Minimally Invasive Surgery for an Enlarged Prostate Gland

For a lot of men who are suffering from an enlarged prostate gland drug treatment is the solution and can lower prostate symptoms to an acceptable level. However, for others however drug treatment does not prove helpful or is not a workable choice and the doctor may suggest minimally invasive surgical treatment.

The first option to consider is catheterization which involves the insertion of a catheter through the penis and into the bladder to act as a drain and is usually considered to be only a temporary solution. It is largely used for people who are waiting for the affects of drug treatment to kick in (a number of drugs used to treat an enlarged prostate gland can take anywhere from 6 to 12 months before they begin to show results) or for other surgical treatments. It may also be helpful in treating infections.

The next option to consider is Holmium laser enucleation prostate (HoLEP). This procedure, which is performed under anesthetic and involves a brief 1 to 2 day stay in hospital, involves the insertion of a resectoscope through the penis and into the urethra. After insertion a laser beam is then passed through the resectoscope and is used to remove tissue from the prostate gland.

Interstitial laser coagulation is another treatment which is omparable to HoLEP. This form of treatment is once again performed under anesthetic although patients are not usually required to stay in hospital overnight. For this treatment a cystoscope, which is a metal tube through which a laser and visual lens can be passed, is used to burn away tissue from the prostate gland using laser energy.

Where a patient is unable to accept anesthetic a prostatic stent may be used. Stenting involves the placement of a spring-like device in the urethra at the point at which it passes through the prostate gland in order to keep the urethra open. Regrettably there are one or two problems associated with this form of treatment and it is generally only used for individuals who suffer from additional medical problems and for whom surgery presents an unacceptable.

TUMT (transurethral microwave thermotherapy of the prostate) is another form of minimally invasive surgery that does not require full anesthesia or hospitalization and can be performed using a local anesthetic and with oral pain drugs. In this procedure a catheter is inserted through the penis and computer controlled microwaves heat up and shrink areas of the prostate gland.

Yet another office-based procedure is the transurethral radio frequency needle ablation of the prostate (TUNA). In this case light anesthesia and drugs are employed to make the patient drowsy and prostate gland tissue is heated and shrunk using radio frequency energy which is transmitted through several needles placed directly into the prostate gland. This treatment at first produces a swelling of the prostate gland which is followed by shrinkage and individuals will generally have to use a catheter for a brief time following this treatment.

There are clearly many different forms of minimally invasive surgery available for enlarged prostate gland treatment and individuals must discuss these with their doctor to decide which would be best in their own specific circumstances.

ProstateProblemCenter.com provides a wealth of information about prostate problems including enlarged prostate treatments

Link Between High Fat Diet And Risk Of Prostate Cancer And Disorders

Prostate cancer is the second leading cause of cancer-related deaths in men with an estimated 192,280 new cases diagnosed in the US in 2009 (Jemal 2009). Diet is considered one of the most important controllable risk factors for inflammation and prostate diseases including benign prostatic hyperplsia (BPH), prostatitis, and prostate cancer…

View full post on Prostate / Prostate Cancer News From Medical News Today

Prostate Cancer Risk Variant Found To Be In A Functional DNA Sequence Linked With Disease

Recent genetic association studies have uncovered a number of DNA variants associated with prostate cancer. However, some of these risk variants lie outside of genes, posing a challenge to researchers working to understand the biology of cancer…

View full post on Prostate / Prostate Cancer News From Medical News Today

Finding Reliable BPH Treatments

Finding the right options for treating an enlarged prostate gland, or Benign Prostatic Hyperplasia (BPH), can be a challenging undertaking for any man who is dealing with this disease. This is partly because there are so many BPH treatments available, ranging from medical and surgical interventions, to over-the-counter remedies designed specifically for this medical problem. The symptoms of BPH can adversely affect a patient’s lifestyle, so choosing the best BPH treatments is of paramount importance.

 

It is important for men to analyze the details of each type of BPH treatment and also to discuss them with their primary care physician or urologist. In this way, it is possible to determine the best course of therapeutic action for BPH and related symptoms.

