Prostate Enlargement Treatment
Prostate gland enlargement has become a very common disease in aged men. This disease majorly decreases the quality of life due to urination problems. Enlargement of prostate gland results in thinning of the urethra which is a tube that carries urine out from body. Due to this, which various prostate enlargement treatment strategies are searched by the affected persons.
Addressing the symptoms now can help avoid problems later. An untreated enlarged prostate may lead to urinary tract infections, acute urinary retention and kidney, and bladder stones. In severe cases, it can also lead to kidney damage.
Prostate Enlargement Treatment
WHAT IS CONSIDERED BY THE DOCTOR TO CHOOSE TREATMENT OPTION?
Doctor will consider several factors when treatment is adopted. These factors include:
- How much your symptoms interfere with your life
- Size of your prostate
- Your age
- Overall health
- Any other medical conditions
WHAT CAN BE OPTED FOR PROSTATE ENLARGEMENT TREATMENT?
There are three main types of prostate enlargement treatment
- Lifestyle changes
- Urinate when you first get the urge. Also, go to the bathroom when you have the chance, even if you don’t feel a need to urinate.
- Avoid alcohol and caffeine, especially after dinner.
- Don’t drink a lot of fluid all at once. Spread out fluids during the day. Avoid drinking fluids within 2 hours of bedtime.
- Try not to take over-the-counter cold and sinus medicines that contain decongestants or antihistamines. These drugs can increase BPH symptoms.
- Keep warm and exercise regularly. Cold weather and lack of physical activity may worsen symptoms.
- Learn and perform pelvic strengthening exercises.
- Reduce stress. Nervousness and tension can lead to more frequent urination.
- Alpha Blockers for BPH
This class of medications works by relaxing the bladder neck muscles and the muscle fibers in the prostate. The muscle relaxation makes it easier to urinate. You can expect an increase in urine flow and a less frequent need to urinate within a day or two if you take an alpha-blocker for enlarged prostate.
Alpha blockers include:
Ø 5α-reductase inhibitors
This type of medication reduces the size of the prostate gland by blocking hormones that spur the growth of your prostate gland. Dutasteride and finasteride are two types of 5-alpha reductase inhibitors.
Ø Medication combo
Taking a combination of an alpha-blocker and a 5-alpha-reductase inhibitor provides greater symptom relief than taking either one of these drugs alone. Combination therapy is often recommended when an alpha-blocker or 5-alpha-reductase inhibitor aren’t working on their own. Common combinations that doctors prescribe are finasteride and doxazosin or dutasteride and tamsulosin. The dutasteride and tamsulosin combination comes as two drugs combined into a single tablet.
Invasive surgery for enlarged prostate includes transurethral surgery, which doesn’t require open surgery or an external incision. According to the National Institutes of Health, transurethral resection of the prostate is the first choice of surgeries. The surgeon removes prostate tissue obstructing the urethra using a resectoscope inserted through the penis during TURP.
Another method is the transurethral incision of the prostate (TUIP). During TUIP, the surgeon makes incisions in the neck of the bladder and in the prostate. This serves to widen the urethra and increase urine flow.
Ø Laser Surgery
Laser surgery for enlarged prostate involves inserting a scope through the penis tip into the urethra. A laser passed through the scope removes prostate tissue by ablation (melting) or enucleation (cutting). The laser melts excess prostate tissue in photoselective vaporization of the prostate (PVP).
Holmium laser ablation of the prostate (HoLAP) is similar, but a different type of laser is used. The surgeon uses two instruments for Holmium laser enucleation of the prostate (HoLEP): a laser to cut and remove excess tissue and a morcellator to slice extra tissue into small segments that are removed.
Ø Open Simple Prostatectomy
Open surgery may be required in complicated cases of a much-enlarged prostate, bladder damage, or other problems. In open simple prostatectomy, the surgeon makes an incision below the navel or several small incisions in the abdomen via laparoscopy. Unlike prostatectomy for prostate cancer when the entire prostate gland is removed, in open simple prostatectomy the surgeon removes only the portion of the prostate blocking urine flow.
Ø Transurethral Microwave Thermotherapy
There are minimally invasive surgery options when drug therapy isn’t enough to relieve enlarged prostate symptoms. These procedures include transurethral microwave thermotherapy (TUMT). Microwaves destroy prostate tissue with heat during this outpatient procedure.
TUMT will not cure enlarged prostate but it cuts down urinary frequency, makes it easier to urinate and reduces weak flow. It doesn’t solve the problem of incomplete emptying of the bladder.
Ø TUNA – Transurethral Needle Ablation Treatment
High-frequency radio waves, delivered through twin needles, burn a specific region of the prostate in this procedure. TUNA results in better urine flow and relieves BPH symptoms with fewer complications than invasive surgery.
This outpatient procedure can cause a burning sensation. The sensation can be managed by using an anesthetic to block the nerves in and around the prostate.
Hot water is delivered through a catheter to a treatment balloon that sits in the center of the prostate in water-induced thermotherapy. This computer-controlled procedure heats a defined area of the prostate while neighboring tissues are protected. The heat destroys the problematic tissue. The tissue is then either excreted through urine or reabsorbed in the body.
Talk with your doctor about the treatment approach that best suits your needs.
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