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Localised prostate cancer can behave in different ways, many localised prostate cancer are not aggressive, and grow so slowly that they don’t cause any problems during your life time. Locally advanced prostate cancer is a cancer that has spread to the area just outside the prostate gland. Your treatment options will depend on whether your cancer is contained within the prostate gland (localised), has spread just outside of the prostate (locally advanced) or had spread to other parts of the body (advanced). Disclaimer: It is important to accept the fact that just as patients are different from each other in terms of age, general condition, and diagnoses, the final effects of any therapy will also vary from patient to patient.
Benign prostatic hyperplasia (BPH) is the term used to describe the non-malignant growth of the prostate gland that is responsible for blocking the flow of urine out of the urinary bladder. Medical treatment for prostate disease has gone in multiple directions over the period of the last few years. The drug, Proscar or finasteride, suppresses the action of the hormone testosterone in the prostate cells without affecting the level of testosterone in the blood stream. Proscar is taken once a day, indefinitely, and more recent studies have shown that the improvement in urinary symptoms persists as long as the drug is taken.
The prostate specific antigen (PSA) test normally reduces about 50% after Proscar has been taken for 4-6 months.
The anatomy of the bladder and prostate is such that a special muscle surrounds the urinary channel in its course from the bladder into the prostate.
The medicine will not stop the growth of the prostate, and theoretically, as the prostate grows over the years, these medicines may become ineffective in a small percentage of users.
Herbal therapy is the use of naturally occurring plants or plant extracts for the treatment of various diseases.
Warner Lamber, a major US drug manufacturer, has come out with Quanterra Prostate, which has 160 milligrams of Saw Palmetto.
Other less well known extracts include Pygeum Africanum, beta-sitosterol, pollen extract, pumpkin seeds, South African star grass and stinging nettles, meparticin, and radix urticae.
Approximately 400,000 transurethral resections of the prostate are performed annually in the United States. But because TURP is a surgical procedure with some risks, and because of the costs and time off work, other methods of therapy are being looked at intensively by the medical community. The picture below is a representation of the prostate gland after TURP (transurethral resection of prostate), open prostatectomy, transurethral laser removal of prostate, and transurethral vaporization of prostate.
A transurethral incision of the prostate (TUIP) is the alternative to TURP that comes closest to matching its results in both terms of symptom relief and improvement in flow rates. Open prostatectomy refers to a major surgical procedure for removal of the obstructing portion of the prostate. For the past few years, balloon dilation has been used clinically as an alternative to prostatectomy. The laser is a high energy source, which has been used in medicine since the early seventies. Essentially, the procedure consists of passing a laser into the prostatic channel under telescopic guidance. Essentially, the procedure consists of passing an electrode into the prostatic channel under telescopic guidance.
Stents require about thirty minutes to place in the prostate, and the major problems revolve around the irritation and debris that form on the stent.
Transurethral needle ablation of the prostate is also similar to laser ablation of the prostate.
ILC or Indigo laser treatment of the prostate is another type of laser treatment of prostate enlargement.
As time goes on, additional medications and surgical procedures will be developed to treat prostatic enlargement.
Treating the Enlarged Prostate Gland Without SurgeryFor nearly 5 decades, prostate gland surgery is an option available to men who have an enlarged prostate or have been diagnosed with prostate cancer. No-Scalpel, No-Needle Vasectomy Using Nitrous OxideA vasectomy or dividing the tubes that transport sperm from the testicles to the prostate fluid is one of the most common forms of contraception in the United States.  There are over 500,000 vasectomies performed each year making it the most common surgical procedure in men. Safety of Nitrous Oxide In the Medical OfficeDentists have used nitrous oxide for decades safely in their practices to reduce the pain associated with dental procedures. A Nap is Not a Bunch of CrapI have found as I age (72) that I seem to run out of gas in the late afternoon.
