With a new guidance on device strategies and patient selection and a planned guidance on postoperative care, the American Heart Association (AHA) is trying to bring knowledge about mechanical circulatory support (MCS) beyond transplant centers and surgeons to the
doctors who are primarily responsible for caring for heart-failure patients [1].
An AHA scientific statement titled "Recommendations for the use of mechanical circulatory support: Device strategies and patient
selection" is now published online October 29, 2012 in Circulation. Dr Jennifer L Peura (Medical University of South Carolina, Charleston) told heartwire that
the AHA developed these recommendations for "referring
physicians--general cardiologists or general physicians--who may
not have the [MCS] technology in their area." The authors of
the recommendations hope they will lead to more heart-failure
patients being referred to an MCS device-implanting center
earlier in the progression of their heart failure, before they
develop hyponatremia or hypotension or need to undergo
frequent hospitalizations.
"If you look at the major heart-failure guidelines, the
recommendations for mechanical circulatory support are very few,"
she said. "This is a rapidly growing technology, and there
are a lot of patients who would benefit, but there are also a lot
of patients who, if we get to them too late, don't get much
of a benefit."
These recommendations should help referring physicians know
when to refer their patients to the centers that will provide
mechanical circulatory support, she said. The document will
also help surgeons and other clinicians at the advanced centers
better communicate and build referral
relationships. "We're
hoping this will be a resource to help them risk-stratify advanced
heart-failure patients and identify the appropriate time to
refer them for advanced therapy and, of course, to have an understanding
of the contraindications and relative contraindications, so
that they can have better insight into what patients would be
good candidates in our hands [and the implanting centers],"
she said.
The document explains both destination therapy and
bridge-to-transplant therapy with ventricular-assist devices, but it is
also the first guidance to explain "how to use short-term or
percutaneous devices in the whole scheme of that, because [percutaneous
devices] are implanted in the cath lab instead of the
operating room in those circumstances, so [the guidelines] really help
the referring physician [understand] how all that fits
together."
All of the members of the writing committee are affiliated with centers that implant MCS devices, including include surgeons,
heart-failure specialists, and MCS coordinators.
How to Care for Patients on Circulatory Support
Peura said her group is also developing a guidance for care
of MCS patients after implantation of a circulatory-support device.
"A lot of these patients are returning to home communities
that may be hours from the implanting center. [We want to give]
first responders, emergency medical services,
emergency-department doctors, and the referring primary doctors guidance
on
how to take care of these patients."
She said the group also hopes to eventually develop
recommendations on treating patients with advanced renal insufficiency.
"We do see a lot of patients whose kidneys recover [with
MCS], but many others may not, and if they are heart-kidney–transplant
eligible, it may be reasonable to bridge them with a
[ventricular-assist device], but there are many communities where
outpatient
dialysis is not available for that patient," she said. "We
definitely need more research in that area."
Most of circulatory-support technology supports the left
ventricle, but more research and guidance are needed on treating
heart-failure patients with right heart failure, Peura said.
"That's the Achilles' heel of left ventricular support."
Friday, 2 November 2012
Support Vest Cuts Sternal Wound Infections by 50% After Cardiac Surgery
A vest used to stabilize the chest following cardiac surgery has slashed the rate of deep sternal wound infections by 50%
in a large, prospective, multicenter, randomized trial [1]. Dr Michael Gorlitzer (Hospital Hietzing, Vienna, Austria) reported the results during a late-breaking clinical trial session here today at the
European Association for Cardio-Thoracic Surgery (EACTS) 2012 Annual Meeting.
"Sternal wound infections are a major cause of morbidity and mortality following cardiac surgery, and a problem all over the world, affecting up to 3%--or even 5%--of patients undergoing this type of operation," Gorlitzer told heartwire . Although antibiotics are used, other approaches are needed to try and reduce this complication. Approaches that have already been tried include the adoption of different techniques for closure of the sternum and wiring of the sternum, he explained. But "surgeons tend to focus on the pre- and intraoperative periods, when in fact they also need to pay attention postoperatively," he noted.
The support vest reduces the number of reoperations needed due to instabiltity and deep sternal wound infections (DSWI) as well as the length of postoperative stay in hospital, and is therefore "cost-effective due to reduction of major events," Gorlitzer said.
Vest Must Be Worn for Six Weeks Postop
Gorlitzer explained that the Posthorax sternum vest (Epple Inc, Vienna, Austria) is designed to stabilize the sternum after cardiac surgery--it allows normal breathing but acts as a shock absorber when the patient coughs. It is fitted with the help of a nurse after the patient leaves the intensive care unit, and is most effective if worn for around six weeks after surgery. The patient may remove the vest to wash it, and the vest itself can be laundered twice before it starts to lose its effectiveness. The vest costs around €120, although this will differ depending on where it is sold, Gorlitzer said.
