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 prostate’s pressure on the urethra, making urination easier.
Can Testosterone Replacement Therapy Increase The Risk For Enlarged Prostate
So, now lets talk about whether testosterone replacement therapy can affect your risk factors for an enlarged prostate. Its a common misconception that testosterone can cause or worsen BPH. There are a few reasons for this misconception.
First, many believe rising testosterone levels during puberty cause prostate growth. When youre born, your prostate gland is quite small and remains that way until puberty. At this point, the gland grows quite quickly. Then, growth slows down for a couple of decades.
Another reason some believe that testosterone affects prostate enlargement is because of a study from the 1940s by a man named Charles Huggins. In his studies, he looked at the effect of castration in relation to prostate cancer. He found a relationship between prostate cancer growth and testosterone.
However, there are a few important things to note. First, while testosterone can cause the prostate to grow during puberty, enlarged prostate in young men with peak testosterone levels is pretty rare. Instead, the risks for BPH go up with age. Age is also a risk factor for low testosterone.
In addition, the Huggins studies are quite old and looked at prostate cancer, not normal prostate tissue, which is what causes an enlarged prostate. Therefore, these studies may not be particularly helpful when it comes to looking at BPH.
Several modern studies have found that testosterone doesnt cause or worsen an enlarged prostate and, in some cases, may even help reduce symptoms.
What Will I Learn By Reading This
When you have treatment for your prostate cancer, you may have erectile dysfunction also known as impotence. Erectile dysfunction is a very common side effect . Side effects from prostate cancer treatment are different from one man to the next. They may also be different from one treatment to the next. Some men have no erectile dysfunction. The good news is that there are ways to deal with erectile dysfunction. In this booklet you will learn:
- What erectile dysfunction is
- Why prostate cancer treatment can cause erectile dysfunction
- What can be done about erectile dysfunction
- How erectile dysfunction may affect your sex life
- What your partner can expect
It is important for you to learn how to deal with erectile dysfunction so that you can continue to have a satisfying intimate relationship.
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Pde5 Inhibitors: Viagra Levitra And Cialis
Approved by the FDA in 1998, sildenafil revolutionized the way we think about and treat erectile dysfunction, largely because it is so easy to use and effective. Since then the FDA has approved three closely related drugs, vardenafil , avanafil and tadalafil .
All four drugs work in a similar fashion, by affecting the normal physiology of the penis. In particular, they block PDE5, an enzyme that breaks down the erection-producing chemical cyclic guanosine monophosphate. This enables the penis to fill with blood and to stay erect long enough for intercourse. Of course, its important to realize that none of these drugs is an aphrodisiac. Youve got to feel sexually stimulated in order for them to work.
The main differences between the drugs have to do with timing: how quickly they begin to work, and how long their effects last . Levitra may start working slightly faster than Viagra although the FDA says that like Viagra, it should be taken about an hour before sexual activity. Some studies suggest that Levitra may help some men who dont respond to Viagra. And while some doctors are skeptical about this claim, theres no harm in trying Levitra or Cialis if Viagra doesnt work for you.
Cialis has also been approved to treat men with both erectile dysfunction and BPH. The dose is lower, usually 5 milligrams per day.
Dental Medicines Can A Enlarged Prostate Cause Erectile Dysfunction
Dental drugs are an effective erectile dysfunction treatment for many males. They consist of:
All four medicines improve the effects of nitric oxide an all-natural chemical your body creates that unwinds muscles in the penis. This boosts blood circulation and also enables you to get an erection in feedback to sexual stimulation.
Taking one of these tablet computers will not automatically generate an erection. Sexual stimulation is needed first to trigger the launch of nitric oxide from your penile nerves. These medicines intensify that signal, allowing typical penile function in some people. Can A Enlarged Prostate Cause Erectile Dysfunction
Dental erectile dysfunction medicines are not aphrodisiacs, will certainly not trigger excitement and also are not needed in people who obtain regular erections.
The medications differ in dosage, for how long they function as well as side effects. Feasible adverse effects include flushing, nasal blockage, headache, visual modifications, backache and also indigestion.
Your medical professional will consider your particular circumstance to figure out which medication may work best. These medications might not treat your erectile dysfunction quickly. You may need to work with your doctor to locate the appropriate medication as well as dose for you. Can A Enlarged Prostate Cause Erectile Dysfunction
Have heart disease or heart failure.
Have really reduced blood pressure .
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Attempt Something Various In The Bed Room Can A Enlarged Prostate Cause Erectile Dysfunction
If you and also your companion define pleasing sex as having penetrative sex with an erect penis, it deserves exploring various other forms of pleasant sexual activity Sex have fun with a soft penis, for example, might enable a different and also gentler type of affection, one that your partnership might value.
