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What You Need to Know About Prostate Enlargement

NEW YORK, NY--(Marketwired - Aug 19, 2014) - Prostate enlargement, also known as benign prostatic hyperplasia (BPH), is the most common prostate problem in men aged 50 or above, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases. Aging typically causes prostate enlargement, which should be monitored on an annual basis.

"Although not life threatening, BPH causes men discomfort and could lead to more serious conditions like kidney and prostate cancer," said David B. Samadi, MD, Chairman of Urology and Chief of Robotic Surgery at Lenox Hill Hospital. "Testosterone accumulates in the prostate and converts into a compound called dihydrotestosterone. This causes the prostate to grow, resulting in BPH."

Common BPH symptoms include blood in the urine (usually brought on by straining), feeling that the bladder is not completely empty after urination, frequent urination and/or nocturnal urination, delayed or interrupted urination, weak urine stream, incontinence or leaking, recurrent sudden urges to urinate, burning sensation while urinating, erectile problems and weak ejaculations.

Managing BPH

However, these BPH symptoms can be managed. Medications, like Proscar and Avodart, which are FDA approved, block the formation of dihydrotestosterone. Other treatments such as Cardura, or Flomax help relieve urinary symptoms in many patients.

"If BPH patients do not treat their urinary symptoms, they are at risk for urinary tract infections (UTIs), bladder stones, incontinence, as well as bladder and even kidney damage," said Dr. Samadi. "Monitoring your prostate is key and managing any irregularities will save you from much discomfort."

Surgical Treatments of BPH

Surgical treatments include removal of the extra prostate tissue. A transurethral resection of the prostate (TURP) is an invasive procedure and removes prostate tissue through an incision or directly through the urethra. However, sometimes the TURP procedure needs to be repeated because of scar tissue formation or other side effects.

"The minimally invasive GreenLight Laser outpatient procedure is a great treatment for enlarged prostates," said Dr. Samadi.

During GreenLight Laser therapy, a laser beam which is applied to the prostate tissue, evaporates it within moments, opening the urethra for improved urinary flow. It reduces the patient's urge to urinate, although some may experience frequent urges for a short while. General anesthesia is used, and the patient usually needs a catheter for about 24 hours. A burning sensation during urination and blood in the urine are occasional short-term side effects. Unlike during other prostate procedures, urinary symptoms are relieved faster, and healthy urine flow returns more quickly.

"GreenLight Laser therapy offers similar results to TURP but with fewer side effects such as bleeding and erectile issues," said Dr. Samadi. "Another plus: GreenLight Laser Therapy benefits can last five years or more."

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* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.




Testimonials
J. Newman

I am pleased and proud to add my comments to the patients list of success stories. I had been affected by BPH (growing prostate) for 10 years.

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Dan C., USA

I was extremely fortunate that I was blessed with the best surgeon for the job, Dr. David Samadi. It was his experience as a surgeon, a top notch team of professionals, compassion for his patients, passion for his work and a humility that is rare among people of his stature. It was this that gave me the comfort to go forward.

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Shlomo P. - Israel

My story starts on August 2010 when results from a PSA test showed a disturbing signal-6.3 A biopsy held in the beginning of October 2010 showed a more disturbing signal-Gleason 4+3.

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Elir, Israel

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