Thursday, April 25, 2024

Surgery To Reduce Prostate Size

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Featured Patient Testimonial: Wayne Gregory

Best Foods to Eat with Enlarged Prostate | Reduce Risk of Symptoms, Enlargement & Cancer

Family, safety, and preserving quality of life were top of mind for Wayne Gregory when he chose laser focal therapy, also known as focal laser ablation , to treat his prostate cancer.

I had lesions ultimately on both sides of the prostate near the nerve bundles, said Gregory. I knew that the skill and precision it was going to take to get that cancer ablated was going to have to be very, very high.

He shared his story while on a trip back to Houston, Texas, where he had the procedure performed by Dr. Ara Karamanian, Director of HALO Diagnostics Prostate Program and Medical Director of the Prostate Laser Center.

How Does Laser Focal Therapy Compare To Other Focal Methods

In comparison to another popular focal treatment methods like high-intensity focused ultrasound , laser focal therapy is not limited to only small glands and has demonstrated much higher levels of accuracy with lower risk of side effects such as, erectile dysfunction.

High intensity focused ultrasound uses ultrasound instead of laser to heat the tissue. To obtain the ablation diameter of the laser used in our approach, HIFU would require > 20 overlapping ablations. What if the patient moves a little and the device misses a spot? When treating cancer, its important to get all of it. The vast majority of HIFU centers use ultrasound guidance , losing the precision of MRI and the important real-time information that MRI thermometry provides in protecting vital structures. Studies show significant urinary and sexual problems after HIFU because important tissues and nerves can be damaged during the procedure.

Laser focal therapy boasts many benefits for patients compared to other treatment methods for prostate cancer. No general anesthesia is required for the therapy, and patients are able to return to work as early as the day after the operation. Additionally, laser focal therapy carries lower risk of side effects compared to other treatment methods such as, impotence, and urinary incontinence. Laser focal therapy also does not rule out the exploration of further treatment options such as surgery or radiation therapy if needed later.

*Results may vary

What Is Focal Laser Ablation

Patient Dr. Michael Bedecs tells his story

Laser ablation generates intense heat that completely encompasses the targeted area. Under real-time MRI guidance, a special optical fiber is guided precisely into place at the core of the tumor. When activated, the laser emitted at the tip of the fiber destroys the tumor within minutes while special tracking called thermometry confirms the proper temperature. Afterward, multi-parametric MRI scans reveal that the destruction is complete, and the laser fiber is removed.

Did you know Focal Laser Ablation can ease the symptoms of BPH?

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> > > All Natural Technique Fixes Enlarged Prostate Watch Here< <

Surgical procedures to remove the diseased prostate are usually necessary. Surgical procedures are not always necessary. If the disease is caused by bacterial infections, a doctor can treat the symptoms using alpha-blockers or surgery. Physical therapy, relaxation exercises, and warm baths are all recommended. A physician may also prescribe antibiotics to cure the infection. A bacterial infection can also cause a recurrence of the condition.

An enlarged prostate can be uncomfortable for both men and women. Some of the symptoms of an enlarged male reproductive organ include a weakened urine stream, urgent need to urinate, and urinary tract infections. BPH can also cause damage to the kidneys. A sudden inability to urinate can be life-threatening, as it can lead to bladder and kidney damage. Unfortunately, most men with enlarged prostrates put up with the symptoms for years before they seek treatment. However, many of the men with symptoms finally decide to go to a doctor for proper gynecological evaluation and to begin enlarged prostatic therapy.

Urinary Leakage Associated With Chronic Retention

Benign Prostatic Hyperplasia (BPH)

Incontinence associated with chronic retention is when the bladder is unable to empty properly, resulting in frequent leakage of small amounts of urine.

Symptoms that your bladder is not completely emptying include:

  • need to strain to pass urine

  • a weak or slow urine stream

  • feeling as if your bladder is not empty just after going to the toilet

  • little or no warning when you need to pass urine

  • passing urine during sleep

  • frequent urinary tract infections or cystitis, and

  • ‘dribbling’ of urine after visiting the toilet

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Drugs To Prevent Prostate Cancer

Men with benign prostatic hyperplasia are often treated with dihydrotestosterone -lowering drugs called finasteride or dutasteride. These drugs have been studied extensively to determine whether they can prevent prostate cancer, and results suggest that they could reduce cancer risk by about 25 percent. Patients who develop cancer while on the drugs are more likely to get an aggressive form of the disease, so discuss the advantages and disadvantages with your doctor.