As soon as security as well as acceptance are in location, you and also your partner can begin to check out different sorts of touch that create stimulation and also pleasure. Can A Enlarged Prostate Cause Erectile Dysfunction
Swollen Prostate And Ed
Although swollen prostate and ED may seem two unrelated and different conditions, they may frequently occur with each other. Any condition that influences the health of the lower urinary tract also increases the risk of ED. Studies show that men with lower urinary tract symptoms and swollen prostate are more likely to have ED .
Recent studies now show there these two conditions have more links than thought earlier. Both are more common among middle-aged men or older males. They also share many common risk factors apart form lower urinary tract symptoms like sedentary lifestyle, diabetes, metabolic disorders, vascular diseases .
Studies also show that surgical removal of the prostate, which is one of the treatments of swollen prostate reserved for severe cases, increases the risk of ED .
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How To Discuss Erectile Dysfunction With Your Companion
Beginning the conversation about ED appears unpleasant, yet its the primary step in finding a solution. Think of when and also where you intend to talk about this with your companion. The bedroom may be an excellent place to speak about it if thats the only area you can get some personal privacy, yet ensure its not throughout or following sexual affection.
Advise your companion that you remain in this with each other and that ED is treatable.
Can Prostate Problems Cause Erectile Dysfunction
Enlarged prostate issues are commonplace for those who are 50 and up. Cancer of the prostate isnt as common, yet there are nearly 200,000 cases per year. Its also projected that more than half of all men experience erectile dysfunction at some point in their life.
Are these two problems related? Not directly.
That said, having an enlarged prostate or prostate cancer often creates erectile dysfunction due to how the former issues are treated. Lets take a look at how this all happens by breaking down both prostate issues.
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Testosterone And Also Erectile Feature
Among the sensations in the aging guy are a reduction in erectile function as well as testosterone levels. Include in these, increased danger for CVD, muscular tissue losing, decrease in bone thickness and also sex drive, with all of these variables having an interaction with testosterone metabolic rate.
Androgens play an essential function in keeping erectile feature with four major mechanisms. Androgen deprivation has been revealed to cause problems of NO synthase release, altered PDE5 expression and task, impaired cavernosal nerve feature, and contribution to veno-occlusive disease in the penis. Can A Enlarged Prostate Cause Erectile Dysfunction
HI, Im Emma and welcome to Galdc. Many of us dont pay enough attention to our sexual health. We ignore our sexual dysfunctions or feel that we dont deserve intimacy. As someone who believes in sexual healing, I hope my site can set you on the right path as well.
Diagnosis Of Enlarged Prostate Gland And Urinary Problems
If you are troubled by urination problems, see a doctor no matter what your age. If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests.These may include:
- general examination medical history and review of any health conditions including obesity, diabetes, obstructive sleep apnoea, depression and erectile dysfunction. A rectal examination may be done to check the size and shape of your prostate gland
- a urine check to ensure the prostate is not infected
- a flow-rate check to estimate the speed with which you pass urine
- an ultrasound examination to assess if the bladder is emptying completely and to examine your kidneys
- urodynamics a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.
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Impact Of Erectile Dysfunction On Qol
Preservation of sexual function should be considered in the management of patients with symptomatic BPE. With increase in elderly population, it is expected that more men will experience ED and symptomatic BPE. There was positive correlation between the severity of ED and prostate size in this study, and patients with severe ED had higher mean prostate size of 122.94 g. This further supports the need to screen patients with symptomatic BPE for ED. Sexual and urinary functions have a direct impact on QoL. This present study shows that QoL has a weak negative correlation with ED and a weak positive correlation with prostate size . This is because patients impression on quality of life varies. While a patient with a huge prostate and severe ED may be satisfied with the symptoms, another patient with milder form may feel terrible with his symptoms .
What If I Forget To Take It
If you have:
- benign prostatic enlargement take it as soon as you remember and then continue as usual
- pulmonary hypertension take it within 8 hours if you can. If you remember after 8 hours, skip the missed dose and take the next dose as usual.
Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.
If you often forget doses, it may help to set an alarm to remind you.
You could also ask a pharmacist for advice on other ways to help you remember to take your medicine.
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How May Erectile Dysfunction Affect My Sexual Relationships
Prostate cancer and its treatment can affect your desire for sex. Every man is different but the feelings caused by having cancer and the physical stress of treatment can affect the way you feel about your body and your relationships. Some men talk about feelings of a loss of their role within the partnership or family. This can sometimes affect a mans self esteem and confidence. For others, the physical effects of treatment may lead to tiredness and a lack of energy. Physical changes after some treatments can also affect the way you feel about your body and appearance . All of these things may result in a lack of interest in sex.
If you are feeling tired or under stress, tell your partner how your feel. Loss of interest in sex does not mean you lose interest in a loving and supportive relationship. There are ways to remain physically intimate without having sex. If you are used to a close physical relationship, it is important to remember that hugs, cuddles and kisses maintain intimacy, provide support, and do not have to lead to sex.
