Jul
17
DANGERS AND SIDE EFFECTS
Let’s take a closer look at TURP and the statistical dangers and side effects.
1. Retrograde Ejaculation. This is in effect defacto sterilization. There is no other way to describe it. A vital part of the reproductive system in the male is contained in the prostate and other elements are injected into and flow through the urethra situated inside the prostate.
When most or all of the prostate is removed, the fluid that the prostate produces to lubricate and carry the sperm down the urethra is also gone. Now when orgasm takes place, muscular contractions propel the spermatozoa and fluid from the prostate and seminal vesicles into the prostatic urethra.
At the same time this happens, the neck of the bladder closes so the fluids must go down the urethra and out the penis. But after TURP surgery, this bladder neck closure is usually cut away to provide more space for the urine flow.
With the bladder neck open, the sperm and the fluid take the path of least resistance and are propelled into the bladder instead of out the penis.
This is called retrograde ejaculation. The sensation of the orgasm is the same for the man, there just isn’t any outside ejaculation.
With many TURP patients this is not a problem. Most men in the good TURP surgery candidate pool are no longer interested in fathering children. In most of the cases when a patient is told about this drawback and result of the TURP, he will not have any major problems with it. The trouble comes when a patient is not told about retrograde ejaculation and finds out on his own and is furious that he wasn’t informed before the operation.
In the extreme case where fatherhood is still desired, the ejaculate can be retrieved after the next urination after the orgasm, and the semen gathered and preserved and used in an insertion procedure into the woman’s vagina, the same as any artificial insemination. It works.
2. Bleeding. TURP involves a lot of cutting of tissue and the enclosed blood vessels. Bleeding is a natural course of events. Most of the bleeding is stopped during the operation by cauterization.
As with any cut or wound, a scab develops. This should stay for two or three weeks and then fall off. By then the blood vessel should be healed. If the scab falls off sooner bleeding usually begins and shows up in the urine.
This happens in only about one percent of all TURP patients and is often caused by straining to pass a stool. Usually this bleeding can be helped by a patient drinking lots of fluids to cleanse the area. Only rarely is there a need for the patient to be readmitted to the hospital to correct the condition.
3.1ncontinence. (The inability to control voiding of urine.) This is one of the big fears of a TURP surgical patient. It is embarrassing and distressing, and can lead a patient to total social isolation.
Incontinence happens to from one to four percent of all TURP patients. Many urologists claim it is less frequent, and say it can be the result of the normal surgical risk factor.
The problem comes when the electric knife cuts too near the sphincter voluntary muscles which control the flow of urine. If these muscles are damaged then the patient may become incontinent.
The other means of continence is the external urethral sphincter. Damage here can lead to a stress type of incontinence.
Incontinence after a TURP operation does not have to be permanent or irreversible. There are drugs that can be used to relieve the situation. Another possibility here is the use of an artificial sphincter.
At any rate this is one of the areas that you should discuss with your doctor prior to any prostate operation.
4. Impotency. Experts in this field say about five percent of all TURP patients come out of the operation and are impotent even though they were not that way going in.
Impotency is simply a man’s inability to achieve an erection, or to maintain it long enough for vaginal penetration.
The “manliness” of a male is a highly subjective area, and statistics on this element may be dramatically wrong in either direction. Many men may say they are able to achieve an erection and have intercourse when they are 70, 75, even 80. But age and other problems may have reduced that libido drastically so that even they were not totally cognizant of their ability to achieve a working erection. Time and age does this to all men.
Sometimes such an operation is a handy whipping boy for the sudden realization of impotency.
In any case, impotency is a fact of life for some of the men who have TURP operations, and you should know about it now. There is one sure way to develop impotency in a TURP patient. That is to damage one or both of the nerve bundles that are on each side of the prostate. These bundles are outside of the true capsule of the prostate. That means they are well outside of the area a surgeon’s electric knife should be operating to remove the prostatic tissue clogging the urethra. This is to say that a TURP properly carried out, should not harm these nerve bundles and that should not be the reasons for any impotency.
Some psychologists say that sex is at least 75% mental. This is why the cause of impotency, especially in men from 60 to 90 is extremely difficult to tie down. It may have been there before the operation and not recognized. The operation might create a psychological block preventing the erection. A now and then lack of a man’s ability to “get it up” is not uncommon even in younger men. The trauma of the operation, even the thought of some danger to a patient’s “manhood” and a negative spousal situation all can combine to create a psychosomatic impotency. This may be of a short or long duration.
There are drugs that can be used to help this impotency, and several devices that will be covered in a later chapter. Impotency, while not a large factor, is one that the surgery candidate for TURP should be well aware of.
Jul
14
CHRONIC PROSTATITIS. NONINFECTIOUS PROSTATITIS.
July 14, 2009 | Leave a Comment
CHRONIC PROSTATITIS
Sometimes the condition will be cleared up, or seem to be back to normal, only to have it flare up again alternative to levaquin .Cases like this are called chronic prostatitis.
