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The prostate is located right beneath the bladder, and surrounds the urethral sphincter. Any damage to the sphincter or surrounding muscles and nerves can lead to urinary incontinence. The problem is most severe in the first 6 to 12 months after treatment, but usually resolves on its own within this time. [ 17 ]
In an accompanying editorial in the journal commenting on this article [4] (Note: over 9 years ago) Michael L.Blute, M.D. of the Mayo Clinic wrote that "Patient interest in robotic assisted radical prostatectomy has been the result of a highly successful marketing campaign with the resultant consumer demand. Patients have been led to believe ...
The prostate gets larger in most men as they get older. For a symptom-free man of 46 years, the risk of developing BPH over the next 30 years is 45%. Incidence rates increase from 3 cases per 1000 man-years at age 45–49 years, to 38 cases per 1000 man-years by the age of 75–79 years.
The most common cause of urinary retention is BPH. This disorder starts around age 50 and symptoms may appear after 10–15 years. BPH is a progressive disorder and narrows the neck of the bladder leading to urinary retention. By the age of 70, almost 10 percent of males have some degree of BPH and 33% have it by the eighth decade of life.
Ablation procedures – used in treating both bladder tumours [22] and bladder outlet obstruction, such as prostate conditions. [23] Bladder-neck incision (BNI) Removal of the prostate – open, robotic, and endoscopic techniques are used. Stenting of the prostate [24] and urethra. Transurethral resection of the prostate (TURP)
As of 2000, the median age of men undergoing radical prostatectomy for localized prostate cancer was 62. [ 28 ] Though a very common procedure, the experience level of the surgeon performing the operation is important in determining the outcomes, rate of complications, and side effects.
It has been the standard treatment for BPH for many years, but recently alternative, minimally invasive techniques have become available. [1] This procedure is done with spinal or general anaesthetic. A triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. The outcome ...
For men over 64 with prostate cancer limited to the pelvis, using fewer, larger doses of radiation (hypofractionation) results in similar overall survival rates. [28] The risk of dying from prostate cancer or having acute bladder side effects may be similar to that of longer radiation treatment. [ 28 ]
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