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. To subscribe, please call 80 (toll-free), extension 9771, or visit Mayo Clinic Health Letter Online.Most men with enlarged prostates see their doctor when the symptoms begin to intrude on their quality of life. Mayo Clinic Health Letter is an eight-page monthly newsletter of reliable, accurate and practical information on today's health and medical news. Symptoms generally improve right away and the risk of side effects is lower than when TURP is done. At Mayo Clinic, these procedures are typically done on an outpatient basis. Minimally invasive therapies: These procedures use different forms of heat or energy to shrink or remove excess prostate tissue around the urethra or to enlarge the opening from the bladder. Recovery requires several days in the hospital and use of a urinary catheter for one to two weeks. Open prostate removal (simple prostatectomy): The interior portion of the prostate is removed either through an incision in the lower abdomen or through smaller openings using laparoscopic or robot-assisted surgery. Re-treatment may be needed in five to seven years. Most men experience a stronger urine flow soon afterwards. Transurethral resection of the prostate: This procedure opens the channel through the prostate to relieve obstruction. Some procedures pose risks, including loss of bladder control and impotence. The main surgeries remove prostate tissue that is blocking urine flow. Some men prefer surgical repair to daily medication. Surgery is an option when medications aren't effective or symptoms are moderate to severe. Tadalafil: This medication for erectile dysfunction was recently approved for treating symptoms of prostate enlargement. Medications include finasteride and dutasteride. Medications in this category are terazosin, doxazosin, tamsulosin, alfuzosin and silodosin.Įnzyme (5-alpha-reductase) inhibitors: These medications shrink prostate tissue and generally work best for very enlarged prostates. They help increase urine flow and reduce the need to urinate as often. Therapies include:Īlpha blockers: These drugs relax the bladder neck muscles and muscle fibers in the prostate. Several medication options are available for men with mild-to-moderate symptoms. When treatment is needed, the focus is on reducing troubling symptoms and restoring normal urinary tract function. Studies have shown that up to one-third of mild cases clear up without treatment. Men with mildly enlarged prostate glands and mild symptoms may not need immediate treatment. As men age, the prostate gland can increase in size, pressing on the urethra and interfering with urine flow. After puberty, the prostate gland is about the size of a walnut. The prostate gland is just below the bladder and surrounds the urethra - through which urine passes out of the body. The July issue of Mayo Clinic Health Letter covers how the prostate gland changes with age and ways to find relief for what's technically termed benign prostatic hyperplasia. Add another decade or two, and nearly all men experience symptoms that may include a weak urine stream, difficulty starting urination, stopping and starting while urinating, and an urgent need to urinate. More than half of men in their 60s experience symptoms caused by an enlarged prostate gland.
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