Prostate Surgery With Urology Specialist
Dr Arianayagam is highly experienced in all aspects of prostate surgery, in particular robotic radical prostatectomy.
Dr Arianayagam performs robotic radical prostatectomy at both Macquarie University Hospital and Nepean Public Hospital. Dr Arianayagam has performed over 250 robotic cases. He is a proctor for Device Technologies, who supply the Da Vinci Robotic System in Australia. Being a proctor means Dr Arianayagam is qualified to teach other surgeons to use this technique.
If you have any questions regarding prostate surgery, or would like to book an appointment, please feel free to contact Urology Specialist here.
Why Turp Is Carried Out
TURP is often recommended when prostate enlargement causes troublesome symptoms and fails to respond to treatment with medication.
Symptoms that may improve after TURP include:
- problems with starting to pee
- a weak flow of pee, or stopping and starting
- having to strain to pee
- a frequent need to pee
- waking up frequently during the night to pee
- a sudden urge to pee
- being unable to empty your bladder fully
Symptoms Of Prostate Issue:
The seriousness of the signs in the individuals who are suffering from Enlarged Prostate varies. But if they are not diagnosed on time, it may worsen the issue.
Recognize the symptoms of an enlarged prostate
- Recurrent urination
- The flow of urine becomes week
- Finds very difficult to start urination
- The person feels that there is an incomplete bladder emptying
- A person fails to urinate
- Infection in the urinary tract
- Sometimes blood in the urine
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Innovations In Treatment Of Bph
New procedures are less invasive than many older choices, with good results and comfortable recovery.
Although there is no cure for benign prostatic hyperplasia , also known as enlarged prostate, there are many useful options for treating the problem. Treatments focus on prostate growth, which is the cause of BPH symptoms. Once prostate growth starts, it often continues unless medical therapy is started. The prostate grows in two different ways. In one type of growth, cells multiply around the urethra and squeeze it, much like you squeeze a straw. The second type of growth is middle-lobe prostate growth in which cells grow into the urethra and the bladder outlet area. This type of prostate growth typically requires surgery.
The first line of care for treating BPH is often medication. Doctors may prescribe an alpha blocker to relax the prostate, a 5-alpha reductase inhibitor to reduce the prostates size, or both. While medications are helpful for many patients, some may impact a mans sexual function or only reduce, not eliminate symptoms if the patient has a moderate to severe case of BPH.
In cases where patients have moderate to severe BPH or have a middle-lobe growth and need further treatment, there are a range of BPH-related surgical procedures, including ones that are less invasive than older surgeries. A patient and his doctor will choose the best option based on the size and shape of the prostate, as well as the patients preference and overall medical condition.
What Do Doctors Prescribe For Bph
- Alpha Blockers – These drugs relax the muscles of the bladder and the prostate and relieve symptoms. The medications includes Alfuzosin and Terazosin among others.
- 5 Alpha-reductase Inhibitors – These drugs do not allow the prostate to grow any further and also cause its shrinkage. Finasteride and Dutasteride are 2 drugs of this classification.
- Phosphodiesterase 5 Inhibitors – Drugs of this class including Sildenafil can improve the flow rate of urine.
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Treatments Options For High
As a result of family history, lifestyle, diet, and natural hormonal changes, the prostate begins to grow in size as men age, starting in their mid-30s. When the prostate becomes more enlarged over time, it might press against the urethra and block urine flow . This condition is called benign prostatic hyperplasia, or BPH.
Enlarged prostates differ in size. The size can be estimated on digital rectal exam or prostate imaging like an ultrasound. People with very enlarged prostates have several treatment options. However, size is not the only factor used to choose a treatment.
When doctors evaluate the prostate, symptoms are just as important as size. In addition, size and symptoms don’t always correspond. For example, one person might have a mildly enlarged prostate with noticeable symptoms, while another person could have a very large prostate with no symptoms.
To learn about patients’ symptoms, doctors ask a lot of questions about what they feel and see when they urinate. Based on the answers, doctors classify BPH as mild, moderate or severe. During the exam, doctors assess the prostate’s size, and they might order lab tests to assess kidney function and screen for prostate cancer.
All of this information is the basis of a personalized treatment plan. Here are the options for patients with very enlarged prostates, with or without symptoms.
What Is The Price Of Laser Prostate Surgery For Bph In Pace Hospitals
At Pace Hospitals, we offer world-class treatment for benign prostatic hyperplasia to the patients. The price of laser prostate surgery or holep surgery for bph ranges vary from Rs. 1,60,000 to Rs. 1,85,000 and it depends upon the room selection for hospital stay, services availed during treatment apart from the surgery package and approvals in case of cashless treatment such as central government health scheme , health insurance, employees and journalists health scheme , employees’ state insurance etc.
