Friday, May 17, 2024

Enlarged Prostate Treatment Without Surgery

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How Effective Is Pae

Aquablation: Surgical Robot Treats Enlarged Prostate | NBC4 Washington

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.

What Is Enlarged Prostate Surgery

Enlarged prostate can lead to serious issues in men and hamper their lives. They might face many troubles and undergo a lot of pain because of an enlarged prostate gland. Hence enlarged prostate surgery becomes indispensable to reduce the risk of cancer in men.

Enlarged prostate surgery is a surgical procedure used to treat urinary ailments often developed due to an abnormal increase in the size of a prostate. The prostate gland is located just in front of the rectum, underneath the bladder.

It is required in the part of the male reproductive system that produces fluids that transport sperm. The surgical removal of the prostate is known as an enlarged prostate surgery prostatectomy.

The most important causes for prostate surgery are prostate cancer and an enlarged prostate, also known as benign prostatic hyperplasia .

Transurethral resection of the prostate or TURP is commonly used for men who might suffer from moderate to severe urinary problems that have not been cured by medication.

Although TURP has been considered to be the most appropriate cure for an abnormal prostate, a few other procedures are also becoming more popular. These procedures are less prone to complications and have a shorter recovery period than the TURP treatment.

The actual reason for prostate enlargement is unidentified, but it is thought to be related to hormonal changes that occur as men age. As one ages the balance of hormone levels in the body changes, which may cause the prostate gland to grow.

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.

Also Check: How To Tell If You Got Prostate Cancer

What Are The Side Effects Of Enlarged Prostate Surgery

  • Infections of the Urinary tract accompanying excess of bleeding
  • Chronic urinary problems, particularly incontinence,
  • Prostate regrowth or scarring, with approximately 10%
  • A split stream of urine caused by urethral narrowing chronic prostatitis or prostate inflammation
  • Allergic reaction to anesthesia

What Are Your Options When Medication Does Not Work


Most men stop getting taller around age 18, but after 40, they often begin growing elsewhere particularly in their prostate gland. Benign prostatic hyperplasia , also known as an enlarged prostate, affects about 50 percent of men ages 51 to 60 and up to 90 percent of men older than 80.

As the prostate grows, it presses on the urethra, the tube that carries urine out of the body . For about half of men with BPH, this causes urination problems. Common issues include a hesitant, interrupted, or weak urine stream dribbling after urinating a feeling the bladder does not completely empty and more frequent urination. Some men also experience urinary tract infections or urinary incontinence, the involuntary discharge of urine.

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What Is An Enlarged Prostate

The prostate gland starts out small and has two main phases of growth. It doubles in size during the teenage years, then continues to grow again after age 25 throughout the rest of a mans life.

However, an excessively enlarged prostate results in a disease known as benign prostatic hyperplasia . Eventually, an enlarged prostate can clamp down on the urethra and restrict the flow of urine from the bladder.

What Questions Should I Ask My Healthcare Provider

  • How can you tell that I have BPH?
  • If I dont have BPH, what other condition might I have?
  • What can I do to help reduce the size of my prostate?
  • Do I need treatment?
  • Whats the best treatment for me?
  • What supplements do you recommend?
  • Will these supplements affect any other medications or supplements that Im taking?
  • Should I see a urologist?

Recommended Reading: If Prostate Cancer Spreads To Lymph Nodes

Nonsurgical Treatment For Benign Prostatic Hyperplasia

If youre a man over 50, you have a one in three chance of having benign prostatic hyperplasia , the most common benign tumor found in men. BPH causes symptoms such as lack of bladder control, increased urinary frequency, and urgency and pain. For those with minor symptoms, medication or diet changes can help, but as symptoms increase, surgery is often the next step.

But for men who are not candidates for surgery, or have a strong desire to avoid surgery, prostatic artery embolization is a new treatment option.

Interventional radiologist Brian Holly, M.D. , explains what you should know about the prostatic artery embolization procedure and if it may be right for you.