In the study, 2539 patients who underwent cardiac surgery were randomized to wear the sternum support vest (n=1351) or not (n=1188). Patients were excluded if they underwent a heart transplant, were aged <20 years, had a congenital heart defect, or underwent mechanical reanimation or irradiation of the chest.
Although 933 patients were randomized to wear the vest, 202 patients did not receive it for varying reasons and 216 patients refused it. This tended to happen more often in the early days of the study when patients were unsure about the vest, Gorlitzer said, and he stressed that it is very important to educate patients. "We need to inform them before the operation what is going to happen afterwards--that they have to wear this vest and that it is a little uncomfortable," he explained.
Of the 1188 patients randomized not to receive the vest, 12 patients did get it, Gorlitzer said.
In an intention-to-treat analysis, the rate of the primary end point--deep sternal wound infection--was 1.04% in those who wore the vest compared with 2.27% in those who did not, a relative risk reduction of 56% (p<0.05).
Organic brain syndrome can increase the risk [of DSWI] 2.5-fold, something that was not previously appreciated.
It is important that the vest is worn for six weeks after the operation if possible, said Gorlitzer, noting that in this study,
34% of patients developed DSWI after leaving the hospital.
He noted that the vest can be uncomfortable, particularly when patients are lying down, and it can slip up and irritate the neck. The company is now working on a new design, which should improve the comfort and be available in a few months.
Organic Brain Syndrome Also Identified as Predictor of DSWI
Another important study finding was the identification of a new risk factor for DSWI: organic brain syndrome.
Organic brain syndrome occurs in some patients "who have a kind of psychotic episode after deep anesthesia," Gorlitzer explained. "They thrash around a lot and get agitated."
"We already know that diabetes and long duration of surgery can increase the risk of DSWI, but in this study we saw that organic brain syndrome can increase this risk 2.5-fold, something that was not previously appreciated. This is a very important message," said Gorlitzer.
Gorlitzer reports no conflicts of interest.
"Sternal wound infections are a major cause of morbidity and mortality following cardiac surgery, and a problem all over the world, affecting up to 3%--or even 5%--of patients undergoing this type of operation," Gorlitzer told heartwire . Although antibiotics are used, other approaches are needed to try and reduce this complication. Approaches that have already been tried include the adoption of different techniques for closure of the sternum and wiring of the sternum, he explained. But "surgeons tend to focus on the pre- and intraoperative periods, when in fact they also need to pay attention postoperatively," he noted.
The support vest reduces the number of reoperations needed due to instabiltity and deep sternal wound infections (DSWI) as well as the length of postoperative stay in hospital, and is therefore "cost-effective due to reduction of major events," Gorlitzer said.
Vest Must Be Worn for Six Weeks Postop
Gorlitzer explained that the Posthorax sternum vest (Epple Inc, Vienna, Austria) is designed to stabilize the sternum after cardiac surgery--it allows normal breathing but acts as a shock absorber when the patient coughs. It is fitted with the help of a nurse after the patient leaves the intensive care unit, and is most effective if worn for around six weeks after surgery. The patient may remove the vest to wash it, and the vest itself can be laundered twice before it starts to lose its effectiveness. The vest costs around €120, although this will differ depending on where it is sold, Gorlitzer said.
In the study, 2539 patients who underwent cardiac surgery were randomized to wear the sternum support vest (n=1351) or not (n=1188). Patients were excluded if they underwent a heart transplant, were aged <20 years, had a congenital heart defect, or underwent mechanical reanimation or irradiation of the chest.
Although 933 patients were randomized to wear the vest, 202 patients did not receive it for varying reasons and 216 patients refused it. This tended to happen more often in the early days of the study when patients were unsure about the vest, Gorlitzer said, and he stressed that it is very important to educate patients. "We need to inform them before the operation what is going to happen afterwards--that they have to wear this vest and that it is a little uncomfortable," he explained.
Of the 1188 patients randomized not to receive the vest, 12 patients did get it, Gorlitzer said.
In an intention-to-treat analysis, the rate of the primary end point--deep sternal wound infection--was 1.04% in those who wore the vest compared with 2.27% in those who did not, a relative risk reduction of 56% (p<0.05).
He noted that the vest can be uncomfortable, particularly when patients are lying down, and it can slip up and irritate the neck. The company is now working on a new design, which should improve the comfort and be available in a few months.
Organic Brain Syndrome Also Identified as Predictor of DSWI
Another important study finding was the identification of a new risk factor for DSWI: organic brain syndrome.
