Doctor insights on:
Best Procedure To Reduce Prostate
Best surgery: Radical prostatectomy is best surgical option.Get a more detailed answer ›
The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more
Palliative / partial: Trans urethral resection of prostate is primarily used for BPH or benign disease, however resected material may contain some previously unrecognized cancerous tissus. Also, some urologists perform a limited TURP for patients with prostate cancer who are not candidates for a radical prostatectomy, are treated with radiation +/or hormonal thera[py and still require relief of obstruction. ...Read more
All depends: Upon your geographic location, urologist you consult ; if dr will make you a deal in absence of medical insurance. Then there are costs of anesthesia, operating room, pacu (recovery room) ; hospitalization. Hope this isn't for you at age 33, most patients requiring TURP are covered by medicare. Would suggest 2nd opinion if you are the patient. ...Read more
What is the procedure for getting a prostate exam? What type of insurance coverage would I need? Do they put you to sleep to do the exam? I am afraid.
Simple: Go to your doctor and the initial exam is a rectal exam to feel the prostate, if needed a blood test can be done as part of your insurance, and if there's anything abnormal a referral to the specialist can then be made. These should all be part of your care under your insurance minus the deductibles and copays. ...Read more
The presence of fecal material inside the rectum will not just interfere sound transmission so to impair the imaging quality of the prostate. But also make the rectum be more bacteria-rich environment so to increase chance of infecting the prostate.
So, an enema accomplishes these two goals; our body can defend and life can live on without a hitch. ...Read more
My father have enlarged prostate, medication is not responding. Does it require surgery? Is it a complicated procedure?
Options: Men with bothersome urinary symptoms due to enlarged prostate are treated with medication initially. For those not improved with medication, surgical therapy is an option. Different procedures exist from office microwave therapy to outpatient procedures using lasers or other energy source to remove prostate tissue. He needs to consult with his urologist to decide which approach is best for him. ...Read more
Can prostate examination cause prostatitis? I went to a urologist he poke my prostate rigorously. Can I get chronic prostatitis from this procedure?
Rectal examination of the prostate will not cause prostatitis.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Drink enough water daily so that your urine is mostly colorless.
Practice safe sex. ...Read more
I'm scheduled for TURP procedure to remove part of my prostate. I have cirrhosis too. What are the risks of having this done in my condition?
Will having sex too soon after tumt procedure for enlarged prostate cause any problems with recovery? Please be specific. Had tumt 1/10/2014.
My PSA is a 5, I'm going for a ultrasound guidance prostate biopsy. Is this procedure painful. Is it necessary?
Had THD hemeroid surgery. But wet the bed and cant hold urine. Had prostate removed 6 months ago Is this normal after the procedure? Took gabapentin yesterday
Incontinence: A common early and possible long term side effect from prostate removal is incontinence. Check with your urologist as to why it is getting worse. Make sure you are not having an opposite problem after recent surgery or from medications such as RETENTION of urine leading to something called "OVERFLOW INCONTINENCE". ...Read more
I was wondering is a cystoscopy (bladder biopsy) standard procedure if you have been diagnosed with prostate cancer?
Which procedure would you recommend for an 88 yr old man with benign enlarged prostate 50cc and 20ml urine retention with recurrent bacterial infectio?
Hi doctor. My father was suspected with prostate cancer. And the doctor ask him to having a vasectomy procedure. Is it necessary?
Vasectomy: Vasectomy is a surgery where the vas dereferns are cut. This prevents sperm from traveling from the testes to the seminal vesicle and in time renders the patient sterile. I can see no reason for a vasectomy in a patient who may have prostate cancer. Speak with the urologist again, I think there has been a misunderstanding. ...Read more
What prostate procedure or surgery will have the least amount of side effects of retrograde ejaculation, no semen, and subdued climax. I have bph.