Here Is A Complete Guide About This Issue
It can also increase pressure within the pelvis causing pain within the lumbar region your lower back. Back pain in the sex life which is more common the symptoms can also cause severe male sexual desire diminished and. Sometimes its accompanied by tingling or numbness radiating down a leg.
Between the scrotum and anus. Pain during or after ejaculation is another common symptom. This gland which grows during early puberty and then again around age 25 becomes.
However there are some symptoms including painful ejaculation. It can cause pain in the lower back in the groin or at the tip of the penis. Dec 04 2014 If the pain in the groin pelvis hip or even back is really linked to the cancer of prostate typically this means that the cancer has spread to the bones the most common metastatic site of prostate cancer.
Symptoms of Advanced Prostate Cancer Symptoms of advanced prostate cancer include. It can cause pain in the lower back in the groin area or at the tip of the penis. However there are many other possible causes of back pain.
Pain in the bones of those areas. The pain may vary in severity and nature radiating to surrounding structures and extending to the lower back or even the tip of the penis. Men with this problem often have painful ejaculation.
Benign Prostatic Hyperplasia Bph Symptoms And Causes Mayo Clinic In 2020 Benign Prostatic Hyperplasia Enlarged Prostate Prostate
Enlarged Prostate Saint Luke S Health System
Chronic Prostatitis Harvard Health
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How Bph Is Treated
A number of medications can relieve symptoms of BPH. However, these medications may cause sexual side effects, such as ejaculation problems and erectile dysfunction.
Other nonsurgical therapies include transurethral microwave thermotherapy and water-induced thermotherapy. Both use heat to destroy prostate tissue and reduce or resolve urinary symptoms.
If medications and/or thermotherapies are unsuccessful, surgery may be recommended.
Excess prostate tissue often can be surgically removed using a transurethral approach, which does not require an outside incision.
A more traditional, open surgery, which does require an incision, may be necessary if the prostate gland is very large or when the bladder has been damaged and needs to be repaired.
Current Treatments For Ed
Various treatment options are available and you should discuss them with your doctor. A primary care doctor can give a preliminary diagnosis of ED based on a patient history and a physical examination, but may refer a patient to a specialist, such as a urologist. Current treatments for ED include:
- Oral medication
- Penile implants
- Counseling and sex therapy
These methods have varying degrees of effectiveness and tolerability, and are used to treat ED caused by physical or psychological conditions.
If you are seeking products to help with your ED, click below to visit to the Urology Health Store.
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How Are Enlarged Prostate And Erectile Dysfunction Related
Many men wonder if BPH can cause erectile dysfunction. The short answer? Not really. While the prostate is an important organ for male sexual function, BPH is more of a urination issue than a sexual one. The prostate goes through two major growth spurts during a mans lifetime: one during puberty and another around 50 or 60 years of age. It is estimated that more than half of men will have some form of BPH in their 50s , which is why we see so many older men complaining of LUTS.
Usually, an enlarged prostate isnt a problem unless symptoms become burdensome and treatment is needed. Thats where concerns about erectile dysfunction come in. To treat BPH, your options are medications to relax the prostate or stop it from getting bigger, and surgery. and similar medications are part of a class of drugs called alpha-blockers, which cause the blood vessels of the prostate to constrict, relaxing muscles in the prostate so urination can occur more easily. One side effect of these drugs is less blood to flow into the penis during an erection though, and that could be a problem. Another drug, , is an anti-testosterone drug that stops the prostate from growing. However, lower testosterone levels in the body may cause ED as well. Lastly, surgical procedures can also cause ED due to damage to structures around the penis, which I will go into detail below.
Does Having An Enlarged Prostate Affect Sexual Performance
It might. Some men with an enlarged prostate develop erectile dysfunction or problems with ejaculation.
The technical term for an enlarged prostate is . BPH occurs when prostate tissue increases in size. This growth moves inward, pressing on the urethra . As a result, some men with BPH have trouble urinating and need treatment.
Unfortunately, some treatments might have sexual side effects:
- Medications. 5-alpha reducatase inhibitors and alpha-blockers are two types of drugs commonly prescribed for BPH. However, 5-alpha reducatase inhibitors might lower a mans sex drive or interfere with erections. Alpha blockers could lead to difficulty ejaculating.Finasteride in particular has been associated with a greater risk for ED. In a 2015 study of 700 men with BPH, men who took finasteride gradually developed ED while a comparison group of men who took tamsulosin did not.
- Minimally-invasive procedures. These approaches, which could include stents, heat treatments, or laser treatments, can sometimes lead to ED or retrograde ejaculation .
- Surgery. Transurethral incision of the prostate , which involves widening the urethra, sometimes results in ED. Transurethral resection of the prostate , in which the inner portion of the prostate is removed, can lead to retrograde ejaculation.
It should be noted that is not harmful, as semen exits the bladder along with urine. However, couples who wish to conceive a child may need to see a fertility specialist.