This shrinks the prostate and eases urine flow. Microwave energy from the catheter destroys the inner portion of the enlarged prostate gland. Transurethral microwave thermotherapy (TUMT)Ī special catheter is placed through the urethra into the prostate area. It also may be an option if you have health problems that make other surgeries too risky. TUIP might be an option if you have a small or slightly enlarged prostate gland. This makes it easier for urine to pass through the urethra. The surgeon makes one or two small cuts in the prostate gland. Transurethral incision of the prostate (TUIP)Ī lighted scope is inserted into the urethra. After TURP, you might need a catheter to drain your bladder for a little while. Some people have a stronger urine flow soon after the procedure too. The surgeon removes all but the outer part of the prostate. Transurethral resection of the prostate (TURP)Ī thin tool with a light, called a scope, is inserted into the urethra. There are many types of surgeries and other procedures that can treat an enlarged prostate. Semen flowing backward into the bladder instead of out through the penis during ejaculation.Depending on the procedure you choose, health issues afterward might include: A neurological disorder, such as Parkinson's disease or multiple sclerosis.Īny type of prostate procedure can cause side effects.A history of prostate radiation therapy or urinary tract surgery.Surgery or other procedures might not be an option if you have: Keep getting bladder stones, blood in the urine or UTIs.Don't get enough relief from medicines.Surgery or other procedures might help with BPH symptoms if you: Surgery and other treatments for an enlarged prostate Studies suggest it also can treat an enlarged prostate. This medicine is often used to treat erectile dysfunction. Your health care provider might suggest that you take an alpha blocker and a 5-alpha reductase inhibitor at the same time if either medicine alone doesn't help enough. They might take up to six months to work well and can cause sexual side effects. Examples include finasteride (Proscar) and dutasteride (Avodart). They do this by preventing hormone changes that cause the prostate to grow. They also may include a harmless issue in which semen goes back into the bladder instead of out the tip of the penis. They often work quickly in people with somewhat smaller prostates. Alpha blockers include alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax) silodosin (Rapaflo) and terazosin. Alpha blockers work by relaxing the smooth muscle of the bladder neck and prostate. Taking medicine is the most common treatment for mild to moderate symptoms of an enlarged prostate. For some people, symptoms of BPH can ease without treatment. Instead, you could wait to see if your symptoms change or get worse. If your symptoms don't get in the way of your life, you might decide to put off treatment. The best treatment choice for you depends on: These include medicines, surgery and procedures that involve smaller, fewer or no cuts. Many treatments are available for enlarged prostate. You have access to the latest diagnostic testing, including urodynamic and pressure flow studies. Mayo Clinic specialists have experience diagnosing complex conditions involving enlarged prostate. Before this test, you will be given a medicine that keeps you from feeling pain. It lets a provider see inside the urethra and bladder. A lighted, flexible tool is placed into the urethra. Water - or, less often, air - is slowly sent into the bladder to measure bladder pressure and check how well the bladder muscles work. A catheter is threaded through the urethra into the bladder. Checking the tissue can help your provider find out if you have prostate cancer. Transrectal ultrasound guides needles that are used to take tissue samples of the prostate. A device that uses sound waves to make pictures is inserted into the rectum. If your health problem is more complex, you may need tests including: It might be extra helpful if you make more than a third of your daily urine at night. This involves noting how often and how much you pee. Or it can be done with a tube called a catheter placed into your bladder after you pee to measure how much urine is left in the bladder. The test can be done using an imaging exam called ultrasound. This test measures whether you can empty your bladder fully. Test results can show over time whether your condition is getting better or worse. The machine measures how strong your urine flow is and how much urine you pass. You pee into a container attached to a machine. But higher PSA levels also can be due to recent procedures, illnesses, surgery or prostate cancer. PSA levels go up when the prostate becomes enlarged. Prostate-specific antigen (PSA) blood test.After that, you might need other tests that can help confirm an enlarged prostate.
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