Tuesday, September 27, 2022

Treatment For Enlarged Prostate Urinary Retention

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Does Having Benign Prostatic Hyperplasia Increase The Risk Of Prostate Cancer

Ultrasound Video showing Urinary retention with enlarged prostate and trabeculated urinary bladder.

Based on research to date, having BPH does not seem to increase the risk of developing prostate cancer. However, BPH and prostate cancer have similar symptoms, and a man who has BPH may have undetected cancer at the same time.

To help detect prostate cancer in its early stages, the American Urological Association and the American Cancer Society recommend a prostate screening every year for men ages 55 to 69. They also recommend that men who are at high risk such as African-American men and men who have a family history of prostate cancer begin screening at age 40. Screening tests for prostate cancer include a blood test for a substance called prostate-specific antigen and the digital rectal exam .

Who Performs The Urolift System Treatment

A urologist, a doctor specialising in the treatment of diseases of the urinary system and sex organs, uses the UroLift System to treat urinary symptoms due to enlarged prostate. The urologist completes comprehensive training prior to using the UroLift System.

Urolift® treatment is available at Kingsbridge Private Hospital, Belfast and is carried out by our consultant urologist Mr. Ajay Pahuja

If you would like to book an appointment or require further information on the available options, please do not hesitate to contact our private patient booking team via our online enquiry form.

What You Need To Know About The Prostate Urinary Retention After Prostate Biopsy

The main purpose of the prostate is to produce semen, a milky fluid that sperm swims in. During puberty, the body produces semen in a large number of cases, including enlarged prostate. This fluid causes the prostate to swell and cause a number of bladder-related symptoms. This is why the prostate is important to the body. It can be caused by many factors, including infection and inflammation.

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 Are The Possible Complications Of Urinary Retention

The complications of urinary retention and its treatments may include:

UTIs: the normal flow of urine usually prevents germs from infecting the urine. With urinary retention, bacteria may be able to infect the urine because the urine cannot flow out of the bladder.

Bladder damage: if the bladder becomes stretched too far or for long periods, the muscles may become damaged and unable to work properly.

Chronic kidney disease: for some people, urinary retention causes urine to flow backwards into the kidneys. This backward flow is called reflux and it may damage or scar the kidneys.

Urinary incontinence: this may occur together with chronic urinary retention or after surgery .

Prostate gland surgery may cause urinary incontinence in some men. This problem is often temporary and gets better quite quickly. Most men recover their bladder control in a few weeks or months after surgery.

How Does The Urolift System Work

UroLift: New Relief From Enlarged Prostate

The UroLift System consists of a delivery device and tiny permanent implants. This unique technology works by directly opening the urethra with tiny implants that hold the enlarged tissue out of the way. No cutting, heating, or ablating tissue is involved, making the UroLift System the first and only BPH treatment that does not remove prostate tissue and preserves a mans sexual function.

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What Are The Complications Of Urinary Retention And Its Treatments

  • Urinary tract infections : Because urine is normally sterile and the normal flow of urine usually prevents bacteria from infecting the urinary tract, developing urinary retention means an abnormal urine flow gives bacteria at the opening of the urethra a chance to infect the urinary tract.
  • Bladder damage: If your bladder is stretched too far or for extended periods, the muscles may become permanently damaged and lose their ability to properly contract.
  • Kidney damage: Sometime urinary retention can cause urine to flow back into the kidneys. This is called reflux and can damage or scar the kidneys.
  • Urinary incontinence : Transurethral surgery to treat an enlarged prostate can result in urinary incontinence in some men. Its often temporary with most men gaining bladder control in a few weeks or months after surgery. The removal of tumors or cancerous tissue in the bladder, prostate, or urethra may also result in urinary incontinence.

Read Real Stories Of Men Who Underwent Treatment Of Enlarged Prostate At New York Urology Specialists

We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.

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A New Treatment Option For Bph

Experts at University Hospitals now offer a new, minimally invasive approach to treat BPH called UroLift®.

Instead of removing prostate tissue, this procedure implants a device that pulls the prostate away from the urethra on both sides and holds it in place. This widens the urethra and restores normal urine flow.

Its like opening a curtain, says UH urologist Irina Jaeger, MD.

This procedure is a nice alternative, because the side effects are very minimal, it can be done in the doctors office in 15 minutes or less and very little sedation is required, she says. And the results are pretty instant.

UroLift®has been in use for six years. Studies have shown that the procedure is safe, effectively relieves symptoms and does not affect sexual function.

The only side effects are a little irritation immediately after the procedure. Patients are typically back to their normal routines within a day or two.

