Services for Men
MINIMALLY INVASIVE TREATMENT / OPEN SURGERY
What are some of the minimally invasive treatments available?
- Laser vaporization: Anesthesia is usually required for this procedure, but patients can usually go home the same day. The technology involves placing a “cystoscope” (metal tube through which the visual lens and laser can be passed). A laser is used to burn and vaporize the obstructing or blocking prostatic tissue. Studies to date have shown limited long-term benefits.
- Microwave Thermotherapy of the prostate (TUMT): This is an office-based procedure performed with topical and oral pain medication and does not require a general anesthesia. Computer-regulated microwaves are sent through a catheter to heat portions of the prostate. A cooling system is required in some types for better tolerance. Traditionally, the best use of this procedure has been for patients who have too many medical problems for more invasive surgery or for patients who truly wish to avoid any type of anesthesia. Benefits are that there is no need for anesthesia and there is no blood loss or fluid absorption (these would be significant benefits in a person with a weak heart). Patients usually go home the same day. Men may need a catheter for one or two days after the procedure.
- The UroLift System: made by NeoTract Inc. of Pleasanton, Calif., is the first permanent implant to relieve low or blocked urine flow in men age 50 and older with an enlarged prostate. By pulling back prostate tissue that presses on the urethra, the system allows more natural urine flow. This procedure is compared to pulling back the curtains with a sash. The procedure can be done in the doctor’s office under a local anesthetic and will actually open up the urethra to allow the flow of urine and reduce the urinary symptoms of frequency of urination, improve the force and caliber of the urine stream, and decrease the number of times a man needs to get up at night to empty his bladder.
- Of course with any procedure there may be side effects and complications. Some b patients reported pain or burning during urination, increased urgency, decreased urine flow, incomplete bladder emptying, and blood in the urine. Most of these symptoms and side effects were temporary and resolved a few days or weeks after the UroLift was performed.
Bottom Line: Millions of American men suffer from symptoms as a result of an enlarged prostate gland. Certainly medications are a first line treatment option. However, the UroLift may be a permanent solution to this common problem and help men get a good night’s sleep!
WHAT PATIENTS ARE SAYING...
You turned my life around
Dr. Baum has taken care of my elderly father for many years. He has an elevated PSA level but Dr. Baum has explained the concept of "wacthful waiting" and I and my father appreciate this plan of management.
PSA Testing For Prostate Cancer-To Screen or Not Screen, What’s the Answer?
I am frequently asked by patients about screening for prostate cancer with PSA testing. This article will discuss the evidence as well as my recommendations for my patients.
Drip, Drip, Drip-When the Prostate Gland Causes Constant Dribbling
Some men have a blockage to the flow of urine and the bladder no matter how much it contracts or squeezes cannot fully empty the urine contents residing in the bladder. As a result, there may be a constant dribbling of urine. This is referred to as overflow incontinence. Overflow incontinence is more common in older men and is often due to an enlarged prostate.
5 Things Men Should Know About Benign Prostate Gland Enlargement
Benign enlargement of the prostate gland is natural consequence of aging. Benign prostatic hyperplasia (BPH) will be present in about one quarter of men by the time they reach the age of 55. This figure reaches 50% of all men age 75 and older. The prostate gland that produces fluid for the transport of sperm and surrounds the urethra that carries urine from the bladder to the outside of the body, can have a tendency to grow with age for reasons not entirely known and results in compression of the urethra resulting in symptoms of decrease in urine flow, dribbling after urination, and getting up at night to urinate. Here are 5 facts men should know about their prostate and benign enlargement of the prostate gland:
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