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What Is The Success Rate Of Prostate Surgery
Looking at survival rates, the researchers found that 88.6 percent of men were still alive 10 years later and 72.7 percent of men were still alive 20 years later. During a salvage radical prostatectomy, the prostate gland and surrounding tissue are surgically removed to keep the cancer from spreading.
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What Is A Prostatectomy
A prostatectomy is a surgical procedure for the partial or complete removalof the prostate. It may be performed to treatprostate cancerorbenign prostatic hyperplasia.
A common surgical approach to prostatectomy includes making a surgicalincision and removing the prostate gland . This may beaccomplished with either of two methods, the retropubic or suprapubicincision , or a perineum incision .
Prior to having a prostatectomy, it’s often necessary to have aprostate biopsy. Please see this procedure for additional information.
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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.
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Other Forms Of Treatment For Benign Prostate Disease
Other forms of treatment may include:
- monitor symptoms the condition is monitored closely. Treatment only begins once the condition has progressed and is causing problems
- medical treatment symptoms of benign enlargement can be treated by medications that relax the muscles around the bladder or that shrink the prostate and delay the need for surgery.
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What Is The Best Treatment For Enlarged Prostrate
There is no such best treatment for enlarged prostate. The age-old transurethral resection of prostate with monopolar cautery still is a time twisted and the treatment of choice. But the complication rates with the newer methods like bipolar transurethral resection of prostate, or the transurethral resection in saline , in one way much better than the monopolar transurethral resection of prostate because it will avoid so many postoperative complications, like hyponatremia or TURP syndrome.
The laser and robotics modalities of treatment are one way better when we consider the blood loss, consumption of time if the method is mastered, so laser will take relatively lesser time to inoculate the lobes and then morcellate and extracting glands. Bleeding will be much lesser if the procedure is mastered or done meticulously. Otherwise, these conventional methods of transurethral resection of prostate – monopolar or bipolar are still the best treatment options.
What Should You Ask Your Doctor About Treatments
The American Cancer Society recommends that you ask questions like these:
- What treatment might be best for me?
- What are the possible benefits of getting it?
- How soon would I need to start treatment?
- Will I need to get surgery as part of my treatment? If so, what will it be like and who will do it?
- Will I need other treatments, too? If so, how might they benefit me?
- What side effects could my treatments cause? And what should I do if I get them?
- Is there a clinical trial that might be a good option for me?
- Can you review any vitamins or diet Iââ¬â¢m on to make sure it wonââ¬â¢t interfere with my cancer treatment?
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Relief From Prostate Enlargement 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.
Some Of The Symptoms Of Bph Include :
- Nocturia or increased urination frequency during the night
- Frequent and urgent need of urination during the day
- Difficulty in starting urination
- A urine stream that starts and stops abruptly
- A weak stream of urine
- Difficult incomplete urination or thorough emptying of the bladder
- Dribbling at the end of urination
As said earlier, the enlargement of the prostate gland may also pose problems to other organs including the kidneys. There are also certain other symptoms of BPH but these are less common and include:
- An Infection in the urinary tract
- Urine containing blood
- A complete inability towards urination
There is no clear link between the size of the prostate and the symptoms. Some men having smaller prostate enlargements have more severe symptoms and vice versa. In some cases, it has been found that the symptoms of BPH stabilize or may even get more improved over a period of time.Symptoms of an enlarged prostate gland may also coincide or be the same as the symptoms of other medical conditions including cancer or inflammation of the prostate, the presence of stones in kidney or stones in bladder, scarring in the bladder and other conditions. Enlargement of the prostate is not cancer but only a doctor can diagnose the real cause of the symptoms.
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Symptoms Of Prostate Cancer
- Frequent urge to pass urine, especially at night
- Weak or interrupted urine stream
- Pain or burning when passing urine
- Nagging pain in the back, hips, or pelvis
Prostate cancer can spread to the lymph nodes of the pelvis. Or it may spread throughout the body. It tends to spread to the bones. So bone pain, especially in the back, can be a symptom of advanced prostate cancer.
What Is The Cost Of Enlarged Prostate Surgery In Pace Hospitals
At Pace Hospitals, we offer world-class prostate enlargement treatment to the patients. Enlarged prostate surgery cost ranges vary from Rs 1,00,000 to 1,35,000 and it depends upon the selection of room for hospital stay, type of surgery, any services availed during treatment apart from the surgery package and approvals in case of cashless treatment such as health insurance, central government health scheme , employees and journalists health scheme , employees state insurance etc.