Large Prostate With Significant Symptoms

Treating prostate cancer with robotics and without surgery

For patients who have moderate or severe symptoms that have failed medical therapy from very enlarged prostates, the optimal treatment is often surgery. For very enlarged prostates, there are four main surgical options:

  • Open prostatectomyâ The surgeon makes an incision and removes some of the enlarged prostate. This is done rarely today because less invasive surgeries through the urethra work well with fewer side effects.
  • Transurethral resection of the prostate â Going in through the urethra, with the aid of a small camera, the surgeon removes tissue to open up the channel, which can help the urine flow and take some of the pressure off the bladder. Tissue is removed with bipolar energy that shaves off pieces of the prostate. While this method is less invasive than open prostatectomy, it still can have side affects, such as bleeding, infection, need for repeat resection, erectile dysfunction, and scarring.
  • Transurethral laser ablation of the prostate â This is where the urine channel is opened up using a high-powered holmium laser to vaporize the prostate tissue. Like TURP, the procedure can help urine flow and symptoms from enlarged prostate. The use of the laser may decrease the need for a catheter or reduce bleeding after the procedure. A high-powered laser that uses âMoses effectâ pulses has the potential to remove the tissue more efficiently, so the procedure time can be shortened.
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    Enlarged Prostate: Benign Prostatic Hyperplasia

    Benign prostatic hyperplasia is a common urologic condition caused by the non-cancerous enlargement of the prostate gland as men get older. As the prostate enlarges, it can squeeze down on the urethra. This can cause men to have trouble urinating and can lead to symptoms of BPH. The symptoms associated with BPH are known as lower urinary tract symptoms .

    What Is The Difference Between Prostate Cancer And Benign Prostatic Hyperplasia

    Prostate cancer is a common type of cancer that develops in your prostate gland. Early-stage prostate cancer rarely causes symptoms. However, as it progresses, it shares many of the same symptoms as BPH. These symptoms include a weak urine flow, pain when ejaculating or peeing and frequent urges to pee. Prostate cancer may spread to your bones, lymph nodes or other parts of your body. Treatment options include radiation therapy and surgery.

    BPH symptoms are similar to prostate cancer symptoms. However, BPH isnt cancer, and it doesnt increase your risk of developing cancer. It wont spread to other parts of your body. Treatment options include medicines, surgery and minimally invasive procedures.

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    Pae: Alternative To Surgery For An Enlarged Prostate

    As PAE was not an option in his country of residance Mr CM, finally decided to fly to India. He underwent PAE procedure on Day Care basis and was discharged same evening. The entire procedure and post procedure period was uneventful. He flew back to his country on 3rd day. His symptoms started to improve within couple weeks. Dr. Virender Sheorain and his team at Medanta Gurgaon, use specialized techniques to perform prostate artery embolization , a procedure being increasingly used in other parts of the world to treat prostate gland enlargement and its associated urinary symptoms.

    What Are The Symptoms Of Benign Prostatic Hyperplasia

    Prostate UroLift System

    Lower urinary tract symptoms suggestive of benign prostatic hyperplasia may include

    • urinary frequencyurination eight or more times a day
    • urinary urgencythe inability to delay urination
    • trouble starting a urine stream
    • a weak or an interrupted urine stream
    • dribbling at the end of urination
    • nocturiafrequent urination during periods of sleep
    • urinary incontinencethe accidental loss of urine
    • urine that has an unusual color or smell

    Symptoms of benign prostatic hyperplasia most often come from

    • a blocked urethra
    • a bladder that is overworked from trying to pass urine through the blockage

    The size of the prostate does not always determine the severity of the blockage or symptoms. Some men with greatly enlarged prostates have little blockage and few symptoms, while other men who have minimally enlarged prostates have greater blockage and more symptoms. Less than half of all men with benign prostatic hyperplasia have lower urinary tract symptoms.3

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    Using Pads Or A Sheath

    Absorbent pads and pants can be worn inside your underwear, or may replace your underwear altogether. These will soak up any leaks.

