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Symptomatic treatment of an enlarged prostate usually involves a combination of medication and lifestyle changes. A diet rich in fruits and vegetables may be the best option if you suffer from chronic urination. It will help the body adjust to the increased size of the prostate. Also, taking regular urination intervals will help retrain the bladder to function properly. Inactivity also contributes to urine retention, and cold temperatures can increase the urge to urinate.
Invasive treatment of enlarged prostate includes medication that relieves the pressure on the urethra and bladder. However, if the condition is severe, it may require surgical intervention. If treatment is not successful, the enlarged prostate can become a potentially life-threatening disease. As the hormone levels in the body change, the enlarged prostate can lead to various complications, including urinary retention and even cancer. This is why it is critical to see a doctor for further evaluation.
Bladder And Prostate Cancer
If youre like most men, when you hear urologist, you think prostate exam.
This is not necessarily untrue well want to check on your prostate health, says Dr. Gill. Believe it or not, the prostate exam is not your urologists favorite part of the visit, either.
In the current era of PSA testing, cancer is found less often on prostate exams than it once was.
But the exam remains an important part of your visit with regard to your overall prostate health not to mention it can also help us plan treatment for many prostate conditions, he says.
Should cancer be found in your prostate or bladder, urologists can offer lifesaving care. So its important to follow through when youre referred to one.
A urologist can help make sure you dont have a disease that could take away from the time you have left with loved ones, says Dr. Gill.
Robotic surgery has helped reduce the nearly week-long hospital stay for kidney, bladder or prostate cancer surgery in the past to just a few days, or even one day, today.
We use technology to help care for men in a number of ways. The field of urology is dynamic its always changing, he says.
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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.
The Initial Causes Doctor That Deals With Prostate
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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Top Prostate Cancer Surgeon
Dr. Razdan is considered by many as one of the Most Experienced Robotic Prostate Cancer Surgeons in the Worldwith over 8,500 procedures performed to date. He is considered a Pioneering Researcher and Surgeon on Prostate Cancer and has some of the best Robotic Surgery Outcomes in the world. Patients travel from all around the world to Miami to have Prostate Cancer Surgery with Dr. Razdan. From CEOs of large corporations, celebrities, government officials and even other surgeons entrust Dr. Razdan and his unique set of skills and incredible outcomes. He was the First Surgeon in the World to USE HUMAN AMNIOTIC MEMBRANE for EARLY RETURN of ERECTILE FUNCTION after robotic prostate surgery. He founded and pioneered the technique of MAXIMAL URETHRAL LENGTH PRESERVATION for EARLY RETURN OF URINARY CONTINENCE after robotic prostate surgery which was also published Patients travel to Dr. Razdan for his leading outcomes in terms of Cancer Control, Urinary Continence and Erectile FunctionMost patients have full urinary control often within days of surgery and almost 98% are continent by 6 monthsMajority of patients have erections sufficient for sexual activity by 6 months
Aim For A Healthy Eating Pattern
Instead of focusing on specific foods, dietitians, physicians, and researchers tout an overall pattern of healthy eating and healthy eating is easier than you might think. In a nutshell, here’s what experts recommend:
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Signs You Should See A Urologist
An enlarged prostate obstructs the bladder opening and can lead to a myriad of bothersome urinary symptoms. Symptoms of BPH include frequent urination, a weak or slow urine stream, incomplete bladder emptying, difficulty or delay in starting urination and a urine stream that stops and starts. Its important to see a physician if any of these problems arise or persist.
Enlarged prostate can also cause loss of productivity and sleep and, in some cases, can lead to depression. According to a survey sponsored by NeoTract, one of the most common symptoms of BPH interrupted sleep is also impacting mens partners. Sixty-four percent of women surveyed who were affected by their partners BPH symptoms said it impacts their sleep, too.
How To Choose The Physician Who Is Right For You
There are two basic steps to this process.
In the first place, you and your primary care physician need to decide together the type of specialist you need to see initially. For the vast majority of patients, this will be a urologist.
Depending on where you live and the type of health care that is available to you, your primary care physician may be able to offer you a referral to one or more urologists. If you belong to some form of health maintenance organization , you may find that there is a smaller number of urologists to choose from because the HMO has contracted exclusively with those urologists to send them all of the HMOs patients needing urological care. Rarely, if you are unlucky enough to be one of the patients diagnosed with extensive prostate cancer, your primary care physician may want to refer you directly to a medical oncologist.
Secondly, you and your primary care physician need to decide who is the best specialist for you from the available options. When you start to look for a specialist, there are a small number of things it is wise to keep in mind:
In the original edition of his book Prostate and Cancer , Sheldon Marks, MD, a urologist, wrote:
This is still true today, whether your physician is a urologist, a radiation oncologist, a medical oncologist, a brachytherapist, or any other specialist you choose to consult.
For even more specific advice , you can try reading one or more of the following:
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Gp Examination And Tests
A GP will ask about your symptoms and concerns, and their impact on your quality of life.
You may be asked to complete a chart that records how much liquid you usually drink, how much urine you pass, how often you have to pee on a daily basis and whether you have any leakage.
