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.
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The treatment is done in the doctors office with local anesthesia or after you have taken a pill for pain. You may have blood in your urine and need to use a catheter for a few days. Painful or frequent urination should go away within about 3 weeks. Sexual side effects, such as erectile dysfunction, are unlikely.
Studies currently suggest that symptom improvement may last for up to 4 years. It is not currently known whether the treatment continues to work long-term or whether patients eventually need to have additional treatment.
Technically Challenging Procedure Offers New Option
Doctors perform prostate artery embolization by inserting a catheter into the femoral artery in the thigh. They direct this tube to the prostate artery on both sides of the enlarged gland.
The doctors then inject a fluid containing thousands of tiny particles into the catheter. These block the small blood vessels of the prostate and starve it of its blood supply.
The procedure itself is technically challenging. As a result, its carried out by interventional radiologists, who have experience using small catheters and other techniques for blocking arteries.
According to the researchers, accessing the prostate through the femoral artery may be the reason for the low number of side effects.
Also, currently used techniques may not be available to all men.
Many men have benign prostatic hyperplasia that cannot be treated by traditional methods, said Bagla, such as when the BPH is smaller than 50 cubic centimeters or larger than 80 cubic centimeters.
Prostate artery embolization offers these patients an effective treatment that results in reduced risk of bleeding, urinary incontinence or impotence, compared to other BPH therapies, offering patients a better quality of life, he added.
Earlier studies of prostatic artery embolization included two presented at the Society of Interventional Radiologys Annual Scientific Meeting in 2012 and one study in 2014. All three of those studies showed that the technique was effective with few side effects.
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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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Benign prostatic hyperplasia , also called prostate enlargement, is a noncancerous increase in size of the prostate gland. Symptoms may include frequent urination, trouble starting to urinate, weak stream, inability to urinate, or loss of bladder control. Complications can include urinary tract infections, bladder stones, and chronic kidney problems.
Prostate Enlargement . Prostatitis is a frequently painful condition that involves inflammation of the prostate and sometimes the areas around the prostate.
Sep 21, 2007 · Pain meds may worsen symptoms of enlarged prostate. NEW YORK – Common painkillers like ibuprofen and naproxen may act as a double-edged sword when it comes to mens prostate ….
Jul 27, 2020 · Any hard areas, lumps, or growth spreading beyond the prostate Any pain caused by touching or pressing on the prostate You may be asked to give a urine sample for testing. Your doctor also may do a blood test to check the prostate-specific antigen level. PSA levels can be high in men with an enlargedprostate gland or with prostate cancer..
An enlargedprostate can be treated using daily supplements and natural remedies. The top holistic cure is cayenne pepper, which alleviates symptoms fast. … obstructing the flow of urine and causing pain. The prostate gland doesn’t usually cause problems until later in life – it rarely causes symptoms before age 40..
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Other Things To Consider
Before you have one of these procedures, talk with your doctor about whether youâll be given something to numb the area or whether youâll be given something so you wonât be awake during the procedure. What you get and where you have it depends on the procedure.
Your doctor will give you instructions on how to prepare for any of them.
Surgery can ease many BPH symptoms, but it may not relieve them all. If there are certain complications, such as a weak bladder, there may still be urinary problems after surgery, although this is rare.
The best treatment for an enlarged prostate is not the same for every man. Talk to your doctor about the risks and benefits of each procedure.
What Are The Benefits Risks And Side Effects Of Pul
PUL uses no cutting or heat to destroy or remove prostate tissue. It takes less than an hour and you can usually go home the same day. Most men see symptom improvement within about 2 weeks. However, reduction of symptoms and improvement in urinary flow may be less than with transurethral resection of the prostate .
Some men may have pain or burning when passing urine, blood in the urine, or a strong urge to urinate. These side effects usually go away within two to four weeks. Men may have fewer sexual side effects after PUL than after other types of minimally invasive surgery.