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New Procedure Shrinks Prostate Without Surgery

Prostatic artery embolization didnt cause troublesome side effects in study

HealthDay Reporter

MONDAY, April 15 Men who need treatment for an enlarged prostate may soon have a new nonsurgical option, a small, early study suggests.

The temporary loss of blood supply causes the prostate to shrink, relieving symptoms, according to study lead author Dr. Sandeep Bagla. Whats more, the new treatment doesnt appear to have the same risk of serious complications, such as incontinence and impotence, that often accompany enlarged prostate treatment.

This is fantastic news for the average man with benign prostatic hyperplasia. Many men decline current treatments because of the risks. But, for the average man, PAE is a no-brainer, said Bagla, an interventional radiologist at Inova Alexandria Hospital, in Virginia.

The procedure has only been available as part of Baglas trial until recently, but he said some interventional radiologists have started doing prostatic artery embolization, and he expects the procedure will become more widely available by the end of the year.

Benign prostatic hyperplasia is the medical term for an enlarged prostate. An enlarged prostate is very common as men get older. As many as half of all men in their 60s will have an enlarged prostate, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases . By the time men are in their 70s and 80s, up to 90 percent have benign prostatic hyperplasia, according to the NIDDK.

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What Foods Are Good For Shrinking The Prostate

A large proportion of males suffer problems with their prostate glands. In most cases, it will be benign prostatic hyperplasia, also known as BPH. In other cases, it will be prostatitis. Prostate cancer is one of the most common types of cancer in males.

Prostate issues are more common in people with a family history. It is also essential to rule out prostate problems in males who experience BPH symptoms.

Lower urinary tract symptoms are usually not due to infections in men. They are not as likely to suffer from urinary infections as women. Thus, prostate enlargement is among on top on the list.

The prostate is located in the bladder neck, surrounding the urethra. Thus, when the prostate is very large, it presses upon the urethra. This growing pressure ultimately causes urinary obstruction and obstructive symptoms-for example, a slow urinary flow and straining to urinate.

Only a few medications can shrink the prostate, and very severe cases are only solved with surgery. However, according to studies and clinical experience, some food choices can reduce urinary symptoms.

What foods shrink the prostate gland? In this article, we will explore the answer to this question.

We will not only consider foods to reduce prostate size. In this list, you will also see others that do not change the size but improve our urinary symptoms.

Immediately After A Prostatectomy

Robotic Assisted Laparoscopic Radical Prostatectomy | Brigham and Women’s Hospital

After the operation, you can expect that:

  • Nurses will monitor your vital signs.
  • You may be given oxygen for up to 24 hours following surgery.
  • You will probably be given antibiotics to prevent infection.
  • For a day or so, you will have a catheter in your urethra and bladder with a continuous wash-out. This is to prevent blood building up and clotting, which could cause a blockage.
  • If you had an open prostatectomy, your wound will be dressed and you will have a tube draining your abdomen. The tube will be removed after several days.
  • Pain will be managed with injections, tablets or both. Pain is rarely a significant problem following TURP.

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Possible Causes Of Stress Incontinence

Stress leakage in women is often as a result of pregnancy, childbirth and menopause. Pregnancy and childbirth often stretch and weaken the pelvic floor muscles that support the bladder and urethra causing stress leakage during activities that push down on the bladder. This can also be caused by a traumatic vaginal delivery.

Following childbirth, womens abdominal muscles are often weak or separated. If these muscles are not healed over time it puts a lot of stress on the back and pelvic floor muscles causing low back pain and weakened pelvic floor muscles. To understand this, imagine your abdomen and back are 2 sides of a rectangle and the top is your diaphragm, and the bottom is your pelvic floor. If any one of the sides of the rectangle is weakened the whole rectangle may collapse or have adverse effects on the other sides of the rectangle, which is effectively your core. One of the critical reasons to address your abdominal muscle separation postpartum – see the SRC Recovery garments range.

