Kohler says the enlarged prostate forces the urethra to narrow, causing a variety of urination problems. "BPH is a fancy way of saying the prostate is getting larger, and we don't want it to," says Dr. It's a common problem for older men - benign prostatic hyperplasia, or BPH. In about one out of 10 cases, some cancer tissue is found, but often it is limited to a few cells of a nonaggressive type of cancer, and no treatment is needed.Journalists: Broadcast-quality video pkg (1:00) is in the downloads. This is usually done by your personal urologist, although it can be done at the Urology Academic Practice at Cedars-Sinai.Īfter prostate surgery, the tissue removed is routinely checked for hidden cancer cells. This is an outpatient procedure.įollowing any of these procedures, you will need to be regularly monitored to make sure that there is no cancer. Guided by a computer, the tissues are shrunk during a series of 30- to 60-minute sessions. Transurethral microwave technology (TUMT) shrinks prostate tissue using heat from a microwave device.The second surgical approach is to modify the tissue so it no longer blocks the urethra. After having the procedure, patients can leave the hospital the same day or the morning after the procedure. Transurethral electro-vaporization of the prostate (TUEVAP) - This procedure uses electrical current in a roller ball to heat prostate tissue until it is reduced to vapor.This procedure requires a one- to two-day stay in the hospital. Transurethral electro-resection of the prostate (TURP) - This procedure is the traditional way to remove prostate tissue using minimally invasive surgical techniques.Procedures that fall into this category are: One is to remove prostate tissue so it no longer blocks the urethra. There are two surgical approaches to treating benign prostate hyperplasia. If medications don't work, surgery may be considered. This follow-up evaluation is usually done by your own urologist, although it can be done at the Urology Academic Practice. If this approach is satisfactory, you will need to be reevaluated from time to time and to rule out prostate cancer. That may be enough to measurably improve your quality of life. Several medications are available to help relax the bladder outlet and prostate glad or to shrink the prostate. Usually, the most conservative options are tried first, before surgical ones. This diagnostic technique uses sound waves to create an image of the prostate gland.Ī variety of treatment options are available depending on your symptoms. An ultrasound of your bladder or rectum.For this study you will be asked to urinate into a special device that measures how much and how quickly the urine is flowing. This helps rule out the possibility that cancer is causing the enlargement of the prostate gland. A prostate specific antigen (PSA) blood test.A digital rectal exam, in which your doctor inserts a gloved finger into the rectum to feel that portion of the prostate gland that is closest to the rectum.It is important that a man with symptoms of an enlarged prostate be checked for the possibility of prostate cancer.īenign prostatic hyperplasia can be diagnosed in the urologist's office using simple, painless tests. Having an enlarged prostate glad doesn't seem to increase the chances of getting prostate cancer. A man who has an enlarged prostate glad may also have undetected prostate cancer. Some of the signs of an enlarged prostate gland are the same as those for prostate cancer. Most men with enlarged prostates see their doctor when the symptoms begin to intrude on their quality of life.
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