At least this time the patient knows what he has and can get to the doctor quickly for early medication ingredients zyrtec .If the drug used before didn’t completely kill off the bacteria causing the problem, there is little chance the same medication will do any better during the next attack pamelor make you gain weight .Doctors watch for newly developed medications they hope will solve the problem bodybuilding pump with viagra .But so far there is no drug that will completely eliminate the chronic prostatitis problem.
Some urologists maintain that regular prostatic massage is one effective treatment forchronic prostatitis testosterone and hair growth .Other urologists never use the massage treatment how to inject tramadol .Some urologists suggest masturbation if sex with a partner is not available lowest price lipitor .Almost all urologists will agree that the best way to empty the prostate of fluid is regular sexual activity of any type leading to ejaculation.
As with many of the ailments of the prostate, the old favorite treatment of the sitz bath, simply a hot tub bath, is well received by prostatitis sufferers halfing zyprexa tablets .The heat from the water increases the circulation in the under-water area and that can help a number of problems.
Chronic prostatitis is not a good candidate problem to be corrected with surgery barqs caffeine .It would be a case of overkill, like throwing out the baby with the bath water.
Urologists say that even if surgery were performed, the inflammation and pain could still come back in the prostatic capsule itself, even after most of the prostate had been removed drug amoxil .A prostatectomy also can bring up a whole new set of problems that the patient didn’t have before.
NONINFECTIOUS PROSTATITIS
When a man gets serious pains and the urologist rules out infectious prostatitis, there has to be another cause depakote er migraine .This might be from a whole group of problems and the doctors call this malady, noninfectious prostatitis.
The symptoms usually include lower-back pain, burning during urination, pain or slight discomfort after ejaculation, pelvic discomfort, and sometimes a slight but obvious bleeding during ejaculation.
The urologist will check the patient’s prostate and often he’ll find it to be filled with prostatic fluid, boggy and soft evista dosage .It may or may not be enlarged and may or may not have any hard lumps or nodules.
For this problem, there are few simple answers, no easy solutions and no absolutes hctz 25 mg compared to diovan .The medical experts say that this non-infectious prostatitis could be caused by some kind of bug we can’t see or don’t know about yet, or it could be some form of inflammation that isn’t infectious.
One constant seems to be that a prostatic massage will cause the patient to expel a great deal of prostatic fluid through the urethra and the penis testosterone for body building .This often brings immediate relief to the patient.
Urologists aren’t exactly sure why this works metronidazole male breast .They say that most men with normal prostates secrete a small amount of prostatic fluid every day gout use zantac .Most of this is passed off through the urine without the man being aware of it.
Upon sexual arousal this secretion can increase ten fold to do its job of helping to carry the sperm cells out the urethra and from the penis upon sexual climax.
When a man becomes aroused, and then frustrated and there is no orgasm, all of that extra prostatic fluid remains in the prostate liver damag and ibuprofen .If this happens occasionally, the fluid is soon discharged a little at a time through the urine zyprexa borderline .But repeated frustrations after arousal, can mean a large buildup in the prostate and this will soon lead to some of the symptoms described above.
There are cases where a man can produce more prostatic fluid that he normally ejaculates during an orgasm harmful side effects of boniva .This again will create a buildup of the fluid and can result in problems cipro and screwdriver .What this is saying is that there can be prostatic problems that have a direct relationship with a man’s sex life, and this includes too little as well as too much sex.
There are cases where there are symptoms of prostatitis, but absolutely none of the usual causes are present naproxen sodium and gout .Some urologists feel that such a problem can come about entirely from stress green tea and amoxicillin .Some doctors say that there may be a lack of tone in some of the perineal muscles and this could result In the buildup of prostatic fluid allegra high blood pressure .Nobody knows for sure.
This leads into the suggestion that there could be psychological reasons why some of these cases of prostatitis develop when there is none of the usual physical causes hair loss zoloft fatigue .Anxiety or stressful tensions dealing with sex, a man’s job, his spouse, school or family — about almost anything, are now thought to be sufficient in some men to create symptoms of prostatitis even without any of the usual physical causes.
In some cases antibiotics seem to be helpful, even though there is no known bacteriological cause digitek and gynecomastia .Urologists are always aware of the placebo factor, especially in cases like these that may be partly stress or psychologically based.
Simply giving a man a pill and telling him that this will
help his condition, often will help his condition lipitor cholesterol lowering drug .This is what doctors mean by the placebo effect buy olanzapine .Placebos have traditionally been sugar pills with absolutely no curative powers whatsoever order tramadol no prescription cod payment .However when a doctor gives the placeboes to a patient and assures him that this should cure his problem after ten days, it often works.
This merges into the psychological and the psychosomatic aspects of healing, and in this area no one is right or wrong.
What works, works, there is no reason to question it hydroxyzine withdrawal .Doctors and urologists say that the placebo effect must never be underestimated.
They point out in double blind clinical tests, the patients who are given the placeboes without knowing it, often show a strong rate of improvement purchase fluconazole online with out a .The sugar pill certainly didn’t do it, the placebo effect did club soma .The patient thought he would get better, and somehow, he did get better.
In the chapter on case histories, we’ll show several actual cases of both infectious and non-infectious prostatitis, and how the problems were resolved.