    Urinary sheaths can also help with dribbling. They look like condoms with a tube coming out of the end. The tube connects to a bag that you can strap to your leg under your clothing.

    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.

    Read Also: Can Prostate Cancer Kill If Not Treated

    Going The Natural Route

    Its important to remember that just because a supplement is labeled natural doesnt always mean its safe, healthy, or effective. Remember that the FDA doesnt regulate herbal remedies like it does prescription and over-the-counter drugs. That means you cant be totally sure that whats listed on the label is inside the bottle.

    Herbal remedies can also cause side effects and interact with other medications you take. Check with your doctor before trying any natural supplement.

    50 percent of males aged 51 to 60.

    While it may not be possible to prevent BPH, it can be treated especially if detected early. If you begin to experience BPH-like symptoms in your urinary tract, like a reduced urine stream, sudden urges to urinate, or the need to urinate several times during the night, its worth talking with your doctor as soon as possible to see if early treatment is necessary.

    What Are Other Benign Prostatic Hyperplasia Surgery Options

    Minimally Invasive Treatment — Prostate Cancer

    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.

    Also Check: How Can I Lower My Prostate Psa Levels

    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.

    Can Prostate Enlargement Be Temporary

    Whether or not prostate enlargement can be temporary depends on its cause. For example, sometimes prostatitis can cause enlargement of this small gland.

    In these cases, enlargement can be temporary, and it subsides when inflammation goes away. Additionally, prostate gland enlargement and other symptoms can reduce in people with mild BPH.

    More serious symptoms and manifestations require a combination of lifestyle modifications and doctor-recommended enlarged prostate treatment.

    Conventional BPH treatment includes medication and surgical procedure approaches. Medications for benign prostatic hyperplasia treatment include alpha-blockers, 5-alpha reductase inhibitors, tadalafil , and combination therapy.

    Some medications can have various side effects. Surgical procedures for BPH include transurethral resection of the prostate, transurethral incision of the prostate, transurethral needle ablation, and laser therapy, among others.

    Prostate enlargement isnt something to ignore. Make sure to modify your lifestyle adequately to prevent or manage it in a timely manner.

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    Rye Grass Pollen Extract

    Rye grass pollen extract is made from three types of grass pollen: rye, timothy, and corn. A review of herbal studies published in BJU International found that in one study, men who took rye grass pollen extract reported an improvement in their symptoms compared to those who were taking a placebo. However, this study lasted only 6 months. It didnt look at how well the supplement worked compared to prescription medications.

    Relief From Prostate Enlargement Without Surgery

    Have You Ever Thought Of Fixing Your Enlarged Prostate Without Surgery ...

    Men’s Health, Prostate Health, Urology

    You wake up in the middle of the night with an urgent need to pee. Then, before you can fall back asleep, you have to go again. If youre a man with a condition called benign prostatic hyperplasia , this scene is all too familiar.

    About half of men ages 50 and older have problems with urination because of BPH. That number increases to 80 to 90 percent in men older than 70.

    In BPH, the prostate becomes enlarged to the point that men have problems such as difficulty starting urination, a weak flow, an urge to urinate again soon after urination or the need for frequent urination.

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    What Is The Outlook For Men Who Have Benign Prostatic Hyperplasia Surgery

    Benign prostatic hyperplasia surgery has a very high success rate. However, for the best results from treatment, you should seek medical help at the earliest signs of a problem. Also, talk with a doctor if you are experiencing symptoms of BPH after surgery.

    There is no evidence that BPH increases the risk of developing prostate cancer. However, the symptoms of BPH and prostate cancer are similar. The American Urological Association and the American Cancer Society recommend annual prostate screenings for men ages 55 to 69. Men at high risk such as African-American men and men with a family history of prostate cancer should begin screening at age 40.

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