Prostate gland treatment in india,prostatitis cronica jovenes,enlarged prostate 30 years old quotes,best supplements for joint care extra - Videos Download

30.05.2016
Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you are having severe symptoms such as urinary retention, bladder stones, blood in your urine or any damage to the kidneys, then surgery may be an option.  Discuss treatment options with your urologist. The Prostate Gland is located about halfway between the testicles and rectum and is wrapped around the urethra (the urethra is the outlet that discharges urine and semen from the penis). Please note that Med Art is a site devoted only to medical illustrations: we do not provide medical or health-care advice, treatment, or diagnosis through our website, and we strongly recommend that you consult your health care provider with questions concerning any medical condition. You will be surprised to know that Urinary obstruction from prostatic hypertrophy has been described for many centuries, starting with the ancient Egyptians in the 15th century BC. Benign prostate hyperplasia (BPH) is a condition that affects the prostate gland of the male reproductive system. The patient may either report with some problem or the doctor may diagnose during a routine checkup. Transrectal biopsy: The removal of tissue from the prostate by inserting a thin needle through the rectum and into the prostate. Transperineal biopsy:The removal of tissue from the prostate by inserting a thin needle through the skin between the scrotum and rectum and into the prostate.
Transrectal ultrasoundIf there is a suspicion of prostate cancer, your doctor may recommend a test with rectal ultrasound. Urine Flow StudyYour doctor may ask you to urinate into a special device that measures how quickly the urine is flowing. CystoscopyIn cystoscopy, a small tube (called cystoscope) is inserted through the opening of the urethra in the penis. Other testsSome other blood tests may be recommended (include kidney function tests and test for diabetes). One very interesting fact is that the earliest useful therapy for urinary obstruction from prostatic enlargement was a catheter, which was first used by the Romans Celsus and Galen in the first century AD! Today, advancement in medical science has provided many new ways to treat the cases of BPH.
There are two main classes of drugs that are prescribed for BPH: alpha-blockers and 5-alpha-reductase inhibitors.
Most doctors recommend removal of the enlarged part of the prostate as the best long-term solution for patients with BPH. Open surgery is often done when the gland is greatly enlarged, when there are complicating factors, or when the bladder has been damaged and needs to be repaired.
Transurethral resection of the prostate (TURP) is the most common operation for BPH and over 90% of men report an improvement after the operation. The procedure always begins with a careful cystoscopic inspection of the anterior urethra, external urinary sphincter, prostatic urethra, and bladder. Transurethral incision of the prostate (TUIP) This procedure is quite similar to TURP but is carried out on men who have less enlarged prostate. What to expectIn this, an instrument is passed through the urethra under general or spinal anesthesia. Ideal candidate Transurethral incision of the prostate (TUIP) may be appropriate for men who have a less enlarged prostate. Benefits and drawbacks TUIP is slower to provide symptom relief than is TURP. The doctor passes the laser fiber through the urethra into the prostate using a cystoscope and then delivers several bursts of energy lasting 30 to 60 seconds.
PVP uses a high-energy potassium-titanyl-phosphate (KTP) laser, also called the "greenlight" laser to destroy prostate tissue and seal the treated area.
Transurethral evaporation of the prostate (TUEP) In this procedure, prostate tissue is destroyed with laser energy instead of electrical current. Visual laser ablation of the prostate (VLAP)In this procesure, enough laser energy is applied to dry up and destroy excess prostate cells.
Holmium laser enucleation of the prostate (HoLEP) This is the latest laser procedure which has got popular. Laser surgery often provides immediate symptom relief, but one may experience painful urination for days to weeks.
Transurethral microwave procedures(TUMT) In 1996, the FDA approved a device that uses microwaves to heat and destroy excess prostate tissue.
Also in 1996, the FDA approved the minimally invasive transurethral needle ablation (TUNA) system for the treatment of BPH.
Researchers from Liege have developed a new surgical device allowing the implantation of a mesh for compressing the bulbar urethra in order to treat moderate to severe stress urinary incontinence occurring in males after complete removal of the prostate.
