Tuesday, January 31, 2023

Roto Rooter Surgery For Prostate

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What You Need To Know About The Prostate Kominsky Video Clip Prostate Roto Rooter Procedure

TURP operation / roto rooter for BPH / enlarged prostate. Just do it! Quick recovery.

A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.

While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.

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 starting to urinate
  • a weak urine flow or stopping and starting
  • having to strain to pass urine
  • a frequent need to urinate
  • waking up frequently during the night to urinate
  • a sudden urge to urinate
  • being unable to empty your bladder fully

What Are The Risks

In most cases, TURP is a safe procedure and the risk of serious complications is very small.

Many men also temporarily lose the ability to control their bladder , although this usually passes in a few weeks. In rare cases, it may be persistent and need further treatment.

There’s also a small risk of problems such as erectile dysfunction, difficulties passing urine and urinary tract infections .

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Cost Of Treatment And Insurances

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.

We accept many health insurance plans. We would be happy to verify your eligibility and benefits and to provide you with detailed information on your health plans coverage. and credit options are available to help you pay for medical care.

TURP and bipolar TURP procedures are covered by all health insurance plans, including Medicare, Empire BCBS, Anthem Blue Cross, Cigna, Aetna, GHI-EmblemHealth, United Healthcare, UMR, and Oxford Health plan among others. Union-sponsored and employer-sponsored insurance plans also cover the cost of TURP and bipolar TURP surgery.

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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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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.

Prostate Size And Blockage Of The Urethra

If the inner part of the prostate gland obstructs the urethra during urination, this will irritate the bladder and cause urinary symptoms.Urinary symptoms may include:

  • frequent urination, particularly at night
  • urgency and possible urgency incontinence
  • passing drops of urine involuntarily after you think you’ve finished
  • blood in the urine although this can never be assumed to be due to the prostate until other causes have been excluded.

The actual size of the prostate does not appear to determine whether or not there is a blockage. Some men with large prostates never develop obstruction, but some men with small prostates can have severe bladder obstruction, which causes difficulty with urinating.Around one in three Victorian men over the age of 50 years have some urinary symptoms. In most cases, these symptoms are due to a blockage caused by an enlarged prostate, but they may be due to other causes.

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Less Common Side Effects Of Turp

Less common unwanted effects of surgery include:

  • urinary symptoms do not change sometimes surgery does not cure your urinary problems. Even though the blockage has been cleared, the bladder irritability may continue and you may still have symptoms such as being unable to empty your bladder completely, and nocturia
  • erectile dysfunction some men are unable to get or maintain an erection sufficient for sexual intercourse after surgery. This is more of a problem for men who had erectile difficulties before their operation. This problem may be treated by medication
  • urethral strictures when scarring occurs in and around the urinary tract, it can cause further blockage to urine flow. Strictures may need to be dilated or need further surgery
  • urinary incontinence sometimes surgery results in being unable to hold or control the flow of urine. This may be due to continuing bladder problems or, less often, to sphincter muscle damage

Home Care After Surgery

TURP operation / “roto rooter” for BPH / enlarged prostate was everything he thought.

Removing extra prostate tissue should help you urinate more easily and less frequently. Still, it may take a few weeks for you to recover fully. Most men who have this surgery are back to their regular activities in six to eight weeks.

While you recover, you may have:

  • an urgent need to urinate
  • trouble controlling urination
  • problems getting and keeping an erection
  • small amounts of blood in your urine

These surgery side effects should subside in time. Tell your doctor if youre still having problems several weeks after surgery.

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Prostate Surgery And The Psa Test

A prostatectomy has at its core the goal of completely eradicating cancer. As long as the tumor remains within the boundaries of mens prostate, then the surgery has a high chance to remove all the cancer cells. After successful prostate surgery, the cancer can be cured, meaning that any signs of cancer are no longer within the body.

On the other hand, this perfect scenario rarely reflects real cases. Its possible that, by the time of the procedure, cancer cells might have spread outside the prostate gland. In other cases, the surgery couldnt eliminate all cancer cells. These situations urge doctors to take further steps in order to achieve the complete eradication of prostate cancer, leaving the patient cured.

This is the reason why PSA testing right after surgery is an essential part of cancer observation. Any regular PSA test allows doctors to measure and analyze the impact of prostate surgery. Whether the surgery worked or there is still a need for further treatments, PSA readings allow doctors to understand the progression of a patients health.

The Initial Causes Prostate Rotorootered

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.

Read Also: How To Shrink An Enlarged Prostate

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.