Organic brain syndrome occurs in some patients "who have a kind of psychotic episode after deep anesthesia," Gorlitzer explained. "They thrash around a lot and get agitated."
"We already know that diabetes and long duration of surgery can increase the risk of DSWI, but in this study we saw that organic brain syndrome can increase this risk 2.5-fold, something that was not previously appreciated. This is a very important message," said Gorlitzer.
Gorlitzer reports no conflicts of interest.
Sunday, 28 October 2012
Why Does the PSA Velocity Matter?
For many years, physicians have been using the absolute value of PSA to determine a man's risk for prostate cancer or whether his cancer has returned or progressed. In recent years, however, it has become more obvious that the rate of change of the PSA level (or PSA velocity) may be just as important as the raw number itself.
The New Role for PSA Velocity
Many prostate cancer experts now consider not only the PSA level, but how fast it is changing when determining whether to order further tests, when to start treatment, or what to tell their patients about prognosis.Numerous studies have now shown that a high PSA velocity (for example rapid doubling time of PSA or a rise of 0.35 ng/mL or more per year) may signal a rapidly growing cancer regardless of how high the absolute PSA level is.
Here's an example of what I mean:
A man goes for his routine screening PSA test and it comes back at 2.0 ng/mL. He is otherwise healthy and his physician is unconcerned by the result since 2.0 is not a "high" level in most cases. But, last year his PSA level was 1.0 ng/mL and the year before it was 0.5 ng/mL.Should these results worry him or his doctor?
Based on mounting evidence, the answer is likely "yes." In this example, a relatively low PSA level of 2.0 could be waved off as "normal." However, this man's PSA has doubled each year for two years. This is a high rate of change of PSA (such as a high PSA velocity) and could likely signify a rapidly growing cancer.
It is important to keep track of your own PSA levels over the years and alert your doctor to any trends that you notice. Physicians see thousands of patients a year and may simply overlook the fact that your PSA has been increasing rapidly.
Sources:
Carter HB, Ferrucci L, Kettermann A, et al. Detection of life-threatening prostate cancer with prostate-specific antigen velocity during a window of curability. Journal of the National Cancer Institute 2006; 98(21):1521–1527.
Ng MK, Van As N, Thomas K, et al. Prostate-specific antigen (PSA) kinetics in untreated, localized prostate cancer: PSA velocity vs PSA doubling time. BJU Int. 2008 Oct 16.
Thursday, 25 October 2012
Foods That Cause Man Boobs
The most important thing to take away from this lesson is that you learn the foods that raise estrogen levels.
Don't take the title of this article too literally. Obviously, it's not like you'll eat some obscure food and wake up the next morning with Gynecomastia. Foods that bring on Man Boobs, do so by raising estrogen levels, causing your body to store fat cells behind the nipples and around the breast tissue.
When you're trying to lose man boobs, the whole point is to tone and burn your pectorals, working off that fatty tissue and replacing it with a tighter and more toned chest. If you're eating foods that raise estrogen levels, you'll be unknowingly working against your main goal.
So here I'll be listing the foods that will naturally raise your body's estrogen levels or reduce your body's testosterone levels and make it harder to burn chest fat. These tips not only apply to those with Gynecomastia, but also to those with Pseudogynecomastia because I include fatty foods in the "avoid it" list.
In case you've forgotten what Pseudogynecomastia is, it's Man Boobs caused by an overall excess amount of body fat rather than hormonal imbalances. People with Pseudogynecomastia should still avoid the foods mentioned below while they are on their weight loss regimen. The results will be much faster when you're fueling your body the right way. So without further ado...
Foods that Sabotage a Gynecomastia Diet
Marijuana
Okay, well technically it's not a food, but marijuana will definitely work against you when it comes to burning chest fat. Marijuana has been proven to increase the size of fat cells in men and women.
It also lowers testosterone levels which in effect creates a higher estrogen rich environment in the body. The effect? You guessed it, more fat store creation in the chest and breast area. No good.
Fatty Foods
This is just plain common sense. You shouldn't be munching on salty potato chips and cartons of ice cream. Keep trim and toned and you won't be giving your body any excuses to pack on additional fat.
Don't take the title of this article too literally. Obviously, it's not like you'll eat some obscure food and wake up the next morning with Gynecomastia. Foods that bring on Man Boobs, do so by raising estrogen levels, causing your body to store fat cells behind the nipples and around the breast tissue.
When you're trying to lose man boobs, the whole point is to tone and burn your pectorals, working off that fatty tissue and replacing it with a tighter and more toned chest. If you're eating foods that raise estrogen levels, you'll be unknowingly working against your main goal.
