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Prostate Health-Asks About Prostate

WHAT ARE THE BLADDER STONES?

Bladder stones usually form when you can't completely empty your bladder of urine. A common reason for this in men is having prostate enlargement that blocks the flow of urine. If urine sits in the bladder for a long time, chemicals in the urine form crystals, which harden into bladder stones.

THE BPH AND ERECTILE DISFUNCTION

If you have an enlarged prostate, or BPH, you may experience sexual problems. But there are treatments that can help. Studies have shown a connection between BPH (benign prostatic hyperplasia) and erectile dysfunction (ED). "It's a complicated story, but men who get BPH often get Erectile Disfuntion

It is very important a prostate healthy. Prostate issues can also cause sexual problems. The extent of any sexual problem varies according to the condition of the prostate. Some common sexual side effects include:

• erectile dysfunction (ED)

• reduced sexual satisfaction

• problems maintaining an erection

• decreased libido

These conditions may also vary according to:

• age

• genetics

• anxiety

BPH and ED

BPH and ED are separate conditions that are connected. ED usually means that a man is not able to achieve or maintain an erection.

Although ED may be caused by a variety of health problems, such as heart disease, diabetes, low testosterone levels, or psychological issues, it can also be made worse by BPH.

Some medications used to treat an enlarged prostate can cause ED. However, some medications used to treat ED can help improve symptoms of BPH.

Although no medication prescribed for ED has been approved to treat an enlarged prostate, early studies suggest that men who take ED medications may experience some relief from their prostate symptoms.

Several ED medications have shown some success in treating enlarged prostates. These include:

• vardenafil (Levitra)

• sildenafil (Viagra)

• tadalafil (Cialis)

For example, one study showed that men who took 10 milligrams (mg) of vardenafil twice a day for 8 weeks experienced marked improvements in their prostate symptoms, compared to a similar group who took a placebo.

Another study found that men who took up to 5 mg of tadalafil daily saw significant improvements in both their prostate and ED symptoms.

However, before taking ED medication to treat symptoms of an enlarged prostate, speak to a doctor.

Prostate care. DIGITAL RECTAL EXAM

A digital rectal exam (DRE) is a test that examines a person's lower rectum, pelvis, and lower belly. This test can help your doctor check for cancer and others prostate problems, including: Prostate cancer in men. An abnormal mass in the anus or rectum.

A digital rectal exam (DRE) is a test that examines a person's lower rectum, pelvis, and lower belly. This test can help your doctor check for cancer and other health problems, including: Prostate cancer in men. An abnormal mass in the anus or rectum.

SEX AND BPH

In recent years, a number of articles have claimed that ejaculating more often can reduce the risk of prostate cancer. Some scientific evidence supports these claims.

For example, according to a 2016 study, males who ejaculate more frequently are less likely to develop prostate cancer than those who ejaculate less frequently.

The research followed a 2004 investigation that came to a similar conclusion. Both studies found that males who ejaculate 21 times or more per month may have a lower risk of developing prostate cancer than males who ejaculated four to seven times per month.

Other studies have produced conflicting results. As a result, many researchers disagree about whether or not ejaculating more often makes males of all ages less likely to develop prostate cancer.

One 2009 study found that frequent masturbation might reduce the risk of prostate cancer in males aged 50 and above. However, the same study also suggested that ejaculating more often might increase the risk among males in their 20s and 30s.

WHAT IS A PROSTATE BIOPSY

Another study to detect prostate problems is the prostate biopsy. A prostate biopsy is a procedure to remove samples of suspicious tissue from the prostate. The prostate is a small, walnut-shaped gland in men that produces fluid that nourishes and transports

sperm. During a prostate biopsy a needle is used to collect a number of tissue samples from your prostate gland.

Prostate biopsy is generally a safe procedure, and with attention to local patterns of antibiotic resistance, infectious complications can be minimized. MRI - ultrasound fusion has significantly improved the accuracy of prostate biopsy, allowing tracking and targeting not previously possible.

The only way to confirm prostate cancer is with a biopsy. But it's possible to rule out prostate cancer and eliminate your need for a biopsy through other screening tests, including: digital rectal exam (DRE)

A doctor, nurse or radiologist will do the biopsy. There are two main types of biopsy: a trans-rectal ultrasound (TRUS) guided biopsy, where the needle goes through the wall of the back passage. a transperineal biopsy, where the needle goes through the skin between the testicles and the back passage (the perineum).

PROSTATE SURGERIES

Questions to Ask Before Surgery

As you think over the options for surgery, ask your Urologist these questions:

• Is there a good chance my condition will get better?

• How much will it improve?