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How Safe Is Holep Prostate Surgery
Holep prostate inoculation is now the trend in most of the centers. Once the technique is mastered, definitely, this is a safe surgery. The only precaution to be taken while performing this surgery as such many times is the morcellating the prostate lobes which are placed into the bladder, it may injure the bladder wall if not properly or if not partially distended.
Herbal Therapies For An Enlarged Prostate
Several herbal supplements are marketed for enlarged prostates. Saw palmetto, beta-sitosterol, and pygeum are all are widely used in Europe. They are available in the U.S. and dont require a prescription.
However, researchers and doctors are cautious about advising patients to try herbal supplements. Because they are not FDA-regulated, there are concerns about a products quality from batch to batch, according to the NIHs Office of Dietary Supplements. Also, the safety of an herbal product depends on many things the chemical makeup, how it works in the body, how it is prepared, and the dosage.
Something else to consider: Like any drug, a herbal remedy can affect how other medications or treatments work, or interact dangerously with your other medications. They can also have side effects. And, the AUA points out, they have not been well-studied for effectiveness or safety.
Before trying any alternative treatment, learn as much as you can about it, the AUA says. Most importantly talk to your doctor before you try an herbal remedy. Many doctors consider alternative therapies like saw palmetto to have no effect on symptoms, except as expensive placebos, Slawin tells WebMD.
Beta-sitosterol: This compound is extracted from pollen of rye grass. There has been some evidence that it provides relief from urinary symptoms. However, in four studies the supplement did not increase urinary flow rates, shrink the prostate, or improve bladder emptying.
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Eternal Zen Prostate Complete
Eternal Zen is unique in that it has a very high dose of the most proven ingredients, but also includes a lengthy list of additional herbal extracts that may or may not contribute to prostate health.
Whether or not this is an advantage to you depends on the kind of supplementation strategy you prefer: if you just want proven ingredients and want to avoid any potential adverse effects from extra ingredients, look elsewhere.
However, if you want any ingredient or herbal extract that could possibly help, Eternal Zen is a good place to start.
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A New Treatment Option For Bph
A newer, nonsurgical treatment for BPH, called prostatic artery embolization , is available at UNC Medical Center in Chapel Hill, says Ari Isaacson, MD, a vascular interventional radiologist who performs the procedure.
PAE is performed through a small puncture in the groin or the arm. A catheter is inserted through the artery and directed toward the prostate.
Once the catheter is positioned in the artery supplying blood to the prostate, tiny particles called microspheres are injected that plug up the artery, blocking blood flow. This is called embolization.
This process is then repeated on the other side, usually through the same original puncture, Dr. Isaacson says.
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Other Surgical Procedures For Prostate Disease
Alternative surgical procedures to TURP include:
- open enucleative prostatectomy this involves making a cut in the abdomen to remove a very enlarged prostate. This is the least common form of surgery. The average hospital stay is seven to 10 days
- laser TURP a laser is used to remove prostate tissue from the middle part of the prostate, which has the advantage of less bleeding and therefore safer for people on anti-coagulation therapy for other problems, including coronary stents, heart valve or vascular disease
- transurethral incision of the prostate similar to TURP except that no prostate tissue is taken out. One to three cuts are made in the prostate near the bladder neck to release the ‘ring’ of enlarged tissue and make a larger opening around the urinary tract
- UroLift® this technique is useful for men for whom medication has not been successful but their prostates are not so enlarged that they need a TURP. It involves the transurethral insertion of staples to separate the lobes of the prostate. It has minimal side effects and preserves ejaculatory and erectile function.
Effective Energetic Treatment For Enlarged Prostate
Topics in this Post
Enlarged prostate, also called benign prostatic hyperplasia , is a common condition as men get older. By age 60, about 30% of men show moderate to severe symptoms of BPH by age 80, it is 50%. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as a weak urine stream, urine stream that starts and stops, frequently getting up at night to urinate, and inability to void the bladder.
There are many different treatment options for BPH, ranging from behavior medications to surgery. A minimally invasive option is bipolar enucleation of the prostate, or BipoLEP. If you are considering treatment, here’s what you need to know.
Prostate anatomy
The prostate is a small organ that sits at the bottom of the bladder. The urethra, the tube the drains the bladder, runs through the middle of the prostate.
Early in a mans life, the prostate is roughly the size of a walnut or a small tangerine. Often around 50, the prostate increases in size. For some men, this change closes off the urethra and makes it more difficult for the bladder to empty.
The prostate has two parts. The adenoma is the inner part that surrounds urethra. It is the part of the prostate that grows as men get older. The capsule is the outer part of the prostate and does not change in size over the course of life. A good analogy is to think of an orange. The orange peel represents the capsule, and the fruit represents the adenoma.
Removal of prostate tissue
Procedure
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