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- $Unique_ID{BRK01029}
- $Pretitle{}
- $Title{Are There Any Alternatives to a Prostate Operation?}
- $Subject{prostate enlargement treatment surgery Genitourinary prostatectomy
- surgeries age aged old older elder elderly geriatric obstruction urethra
- incontinence urine urination urinating operation operations block male hormones
- benign prostatic hypertrophy BPH alpha adrenergic antagonists special
- procedure procedures}
- $Volume{J-15,P-15}
- $Log{
- Anatomy of the Male Reproductive System*0006001.scf
- Benign Hypertrophy of the Prostate*0007602.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Are There Any Alternatives to a Prostate Operation?
-
-
- ------------------------------------------------------------------------------
-
- QUESTION: I am a man over 70 years of age, and facing the need for a prostate
- operation. However, I witnessed a horror story when a good friend of mine had
- the same operation, and passed away immediately afterwards from complications.
- Isn't there some other way to deal with my problem, with less risk and danger,
- and perhaps less pain as well?
-
- ------------------------------------------------------------------------------
-
- ANSWER: Many men face the same situation with the same apprehensions and
- fear. In 1987, prostatectomy (the removal of excess prostatic tissue) was the
- most common surgery in men 65 years of age and older. While the condition of
- benign prostatic hypertrophy (BPH) is rarely seen in men under the age of 40,
- by the time age 60 rolls around, about half of the men have evidence of the
- changes that occur. As men grow older, the tissue of the prostate grows and
- expands causing an obstruction of the urethra, the tube which passes through
- the penis and carries urine from the bladder past the prostate, out of the
- body. This obstruction produces the symptoms of frequent trips to the
- bathroom, decreased force of the urinary stream, and incomplete emptying of
- the bladder. Once an operation has removed this extra tissue, the symptoms
- usually disappear, but since most men would rather avoid the surgery, new
- methods are being sought that could avoid the procedure. Medications (alpha
- adrenergic antagonists) that can relax the smooth muscle of the prostate and
- reduce the pressure that causes the urethral obstruction are now being tested
- in Europe and the United States, but have not as yet received necessary Food
- and Drug Administration approval for use in the United States. Other
- chemicals that block the action of male hormones are also being tested, as
- these hormones are thought to play a role in the development of BPH. A new
- procedure which inserts a catheter with a balloon at its tip into the urethra
- is also experimental. In this technique, once positioned the balloon is
- inflated under pressure, and forces the urethra open, thus allowing the free
- flow of urine. While these new medications and procedures do offer much hope
- for the future, for the present only a form of prostatectomy can solve the
- problem in an effective manner.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-