{"id":295,"date":"2024-11-11T14:49:23","date_gmt":"2024-11-11T14:49:23","guid":{"rendered":"https:\/\/doctorize.com\/resources\/?p=295"},"modified":"2024-11-11T14:49:23","modified_gmt":"2024-11-11T14:49:23","slug":"what-is-the-latest-treatment-for-enlarged-prostate-2","status":"publish","type":"post","link":"https:\/\/doctorize.com\/resources\/what-is-the-latest-treatment-for-enlarged-prostate-2\/","title":{"rendered":"What is the Latest Treatment for Enlarged Prostate?"},"content":{"rendered":"\n<p>What is the latest treatment for enlarged prostate? Exciting new advancements are providing patients with innovative solutions that promise improved comfort and faster recovery times. Living with a large prostate, medically known as <a href=\"https:\/\/doctorize.com\/resources\/bph-vs-prostate-cancer\/\">benign prostatic hyperplasia<\/a> (BPH), can bring challenges. The condition is often uncomfortable for men and may disrupt their normal daily lifestyle. The good news is that there are several effective treatment options available.<\/p>\n\n\n\n<p>In this article, we&#8217;ll provide a comprehensive look at this disease, BPH symptoms, and the latest techniques for treating it. This can help patients be more informed about their overall health while gaining an understanding of what their healthcare team can do to help.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Defining Benign Prostatic Hyperplasia (BPH)<\/h2>\n\n\n\n<p>Benign prostatic hyperplasia is a non-cancerous enlarged prostate gland. This gland is located below the bladder and in front of the rectum. It surrounds part of the urethra, a thin tube that carries urine from the bladder out of the body. The gland helps produce semen in men. While normally the size of a walnut, the prostate gland can grow to about the size of a lemon as men age.<\/p>\n\n\n\n<p>The exact cause of BPH isn&#8217;t known, but it&#8217;s believed to be linked to hormonal changes. Evidence suggests that Dihydrotestosterone (DHT) is one specific male hormone that is linked to prostate growth. Other factors may come into play with enlarged prostates, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Genetic factors<\/li>\n\n\n\n<li>Obesity<\/li>\n\n\n\n<li>Lack of exercise<\/li>\n\n\n\n<li>Type 2 diabetes<\/li>\n\n\n\n<li>Vascular disorders like heart disease<\/li>\n<\/ul>\n\n\n\n<p>Although benign prostatic hyperplasia isn&#8217;t life-threatening in itself, if left untreated it can result in medical problems like chronic urinary tract infections, bladder stones, and kidney damage.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">BPH Symptoms<\/h2>\n\n\n\n<p>An enlarged prostate will naturally press against the urethra and bladder causing a variety of urinary symptoms. These may range from mild to severe. Talk with your healthcare professional if you notice these common symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Increased Urinary Frequency<\/strong>: Needing to urinate more often, especially during the night.<\/li>\n\n\n\n<li><strong>Urgency<\/strong>: Having a sudden, strong urge to urinate.<\/li>\n\n\n\n<li><strong>Difficulty Starting to Urinate<\/strong>: Trouble initiating urine flow.<\/li>\n\n\n\n<li><strong>Weak Stream<\/strong>: A weak and interrupted urine flow.<\/li>\n\n\n\n<li><strong>Incomplete Bladder Emptying<\/strong>: Feeling that your bladder isn&#8217;t empty after urination.<\/li>\n\n\n\n<li><strong>Straining<\/strong>: Needing to strain or push to begin urine flow.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment Options for Benign Prostatic Hyperplasia<\/h2>\n\n\n\n<p>Fortunately, there are many treatment options for BPH. Some of these are simple adjustments in self-care to improve your quality of life that carry little risk except an adjustment to your routine. Several classes of medications can work to shrink the prostate. Other minimally invasive procedures can help to improve urinary symptoms. Some doctors may recommend a combination therapy of several treatments to form a comprehensive plan.