Causes Of Benign Prostate Enlargement

Living with an Enlarged Prostate, or Benign Prostatic Hyperplasia (BPH)

The exact cause of benign prostate enlargement is unknown, but research suggests that hormones probably play an important role in the condition’s development.

Hormones are powerful chemicals that can have a wide range of effects on the cells of the body.

One theory is that as some men and anyone with a prostate gets older, the levels of a type of hormone called dihydrotestosterone increases, which may stimulate the growth of the prostate.

Another theory suggests that two hormones, testosterone and oestrogen, play a role. Younger men and anyone with a prostate produce high levels of testosterone and much smaller levels of oestrogen. But as they get older, levels of testosterone decrease, which means they then have a higher proportion of oestrogen in their body. It’s been suggested that the relative increase in oestrogen may stimulate prostate growth.

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What Tests Will I Need

Your GP will take a history which will include:

  • Your urinary symptoms.
  • Any past history of any medical problems.
  • A review of the medicines that you are taking .

Your GP will also perform an examination of your tummy to feel for any increase in size of the bladder and any abnormality of your kidneys. An examination of the prostate gland is important for men. A vaginal examination is important for women in order to help find the cause of the urinary retention.

Your GP may be able to diagnose and treat the cause of your problems passing urine on the basis of the history and examination. Blood tests may be arranged, including a test of how well your kidneys are working.

If you have sudden urinary retention and cannot pass any urine then you will need to be seen straightaway in hospital. If you have persistent urinary retention your GP will often refer you to see a urology specialist for tests. These are undertaken to find out the cause of your urinary retention and the best ways to treat the problem.

Urolift System Treatment For Bph And Urinary Retention

The Urolift® system procedure is a revolutionary, minimally invasive procedure. It is a very quick procedure, usually taking less than thirty minutes. Urolift also differs from other enlarged prostate treatments in that there is no cutting, heating or ablating tissue involved which means the treatment preserves sexual function.

Patients are normally able to leave the hospital within a few hours of the operation and can return to normal activity as soon as they feel confident to do so. Patients have experienced BPH symptom relief, such as relief from urinary retention and slow urine flow, as early as two weeks post operation.

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Medicine/drugs For Urinary Retention

Theres no need to feel ashamed or embarrassed of your situation because its possible that an effective management of urinary retention might completely cure you of your condition.

A doctor can help better diagnose the problem and give you medicine for passing urine. You can seek treatment and further testing from a urologist, proctologist, or pelvic floor specialist.

Your healthcare professional may prescribe these urinary retention drugs:

  • Anti- biotic

  • 5-alpha reductase inhibitors

  • A combination of a 5-alpha-reductase inhibitor and an alpha-blocker

Just because you have found a list, we do not recommend you to go to town with these prescriptions on your own. Treatment is better left up to a medical professional, because they can treat you according to your health and physical condition. Go to a doctor and do as they say.

What Are The Symptoms Of Urinary Retention

Enlarged Prostate (BPH)

The signs can vary. Some people with the chronic form have a hard time starting the flow of urine. Some have a weak flow once they start. Others may feel the need to go but cant start. Others have to go a lot, while others still feel the need to go right after going. You may leak urine when you arent going because the bladder is full.

With the acute form, youre all of a sudden not able to go at all, or only able to go very small amounts. This occurs even though you have a full bladder. See a healthcare provider right away if this happens to you.

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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.

Diagnosis Of Enlarged Prostate Gland And Urinary Problems

If you are troubled by urination problems, see a doctor no matter what your age. If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests.These may include:

  • general examination medical history and review of any health conditions including obesity, diabetes, obstructive sleep apnoea, depression and erectile dysfunction. A rectal examination may be done to check the size and shape of your prostate gland
  • a urine check to ensure the prostate is not infected
  • a flow-rate check to estimate the speed with which you pass urine
  • an ultrasound examination to assess if the bladder is emptying completely and to examine your kidneys
  • urodynamics a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.

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Pelvic Floor Muscle Training

Pelvic floor muscle exercises, also called Kegel exercises, may help men prevent urine leakage, particularly after surgical procedures. These exercises strengthen the pelvic floor muscles that both support the bladder and close the sphincter.

Performing the Exercises

Since the pelvic floor muscles are internal and sometimes hard to isolate, doctors often recommend practicing while urinating:

  • Contract the muscle until the flow of urine is slowed or stopped. Attempt to hold each contraction for 20 seconds.
  • Release the contraction.
  • In general, people should perform 5 to 15 contractions, 3 to 5 times daily.
  • Once you are comfortable with pelvic floor exercises, it is best NOT to practice while urinating.