Jean de Leval asked himself the question: Why not insert this type of mesh implant in males too?A  In 2006, he presented a new system which made it possible to carry out the procedure on patients suffering from stress urinary incontinence after radical prostatectomy. After several years of research, the team of Professors Jean de Leval and David Waltregny (head of the Urology Department of the University Hospital of Liege), developed a new system of bulbar urethra compression. The procedure is indicated for men suffering from disabling moderate to severe incontinence 12 months after total prostatectomy and for whom conservative measures have failed.
The TOM-Sling has already been implanted in 350 patients at the University Hospital of LiA?ge. Today, the team from LiA?ge has treated a series of patients with very good results and a low rate of complications. In comparison with the artificial sphincter, the mesh implant allows spontaneous micturition, there is no mechanical action required by the patient to open and close the urethra. Recently, the TOM-Sling was officially presented to all the academic professors of the Belgian universities. ADH (antidiuretic hormone): A peptide molecule that is released by the pituitary gland at the base of the brain after being made nearby (in the hypothalamus). Prostatitis is nothing but an inflammation of prostate gland, which is a gland present only in men, beneath the bladder.
There can also be pain in the groin, lower back, abdomen, perineum or testicles.Often the cause for prostatitis cannot be determined. Another effect of saw palmetto is inhibition of the enzymes that promote the growth of prostate.
Quercetin is an antioxidant and anti-inflammatory chemical, which fights inflammation and boosts the immune system. You can get quercetin into your system by consuming onions, green tea, berries, apples, St.
If Javascript is disabled browser, to place orders please visit the page where I sell my photos, powered by Fotomoto. This means you may make small changes to your lifestyle to control your symptoms, but there is no need to take medicines or have surgery. The prostate is normally about 3 cm long and it lies at the neck of the bladder and in front of the rectum. The word "prostate" comes from the Greek prostat, which means "one who stands before or in front of", which, in this case, means in front of the bladder. In urinary retention, the urine does not flow out of the bladder leading to accumulation of bacteria and distension of bladder. In this, the doctor inserts the finger in the rectum and tries to palpate the prostate gland. This involves removal of cells or tissues so they can be viewed under a microscope by a pathologist. The cystocope contains a lens and a light system that help the doctor see the inside of the urethra and the bladder. With surgery for BPH, only the enlarged tissue that is pressing against the urethra is removed; the rest of the inside tissue and the outside capsule are left intact. An incision is made in the lower abdomen between the umbilicus (belly-button) and the penis through which the prostate gland is removed.
It has become the gold standard for treatment because it ensures less tissue damage and thereby speedy recovery of the patients.
This procedure is preferred because it is less traumatic than open forms of surgery and requires a shorter recovery period. This inspection is important not only to verify the absence of associated pathologies but also to give the surgeon an idea of the anatomical relations inside.


One can expect some blood or small blood clots in the urine afterward for sometimes.one may experience some pain while micturition for first few days after the surgery. It is a very commonly performed procedure and is best for men who have highly enlarged prostate with a troublesome picture.
A small incision is made in the prostatic tissue to enlarge the lumen (opening) of the urethra and bladder outlet. Unfortunately, many patients are not candidates for this surgery due to configuration of their prostates. In March 1996, the FDA approved a surgical procedure that employs side-firing laser fibers and Nd: YAG lasers o vaporize obstructing prostate tissue. KTP laser energy at 532 nm penetrates 1-2 mm deep into the prostatic tissue, making it theoretically superior to other types of prostatic laser vaporization procedures.
Because of swelling and prolonged sloughing off of the dead tissue, one is likely to retain urine for several days and will need to wear a catheter. In the procedure called transurethral microwave thermotherapy (TUMT), the device sends computer-regulated microwaves through a catheter to heat selected portions of the prostate to at least 111 degrees Fahrenheit. The TUNA system delivers low-level radiofrequency energy through twin needles to burn away a well-defined region of the enlarged prostate.