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Lifestyle Changes<\/h3>\n\n\n\n<p>The first treatment option is one that you can begin yourself. Consider taking steps to manage BPH symptoms through adjustments in your daily life. Incorporate fruits, vegetables, and whole grains into your diet. Reduce red meat and fatty foods which may make symptoms worse. Limit fluids in the evening and avoid caffeine and alcohol since they may irritate your bladder.<\/p>\n\n\n\n<p>Get regular exercise to maintain a healthy weight. Low-impact activities like walking, swimming, and yoga may be good options, especially if your prostate size is related to age. Manage stress with relaxation techniques like meditation and deep breathing exercises as stress can also exacerbate symptoms.<\/p>\n\n\n\n<p>Practice bladder training exercises such as scheduled voiding and double voiding (urinating, waiting a few minutes then repeating). You may discover better urinary control with kegel (pelvic floor) exercises.<\/p>\n\n\n\n<p>However, lifestyle changes alone may not be enough to find relief as they don&#8217;t address the enlarged prostate directly.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">BPH Medications<\/h3>\n\n\n\n<p>Several medications are available to help manage BPH. These drugs work in different ways and may be used individually or in combination.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Alpha Blockers<\/strong>: These medications relax the bladder neck muscles and prostate, making it easier to urinate. Tamsulosin and Alfuzosin are examples of Alpha Blockers.<\/li>\n\n\n\n<li><strong>5-Alpha Reductase Inhibitors<\/strong>: This class of drugs shrinks the prostate gland itself by blocking hormones responsible for prostate size increase. Dutasteride and Finasteride are types of 5-Alpha Reductase Inhibitors.<\/li>\n\n\n\n<li><strong>Phosphodiesterase-5 Inhibitors<\/strong>: Medications like Tadalafil are normally used to treat erectile dysfunction but may provide relief from BPH symptoms.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Addressing Excess Prostate Tissue the Old School Way: TURP<\/h3>\n\n\n\n<p>A common surgical treatment for benign prostatic hyperplasia is Transurethral Resection of the Prostate or TURP. Here&#8217;s a detailed look at how the medical procedure is performed.<\/p>\n\n\n\n<p>The patient is given a general anesthetic to put them to sleep during the hour-long surgery. Alternatively, a spinal anesthetic may be used to numb the lower half of the body while keeping the patient awake.<\/p>\n\n\n\n<p>Next, a surgeon inserts a resectoscope through the tip of the penis into the urethra. This thin tube includes a light, a camera, and an electric loop of wire that will be used to cut away small pieces of prostate tissue. This will relieve pressure on the urethra and improve urinary symptoms. The electrified wire cauterizes and seals blood vessels as it goes to minimize bleeding.<\/p>\n\n\n\n<p>The prostate tissue fragments are evacuated using a special fluid and then can be spent for lab testing to ensure an absence of cancerous cells. After the resection procedure, a catheter is inserted through the urethra into the bladder to aid in draining urine and allow for healing. This may be left in place for a few days. Patients can expect a hospital stay of one or two days.<\/p>\n\n\n\n<p>Long-term, TURP is a highly effective way to remove tissue that is causing prostate problems and relieves symptoms like frequent urination. However, it does carry risk just as any surgical treatment. Infection, bleeding, and difficulty urinating may result. In severe cases, some patients have experienced side effects like urinary incontinence and sexual dysfunction (erectile dysfunction or retrograde ejaculation).<\/p>\n\n\n\n<p>In severe cases, transurethral resection may not be an option. A full open prostatectomy may need to be performed where a surgeon removes part or all of the prostate.