Treatment for an enlarged prostate depends on the severity of symptoms and the risk of complications, such as urinary retention. Most men with enlarged prostate experience mild to moderate symptoms, and they’re able to cope with them without relying on serious treatment plans, like medications. But for some men, the symptoms can be extremely bothersome or even painful, and they can get worse over time, so a treatment plan in needed.
A strategy called “watchful waiting” is becoming more common among United States physicians. This is when patients are monitored to see if their conditions get worse before turning to any form of treatment. Watchful waiting has become common practice because treatments for an enlarged prostate or prostate cancer, such as surgery or radiation, can lead to serious long-term side effects, such as incontinence and impotence. Watchful waiting involves looking out for changes in symptoms instead of undergoing frequent tests and turning to treatment too soon.
A study that began between 1989 and 1999, and was published in the New England Journal of Medicine, involved 695 men with early prostate cancer who were assigned to watchful waiting or radical prostatectomy (removal of prostate gland) and were followed through the end of 2012. The results, over 23 years of follow-up, showed a substantial reduction in mortality after surgery, especially when surgery was based on age at diagnosis and tumor risk. And a large proportion of long-term survivors in the watchful waiting group have not required any specialized treatment. According to this study and many others like it, watchful waiting is beneficial for low-risk patients, and it allows them to hold off on invasive or harmful treatments that aren’t necessary.
Psoriasis treatments reduce inflammation and clear the skin. Treatments can be divided into three main types: topical treatments, light therapy and systemic medications.
Used alone, creams and ointments that you apply to your skin can effectively treat mild to moderate psoriasis. When the disease is more severe, creams are likely to be combined with oral medications or light therapy. Topical psoriasis treatments include:
Topical corticosteroids. These drugs are the most frequently prescribed medications for treating mild to moderate psoriasis. They reduce inflammation and relieve itching and may be used with other treatments.
Mild corticosteroid ointments are usually recommended for sensitive areas, such as your face or skin folds, and for treating widespread patches of damaged skin.
Your doctor may prescribe stronger corticosteroid ointment for smaller, less sensitive or tougher-to-treat areas.
Long-term use or overuse of strong corticosteroids can cause thinning of the skin. Topical corticosteroids may stop working over time. It's usually best to use topical corticosteroids as a short-term treatment during flares.
Vitamin D analogues. These synthetic forms of vitamin D slow skin cell growth. Calcipotriene (Dovonex) is a prescription cream or solution containing a vitamin D analogue that treats mild to moderate psoriasis along with other treatments. Calcipotriene might irritate your skin. Calcitriol (Vectical) is expensive but may be equally effective and possibly less irritating than calcipotriene.
Anthralin. This medication helps slow skin cell growth. Anthralin (Dritho-Scalp) can also remove scales and make skin smoother. But anthralin can irritate skin, and it stains almost anything it touches. It's usually applied for a short time and then washed off.
Topical retinoids. These are vitamin A derivatives that may decrease inflammation.
The nuclear reactor meltdown in Japan has provoked fears about radioactivity and the implications to your health. Many anxious patients and readers called in last week to inquire about the health threats of radiation. This article is an attempt to address any radiation concerns you may have, relating both to the reactor meltdown and everyday exposure in normal life. Read on to discover natural ways to protect yourself from exposure and reduce radiation load on your body.
First, you should know that radioactivity from Japan has little impact on U.S. citizens. Take a look at the numbers. To date, the news reports that the four reactors in partial meltdown spewed radiation as high as 500 meters or 1,640 feet, according to John Beddington, U.K.’s Chief science officer. In comparison, the Chernobyl blast sent radioactive particles 30,000 feet high for months. Although it is true that minute radiation was detected in Sacramento at the end of last week, it was so minor — one-millionth of what people get from natural background radiation — that health officials assured the public that it posed no threat to residents on the west coast of the United States.
Wherever you live, avoid foods grown on or raised near the fallout zone. Dairy and spinach produced within the radioactive zone in Japan had vastly elevated radioactivity, which the Japanese government discouraged its people from consuming. Radioactivity was also found in Pacific waters, off the northern coast near the nuclear plant. Over time, this radioactivity should dissipate as the reactor is cooled and stops spewing particle ash and dust. For now it is wise to avoid seafood caught in Japanese waters. Other than avoiding potentially contaminated food, there should be no concern for American residents, so no need to panic or go out and hoard potassium iodide pills, let alone take them!