BPH treatment: 59 y m with BPH & tamsulosin. Depending on the size & complications your urologist can give best option. Minimal invasive procedures are microwave, laser, needle ablation. Then turp, nerve sparing prostatectomy, incision prostate. The later two preserve erection & ejaculation. Turp is 90% done &5% retrograde ejaculation rate. Again size & complications determine the choice of procedure. Thanks. ...Read more
Here are some. ..: There has been no time-proven remedies around for prostate health as touted online. All those touted products contain almost the same ingredients but with different amount so to say their own unique difference, which usually are saw palmetto, pygeum, multiple vitamins, minerals like zinc and selenium, ginseng, lycopene, bee pollen, etc. All their claims are based on limited animal studies. .. ...Read more
Prostate enlargement: The best medication depends upon the symptoms, prostate size, whether the patient is on other medications that may cause interactions, cost, and side effects. The treatment must be individualized by your physician. ...Read more
Benign or malignant?:
Prostate surgery can be done for benign prostatic enlargement (BPH) or for prostate cancer. Benign disease is treated with a variety of laser or thermal mechanisms to remove or diminish the obstructing tissue. Patient preferences and urologists experience
are the key issues in selection. Turp remains the "gold standard" by which all new procedures are compared. ...Read more
Dilation procedure.: You are probably going to need a dilation procedure. A tube inserted into the urethra of a larger caliber then the stricture which will dilate the area of he stricture. You can get numbing medicine so it's not as bad as it sounds. The real challenge is that you will need to have this procedure again and again as the area of the stricture "heals itself" and forms another stricture, ...Read more
BPH treatments: The best treatment choice for you depends on several factors, including how much troublesome your symptoms are, the size of your prostate, other health conditions you may have, and your age. Drugs that can help reduce BPH are alpha-blockers, 5 Alpha reductase inhibitors or a combination of the the drug classes. Another newer treatment is with daily 5 mg doses of tadalafil. See a urologist ...Read more
Nothing or pills: How bad are your symptoms? If you just get up once a night, avoiding drinking in the evening may be the answer. With more severe symptoms there are medicines, alpha blockers (flomax), reductase inhibitors (proscar) sometimes taken together. Cialis taken long term may help which by the way improves erectile dysfunction. Each patient is different. I recommend assessment by an experienced urologist ...Read more
See below...: Short answer, nothing. Prostatic enlargement is a normal process that occurs in every man as they age. If there are no bothersome, associated symptoms (e.g. Troubles with urination), it's nothing to worry about. There are no "natural", herbal, or alternative medical therapies that have been shown to arrest this process in any meaningful way. ...Read more
Medication.: The only sure way to reduce the size of the prostate without surgery is to use a medication called a 5-alpha-reductase inhibitor. Examples are Finasteride and dutasteride. Most over-the-counter and herbal remedies have not been validated as effective treatments. Even with an enlarged prostate, you may not need any treatment unless you become bothered by symptoms. Seek a urologist for guidance. ...Read more
Here is available...: I assumed you want to improve urine flow. If so, alpha-blockers such as doxazosin, terazosin, tamsulosin, alfuzosin, etc. Are the initial bid. If really having enlarged prostate, add 5-alpha reductase inhibitors such as finasteride, dutasteride, etc. Note: enlarged prostate doesn't mean always having problem to urinate although more likely, and vice versa. More dtails? Ask doc in expertise timely. ...Read more
Drain Prostate: The prostate is responsible for the vast majority of semen with ejaculation. There have been several studies, the largest in the well known journal jama, which showed that men in their 20s who ejaculated frequently had a lower incidence of prostate cancer later in life. Ejaculation is the most natural way to "drain" the prostate and could possible help with clearing undesirable material. ...Read more
Need expert advice. After the surgery to reduce the prostate, will the prostate continue to grow or will it stop after the surgery?
Yes, ...: Yes, the residual tissue will continue its growth but with a widely variable pace. The amount of residual tissue can high vary depending on how much tissue is needed and/or can be removed as decided at / during the surgery by urologist. So, yes, residual tissue will continue to grow; for detail, ask your urologist. ...Read more
Depends!: Best medicine always depends upon you: if you can't afford it, then it's no good to you. If you won't take it, it's no good. If you can't tolerate side effects, it's no good. Options for BPH include Alpha blockers (+/- BP lowering properties), 5ari (shrink prostate & lower psa), and now daily cialis, too. Talk to your family doc to figure out what's best for you. ...Read more
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