men s health issues
Benign Prostatic Hyperplasia (BPH)
Treatment of BPH
Drugs Sometimes surgery Treatment of infection or urinary retention before treatment of benign prostatic hyperplasia (BPH) Treatment is not necessary unless BPH causes especially bothersome symptoms or complications (such as urinary tract infections, impaired kidney function, Blood in Urine , Drugs are usually tried first. Alpha-adrenergic blockers (such asterazosin,doxazosin,tamsulosin,alfuzosin, orsilodosin) relax certain muscles of the prostate and bladder outlet and may improve the flow of urine. Some drugs (such asfinasterideanddutasteride) may block the effects of the male hormones responsible for the prostate’s growth, shrinking the prostate and preventing or delaying the need for surgery or other treatments. However,finasterideanddutasteridemay need to be taken for 3 months or more before symptoms are relieved. Also, some men who takefinasterideordutasteridenever experience relief of their symptoms. Some men are treated with an alpha-adrenergic blocker plus eitherfinasterideordutasteride. Many over-the-counter complementary and alternative products are promoted for treatment of BPH, but none, including Saw Palmetto , has been shown to be effective. Men who also have Erectile Dysfunction (ED) (impotence) may be treated with daily If drugs are ineffective, surgery can be done. Surgery offers the greatest relief of symptoms but may cause complications. The most common surgical procedure is transurethral resection of the prostate (TURP), in which a doctor passes an endoscope (a viewing tube) through the urethra. Attached to the endoscope is a surgical instrument that is used to remove part of the prostate. Sometimes a laser is used during TURP. TURP does not involve an incision of the skin. TURP can lead to such complications as infection and bleeding. Also, permanent Urinary Incontinence in Adults develops in about 1 to 3% of men. The procedure also can cause permanent About 10% of men undergoing TURP need the procedure repeated within 10 years because the prostate continues to grow. If the prostate is very large, TURP may not be possible, and doctors may need to do a more invasive surgical procedure through an incision in the abdomen. Various alternative surgical treatments offer less rapid symptom relief than TURP. However, the risk of complications is lower with these treatments. Most of these procedures are done with instruments inserted through the urethra. These treatments destroy prostate tissue with Microwave heat (transurethral microwave thermotherapy or hyperthermia) A needle (transurethral needle ablation) Radiofrequency waves (radiofrequency vaporization) Ultrasound (high-intensity focused ultrasound; not approved in the United States for treatment of BPH) Electric vaporization (transurethral electrovaporization) Lasers (laser therapy) Newer treatments, such as injection of hot water under pressure into the prostate or insertion of devices through the penis to help support the internal portion of the urethra Problems resulting from urine blockage may need treatment before BPH is definitively treated. Urinary retention can be treated by draining the bladder by means of a catheter inserted through the urethra. Infections can be treated with antibiotics. 