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Enlarged Prostate Treatment

MEDICAL ENCYCLOPEDIA 
Enlarged Prostate Treatment
What is an Enlarged Prostate?
Causes and Risk Factors
Prostate Symptoms
Diagnosis
Treatment

Enlarged prostate treatment
There is no known way to prevent prostate enlargement. It is a common part of aging. Treatment for an enlarged prostate or benign prostatic hyperplasia (BPH) is based on a number of factors, including symptoms and diagnosis of other medical possible problems. In fact, not every man needs treatment for an enlarged prostate that is found and diagnosed early. Treatment options for enlarged prostate, or benign prostatic hyperplasia, may include the following:

Diet
High cholesterol levels have been linked with a larger than normal prostate and its accompanying symptoms. A diet low in fat, especially saturated fat, can help lower cholesterol. A vegetarian diet (no meat, poultry, or seafood) can also help with overall reduction in dietary fat and saturated fat. Foods to avoid while treating enlarged prostate include: coffee (both caffeinated and decaffeinated), other caffeine sources (soda, chocolate, and tea), alcohol, and red peppers. Black tea contains a substance called "teobromin", which is similar to caffeine and has the same diuretic effect.

Hydrotherapy
The goal of hydrotherapy is to improve the circulation and quality of blood. This is important because blood delivers nutrients to and removes wastes from tissues and organs. Alternating hot and cold water sprays or sitz baths can offer pain relief for an enlarged prostate.

Medications

  • Alpha 1-blockers (doxazosin, prazosin, tamsulosin, terazosin, and afluzosin) are a class of medications also used to treat high blood pressure. These medications relax the muscles of the bladder neck and prostate to allow for easier urination.
  • Antibiotics may be prescribed to treat chronic prostatitis (inflammation of the prostate), which may accompany BPH. Some men note relief of their enlarged prostate symptoms after a course of antibiotics.
  • Finasteride and dutasteride lower levels of hormones produced by the prostate, reduce the size of the prostate gland, increase urine flow rate, and decrease symptoms of BPH. It may take 3 to 6 months before you notice much improvement in your symptoms. Potential side effects include decreased sex drive and impotence.

Prostatic stents
Prostatic stents are a treatment option reserved for severely obstructed cases of men who are otherwise unable to undergo surgery. The stents are titanium/gold-like springs that are placed through the penis into the prostate to hold the prostate apart.

Supplements
Nutritional supplements are intended to provide nutritional support. Because a supplement or a recommended dose may not be appropriate for all persons, a physician (i.e., a licensed naturopathic physician or holistic MD or DO) should be consulted before using any product. Herbs may reduce the size of an enlarged prostate, relieve symptoms or even prevent an enlarged prostate. An extract of saw palmetto berries works to halt the body's manufacture of dihydrotestosterone, reducing the size of the gland, making urination easier and less frequent, and relieving any accompanying pain and discomfort. Panax ginseng can also offer relief from some symptoms of an enlarged prostate, postponing the need for drugs or surgery. This herb can be taken in the form of an extract or as a dried root. Other helpful herbs include: couch grass, damiana, hydrangea, nettles.

Thermotherapy

  • Laser therapy - Laser therapy removes enlarged prostate tissue through the use of high energy lasers.
  • Microwave and heat therapies - These are minimally invasive treatments that use microwave or heat energy to reduce the symptoms of an enlarged prostate.
  • The Prostiva RF Generator - This type of thermotherapy uses low-level radio frequency energy to destroy excess prostate tissue (the part of the prostate that is "squeezing" the urethra), which may encourage more normal urination.

Surgery

Holmium laser enucleation of the prostate (HoLEP) - the goal of this surgery is to remove obstructive prostatic tissue and seal blood vessels. This procedure is nearly bloodless using a laser beam to cut the prostate gland and seal blood vessels. In most of the cases there is no need for blood transfusion. At the end of surgery, a catheter is inserted to keep the bladder in place.

Prostatectomy - During this type of surgery, a surgeon makes a cut in the lower portion of the belly to remove an inner portion of the prostate gland and/or bladder. A drainage tube, called a urinary catheter, is inserted through the penis and into the bladder.

Transurethral incision of the prostate (TUIP) - During this procedure, an internal cut is made the length of the prostate on either side of the mid-line via cauterizing knife or a laser.

Transurethral resection of the prostate (TURP) - Using a fiber optic telescope, the lining of the prostate is internally shaved down to its outer shell with a cautery (hot wire). This reopens the urethra channel that the patient urinates through. Only the enlarged part of the prostate is removed.

Transurethral ultrasound-guided laser incision of the prostate (TULIP) - During this procedure, a surgeon inserts a laser into the urethra, in order to make incisions in the prostate. The incisions open the urethra, so that urine can flow more easily from the bladder.

Watchful waiting
Men who elect no treatment should test urinary flow rates frequently. As the prostate enlarges, symptoms can worsen and treatment can then be selected. It should be noted, however, that men diagnosed with BPH and who choose to wait for treatment have an increased risk for developing prostate cancer. Treatment will depend on the type and severity of symptoms, their impact on daily living and quality of life.

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Tags: Prostate Cancer, prostate gland, prostate, benign prostatic hyperplasia, High Blood Pressure, decreased sex drive, treatment options, benign prostatic, prostatectomy, Cholesterol, medications, alternating, hyperplasia, ultrasound, urine flow, Vegetarian, treatments, sex drive, procedure, treatment
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