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">An Updated Approach: Laser Therapy<\/h3>\n\n\n\n<p>High-energy lasers can also be used to remove or reduce excess prostate cells. For example, the Holmium Laser Enucleation of the Prostate (HoLEP) procedure is very similar to the Transurethral Resection of the Prostate surgical option with a few key differences. Instead of an electric wire, a laser directly cuts and removes the offending tissue. Recovery time is quicker and usually with less blood flow to stop. Some patients can return home the same day.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">A New Method, Steam-Powered: Water Vapor Thermal Therapy<\/h3>\n\n\n\n<p>A newer and less invasive therapy uses steam to shrink and remove tissue. Controlled bursts of steam lasting less than 10 seconds each are released directly into the prostate tissue. The steam causes the prostate cells to die and be absorbed by the body over time &#8211; all without the need for an incision. The entire procedure takes about half an hour and most patients require only one session.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">A Less Invasive Treatment: Prostatic Urethral Lift<\/h3>\n\n\n\n<p>The prostatic urethral lift procedure lifts and holds the enlarged prostate tissue out of the way so that it no longer blocks urine flow. A urologist inserts small implants through the urethra into the prostate, creating a wider channel.<\/p>\n\n\n\n<p>Unlike some other procedures, this one does not involve cutting, heating, or removing tissue from the prostate. This presents a lower risk of sexual function side effects.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The New Standard: Prostate Artery Embolization (PAE)<\/h3>\n\n\n\n<p><text x=\"-9999\" y=\"-9999\"><\/text><path d=\"M37.5324 16.8707C37.9808 15.5241 38.1363 14.0974 37.9886 12.6859C37.8409 11.2744 37.3934 9.91076 36.676 8.68622C35.6126 6.83404 33.9882 5.3676 32.0373 4.4985C30.0864 3.62941 27.9098 3.40259 25.8215 3.85078C24.8796 2.7893 23.7219 1.94125 22.4257 1.36341C21.1295 0.785575 19.7249 0.491269 18.3058 0.500197C16.1708 0.495044 14.0893 1.16803 12.3614 2.42214C10.6335 3.67624 9.34853 5.44666 8.6917 7.47815C7.30085 7.76286 5.98686 8.3414 4.8377 9.17505C3.68854 10.0087 2.73073 11.0782 2.02839 12.312C0.956464 14.1591 0.498905 16.2988 0.721698 18.4228C0.944492 20.5467 1.83612 22.5449 3.268 24.1293C2.81966 25.4759 2.66413 26.9026 2.81182 28.3141C2.95951 29.7256 3.40701 31.0892 4.12437 32.3138C5.18791 34.1659 6.8123 35.6322 8.76321 36.5013C10.7141 37.3704 12.8907 37.5973 14.9789 37.1492C15.9208 38.2107 17.0786 39.0587 18.3747 39.6366C19.6709 40.2144 21.0755 40.5087 22.4946 40.4998C24.6307 40.5054 26.7133 39.8321 28.4418 38.5772C30.1704 37.3223 31.4556 35.5506 32.1119 33.5179C33.5027 33.2332 34.8167 32.6547 35.9659 31.821C37.115 30.9874 38.0728 29.9178 38.7752 28.684C39.8458 26.8371 40.3023 24.6979 40.0789 22.5748C39.8556 20.4517 38.9639 18.4544 37.5324 16.8707ZM22.4978 37.8849C20.7443 37.8874 19.0459 37.2733 17.6994 36.1501C17.7601 36.117 17.8666 36.0586 17.936 36.0161L25.9004 31.4156C26.1003 31.3019 26.2663 31.137 26.3813 30.9378C26.4964 30.7386 26.5563 30.5124 26.5549 30.2825V19.0542L29.9213 20.998C29.9389 21.0068 29.9541 21.0198 29.9656 21.0359C29.977 21.052 29.9842 21.0707 29.9867 21.0902V30.3889C29.9842 32.375 29.1946 34.2791 27.7909 35.6841C26.3872 37.0892 24.4838 37.8806 22.4978 37.8849ZM6.39227 31.0064C5.51397 29.4888 5.19742 27.7107 5.49804 25.9832C5.55718 26.0187 5.66048 26.0818 5.73461 26.1244L13.699 30.7248C13.8975 30.8408 14.1233 30.902 14.3532 30.902C14.583 30.902 14.8088 30.8408 15.0073 30.7248L24.731 25.1103V28.9979C24.7321 29.0177 24.7283 29.0376 24.7199 29.0556C24.7115 29.0736 24.6988 29.0893 24.6829 29.1012L16.6317 33.7497C14.9096 34.7416 12.8643 35.0097 10.9447 34.4954C9.02506 33.9811 7.38785 32.7263 6.39227 31.0064ZM4.29707 13.6194C5.17156 12.0998 6.55279 10.9364 8.19885 10.3327C8.19885 10.4013 8.19491 10.5228 8.19491 10.6071V19.808C8.19351 20.0378 8.25334 20.2638 8.36823 20.4629C8.48312 20.6619 8.64893 20.8267 8.84863 20.9404L18.5723 26.5542L15.206 28.4979C15.1894 28.5089 15.1703 28.5155 15.1505 28.5173C15.1307 28.5191 15.1107 28.516 15.0924 28.5082L7.04046 23.8557C5.32135 22.8601 4.06716 21.2235 3.55289 19.3046C3.03862 17.3858 3.30624 15.3413 4.29707 13.6194ZM31.955 20.0556L22.2312 14.4411L25.5976 