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Improved Quality Of Life After Successful Prostate Artery Embolization Procedure
Zlotchenko carefully explained the details of the PAE procedure to the McDougals and gave them literature to review. He went into great depth, said Dennis, who decided on PAE and its minimally invasive approach. He had it at UCHealth University of Colorado Hospital on the Anschutz Medical Campus in September 2021.
McDougals Parkinsons disease made his case unusual, and Zlotchenko and his team took extra precautions to address it. For example, McDougals tremors had to be well-controlled before Zlotchenko could painstakingly guide the catheter through his blood vessels.
The strategy included putting McDougal under general anesthesia to keep him paralyzed, Zlotchenko said. In addition, I worked with my anesthesia colleagues to make sure the patient got his medications as close to his scheduled doses as possible.
The procedure went well and has helped improve McDougals symptoms. He keeps a bedside commode as a precaution but is no longer making multiple and often unproductive trips to the bathroom every night. With that, his fall risk has decreased, which is especially important as his Parkinsons disease continues to progress.
He also has a new measure of stability in his daily life. Before the procedure, the problems caused by his enlarged prostate meant that it was nearly impossible for him to go anywhere that he didnt have constant bathroom access.
Its given us a much better quality of life, even enabling us to take short walks together, Candace said.
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Natural Remedies For Enlarged Prostate . In addition to dietary changes, some natural remedies for enlarged prostate include: Exercise. Studies have shown that regular exercise can help to promote a healthy prostate . Saw palmetto. Saw palmetto is an herbal remedy that has demonstrated efficacy for reducing enlarged prostate symptoms..
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Jan 16, 2021 · Prostate pain can occur as a result of a number of diseases or disorders. It is very common for the prostate gland to become enlarged as a man ages. An enlarged prostate is also known as benign prostatic hyperplasia , which is generally not associated with any prostate pain. However, an enlarged prostate can cause problems with urination.. Prostatepain can be non-specific and often associated with chronic unexplained pelvic pain in men ProstatePain Location. While pain may be felt throughout the pelvis and perineum, the close.
Many of the symptoms of an enlargedprostate tend to relate to urination. If you are concerned about an enlargedprostate, here are 7 symptoms to look for: Difficulty starting urination. The enlargedprostate alters the pressure of your bladder to pass urine. This can have damaging effects on your kidneys.
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Who Are Good Candidates For Minimally Invasive Surgery
Men who are having trouble urinating are good candidates for minimally invasive surgery. In addition, you may be a good candidate if you:
- Have moderate to severe BPH symptoms
- Have urinary tract obstruction, bladder stones, or blood in your urine
- Can’t empty your bladder completely
- Have bleeding from your prostate
- Urinate very slowly
- Have taken medications for BPH but they did not work
What Is Laser Prostate Surgery And What Are The Benefits
HoLEP, or Holmium Laser Enucleation of the Prostate was developed in New Zealand in the late 1990s. It is normally done under general anaesthetic. The prostate is approached internally , through the urethra, without any cuts on the skin. The Holmium laser is used to peel out the obstructive core of the prostate in its entirety. This leads to maximal relief of prostate obstruction and a man will usually only require 1 HoLEP procedure in his lifetime. It is very unlikely that the prostate will regrow after HoLEP .
Diagram showing the complete removal of the obstructive inner part of the prostate that is achieved with HoLEP
After HoLEP, the area of the prostate that is removed is sent for microscopic analysis. Cancer that would otherwise be undetected is found in 8%.
At Cambridge Urology Partnership we have four surgeons who perform HoLEP: Mr Tev Aho, Mr James Armitage, and Mr Christof Kastner, and Mr Kasra Saeb-Parsy between them they have one of the largest experiences in this technique in the UK, and are amongst the leading in the world. They regularly perform this surgery, as well as teach this technique to other surgeons, and lecture on its use in national and international meetings.
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Who Are Good Candidates For Prostatic Stents
Men with many medical problems may be good candidates. Men for whom surgery is high-risk may also be good candidates.