 

There are a number of over-the-counter therapies that can be effective in many cases against BPH. These include such herbal and/or natural substances as saw palmetto, golden seal, and bee pollen extracts. They are sometimes especially good treatment options because they lack many of the side effects of pharmaceutical therapies, while still being effective.

 

However, many cases of BPH may require more aggressive treatments, such as one of the number of drugs (mainly alpha blockers and alpha reductase inhibitors) prescribed for BPH treatment. In order to manage the symptoms of BPH, drugs such as Flomax, Hytrin, Proscar and Avodart may be prescribed by the physician. These drugs can help to free the patient from frequent and incomplete urination, and some have also been shown to significantly lower the risk of cancer in the prostate gland.

 

Finally, surgical treatment may be necessary in some cases. These interventions may range from minimally-invasive, outpatient procedures – which often utilize lasers, microwave treatments, or stents – to more extensive operations in a hospital, depending on the situation. Personal research, along with discussing options and plans with a physician, will help each patient make the best decision for them.

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American Cancer Society Got It Wrong, Study Confirms Prostate Cancer Test Saves Lives

With a new study showing the PSA test reduces the prostate cancer death rate by 44 percent, ZERO The Project to End Prostate Cancer demands an apology for all at risk of the disease from the American Cancer Society, which has long discounted the importance of prostate cancer testing. “It’s time to ‘Man Up’ and admit they were wrong,” said ZERO CEO Skip Lockwood…

View full post on Prostate / Prostate Cancer News From Medical News Today

EDAP to Distribute Lumenis Urological Lasers in France — Strengthens its Leadership in Stone and Prostate Management

EDAP to Distribute Lumenis Urological Lasers in France — Strengthens its Leadership in Stone and Prostate Management
EDAP TMS SA announced today that it signed an exclusive agreement with Lumenis, GmbH, to distribute Lumenis urological Holmium / Nd:YAG lasers in France, starting June 2010. (PRWeb Jun 24, 2010) Read the full story at http://www.prweb.com/releases/2010/06/prweb4183514.htm

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The Benefits Of Laser Prostrate Surgery

It is a very usual occurrence for the prostrate gland to become bigger in size as age advances. As a result, the gland starts pushing the urethra which makes the bladder wall thicker and prickly. This causes a lot of related uneasiness and discomfort. This problem which is termed as benign prostatic hyperplasia needs some sort of treatment. The best solution to this problem is getting rid of the enlarged part of the prostrate. There are various methods that can be adopted to perform this operation including laser surgery, open surgery and transurethral surgery.

It was in 1996 that Laser Prostrate Surgery was approved by the FDA to vaporize the tissues that were blocking the prostrate. In this method, the doctor transmits laser fiber through the urethra right into the prostrate with the help of a cystoscope and passes numerous energy bursts of around half a minute to one minute duration. These rays demolish the prostrate tissue causing the prostrate to shrivel in size.

There are many benefits of this kind of surgery over the transurethral and open surgery methods. Firstly, this kind of surgery involves only minimal loss of blood. Secondly, the path to recovery is much speedier when we resort to this operation.

But there are some minus points as well. This kind of surgery may not really be a good solution to big prostrates. Secondly, the long term effectiveness is of this operation is still not really clear. And you also need to be anesthetized for this and have to stay at the hospital for a couple of days.

But latest techniques involving laser can be done without hospitalization. They include Photo selective vaporization of prostrate, interstitial laser coagulation and so on.

Anyway, there are now numerous techniques that have evolved to get rid of your prostrate problem and it all depends on your health condition and the doctor’s decision to opt for the best suited method for yourself. Laser Prostrate Surgery is surely one of the most advanced kinds of surgery that is resorted to and has the least adverse effects reported to date.

You can read more books on laser prostate surgery to know more. You can view more such quality products at ShopAllThings

Mike Bordon is a renowned SEO professional and author of many articles and e-books. Presently he is working as the editor of spotwriters. You can contact him to get your articles done.

