionals Who Can Help
Your doctor, nurse or GP can refer you to these professionals.
- Physiotherapists can help with mobility and provide exercises to help improve fitness or ease pain. This can help you stay independent for longer.
- Counsellors, psychologists or psychotherapists can help you and your family work through any difficult feelings and find ways of coping. Many hospitals have counsellors or psychologists who specialise in helping people with cancer. You can also get free counselling on the NHS without a referral from your GP. Visit nhs.uk/counselling to find out more.
- Dietitians can give you advice about healthy eating, which might help with fatigue and staying a healthy weight. They can also help if you are losing weight or having problems eating.
- Occupational therapists can provide advice and access to equipment and adaptations to help with daily life. For example, help with dressing, eating, bathing or using the stairs.
- Social services, including social workers, can provide practical and financial advice and access to emotional support. They can give you advice about practical issues such as arranging for someone to support you at home. Whats available varies from place to place. Your GP, hospital doctor or nurse might be able to refer you to some services. The telephone number for your local social service department will be in the phonebook under the name of your local authority, on their website and at the town hall.
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Problems After Prostate Cancer Treatment
Many men get urinary problems as a side effect of their treatment. This is because prostate cancer treatment can damage the nerves and muscles that control when you urinate .
If youre starting treatment for prostate cancer, ask your doctor about the possible side effects. Each treatment can cause different urinary problems. Your chances of getting each side effect will depend on the treatment youre having, and on whether or not you had urinary problems before starting treatment.
If youve already had prostate cancer treatment and you have urinary problems, tell your doctor or nurse. They can suggest treatments and lifestyle changes to help manage them.
Depending on the type of problems youre having, ways to manage them can include lifestyle changes, pelvic floor muscle exercises, bladder retraining, medicines or surgery. For practical tips read our How to manage urinary problems guide.
Watch Paulâs story below for one manâs experience of managing urinary problems after prostate cancer treatment.
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Patient And Study Design
A total of 54 plasma samples and 20 urine samples were collected from patients with PCa and BPH at Jinshan Hospital, Fudan University from March 2017 to November 2018. The follow-up of patients was from March 2017 to December 2020. Written informed consent was obtained from each participant. The study was approved by the Ethics Committee of Jinshan Hospital .
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Management Of Blood In Urine By Prostate Cancer Patients
There is no standard treatment for blood in urine and prostate cancer. Thats because blood in the urine is a symptom and not a disease in itself. So, to manage the problem, physicians start by evaluating it. In addition to asking about a patients medical history and appearance of the blood in urine, physicians request a urine sample to be analyzed in a test called urinalysis, and/or a urine cytology, which consists of microscopically seeking abnormal cells in the urine.
Blood tests may be ordered to look for high levels of wastes that kidneys are supposed to remove. Additional exams that may be requested include a computed tomography scan, a kidney ultrasound, an intravenous pyelogram , a cystoscopy, or a biopsy. If prostate cancer is confirmed, treatment options include watchful waiting or active surveillance, surgery, radiation therapy, cryosurgery, hormone therapy, chemotherapy, vaccine treatment and bone-directed treatment.
The treatment plan is defined by a physician or a multi-disciplinary team of physicians, including urologists and oncologists. Treatment depends on factors like the cancers stage and grade, patients age and expected lifespan, and additional health conditions. Other considerations include the patients and physicians opinions about the urgency of treating the cancer, potential side effects from each treatment, and the probability of each treatment in curing the cancer.
Where Does Prostate Cancer Spread
The most common place for prostate cancer to spread to is the bones. It can also spread to the:
A large tumour in the prostate gland can spread into or press on areas around the prostate, such as the back passage or urethra. The urethra is the tube which carries urine from the bladder to the outside of the body.
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Genetic Testing For Prostate Cancer
You may hear a lot about genetics or genomics. Both terms are related to genes and cell DNA, but they are different. These tests are being used to learn more about the DNA of cancer cells, and link DNA mutations with treatments. In the future, genetic testing may be the first step doctors take when diagnosing prostate cancer.
How Prostate Cancer Is Treated
In cancer care, different types of doctorsincluding medical oncologists, surgeons, and radiation oncologistsoften work together to create an overall treatment plan that may combine different types of treatments to treat the cancer. This is called a multidisciplinary team. Cancer care teams include a variety of other health care professionals, such as palliative care experts, physician assistants, nurse practitioners, oncology nurses, social workers, pharmacists, counselors, dietitians, physical therapists, and others.
The common types of treatments used for prostate cancer are described below. Your care plan may also include treatment for symptoms and side effects, an important part of cancer care.
Treatment options and recommendations depend on several factors, including the type and stage of cancer, possible side effects, and the patients preferences and overall health.
Cancer treatment can affect older adults in different ways. More information on the specific effects of surgery, chemotherapy, and radiation therapy on older patients can be found another section of this website.
Because most prostate cancers are found in the early stages when they are growing slowly, you usually do not have to rush to make treatment decisions. During this time, it is important to talk with your doctor about the risks and benefits of all your treatment options and when treatment should begin. This discussion should also address the current state of the cancer:
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Blood Tests For Psa Hemoglobin Creatin Albumin Glucose
Serum PSA levels were tested using the Access Hybritech PSA kit . The normal concentration of PSA ranged from 0 to 4 ng/mL. Hemoglobin levels were determined using the sodium lauryl sulfate â hemoglobin method. Creatin levels were tested using the enzyme-linked immunosorbent assay . Albumin levels were tested using bromocresol green. Glucose levels were tested using hexokinase ultraviolet colorimetry.