The prostate is a gland that is located at the base of the penis. It is responsible for making the liquid part of semen. It is common for men to find that their prostate gradually gets bigger as they get older. Over time, this can lead to a condition known as benign prostatic hyperplasia, which describes a non-cancerous enlargement of the prostate. This condition can lead to men needing to urinate more frequently and urgently, as well as having a weak or diminished stream of urine. Benign prostatic hyperplasia can be treated using a number of approaches.
Take a prescription prostate-shrinking medication. Finasteride and dutasteride work to reduce the production of DHT, a hormone that can cause the prostate to enlarge. Terazosin, doxazosin, alfuzosin and tamsulosin all work to relax the smooth muscle around the prostate. According to the National Institute of Diabetes and Digestive and Kidney Diseases, patients who take finasteride and doxazosin often have a greater reduction in prostate size than patients who take either drug alone.
Receive minimally invasive treatment. Minimally invasive treatments to shrink the prostate are treatments that are not pharmaceutical but also don't involve surgery. For example, your physician may use a transurethral microwave procedure in which microwaves are sent through a catheter that is inserted into your prostate. The microwaves heat up portions of your prostate and burn them away, shrinking the gland. Other options that work in a similar fashion are transurethral needle ablation (in which a small needle that emits radio frequency waves is placed in the prostate) and water-induced thermotherapy (which uses hot water to burn away portions of the prostate).
Undergo surgery. There are three main surgical techniques that can be used to remove some of the prostate. With transurethral surgery, no external incision is needed. Instead, a surgeon inserts a device called a resectoscope through the urethra.
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The roof gives strength and protection to a building. But it too wears over time and needs regular attention. With Painter Perth, you can get Roof Restoration Perth service which can restore your roof to a better state giving it a longer life and beauty.
Prostate cancer surgery could save your life but at a cost. Nearly half of men who had a complete prostate removal said that life post-surgery was worse than they expected, according to the latest research from the Journal of Urology.
The most common complaints: incontinence and erection trouble. But scientific advances and patience can overcome these harrowing side effects which can make even the bravest men cover their jewels like they’re protecting the last set of testicles on Earth.
Almost all men have some sort of urinary incontinence after surgery but it’ll go away or at least improve over time, says Otis W. Brawley, M.D., chief medical officer of the American Cancer Society.
Kegel exercises can help. They strengthen the muscles that support the urethra, bladder, and rectum the muscles you squeeze to hold it in during a long road trip.
Here’s how to do them: Tighten your pelvic muscles, hold for about 10 seconds, and then release. Repeat for 5 minutes at a time, several times each day. (A bonus: Kegels help you last longer in bed!)
Your other options include medication or a penile clamp, but talk to your doctor about these options. (Penile clamps aren’t exactly DIY.)
Virtually all men who have surgery will have some inference in the quality of their erection after treatment, says Brawley. How long? That depends. Some guys only are impotent for 1 to 2 months, but some are without an erection for more than a year, he adds.
Prepare for your doctor to know more about your sex life than your wife talking with him is the best way to figure out the best solution for you. The most common fix: Taking oral drugs for impotence, such as Viagra, Levitra, and Cialis.
Phil Johnson, M.D. discusses the evolution of the definition of AIDS over time and how it evolved as scientific understanding of HIV and AIDS improved over time. Initially it was noticed due to unusual outbreaks of Kaposi's Sarcoma and pneumocystis pneumonia among young gay men and referred to as Gay Related Immune Deficiency. The virus now referred to as HIV was isolated in 1983 and the disease was renamed AIDS for Acquired Immune Deficiency Syndrome. Today, being HIV positive and having either (a) a CD4 cell count below 200 or (b) one of a number of opportunistic infections results in a diagnosis of AIDS.
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The new "Schoolhousin'" web series will give your genitalia the necessary ammunition to defend itself against the blistering attack of everyday living. The rules of the Chinese school, taught by the Original Chinatown Bad Boys themselves. Sharpen your pencil and cover your crotch, muthabitches. Subscribe to our YouTube channel to catch all the episodes and updates!
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