Predictive Factors For Positive Surgical Margins And Their Locations After Robot-assisted Laparoscopic Radical Prostatectomy

UroToday.com – Positive surgical margins (PSM) are predictive of outcomes following radical prostatectomy (RP) and have been well characterized after open RP. In the online edition of European Urology, the group of Dr. Vipul Patel and colleagues analyze and report a single surgeon series of robotic assisted RP (RALP)…

View full post on Prostate / Prostate Cancer News From Medical News Today

‘Sonic Hedgehog’ Helps Regenerate Critical Nerve That Runs Along Prostate, Could Heal Erectile Dysfunction After Surgery

After men have surgery to remove a cancerous prostate gland, up to 80 percent of them will lose the ability to have an erection because of damage to a critical nerve that runs along the prostate. New research from Northwestern University Feinberg School of Medicine shows the damaged nerve can be regenerated more quickly with a protein called sonic hedgehog delivered via a nanofiber gel…

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What You Need To Know About The Prostate And Its Diseases

I had heard of prostate diseases for years but never thought much about it till a friend developed prostate problems.

His situation was enough to get me curious about prostate diseases.

First I learned that the prostate is a doughnut-shaped cluster of glands at the bottom of the bladder between the rectum and the base of the penis. It produces most of the fluid in semen.

I then learned that there are three main diseases of the prostrate: cancer, prostatitis and prostrate enlargement.

First let’s talk about the ‘big one’, cancer.

In the USA, prostate cancer is the second leading cause of death for men after lung cancer.

African-American men are more than twice as likely to get the disease as any other ethnic group in the world. No one knows why this is so.

Prostate cancer is primarily a disease of aging. About 80 percent of all cases occur in men over sixty-five.

However, the rate of prostate cancer is rapidly rising in all men, even those under fifty. Generally, the younger a man is when he is diagnosed with prostate cancer, the worse his prognosis. Its increase among younger men points to the role of diet and exposure to environmental toxins in the development of the disease.

Prostatitis (prostate inflammation) is common in men of all ages. The usual cause is infectious bacteria that invade the prostate from another area of the body.

These can be either acute or chronic infections. Acute infections come on suddenly and may include fever and chills, pain and burning on urination and ejaculation, frequent urge to urinate while passing only small amounts of urine and blood in the urine. Symptoms of chronic prostatitis are similar but usually milder than the acute infection.

Prostatitis usually responds well to home care and antibiotic treatment.

Prostate enlargement seems to be a natural process, often associated with aging, and not necessarily a disease, but the gradual enlargement of the prostate. In the USA it occurs in about half of all men over fifty.

The major symptom is the need to pass urine frequently, perhaps with pain or burning feelings.

As prostate enlargement is often not a serious problem (though it depends on the case), let’s talk about the other two prostate diseases.

Prostate cancer is usually a slow growing cancer, often with no symptoms until its advanced stages. Symptoms include: pain or a burning sensation during urination, frequent urination, a decrease in the size and force of urine flow, an inability to urinate, blood in the urine, and lower back discomfort. However, these symptoms may be caused by benign enlargement or prostatitis. To get an accurate reading of the condition professional evaluation is of course recommended.

For treatment, testing is important. This may include a rectal exam (which can be rather painful) and/or a blood test. Ultrasound scanning is one of a number of other tests.

Unfortunately, prostate cancer can be difficult to diagnose in its early stages. Many cases are diagnosed only after the cancer has spread outside the gland.

Some of the treatment options for prostate cancer include:

• Experimental therapies such as cryoablation (freezing of cancer cells) and laser surgery are sometimes used.

• If the cancer has spread into the capsule of the gland, the standard approach is some form of radiation therapy. Try to avoid this, as it leaves men impotent 50 percent of the time.

• Removal of the gland may be recommended but consider that about 50 percent of men who have this done, even with the new “nerve sparing” techniques, become impotent. Watchful waiting, with nutritional support and lifestyle change, is becoming the preferred approach if the cancer is in the early stages.

• Many consider prostate cancer to be one of the most over treated diseases in America. Physicians in Europe have long used a conservative nutritional approach with good results.