It can also happen to women who have not had children and some studies show this to be one in five women over 45 years experiencing this type of incontinence.

During menopause, the hormone estrogen is produced in lower quantities. With less estrogen, women can experience stress incontinence during menopause because one of its functions is to maintain the thickness of the urethra lining to keep the urethra sealed after passing urine.

Rye Grass Pollen For Shrinking The Prostate

Three types of grass pollen make up rye grass pollen extract: rye, corn, and timothy. Studies of this natural supplement for treatment of an enlarged prostate is scarce, but at least one review reported that men who took rye grass pollen experience an improvement in nighttime urination when compared with placebo. This study had several limitations, including the fact that it lasted only six months, and it did not explore how rye grass pollen worked when pitted against prescription drugs.

The limited number of studies conducted on the effectiveness of rye grass pollen for BPH have lacked sufficient data and had a small number of participants. The available evidence indicates that Cernilton is well tolerated and provides a modest improvement in urinary symptoms.

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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.

Large Prostate With Few Symptoms


Patients with very enlarged prostates may have few symptoms or mild symptoms. Doctors verify that there are no problems with kidney or bladder function. If not, they know that the enlarged prostate is not harming the body. In this case, doctors may recommend just watching the prostate or doing non-surgical treatments. Options include changing certain eating and drinking habits and urinating less often. Patients can take medications that relax the prostate, such as tamsulosin, or shrink the prostate, such as finasteride or dutasteride. Patients also may try supplements like saw palmetto to help their symptoms.

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Patient And Public Involvement

This research was done without patient involvement. Patients were not invited to comment on the study design and were not consulted to develop patient relevant outcomes or interpret the results. Patients were not invited to contribute to the writing or editing of this document for readability or accuracy. Results of studies are to be disseminated to patients and patient groups through social media.

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 prostate’s size, or both. While medications are helpful for many patients, some may impact a man’s 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 patient’s preference and overall medical condition.

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Radical Prostatectomy Perineal Approach

  • You’ll be placed in a supine position in which the hips and knees will be fully bent with the legs spread apart and elevated with the feet resting on straps. Stirrups will be placed under your legs for support.

  • An upside-down, U-shaped incision will be made in the perineal area .

  • The doctor will try to minimize any trauma to the nerve bundles in the prostate area.

  • The prostate gland and any abnormal-looking tissue in the surrounding area will be removed.

  • The seminal vesicles may be removed if there’s concern about abnormal tissue in the vesicles.

  • The Different Types Of Prostate Surgery

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    The term prostatectomy is used to describe a number of different surgical procedures to remove either part or all of the prostate gland. This may be required to treat prostate cancer or BPH.

    When only a part of the prostate is removed, this is called a simple prostatectomy. This process involves enucleating it from its capsule to trim away excess tissue, but where the sphincter muscle and nerves remain intact. It is usually used to treat BPH, which is a benign condition, meaning there is no risk of malignant cells having moved on to surrounding tissue.

    When the entire prostate gland, capsule , the surrounding lymph nodes and neighbouring tissue is removed, this is known as a radical prostatectomy. This is usually a treatment for men with localised prostate cancer and there a number of techniques used:

    Open Surgery This is where the prostate is removed via a large single incision in the lower abdomen, or the perineum .

    Laparoscopic Radical Prostatectomy This is where the prostate is removed via several small incisions in the lower abdomen using small surgical instruments. This process is much less invasive than open surgery.

    Robotic-assisted radical prostatectomy Much like laparoscopic radical prostatectomy, the prostate is removed via small incisions in the lower abdomen. Robotic-assisted instruments are inserted through the incisions and controlled by a surgeon.

    Holmium Laser Enucleation of the Prostate

    Transurethral Resection of the Prostate

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    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 prostates pressure on the urethra, making urination easier.

    What You Need To Know About The Prostate Surgery To Reduce Size Of Prostate

    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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    What You Need To Know About The Prostate Surgery To Reduce The Size Of The Prostate

    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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