A catheter containing multiple shafts is positioned in the urethra so that a treatment balloon rests in the middle of the prostate. In males, stress urinary incontinence is quite frequent, especially in the case of prostate disease. The mesh implant and instruments were first manufactured by the University Hospital of Liege in the Department of Biomechanics.
The kit is composed of an insertable polypropylene mesh implant (a material which is well-tolerated by the body), two arms designed to ensure optimal positioning of the mesh, these two lateral arms are inserted via a transobturator route inside (under the urethra) -out (thigh root) through the obturator foramens, a pair of patented passers, a winged guide, a pair of flexible tubes, and a pair of pull-wires. It should be noted that around 10% of these patients will experience persistent stress urinary incontinence after one year. Because the sphincters are less altered, there is less incontinence (1% after adenomectomy)".
The TOM-Sling procedure is minimally invasive and associated with a high success rate (85%). Patients who were losing all their urine and now only 10ml per day are delighted with the results.
In the month of June, it will be the turn of urologists from other countries to be duly informed.
ADH has an antidiuretic action that prevents the production of dilute urine (and so is antidiuretic). A syndrome of inappropriate secretion of ADH may occur in association with oat-cell lung cancer, pancreatic cancer, prostate cancer, and Hodgkin's disease as well as a number of other disorders. The identified causes tend to be bacterial infection, nervous system or immune disorder, and injury to either the prostate or the area around the prostate. For pain relief, one may be prescribed alpha blockers, such as tamsulosin, terazosin, and doxazosin; anti-inflammatory drugs, such as ibuprofen or aspirin. This is because they may interact with other medications you may be taking, and they also have some side effects of their own. It works by slowing down the growth of prostate cells either through direct action or through its effects on the levels of testosterone and estrogen. It contains beta-sisterol, a cholesterol-like chemical, which inhibits the enlargement of prostate.  Daily dose is 480 mg of the oil extract in 3 divided doses.
You accept that you are following any advice at your own risk and will properly research or consult healthcare professional. If the symptoms are impacting your quality of life and you want more aggressive treatment, you may opt for surgery or less invasive therapies. Untreated, this leads to a decrease in renal function and hydronephrosis (obstructive uropathy).
The pathologist will examine the biopsy sample to check for cancer cells and determine the Gleason score. The probe is used to bounce high-energy sound waves (ultrasound) off internal tissues or organs and make echoes. In case the person presents with a mild and asymptomatic case of BPH, the physician may closely monitor the patient and give the treatment only if the symptoms deteriorate.
Usually Foley catheter is used but occasionally, a suprapubic catheter may also be inserted in the abdominal wall to help drain the bladder. AASTHA specializes in the minimally invasive procedures and these kinds of surgeries are routinely carried out. This procedure is usually performed on an outpatient basis and usually does not require a hospital stay.
But instead of removing a portion of the prostate, small cuts are made in the neck of the bladder and the prostate. Although Retrograde ejaculation after TUIP is less common and less severe than it is after TURP. A computer controls the temperature of the water, which flows into the balloon and heats the surrounding prostate tissue.
I then completed the prototypes thanks to a partnership of a company called Medi-Line, located in the Sart Tilman Science Park. On the other hand, males are less subject to stress incontinence than females: in males, stress incontinence occurs almost always only after prostate surgeries and in particular, for prostate cancer (radical prostatectomy). Unlike the procedure for females, one needs to apply a significant pressure to the mesh implant in order to have sufficient tension. Late April 2014, the TOM-Sling (Trans Obturator Male-Sling), obtained the EC conformity marking, which is mandatory for launching a product on the market. The surgical procedure and instruments that have been patented by the University Hospital of Liege through the University-Enterprises Interface make it possible to find the precise positioning and optimal tension for the mesh implant, which are essential factors for restoring continence.
Among this group, around 30% will have severe incontinence and 70% will experience mild to moderate incontinence.
We can also use the TOM-Sling device to treat this type of incontinence but they are mainly intended for the treatment of post-radical prostatectomy incontinence. Even though Professor de Leval recognizes that it is difficult to appreciate the results because the situation varies greatly from one individual to another and with that, the interpretation of the results: a€?What constitutes severe or mild incontinence?