• Research has shown that soybeans and soy products, such as tofu, soy flour and soymilk, have cancer-fighting powers due to the presence of a protein called genistein. It appears to be particularly effective against prostate cancer, but also works against breast cancer in women and colon cancer in both sexes.

Prostrate cancer prevention often includes a whole-foods diet, which was intriguing to me. Some suggestions include:

• Eat whole grains, raw nuts and seeds, and brown rice. Also broccoli, Brussels sprouts, cabbage and cauliflower and carrots, pumpkin, squash and yams. This type of diet is important for both prevention and healing.

• Also include apples, fresh cantaloupe, all kinds of berries, Brazil nuts, cherries, grapes, legumes (including chickpeas, lentils and red beans) and plums.

• Try drinking freshly made vegetable and fruit juices daily.

• Include foods high in zinc, such as whole grain cereals or brewer’s yeast.

• Use cold-pressed organic oils such as sesame, safflower or olive oil for essential fatty acids.

• Eliminate red meat, alcohol and caffeine.

• Strictly avoid: junk foods and refined foods. Instead of salt, use a kelp or potassium substitute. A little blackstrap molasses or pure maple syrup is a good, natural sweetener. Use whole wheat or rye instead of white flour.

These are good suggestions, but always seek counsel and alternative opinions before deciding which treatments or diets to use.

For prostatitis treatment, I found two general categories, one being home treatment, and then other treatments, generally.

For home treatment some recommendations are:

• Drink 8 to 12 glasses of fluid daily. Extra fluids help flush the urinary tract clean.

• Eliminate all alcohol and caffeine from your diet.

• Keep stress under control.

• Hot baths help soothe pain and reduce stress Aspirin or ibuprofen may help ease painful urinary symptoms

• Certain herbal teas may help.

• There are various types of hydrotherapy that a professional can advise you about.

• Eat 1 to 4 ounces of raw pumpkin seeds every day. They are rich in zinc. Alternatively, take pumpkinseed oil in capsule form.

• Get regular exercise. Do not ride a bicycle which may put pressure on the prostate.

Other treatment options include:

• Treatment with antibiotics and analgesics may be necessary.

• However, long-term use of antibiotics can lead to bacterial resistance, which necessitates more potent drugs, more expense, and more medical complications.
So “do it yourself” seems promising here, but of course one should always seek professional medical advice.

I would summarise what I researched that, as with any major disease an ounce of prevention is worth a pound of cure.

Try to keep a healthy lifestyle, do things that seem useful and rewarding to you and don’t be slow about getting medical checkups if you have any sense that something in your body may not be up to par.

Bruce Brightman is the founder and CEO of Life Source Labs a leading manufacturer of vitamins, minerals, nutritional and sports supplements. You can read more about prostate care at his website: http://www.lifesourcelabs.com/prostaplex.html

In Men With Low-Risk Prostate Cancer, Delay In Surgery Not Likely To Worsen Tumors

Johns Hopkins experts have found that men enrolled in an active surveillance program for prostate cancer that eventually needed surgery to remove their prostates fared just as well as men who opted to remove the gland immediately, except if a follow-up biopsy during surveillance showed high-grade cancer…

View full post on Prostate / Prostate Cancer News From Medical News Today

Polyphenols In Red Wine And Green Tea Halt Prostate Cancer Growth

In what could lead to a major advance in the treatment of prostate cancer, scientists now know exactly why polyphenols in red wine and green tea inhibit cancer growth. This new discovery, published online in The FASEB Journal, explains how antioxidants in red wine and green tea produce a combined effect to disrupt an important cell signaling pathway necessary for prostate cancer growth…

View full post on Prostate / Prostate Cancer News From Medical News Today

A Review of Laser Prostate Procedures

There are new laser treatments available for sufferers of BHP (Benign Hypertrophic Prostate) and other prostate conditions. They are replacing the “gold standard” TURP and TUNA procedures, and are characterized by much shorter recovery periods and are ideal for patients who might also be on blood thinner medication (Coumadin/Warfarin).

There are two competing laser technologies for prostate treatments – you should understand the differences: the Holmium (YAG) laser, and PVP (KPT) laser (otherwise known as “Green Light”.) The differences between the two are in the wavelength of the lasers used, and the nature of the energy transmitted to the tissues.