Morning Jo and Miscarriage-Men Take HeedMost Americans are consuming significant amounts of caffeine.  Although there are benefits of caffeine especially in small amounts, 1-2 cups a day, large amounts of caffeine can have deleterious effects including impacting a man’s sperm function. What Every Woman Needs to Know About Men’s HealthIt has been my observation that many men often taking better care of their automobile then they do of their health. Put Your Prostate BED Before You Get a PSA TestPSA is a screening test for prostate cancer. There are several different types of cancer which fall under the umbrella category of kidney cancer. Factors that increase the risk of kidney cancer include smoking, obesity, family history, hepatitis C or kidney diseases which necessitate dialysis. About 72.4 percent of those diagnosed with kidney or renal pelvis cancer will survive for five years or more.
Treatments for kidney cancer are dependent upon the stage of the disease but surgery is typically the fallback treatment. Kidney cancer, like other forms of cancer death rates, is dependent on the stage in which it’s discovered. For patients with early stage prostate cancer, which is localised within the prostate itself, your doctor can describe your treatment choices and the expected results of each along with possible side effects.
A number of thing may determine the suitable treatment option for you, such as the stage of your cancer, your Gleason’s score, PSA level, and whether it is your first treatment for prostate cancer.
If you have Locally advanced prostate cancer, then your treatment options will depends on how far the cancer has spread. Your specialists team will explain all your treatment options, and help you to choose the right treatment for you. This growth causes blockage by sheer increase in prostate size with impingement on the urinary channel or urethra.
The two major thrusts are in reducing prostate size and secondly, to relax the muscles that surround the prostate to allow flow through urinary channel. This allows men to have normal libido, but at the same time the prostate responds as if there is very little testosterone present. Another interesting advantage of Proscar is the apparent significant reduction in episodes of complete urinary blockage that might require a trip to the emergency room for placement of a catheter into the bladder.
The only commonly seen side effect is a 3% (3 out of 100 men) incidence of loss of sexual potency.


Proscar does not really mask prostate cancer but a new baseline PSA may need to be established.
A percentage of men will have difficulties because of the lowering of their blood pressure to a point where dizziness and even fainting can occur.
The American Food and Drug Administration (FDA) views these as food additives and makes little or no effort to control the use or content of herbal therapy. Saw palmetto is sold under a variety of names and often with a variety of other herbs or extracts. TURP is a safe procedure with four out of five patients experiencing resolution of their voiding symptoms with improvement of all of their urinary flow measurements. These include medical treatments and alternative surgical treatments which are less complicated than transurethral resection of the prostate. The basic goal of the procedure is to remove just a minimum amount of prostate tissue to allow adequate flow through the prostate.
The vaporizor uses a high energy electric source similar to the electrical source used for transurethral resection or incision of the prostate mentioned above. Stents were approved for use in the United States in April, 1997, so that long term experience is still lacking. Ultrasound waves are focused similar to a magnifying glass so that the point of focus reaches temperatures close the the boiling point of water (212° Fahrenheit or 100° centigrade). Today, however, each patient must be taken individually as to what therapy gives him the best chance for successful treatment. Although there are medications that are used to treat enlarged prostate, known as benign prostatic hyperplasia or BPH, for many men, according to.
I will often come home from work and take a 15-20-minute nap finding myself refreshed and energized for the rest of the day. It is the second most common cause of death from cancer in older men following lung cancer.
However, the test is not perfect and PSA elevation can occur and the man does not have prostate cancer.
Of these there are two predominant types, renal cell carcinomas (RCC) and urothelial cell carcinomas (UCC).
This is largely because most diagnoses are still at the local stage, and the survival rate for the local stage is 91.8 percent.
Chemotherapy and radiotherapy are not usually used as kidney cancers do not often respond to such treatment. If you have been diagnosed with localised prostate cancer, which have not spread out of the prostate gland, then maybe several treatments available for you. Advanced prostate cancer is a cancer that has spread from the prostate to other parts of the body (also called metastatic prostate cancer), it may spread to any part of the body, but most commonly to the bones.
Puhua International Hospital provides a combination of local, systemic, and natural treatments that aim to treat cancer more effectively with the less side-effects.
In others, the outward growth is minimal but the blockage is caused by increased muscle tone around the urinary channel or urethra.
