April 17, 2024 Breaking News, Latest News, and Videos

Dangers of Prostate Enlargement:

Dr. Peter Loisides

SPECIAL TO THE MIRROR

Benign prostatic hyperplasia (BPH) is one of the most common diseases of aging men. It is frequently associated with bothersome lower urinary tract symptoms (LUTS) that affect quality of life by interfering with normal daily activities and sleep patterns. By 60 years of age, BPH affects greater than 50 percent of men, and up to 90 percent of men by age 85. In the past decade, there have been significant changes in the available treatment options for BPH. New forms of medical and minimally invasive treatments have been approved by the United States Food and Drug Administration.

Typical symptoms of a man with BPH are usually bothersome LUTS including: urinary frequency, urgency, nighttime urination, decreased and intermittent force of the urinary stream, and the sensation of incomplete bladder emptying. Not all men with BPH and LUTS will have prostate enlargement and, surprisingly, prostate enlargement may exist in the absence of LUTS.

Evaluation

Following the initial evaluation of the patient with a history and physical exam, urinary flow-rate assessment and measurement of post-void residual urine (PVR) may be appropriate. In some men, blood tests may be performed to rule out prostate cancer risk (serum PSA).

Management

Management of men with mildly bothersome symptoms may include watchful waiting, with or without phytotherapy (plant based supplements) like beta-sitosterol and bee pollen. Watchful waiting is a management strategy in which the patient is monitored by his physician but receives no active intervention for BPH or the related LUTS. Watchful-waiting patients are usually re-examined yearly.

Management of men with moderately to severely bothersome symptoms of BPH includes: watchful waiting, as well as medications, minimally invasive, or surgical therapies.

Additional diagnostic tests, such as pressure-flow Urodynamics studies (to assess bladder function), Cystoscopy and Trans-rectal Ultrasound (for anatomical and prostate volume assessments) are optional in men choosing the more invasive therapies.

Medical therapies for BPH include drugs that can relax the prostate’s muscles (alpha blockers), including Flomax, Uroxatral and Rapaflo, and drugs that can shrink the prostate (5-alpha-reductase inhibitors) such as Avodart and Proscar. Medical therapies are not as effective as surgical therapies but may provide satisfactory symptom relief with fewer and less serious adverse effects.

Thermal-based therapies such as Trans-Urethral Microwave Thermal Therapy (TUMT) and Trans-Urethral Needle Ablation (TUNA) use targeted high temperatures to induce physical changes of the prostate tissue resulting in volume reduction. The size and shape of the prostate are of particular importance in properly selecting patients for minimally invasive thermal therapies. These are typically in-office procedures performed using local anesthesia.

Transurethral Resection of the Prostate (TURP) involves the surgical removal of the prostate’s inner portion via an endoscopic approach through the urethral channel, with no external skin incision. An electrified loop or various forms of laser are used to remove the prostatic tissue. These procedures are performed in the operating room under regional or general anesthesia.

Lastly, open prostatectomy involves the surgical removal of the inner portion of the prostate via an incision in the lower abdominal or suprapubic area. This procedure is rarely performed but is necessary in men with prostate volumes greater than 100 cc.

In summary, although a large number of men may be affected by BPH and the associated adverse symptoms, effective treatment strategies are available to afford great improvement of a man’s health and quality of life.

Dr. Peter Loisides is Chairman of Urology at Saint John’s Health Center in Santa Monica. He has been an instructor and lecturer, and has published various articles addressing different areas of Urology. He is currently in private practice in Santa Monica.

in News
Related Posts

Girls Learn Self Defense at Empowerment Summer Camp for Girls

April 17, 2024

April 17, 2024

This summer, girls are invited to explore practical self defense training at SHIELD Women’s Self Defense’s 2024 Empowerment Summer Camp...

Marina del Rey Apartment Shooter Faces 20 Felony Charges, Could Spend Life in Prison

April 17, 2024

April 17, 2024

The Self-Employed Chef Is Being Held in Lieu of Over $5M Bail By Zach Armstrong A man accused of firing over...

Brentwood Art Center: Kids Explore Fundamentals of Drawing, Painting and Mixed Media

April 17, 2024

April 17, 2024

The beloved Brentwood Art Center is hosting summer camps at its new location at Olympic and 17th in Santa Monica. ...

Camp Integem: Explore, Design and Innovate with Future Tech

April 17, 2024

April 17, 2024

This summer, kids are inviting to make magic as they journey into the fun-filled, hands-on world of artificial intelligence (AI),...

(Video) Westwood Premiere of Zendaya’s New Film Challengers, Directed By Luca Guadagnino

April 17, 2024

April 17, 2024

Luca Guadagnino, stars Zendaya, Josh O’Connor, Mike Faist, composers Trent Reznor, Atticus Ross, and producers Rachel O’Connor and Amy Pascal...

(Video) Mayor & Vice Mayor of Santa Monica Speak Out Against Needle Exchange Program

April 16, 2024

April 16, 2024

The Demonstration was Organized by the Santa Monica Coalition @smmirrornews A Santa Monica rally has held against the needle exchange...

Los Angeles County District Attorney Announces Charges In Brutal Venice Sexual Assaults

April 16, 2024

April 16, 2024

Charges Filed Against Suspect in Venice Canals Case by LADA George Gascon Los Angeles County District Attorney George Gascón has...

GoFundMe Raises Over $84K for Venice Canal Attack Victim

April 16, 2024

April 16, 2024

The Victim Received at Least Eight Fractures to Her Jaw, a Large Laceration to the Back of Her Head and...

420 is coming and our friends at Venice Kush are going to be going all out !

April 16, 2024

April 16, 2024

420 is coming and our friends at @Venice Kush are going to be going all out ! Check out this...

Kids Learn Local Waters in Aquarium Science Camp

April 16, 2024

April 16, 2024

This summer, kids have the opportunity to engage in science and learn about the fascinating water systems in Santa Monica...

Saint Monica Prep: Mariner Sports Camps Focus on Fundamentals

April 15, 2024

April 15, 2024

Teams at Saint Monica Preparatory took big wins this winter season.  The coaches leading an undefeated girls’ soccer team, winning...

Sophie Dance West Dance Camp Enrolling Now

April 15, 2024

April 15, 2024

Calling all Swifties! Sophie Dance West, an all-inclusive kids dance studio that welcomes any skill level from beginner to highly...

Theatre Review: Katerina McCrimmon Can Never Rain on Streisand’s Iconic Parade

April 15, 2024

April 15, 2024

Before I launch into a review of director Michael Mayer’s touring production of Funny Girl,  currently on stage at the...

Measles Infected Traveler Visited Santa Monica Pier, Public Health Officials Warn

April 15, 2024

April 15, 2024

Authorities Urge Individuals Who Were at The Specified Venues to Monitor Their Health The California Department of Public Health notified...

Man Arrested in Marina del Rey After Shots Fired from Rooftop

April 15, 2024

April 15, 2024

Witnesses Captured Footage of Multiple Rapid Shots Being Fired Onto the Street and Sidewalk According to multiple reports including from...