Your prostate can cause urinary problems if it gets too large. Excessive growth results in frequent urination and poor urine flow, similar to prostate cancer symptoms. Here is how doctors reduce an enlarged prostate:
Medication
For instances of benign prostatic hyperplasia, doctors might prescribe medication, including alpha blockers and 5-alpha reductase inhibitors. Alpha-blockers treat moderate to severe lower urinary tract symptoms and relax smooth prostate muscles. 5-alpha reductase inhibitors work on their own, but doctors can also prescribe them along with an alpha-blocker. Reductase inhibitors treat prostate cancer and block the enzyme dihydrotestosterone, responsible for prostate enlargement. Doctors prescribe anticholinergic drugs and phosphodiesterase-5 inhibitors to combat alpha-blocker side effects.
UroLift System
The UroLift system involves inserting implants in the urethra to reduce prostate swelling by lifting the enlarged prostate tissue out of the way. Your urologist administers local anesthesia to numb the area during the procedure. A urologist begins the procedure by inserting a UroLift device into your urethra. The device releases multiple small implants when it reaches the prostate. Implants comprise steel urethral tabs and nickel-titanium capsules held by polyester sutures. UroLift is not known to cause erectile or ejaculatory problems in patients.
Greenlight
Doctors use prostate laser surgery to relieve the urinary symptoms caused by an enlarged prostate. Greenlight prostate laser surgery uses light to destroy excessive prostate tissue. During a prostate laser surgery, your doctor inserts a scope through your urethra. The scope delivers laser energy that shrinks excessive prostate matter and enlarges the urinary channel. Greenlight laser therapy treats mild to moderately enlarged prostate. Before the surgery, your doctor may recommend avoiding analgesics and medicines that cause blood thinning. Blood thinners include clopidogrel and warfarin. Nonprescription pain relievers include naproxen sodium, ibuprofen, and aspirin.
At the beginning of surgery, your doctor provides spinal or general anesthesia. General anesthesia makes you unconscious during surgery. With spinal anesthesia, patients remain conscious, but the surgical area below the waist remains numb to pain. After the procedure, a urinary catheter suppresses swelling that could disrupt your urine flow. You can use catheters until you start urinating normally again.
Transurethral Resection of the Prostate (TURP)
Urologists use the TURP surgery to reduce an enlarged prostate. Your doctor begins by placing a resectoscope through your urethra. The resectoscope allows the surgeon to see and trim excessive prostate tissue. It guides fluids out of the penis as the surgeon cuts the prostate tissues. Doctors may recommend TURP surgery when other medications fail to improve your condition. After surgery, doctors recommend eating high-fiber foods and avoiding strenuous activities and sex. High-fiber foods prevent constipation and straining during bowel movements.
Button TURP
Your doctor can shave away excessive prostate tissue using the button TURP technique. Button TURP is a less invasive surgical procedure. The surgeon uses a device with a button-shaped tip to vaporize the extra prostate tissue. Bipolar cautery vaporization uses low-temperature plasma energy to remove any excess tissue. Doctors seal the area surrounding the tissue after the procedure to prevent bleeding.
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Learn More About Prostate Cancer
Urologists perform cystoscopy and digital rectal exams to diagnose prostate enlargement. Prostate reduction can involve treatments like button transurethral resection of the prostate and surgery. Contact a reputable urology and prostate cancer physician to learn more about their treatments.