Many men with enlarged prostates and urinary symptoms may be good candidates for PUL. However, it is not clear if this therapy works for those prostates with a middle lobe. Men who have PUL can still have other treatment if they need it. If you are allergic to nickel, titanium, or stainless steel, talk to your doctor before getting PUL. This is a newer treatment, so its not clear if future treatment would be needed. There are concerns that this may not be a durable treatment as 33% of men need additional surgeries or go back on medications.
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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.
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How Effective Is Pae
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.
How Does The Urolift System Work
The UroLift® System uses a revolutionary approach to treating BPH that lifts and holds the enlarged prostate tissue so it no longer blocks the urethra. It is the only available BPH treatment performed by a urologist that does not require heating, cutting, or removal of the prostate tissue. The procedure is typically performed using local anesthesia in a physicians office or ambulatory surgery center. Patients typically return home the same day without a catheter.
Check out this treatment comparison chart for more benefits of the UroLift® System.
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Why The Procedure Is Performed
An enlarged prostate can make it hard for you to urinate. You may also get urinary tract infections. Removing all, or part, of the prostate gland can make these symptoms better. Before you have surgery, your doctor may tell you changes you can make in how you eat or drink. You may also try some medicines.
Your doctor may recommend prostate removal if you:
- Cannot completely empty your bladder
- Have repeat urinary tract infections
- Have bleeding from your prostate
- Have bladder stones with your enlarged prostate
- Urinate very slowly
- Took medicines and they did not help your symptoms
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Another type of prostate issue is chronic prostatitis, or chronic pelvic pain syndrome. This condition causes pain in the lower back and groin area, and may cause urinary retention. Symptoms include leaking and discomfort. In severe cases, a catheter may be required to relieve the symptoms. If the problem is unresponsive to other treatments, your doctor may suggest a surgical procedure. If these do not work, your symptoms could progress and become chronic.
An acute bacterial infection can cause a burning sensation. Inflammation of the prostate can affect the bladder and result in discomfort and other symptoms. This is the most common urinary tract problem in men under 50, and the third most common in men over 65. The symptoms of acute bacterial prostatitis are similar to those of CPPS. Patients may experience a fever or chills as a result of the infection.
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Fda Approves The New Device
One of the main benefits of UroLift is that it offers men with BPH a less-invasive option than open surgery, with no incisions and no cutting or burning away of the prostate tissue. In addition, the results of the procedure can be seen immediately afterwards.
The FDA review was based on two clinical studies of men with BPH who were implanted with two or more UroLift sutures. In both studies, surgeons were able to insert the sutures in 98 percent of cases.
The larger study, published in June in the Journal of Urology, involved 206 men with BPH. The procedure, which is done under local or general anesthesia, took 66 minutes to perform on average.
Twelve months after treatment, men with the UroLift sutures had improved urine flow and were better able to empty their bladders. They also reported a decrease in their symptoms and an increase in their quality of life.
Rezm Relieves Enlarged Prostate Symptoms
Rezm is a minimally invasive, in-office procedure that relieves BPH symptoms safely and effectively, with minimal side effects. The procedure is done in one office visit and takes about 15 minutes with little, if any, discomfort to patients. Men typically return to their normal activities within a few days.
The treatment is an alternative to BPH medications and the traditional Transurethral Resection of the Prostate or roto-rooter treatment that is done in a hospital operating room with general or spinal anesthesia and requires one or two nights stay in the hospital.
Rezm uses the natural energy stored in water vapor, or steam, to treat the prostate gland. When delivered into the targeted prostate tissue, the steam turns back into water, releasing all of the stored energy. This injures the prostate cells, which are then absorbed into the body. Loss of the dead cells shrinks the prostrate.
I love this procedure because the water vapor travels only within the prostrate capsule and there is no risk of injury to surrounding tissues, Dr. Fronczak explains. When the prostate shrinks, the urethra opens, and most patients begin to experience symptom relief in as soon as two weeks, with maximum benefit within three months.
As an added benefit to patients, Rezm is considered medically necessary by Medicare and most private insurances.
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