Current studies suggest that 50-70 percent of properly selected patients are experiencing reduction in prostate volume with reduction of their symptoms over a four to twelve month period.
In addition, the use of Proscar reduced the need for surgical treatment of prostate enlargement by more than 50%.
In many men, increased tone of this muscle occurs with aging and can be a cause of significant blockage of urinary flow without significant prostate growth.
No American studies have been done to establish the safety or usefulness of any herbal treatment for prostate enlargement or symptoms. Essentially, TURP is the removal of the obstructing portions of the prostate with a telescopic electric knife.
The prostate can be approached either through the bladder (suprapubic) or directly through the capsule of the prostate (retropubic). Basically, a balloon is placed into the prostatic channel, either by finger guidance or telescopic guidance, and the balloon is then inflated to stretch the prostate channel. Compared to transurethral resection, the advantages of the laser-assisted procedure are: no significant bleeding, shorter hospitalization, reduced operating time, an apparent decreased incidence of postoperative scarring and decreased incidence of lack of ejaculation. The difference is the amount of electrical current used (all are safe) and the type of contact made with the instrument.
Compared to transurethral resection, the advantages of the vaporization procedure are: no significant bleeding and shorter hospitalization. Stents may offer a temporizing or permanent solution to those patients too sick to undergo other surgical procedures. The procedure involves the use of a special catheter which houses a microwave source at its tip. Mandatory reasons to proceed with some form of treatment include recurring infections, repeated bleeding episodes, bladder or kidney damage and the presence of cancer.
Kidney and renal pelvis cancers combined account for approximately 3.8 percent of all new cancer diagnoses in the United States. Sometimes in surgery the entire kidney is removed but most tumors are amenable to a partial removal, or removal of only the infected area. Diagnosis often takes into account a range of biochemical tests that may use blood or urine to analyze any differences in electrolytes, renal and liver function and blood clotting patterns. If you have locally advanced, or advanced prostate cancer, then maybe a fewer suitable treatments available for you. Localize prostate cancer can be treated with numerous of local treatment methods, each treatment may have its advantages and disadvantages, you medical team at Puhua will work together with you to choose the most advanced and effective treatment for you. Your personal preference will be an important in deciding which treatment to have, your medical team an Puhua International Hospital will be pleased to answer all your questions and help you to evaluate your case, you can contact us or call us to speak to our specialists.
It has less effect on men who’s prostate size is small and the urinary blockage is on the basis of increased muscle tone. Studies that are currently active are investigating the possibility that Proscar may reduce the incidence of prostate cancer.
In the last few years a number of European studies have been done that suggest that herbal therapy can help relieve prostate symptoms.
We now believe this not to be true as saw palmetto doesn’t lower the prostate specific antigen and prostate volume like finasteride does. Because of the circular muscle fibers running around the prostate, the TUIP allows the bladder neck to spring open and allows free urinary flow.
In either case, the blocking or obstructing portion of the prostate is shelled out from the prostate capsule in one piece. This has the apparent end result of tearing the prostate gland, creating an opening in the urinary channel. The laser-assisted prostatectomy is not optimum in the treatment of the very large prostate yet because of the necessity for multiple treatments.


For transurethral resection the electric current is passed through a small wire and this allows cutting of the prostate tissue to remove it, but if the current is turned to a higher setting and a blunt roller ball is used (about the size of a BB) the tissue actually melts or vaporizes.
The vaporization prostatectomy is not optimum in the treatment of the very large prostate yet because of the necessity for multiple treatments. This catheter is placed through the penis so that the microwave source is placed into the prostatic channel. When any of the above problems occur, or one’s lifestyle is changed by the presence of prostate obstruction, consideration to treat the prostate enlargement should be given. Baum has explained the concept of "wacthful waiting" and I and my father appreciate this plan of management.