12.4981C25.6142 12.4872 25.6333 12.4805 25.6531 12.4787C25.6729 12.4769 25.6928 12.4801 25.7111 12.4879L33.7631 17.1364C34.9967 17.849 36.0017 18.8982 36.6606 20.1613C37.3194 21.4244 37.6047 22.849 37.4832 24.2684C37.3617 25.6878 36.8382 27.0432 35.9743 28.1759C35.1103 29.3086 33.9415 30.1717 32.6047 30.6641C32.6047 30.5947 32.6047 30.4733 32.6047 30.3889V21.188C32.6066 20.9586 32.5474 20.7328 32.4332 20.5338C32.319 20.3348 32.154 20.1698 31.955 20.0556ZM35.3055 15.0128C35.2464 14.9765 35.1431 14.9142 35.069 14.8717L27.1045 10.2712C26.906 10.1554 26.6803 10.0943 26.4504 10.0943C26.2206 10.0943 25.9948 10.1554 25.7963 10.2712L16.0726 15.8858V11.9982C16.0715 11.9783 16.0753 11.9585 16.0837 11.9405C16.0921 11.9225 16.1048 11.9068 16.1207 11.8949L24.1719 7.25025C25.4053 6.53903 26.8158 6.19376 28.2383 6.25482C29.6608 6.31589 31.0364 6.78077 32.2044 7.59508C33.3723 8.40939 34.2842 9.53945 34.8334 10.8531C35.3826 12.1667 35.5464 13.6095 35.3055 15.0128ZM14.2424 21.9419L10.8752 19.9981C10.8576 19.9893 10.8423 19.9763 10.8309 19.9602C10.8195 19.9441 10.8122 19.9254 10.8098 19.9058V10.6071C10.8107 9.18295 11.2173 7.78848 11.9819 6.58696C12.7466 5.38544 13.8377 4.42659 15.1275 3.82264C16.4173 3.21869 17.8524 2.99464 19.2649 3.1767C20.6775 3.35876 22.0089 3.93941 23.1034 4.85067C23.0427 4.88379 22.937 4.94215 22.8668 4.98473L14.9024 9.58517C14.7025 9.69878 14.5366 9.86356 14.4215 10.0626C14.3065 10.2616 14.2466 10.4877 14.2479 10.7175L14.2424 21.9419ZM16.071 17.9991L20.4018 15.4978L24.7325 17.9975V22.9985L20.4018 25.4983L16.071 22.9985V17.9991Z\" fill=\"currentColor\"><\/path>Prostate Artery Embolization (PAE) is a minimally invasive, often outpatient procedure. An interventional radiologist typically performs PAE under local anesthesia, inserting a catheter through a small puncture in the groin or wrist.<\/p>\n\n\n\n<p>With the aid of X-ray imaging, the doctor will position the catheter in the arteries responsible for blood supply to the prostate. The doctor injects microscopic plastic beads to block blood flow, gradually causing the prostate to shrink over time.<\/p>\n\n\n\n<p>Of the surgical options, PAE offers short-term and long-term benefits over more invasive surgery. Most patients have only one small puncture from the catheter insertion, which they can easily care for with a temporary bandage. It has a short recovery time with normal activity resuming in a few days. Patients can expect to see symptom relief beginning within a few weeks, with full benefits in as little as three months. Prostatic Artery Embolization carries a lower risk of sexual activity impairment than other more involved surgery options.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p>Many men will face an enlarged prostate as they age. Although symptoms can be uncomfortable, doctors have long relied on well-tested surgical options to effectively remove prostate tissue. Newer, minimally invasive procedures, such as prostatic urethral lift and prostate artery embolization, now offer effective treatment for excess prostate tissue with the promise of quick recovery and minimal side effects. When combined with appropriate medication and lifestyle changes, many men can find relief from urinary problems associated with an enlarged prostate. Talk to your doctor today to learn about the quality of life improvements you may discover with one of these procedures.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is the latest treatment for enlarged prostate? Exciting new advancements are providing patients with innovative solutions that promise improved comfort and faster recovery times. Living with a large prostate, medically known as benign prostatic hyperplasia (BPH), can bring challenges. The condition is often uncomfortable for men and may disrupt their normal daily lifestyle. The [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":331,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What is the Latest Treatment for Enlarged Prostate?<\/title>\n<meta name=\"description\" content=\"What is the latest treatment for enlarged prostate? 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