Diagnosis And Treatment For Urinary Retention Issues Or Ischuria

Prostate Artery Embolization for Enlarged Prostate ( BPH) with Urinary Retention and Hematuria

Dr. Y. Mark Hong offers advanced urinary retention treatments at our Phoenix, AZ, office locations. Urinary retention is a complication of BPH in men. Urinary retention can also affect women. It can be either an acute or chronic disorder that causes an inability to empty the bladder. The acute form of this condition happens suddenly and lasts a short amount of time. Patients with acute urinary retention cannot urinate at all. It is potentially life-threatening in some cases requires immediate emergency treatment to drain the bladder. The chronic form is long-lasting. Patients with chronic urinary retention issues can urinate, but cannot completely empty their bladder. They also may not know they have the condition until other problems arise, such as urinary incontinence. It is important to undergo an exam with Dr. Hong as soon as possible if you are experiencing any of these symptoms.

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Cialis For Treatment Of Urinary Problems

Cialis is a medication commonly used for the treatment of erectile dysfunction in men. Tadalafil has also been shown to help with symptoms of an enlarged prostate in men with mild-to-moderate symptoms.

Cialis 5 mg daily is a beneficial medication for men with mild to moderate symptoms of BPH. Tadalafil 5 mg can be taken every morning or every evening. Studies show that Cialis does not affect the dynamics of urine flow but appears to affect sensation. The exact mechanism of its effect on the urinary tract is not well understood. Unlike medications such as Proscarand Avodart, Cialis does not shrink the prostate and does not decrease the rate of growth of the prostate gland.

Over time, most men taking Cialis for BPH will experience worsening of urinary symptoms, at which point other medications or minimally invasive surgical treatment options will need to be considered.

Men who have mild symptoms are usually very satisfied with Cialis daily as it also helps with getting and keeping erections. Some men experience side effects of Cialis daily. For them, other options for treatment of BPH include Urolift and Flomax.

For men with mild to moderate symptoms of enlarged prostate and ED , Cialis is an attractive option of one pill addressing two problems.

Enlarged Prostate Bph Urinary Retention

    • Innovative and minimally invasive prostate treatment
    • A treatment that preserves sexual function
    • Relief from frequent or difficult urination
    • Day case procedure, so minimal downtime

Urolift® Surgery is an innovative new treatment for enlarged prostates which helps with symptoms such as urinary retention and slow urine flow. Further information on the patient pathways and treatments offered is available at specialist Kingsbridge Prostate Clinic website.

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Symptoms Of Benign Prostate Enlargement

The prostate is a small gland, located in the pelvis, between the penis and bladder.

If the prostate becomes enlarged, it can place pressure on the bladder and the urethra, which is the tube that urine passes through.

This can affect how you pee and may cause:

  • difficulty starting to pee
  • a frequent need to pee
  • difficulty fully emptying your bladder

In some men, the symptoms are mild and do not need treatment. In others, they can be very troublesome.

What If Tadalafil 5 Mg Daily Does Not Help Well With Symptoms Of Enlarged Prostate

Urinary Retention â Phoenix, AZ â Enlarged Prostate â Ischuria

For men with moderate to severe symptoms of BPH, medications such as Flomax, Rapaflo, Avodart, and Proscar are more appropriate as they are more effective. They can also be combined with a tadalafil daily dose. Other effective options for the treatment of enlarged prostate symptoms without causing sexual side effects are Urolift for BPH and REZUM procedure. Read Urolift reviews and testimonials.

For men with a large prostate, especially with a large median lobe of the prostate or urinary retention due to enlarged prostate, prostate enucleation offers a very effective treatment option.

Did you know?Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.

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Role Of Alpha Blockers

Acute urinary retention related to BPH may be consecutive to a sudden stimulation of alpha 1 – adrenergic receptors. The rationale for the use of alpha blockers in BPH is that it acts on the dynamic component of bladder outlet obstruction by relaxing smooth muscle fibers located in the prostate and its capsule, bladder neck and prostatic urethra.

The role of alpha blockers in the primary prevention of AUR in symptomatic BPH patients has been well studied. In a six-month placebo-controlled study involving 518 patients IR-alfuzosin was associated with a significantly lower incidence of AUR than placebo . Among 3228 patients treated with IR-alfuzosin for three years, the incidence of AUR with alfuzosin was only 0.3% vs. 2-3% in the watchful waiting group. Emberton M et al analyzed the incidence of AUR in 5,792 men with BPH receiving alfuzosin at 10 mg once daily for six months. The study population included 3.8% patients with prior history of AUR managed conservatively. The rate of AUR and BPH-related surgery during treatment was 0.5% and 1.1% respectively.

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