PVP LASER (Green Light)

The PVP (KPT) laser has a somewhat long wavelength that penetrates the tissue more deeply – in fact, the energy penetrates more deeply than it ablates (removes). What this means is that tissue that is left behind has been affected by the laser. The result can be a phenomenon known as necrosis of the affected tissue: the remaining tissue dies and may require further treatment of other means to remove, down the line.

This is a potential detrimental side effect. Because of the higher possibility of necrosis, PVP is not recommended for larger prostate conditions. It is considered viable for smaller prostates.

HOLMIUM LASER

The Holmium (YAG) laser has a shorter wavelength and penetrates less deeply than the PVP. Energy from the laser is imparted only to the the tissue that is ablated (removed). As a result, there is no necrosis concern.

In a panel discussion of noted urologists comparing the two technologies for HoLAP procedures[1], the experiences of all came down positively for the Holmium vs. the PVP laser.

HoLEP – ENUCLEATION OF THE PROSTATE

With the Holmium laser, it is now possible to completely remove the prostate with minimal side effects. This is called enucleation. The prostate is completely detached with fine (2-3mm) laser instruments, and passed through a pair of incisions in the bladder. It is then sectioned, and the sections are brought into the bladder through the incisions, where they are broken up into passable bits (the bits are passed through the catheter.)

This is becoming the new “gold standared” treatment, replacing the TURP procedure in many advanced urological centers. Side effects are minimal, and, according to one study[2], sexual function (ability to gain and maintain an erection) may actually increase, depending on the nature of prior dysfunction, if any.

WHERE TO GO?

One consideration is going overseas for treatment. HoLEP is available in at least one group of urolotical hospitals located in India, using exactly the same procedures and equipment as in major US facilities. The procedure can be done for as little as a fifth to a tenth of that in the US.

[1]Urological Times [2]Journal of Andrology

Garrick Berger is the managing director of Overseas Medical Connection a company dedicated to assisting prospective patients evaluate their overseas treatment/medical tourism options. The company also maintains a forum for those wishing to exchange research and experiences on medical treatment overseas.

A New Therapy Paradigm For Prostate Cancer Founded On Clinical Observations

UroToday.com – In the February 15, 2010 issue of Clinical Cancer Research, Drs. Eleni Efstathiou and Christopher Logothetis present their paradigm regarding the prostate cancer (CaP) tumor microenvironment and how it contributes to CaP progression and response to therapy…

View full post on Prostate / Prostate Cancer News From Medical News Today

Enlarged Prostate? Treatment Options Review

An enlarged prostate gland is one of the more common effects of aging in men, but the sad fact is that very few people seem to want to talk about it. The numbers, however, are striking, and they confirm the importance of communication about this health risk! About one in every four men over the age of 40 will experience the effects of prostatic enlargement. With such a significant number of men affected with this problem, it is important to review all of the enlarged prostate treatment options available to help make an educated decision about what is right for your health… or the health of someone you love.

Not surprisingly, some of the more common treatment methods for an enlarged prostate include medications and surgical intervention. There are also a number of natural or herbal remedies which may be effective for some individuals. Some of the most-prescribed pharmaceutical agents are alpha blockers (such as Flomax and Hytrin) and alpha reductase inhibitors (such as Proscar and Avodart). In general, these medications can be effective for many men. While side effects may occur, they are not terribly common. With the appropriate implementation of pharmaceutical therapies, many men may be able to avoid the next step in the enlarged prostate treatment regimen: surgical intervention.

Fortunately, there are minimally-invasive procedures which can be relatively quick, outpatient treatments in a doctor’s office. Some of these options include laser or microwave treatments, and the insertion of small, prostatic stents. If these should prove ineffective, then more invasive surgeries like incision, resection, or laser surgery will need to be considered. The most invasive of these procedures is an open prostatectomy, in which the prostate gland is removed under general anesthesia.

Whatever treatment method you choose for your enlarged prostate, be sure to examine all of your options, and discuss them thoroughly with your health care provider.

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