For patients who have undergone pelvic radiation therapy or with a history ofA stenosis at the level of the anastomosis between the urethra and the bladder, results are less favorable. The TOM-Sling will be largely available to allow men who have had an operation on the prostate to regain normal continence.
The inappropriate secretion of ADH results in the inability to put out dilute urine, perturbs fluid (and electrolyte) balance, and causes nausea, vomiting, muscle cramps, confusion and convulsions. They include burning or pain sensation while passing urine (dysuria), increased frequency of urination (especially in the night, called as nocturia), difficulty in urinating, and urgent need to pass urine.
It decreases the frequency of urination, nocturia, urgency of micturition, and facilitates urine flow.
The herbal extracts should be consumed so as to get 500 mg of quercetin twice a day into your body.
One suggests that men produce two hormones through out their life- oestrogen (small quantity) and testosterone (high proportion).
The Gleason score ranges from 2-10 and describes how likely it is that a tumour will spread. It has a lens so it allows the surgeon to view the prostate either directly or on a video screen. TURP is an effective procedure but with any surgical procedure there is always risk of side-effects and complications. This reduces the obstruction of the flow of urine thus improving the urine flow rate and reducing the symptoms of BPH. In Retrograde ejaculation, semen passes into the bladder during orgasm instead of out of the penis. In general, PVP is better for smaller prostates and may result in less bleeding and a shorter recovery time than with TURP. But with the evolution of laser technology, this procedure has largely been replaced by new laser treatments such as PVP and HoLEP. This procedure also has similar results like TURP but with less chance of bleeding and a shorter recovery time.


The procedure takes about 1 hour and can be performed on an outpatient basis without general anesthesia.
The TUNA system improves urine flow and relieves symptoms with fewer side effects when compared with transurethral resection of the prostate (TURP). Problems of incontinence and the mechanisms responsible for these incontinence problems are the full-time preoccupation of Prof. Only experienced urologist surgeons involved in the management of these specific urinary disorders and who have had a specific training in the TOM-Sling technique by their peers can obtain the kit.
The urologist explains, a€?During the first few months, we carry out physiotherapy, perineal reeducation, electro stimulation etc., and the patients are eventually proposed a surgical intervention.
For about one patient in six, it will be necessary to reinsert a catheter: instead of removing this after 2 days, we remove it after 8 days.
The sugars or polysaccharides in the extract may reduce the inflammation and boost the immune system. In addition to sweating and stomach complaints, its side effects are lowered blood sugar and blood pressure. So in BPH, the flow of urine is also reduced, making it increasingly difficult to empty the bladder. As aging occurs, the amount of testosterone decreases, leaving a higher proportion of oestrogen. AASTHA offers various Health Packages for different age groups to ensure proper assessment of health. To determine whether an abnormal-looking area is indeed a tumor, the doctor can use the probe and the ultrasound images to guide a biopsy needle to the suspected tumor. This is a much more involved procedure and usually requires a longer hospitalization and recovery period.
A precisely controlled electric current, applied by a loop of wire at the end of the resectoscope, is used to shave off sections of the enlarged prostate. A common side-effect of this procedure is retrograde ejaculation - where semen passes into the bladder during orgasm instead of out of the penis.
Some men who have TUIP will notice some decrease in the amount of semen when they ejaculate. Although microwave therapy does not cure BPH, it reduces urinary frequency, urgency, straining, and intermittent flow. Jean de Leval, a Urologist at the University Hospital of Liege and an Emeritus Professor of Urology at the University of Liege.
At present, it is the most widely implanted transobturator tape in the world for the treatment of female stress urinary incontinence.
The American Brantley Scott developed the best artificial sphincter system in the seventies and it is still used today.
After radiation therapy, tissues are modified; they lose their flexibility and become hardened.