• What are the chances of side effects from a treatment?

• How long will the effects last?

• Will I need to have this treatment repeated?

With newer technologies, doctors can do some minimally invasive procedures with tiny cuts (incisions) or use tube-style instruments that they insert into you. These procedures may not treat the symptoms to the same degree or durability as more invasive surgical options, they do have faster recoveries, less pain afterward and have reduced risks.

Other times, the traditional and more invasive surgery may be needed. It all depends on your case and what you and your doctor decide is best for you.

Doctors can choose from these minimally invasive procedures, endoscopic, or open surgeries to treat moderate to severe symptoms. These procedures are also used if tests show that your ability to pee is seriously affected.

Minimally Invasive Procedures

With newer technologies, doctors can use minimally invasive procedures with tiny cuts (incisions) or use tube-style instruments that they insert into the urethra. They relieve symptoms of BPH better than medicines. Other benefits include faster recovery and less pain than traditional, open surgery and fewer risks. These procedures do not involve removing or cutting into the prostate. Your doctor will consider the size of your prostate and your overall health to determine if minimally invasive surgery is right for you.

A few of the types of minimally invasive surgery include:

• Rezūm water vapor therapy. A device is inserted into the urethra, your urine tube and a small needle delivers water vapor or steam to treat the excess prostate tissue. It is usually performed in your doctor’s office.

• Transurethral microwave therapy (TUMT). This noninvasive procedure uses a microwave antenna attached to a flexible tube that your doctor inserts into your bladder. The microwave heat kills off excess prostate tissue.

• UroLift system. The UroLift it is a permanently placed device used to lift and hold the enlarged prostate tissue out of the way, so it no longer blocks the urethra. The procedure does not effect sexual function. It is typically performed using local or general anesthesia in a physician's office, ambulatory surgery center or operating room. Patients typically return home the same day without a catheter.

• Transurethral needle ablation (TUNA). This procedure is no longer recommended for the treatment of BPH. It is an office-based procedure where your doctor inserts a heated needle into the prostate through the urethra, the tube that carries urine and semen through the penis. The heated needle uses radiofrequency waves to heat up and destroy excess cells in the prostate gland.

Mininally invasive surgeries performed under general anesthesia include:

• Transurethral resection of the prostate (TURP). This is the most common surgery to treat BPH. Your doctor removes portions of the prostate that are affecting your urine flow. There is no cutting and no external scars are seen since a scope is inserted thorough the urethra to remove the

excess tissue. With TURP, some men might get what’s called “retrograde ejaculation,” (ejaculation of semen into the bladder instead of through the urethra).

• Transurethral incision of the prostate (TUIP). This surgery does not involve removing prostate tissue. A few small cuts are made in the prostate to reduce the gland's pressure on the urethra, making urination easier. This procedure is an option for some men, such as those with smaller prostates. With TUIP, there is much less risk of retrograde ejaculation compared with TURP. However, it usually gives you symptom relief equal to TURP. One possible downside: Some men need a repeat TUIP. Doctors decide which to use based mainly on the prostate's size.

• Laser surgery. A doctor uses laser energy to kill off prostate tissue and shrink the gland. This may not be as effective on larger prostates. Laser procedures usually give you symptom relief and better urinary flow similar to TURP. However, some laser therapies produce fewer side effects than others and also reduce the risk of bleeding. Long-term studies are needed to find out whether laser treatments are as effective as TURP.

Types of Surgery

The kinds of surgeries you might talk over with your doctor could include:

• Open prostatectomy (open surgery). A doctor often does this when the prostate is greatly enlarged, when there are complications, or when the bladder has been damaged and needs repair. In open surgery, the surgeon makes a cut and takes out the enlarged tissue from the prostate.

• Laparoscopic and Robotic Prostatectomy. Laparoscopic or robotic surgery differs from traditional open surgery by making four small incisions as opposed to one large one to perform surgery to remove the enlarged tissue of the prostate.

PROSTATECTOMY

Prostatectomy is surgery to remove part or all of the prostate gland. The prostate gland is situated in the male pelvis, below the urinary bladder. It surrounds the urethra, which carries urine from the bladder to the penis.

The procedure is used to treat a number of conditions affecting the prostate. It's most commonly used as a treatment for prostate cancer.

Prostatectomy can be performed in several ways, depending on the condition involved. Options include minimally invasive surgery performed with robotic assistance and traditional open surgery.

REGROWTH OF THE PROSTATE

When we remove a part of the prostate, the prostate gland can grow back again, causing the original problem to return (usually after five to ten years). If this happens, you may need to have another operation. When Radical Prostatectomy there is no possibility of growing again