The GP may do a physical examination. They may examine your stomach and genital area.
They may also feel your prostate gland through the wall of your bottom . This is called a rectal examination.
The GP may order a blood test to check that your kidneys are working properly.
They may advise you to have a prostate-specific antigen blood test to rule out prostate cancer.
You may be offered a urine test, for example to check for sugar or blood in your pee. This is to see if you have diabetes or an infection.
Stay Active To Support Prostate Health
In addition to eating a healthy diet, you should stay active. Regular exercise pares down your risk of developing some deadly problems, including heart disease, stroke, and certain types of cancer. And although relatively few studies have directly assessed the impact of exercise on prostate health, those that have been done have concluded, for the most part, that exercise is beneficial. For example:
Get more information and the latest news about prostate health at www.HarvardProstateKnowledge.org.
Image: jacoblund/Getty Images
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Experience Still Matters With Robotic
A surgeon may have to perform well over a thousand robotic-assisted prostate cancer surgeries before becoming fully proficient at the procedure. Previous studies of robotic-assisted prostate surgery have suggested that it doesnt take long for surgeons to learn how to perform the procedure safely.
To assess the number of robotic-assisted prostate surgeries that a surgeon must perform before becoming fully proficient, researchers assessed 3,794 patients who were treated by one of three surgeons.
A key outcome that was considered in the study was the rate of positive surgical margins. A positive surgical margin means that cancer is found at the edge of the tissue that was removed during surgery it may be a sign that not all of the cancer was removed.
- The rate of positive surgical margins declined as surgeons gained experience. The lowest rates of positive surgical margins came after a surgeon had performed more than 1,600 robotic-assisted prostate surgeries.6
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If You’re Still Worried
Sometimes you might feel that your GP is not concerned enough about your symptoms. If you think they should be more concerned, print this page and the symptoms page. Ask your GP to talk it through with you. Then you might be able to decide together whether you should see a specialist.
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Suspected cancer: recognition and referralNational Institute for Health and Care Excellence , June 2015
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Scottish referral guidelines for suspected cancerScottish Government, January 2019
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Prostate cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow upC Parker and othersAnnals of Oncology, 2020. Vol 31, Issue 9. Pages 1119-1134
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Prostate specific antigen testing: summary guidance for GPsPublic Health England, Last accessed March 2022
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Relative risk of prostate cancer for men with affected relatives: systematic review and meta-analysisD W Bruner and othersInternational Journal of cancer, 2003. Vol 107, Issue 5. Pages 797-803
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Cancer Risks Associated with BRCA1 and BRCA2 pathogenic variantsLi Shuai and others
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Treatment: How Is Benign Prostate Enlargement Treated
Depending on the symptoms, the individual level of suffering, and the complications resulting, various therapeutic approaches can be chosen. These include observational waiting, drug therapy, or surgical intervention.
Surgical reduction or excision of the prostate is a useful and essential therapeutic procedure, especially in high suffering, high residual urine volumes, bladder stones, or bleeding, and if there is no response to conservative treatments.
Various medications are available for conservative treatment, such as herbal remedies, alpha-blockers, 5-alpha-blockers, or anticholinergics.
There are a few different methods for invasive procedures.
- Open prostate surgery .
- Transurethral electro-resection
- Transurethral incision
- Reducing laser procedures
- Stent placement
- Bladder catheter
- Prostate artery embolization
Transurethral electro-resection of the prostate has been around for many decades to treat BPH. TUR-P stands for “transurethral resection of the prostate.” In this procedure, an electrical, movable loop is inserted into the urethra, and the prostate tissue is “sliced off” from the inside.
Today, urologists have many different treatment options with which they can help you! Do not be shy and contact a specialist you trust promptly if you have prostate problems. You are not alone with your complaints, and you can be helped to a better life quality again.
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An enlarged prostate can also be the cause of other problems. If the enlarged prostate is causing symptoms, the best treatment would be a natural remedy. In the meantime, there are treatments for a wide range of conditions that cause a man to experience pain. A common surgical procedure involves an electric loop, laser, or electro-stimulation. The procedure is a safe and effective option for treating enlarged or symptomatic BPH.
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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.
Da Vinci Robotic Surgery System
The system provides a surgeon with precise tiny instruments to manage surgery with maximal safety and accuracy. A surgeon manipulates on a special console, observing the operated area on 3D images in real-time. The tiny instruments make accurate incisions excluding the trembling hand effect and wrong movements.
Da Vinci robotic system is used as an alternative to open surgery to reduce pain, bleeding, minimize risks of infection and trauma of healthy tissues. An operation is performed through several 1cm incisions, not a big one 15 cm in size as for open surgery. Due to this, a patient recovers faster compared to traditional surgery: within 2-3 weeks instead of several months.
A team of clinicians examined 1,500 men with different prostate cancer stages who had had robotic-assisted prostatectomy. In a 1-year follow-up, 91.9% experienced a normal urinary continence, without any safety pads. 55.3% of men preserved an erectile function and were capable of leading a sexual life. Some postoperative complications in a 3-month follow-up were observed in 8.5% of men.
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