RCC originated in the kidney specifically and is responsible for 90-95 percent of all cases. The median age of diagnosis for kidney and renal pelvis cancer is 64 with 50 percent of diagnosed patients being between the ages of 55 and 74. However, surgery isn’t always possible as the tumor may have spread or there may be preexisting conditions that prevent this. These drugs, Hytrin, Cardura or Flomax (terazosin, doxasin or tamsulosin), also are used to lower blood pressure in some patients with hypertension. These studies do not give any answers as to why herbal therapy works and none have the safety investigations so necessary for American drug studies. TUIP is particularly beneficial for smaller prostates and does have a lower incidence of ejaculation disturbances. The end result is similar to the TURP in which the obstructing portion of the prostate is removed, leaving the prostate capsule behind.
No prostate tissue is removed and the procedure does not work well for very large prostates. Another concern is that no prostate tissue is removed so we cannot be certain that cancer does not exist.
High frequency radiowaves are emitted from the end of the needles which are similar to radio antennaes. Indigo laser beams are emitted from the end of the needles which are similar to radio antennaes. UCC is a cancer that can occur in other organs in the urinary system and grows out of the transitional lining of the kidneys and other hollow organs like the bladder. Kidney and renal pelvis cancer is more common in men, and people of Asian or Pacific Islander descent are the least at-risk; other races are pretty evenly at risk. The smooth muscles around the neck of the bladder and prostate are relaxed by these medications, and many men have both subjective and objective improvement of their urinary flow. Patients with high blood pressure might be able to use these medications in combination with other blood pressure treatment.
The hospitalization lasts from 1-3 days and requires two weeks of severe activity restrictions and another two weeks of modest restrictions. The success rates for TUIP are about the same as transurethral resection of the prostate, but only in those patients that are carefully selected (smaller prostate). It appears that most of the patients after balloon dilation have recurrence of their symptoms relatively soon and require repeat treatments within two years.
Given the excellent diagnostic techniques available today with PSA and Ultrasound, the lack of tissue does not seem to be very important. Transurethral resection for biopsy purposes initially followed by vaporization may solve this dilemma.
This causes destruction to the prostate tissue and shrinkage of the gland and also may act to relax the channel through the prostate by affecting prostatic nerves.
Most men require a catheter for a period of time after the HIFU procedure until the swelling resides.
What’s included in the following statistics is the specific form of UCC that can be considered kidney cancer, which is called renal pelvis cancer.
No treatment to date has bettered the long term effectiveness of TURP in alleviating obstruction caused by benign prostatic hyperplasia.
The telescopic approaches (TURP, TUIP, laser, hyperthermia and balloons) are ineffective or impossible with prostate glands that are in the upper 5-10% of size (usually greater than 75 – 100 grams).
Balloons are receiving less acceptance as time goes by and the treatment will most likely be abandoned within the next year or two.
There is also a fair amount of swelling of the prostate channel initially (3-10 days) which requires temporary catheterization (tube through penis into the bladder). The biggest advantages: usually done as an outpatient procedure and usually very little bleeding! It should be noted that every case is different and each individual should discuss these survival rates with their doctor. These medications seem to work best in patients with smaller prostates, but work in larger glands as well.
Many of the preparations come with multiple herbs so that it may be impossible to determine which herb is helping reduce prostate symptoms.
Open prostatectomy requires an anesthetic (general or spinal) and usually 3-5 days of hospitalization. A couple of weeks of frequency and irritation of urination occurs while the prostatic channel is healing. This technology is very new and long-term results and side effects are yet to be known, although in theory it is very promising.
Some of the newer techniques revolve around a catheter that cools the lining of the prostate while the prostate tissue deep inside is heated, and this allows for very good recovery times. Nevertheless many men in the United States have used herbal therapy purchased through drug and health food stores with some success. The biggest advantages: usually done as an outpatient procedure and there is usually little bleeding! Some testing of hyperthermia has been done in the USA with reasonably good results with about 50% of patients benefitting.
Most men require a catheter for a period of time after the TUNA procedure until the swelling resides.
Most men require a catheter for a period of time (usually three to eight days) after the Indigo procedure until the swelling resides. Patients with very large prostates or enlargement of the middle lobe of the prostate are not felt to be good candidates for TUMT. Because the prostate is likely to swell initially most patients are discharged with a catheter in the bladder for a few days to allow drainage until the prostatic swelling subsides.



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