In order to adapt the tension to each patient, we must make what we call a€?a urodynamic investigationa€™ during the operation. But whether we are dealing with the artificial sphincter or our mesh compression system, over time there can be a reduction in efficiency, especially for patients who were suffering from total incontinence. We also encountered a 1 to 2% infection rate at the site of the intervention and sometimes perineal pain (with some numbness), which most often disappears after a few days or weeks.
We have to act in such a way that urologists show an interest in the technique and that they come to us to receive suitable training. Studies done on animals have suggested that BPH may occur because the higher amount of oestrogen increases the activity of substances that promote cell growth.
This in the long run may lead to bladder or kidney damage, So it is very important to diagnose BPH at early stage to ensure that it does not lead to complications. It may take a couple of weeks to several months to recover from surgery, depending on the exact surgical approach. The surgeon uses the resectoscope's wire loop to remove the obstructing tissue one piece at a time. Destroyed tissue either escapes with urine through the urethra or is reabsorbed by the body.
Since the beginning of his career he has devoted much time and effort to understand the problem and to find innovative technical answers. Professor de Leval did not stop there and, over time, made various improvements to the system so that now there is also the TVT-ABBREVO, a TVT inserted by the transobturator route but with a shorter mesh implant (on the market since 2010), and the TVT-EXACT, which is inserted via a retropubic route (like the first TVTs developed by Prof. Several sphincters are involved in controlling urination: the bladder neck, the urethra and the striated sphincter. It is then necessary to exert a lot of pressure on the prosthesis in order to achieve tension which often lessens afterwards.
We measure the pressure at which leakage occurs and we measure a pressure profile at the level of the urethra.
There can be more severe pain, especially in patients that have undergone radiation therapy because the tissues are harder and it is necessary to pull harder etc.a€? Pain is a common factor to all surgery in this area I believe. So it is very important for the physician to carefully rule out the possibility of the latter.
One more theory says that BPH is a result of lack of DHT, a substance which is derived from testosterone. Ulmsten), but with more refined and suitable instruments.In summary, the TVT-O, TVT-ABBREVO and TVT-EXACT are made of the same mesh material and only the methods of insertion are different.
In this case it is preferable to implant an artificial sphincter which generates better results; but even in these patients, results are lower after radiation therapy. With the artificial sphincter, there is not the same level of pain because in turn, there is not the same level of compression. To this end, the Swiss experience is interesting because it has been carried out with other doctors who were delighted with its performance.
The pieces of tissue are carried by the fluid into the bladder and then flushed out at the end of the operation. Complications of the operation can include urinary incontinence or damage to the urethra, resulting in a "stricture" that can itself cause difficulty passing urine. The latter is as frequent as the former, but it is more disabling: the bladder contracts too quickly, too early and to the extent that the individual is not able to control it. In this case the device opens and closes the urethra without compressing the structures containing blood vessels and nerves". In 1995, a Swedish Gynaecologist, Ulf Ulmsten, developed a technique for treating stress urinary incontinence in women. And we know today that these polypropylene-based products yield the best long-term outcomesa€?.
We are therefore confident with regard to the quality of our device", concludes Jean de Leval. It involved the insertion of a small polypropylene mesh implant by means of the vagina known as TVT (Tension-free Vaginal Tape), which supports the urethra during stress in order to prevent urine leakages. The results have been excellent but there is a risk of bleeding and perforation of the bladder.
The integrity of the bladder must be checked at the end of the surgical procedure with a cystoscopy.In 2001, in order to avoid the blind passage behind the pubis, a French Urologist, Emmanuel Delorme has proposed a transobturator route (2 natural orifices within pelvic bones) from outside (thigh) -in (vagina). Complications specifically associated with the retropubic passage of TVT were largely reduced but the mesh implant used generated complications due to vaginal eroion and infection.In 2002, under the light of his works on the mechanisms responsible forA urinary continence and following many dissections conducted together with Prof. Pierre Bonnet (Professor of Anatomy at the University of Liege), Jean de Leval suggested an inside (vagina) -out (thigh) route.
The trajectory of the device in tissues is consistent and reproducible with a minimal risk of causing damage to surrounding neuro-vascular structures.



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Comments to “Prostate gland treatment in india”

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