At What Size Of Prostate Requires Surgery

Robotic surgery  Colmar Urology Centre

TURP developed itself to become the gold standard of surgical treatment for medium sized prostates. The EAU guidelines, based on grade A evidence, recommends TURP for prostates between 35 and 80 ml. Over that limit, open surgery seems to remain the only option for treating BPH, according to available clinical evidence.

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How Do I Prepare For Turp

You can prepare for TURP by:

  • Answering all questions about your medical history and medications: This includes prescriptions, over-the-counter drugs, herbal treatments, and vitamins.
  • Getting preoperative testing as directed: Testing will vary depending on your age, health, and specific procedure. Preoperative testing may include a chest X-ray, electrocardiogram, and blood tests.
  • Not eating or drinking before surgery or as directed: Your surgery may be cancelled if you eat or drink too close to the start of surgery because you can choke on stomach contents while under anesthesia.
  • Stopping smoking as soon as possible: Even quitting for just a few days can be beneficial and help the healing process.
  • Taking or stopping medications exactly as directed: This may include not taking aspirin, ibuprofen , and blood thinners.

What Is A Normal Psa After Prostate Surgery

The prostate-specific antigen blood level may not be a conclusive test. However, its the fastest way to take the pulse of how the body managed to recover after any prostate surgery. General doctors, patients, and oncologists keep relying on this test thanks to its non-intrusive nature. Lets discover what is supposed to happen with mens PSA readings once their prostate tumor is surgically removed.

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What You Need To Know About The Prostate Prostate Surgeries Roto Rooter

A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.

While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.

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Happy TURP operation / Prostate Roto Rooter Patient

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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Questions To Ask Before Surgery

As you think over the options for surgery, ask your doctor these questions:

  • Is there a good chance my condition will get better?
  • How much will it improve?
  • What are the chances of side effects from a treatment?
  • How long will the effects last?
  • Will I need to have this treatment repeated?

With newer technologies, doctors can do some minimally invasive procedures with tiny cuts or use tube-style instruments that they insert into you. These procedures may not treat the symptoms to the same degree or durability as more invasive surgical options, they do have faster recoveries, less pain afterward and have reduced risks.

Other times, the traditional and more invasive surgery may be needed. It all depends on your case and what you and your doctor decide is best for you.

Doctors can choose from these minimally invasive procedures, endoscopic, or open surgeries to treat moderate to severe symptoms. These procedures are also used if tests show that your ability to pee is seriously affected.

Laser As A Turp Alternative

TURP is one of many transurethral options for small to average size prostate glands causing urinary symptoms.

For people with a large prostate, AUA recommends either open prostate removal surgery or transurethral procedures with lasers to more effectively remove the prostate tissue. These include:

  • holmium laser enucleation of the prostate
  • thulium laser enucleation of the prostate

The AUA also recommends these procedures for patients with a higher chance of bleeding. This includes people on anticoagulants as well as those with a higher chance of bleeding from medical conditions. Laser methods can be safer than conventional TURP for these patients because they result in less blood loss.

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Reducing Your Risk Of Complications

You can help reduce the chance of certain complications by:

  • following activity, dietary, and lifestyle restrictions and recommendations before surgery and during recovery
  • notifying your doctor immediately of any concerns, such as bleeding, bloody urine, fever, an increase in pain, or a change in urination
  • seeing your doctor as instructed before and after surgery
  • taking your medications exactly as directed
  • telling all members of your care team if you have any allergies

Bph And Bladder Health

Microwave Surgery For ProstateBestMicrowave

The bladder is a muscle and storage unit for urine. The kidneys filter our blood and generate urine every day, which then travels down the ureters and is stored in the bladder. As the bladder fills we get the sensation of urinary urgency and when we are ready, the bladder squeezes the urine through the urethra so more urine can be stored.

The prostate gland is a walnut sized structure that is located at the opening of the bladder. As men age, the prostate enlarges and may eventually obstruct the flow of urine out of the bladder. This condition is often referred to as benign prostatic hyperplasia or BPH. About 60% of men will have BPH by the age of 60 and almost all men as they approach age 80.

The bladder tries to overcome the obstruction by contracting more forcefully. Over time this leads to permanent damage to the bladder which can be seen during a procedure called cystoscopy. A cystoscopy is a procedure during which a urologist introduces a very small camera into the bladder to evaluate and diagnose bladder and prostate disease.

All other minimally invasive options for BPH involve the cutting, heating, or freezing of the prostate which all carry similar risks and do not measure up to the gold standard of the TURP procedure.

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