So here I'll be listing the foods that will naturally raise your body's estrogen levels or reduce your body's testosterone levels and make it harder to burn chest fat. These tips not only apply to those with Gynecomastia, but also to those with Pseudogynecomastia because I include fatty foods in the "avoid it" list.
In case you've forgotten what Pseudogynecomastia is, it's Man Boobs caused by an overall excess amount of body fat rather than hormonal imbalances. People with Pseudogynecomastia should still avoid the foods mentioned below while they are on their weight loss regimen. The results will be much faster when you're fueling your body the right way. So without further ado...
Foods that Sabotage a Gynecomastia Diet
Marijuana
Okay, well technically it's not a food, but marijuana will definitely work against you when it comes to burning chest fat. Marijuana has been proven to increase the size of fat cells in men and women.
It also lowers testosterone levels which in effect creates a higher estrogen rich environment in the body. The effect? You guessed it, more fat store creation in the chest and breast area. No good.
Fatty Foods
This is just plain common sense. You shouldn't be munching on salty potato chips and cartons of ice cream. Keep trim and toned and you won't be giving your body any excuses to pack on additional fat.
Understanding Gynecomastia - Cures and Treatments
What is Gynecomastia?
Gynecomastia is the enlargement of breast tissue in males. These are usually benign masses that are located behind the nipple area. The mammary glands will increase in size and proliferation caused by an imbalance of the hormones estrogen and testosterone. Commonly, it will emerge as a male goes through the puberty process, or later in life as hormone levels decrease beyond 50 years of age. Occasionally, the condition will remain throughout adulthood.
Every newborn infant begins life full of the female hormone estrogen from their mother at birth. Typically, this hormonal imbalance will correct itself naturally and the body develops into adulthood normally. However, a significant percent of males will develop what is commonly known as 'Gyno' or "man boobs". The medical term for this condition is called gynecomastia.
The Effects of Gynecomastis
Generally, gynecomastia does not present any major medical problems. However, it can cause a number of very difficult issues in terms of a man's self-esteem and lifestyle. Going through puberty is difficult enough without developing breasts in the locker room. Up to 65 % of 14-year-old boys have enlarged breasts, according to the American Academy of Family Physicians.
Adult males may not partake in activities that involve removing a shirt from embarrassment or shame. Even the most stringent workouts and diets may seem effective everywhere - except the chest. This is a frustrating condition that can interfere with a man living the life he really wants.
Hormonal Imbalance Explained
Androgen are the hormones that create male characteristics, such as hair growth, muscle and bone size, and a deeper voice. Estrogen is the hormone that contribute to female aspects such as breasts. Everyone has some of each in their bodies, it is the levels of hormones that matter.
Simply put, when these hormones are not in proper balance then development in unwanted areas can occur. Gynecomastia develops when a male has a higher ratio of estrogen to androgen than normal.
Cures and Treatments
The longstanding fix for gynecomastia has been ultimately resorting to cosmetic surgery to remove the excess tissue. Male breast reduction surgery is a costly and somewhat risky venture. Beyond that, it doesn't solve the problem and the breasts can resurface because the cause is still there.
Gynecomastia is the enlargement of breast tissue in males. These are usually benign masses that are located behind the nipple area. The mammary glands will increase in size and proliferation caused by an imbalance of the hormones estrogen and testosterone. Commonly, it will emerge as a male goes through the puberty process, or later in life as hormone levels decrease beyond 50 years of age. Occasionally, the condition will remain throughout adulthood.
Every newborn infant begins life full of the female hormone estrogen from their mother at birth. Typically, this hormonal imbalance will correct itself naturally and the body develops into adulthood normally. However, a significant percent of males will develop what is commonly known as 'Gyno' or "man boobs". The medical term for this condition is called gynecomastia.
The Effects of Gynecomastis
Generally, gynecomastia does not present any major medical problems. However, it can cause a number of very difficult issues in terms of a man's self-esteem and lifestyle. Going through puberty is difficult enough without developing breasts in the locker room. Up to 65 % of 14-year-old boys have enlarged breasts, according to the American Academy of Family Physicians.
Adult males may not partake in activities that involve removing a shirt from embarrassment or shame. Even the most stringent workouts and diets may seem effective everywhere - except the chest. This is a frustrating condition that can interfere with a man living the life he really wants.
Hormonal Imbalance Explained
Androgen are the hormones that create male characteristics, such as hair growth, muscle and bone size, and a deeper voice. Estrogen is the hormone that contribute to female aspects such as breasts. Everyone has some of each in their bodies, it is the levels of hormones that matter.
Simply put, when these hormones are not in proper balance then development in unwanted areas can occur. Gynecomastia develops when a male has a higher ratio of estrogen to androgen than normal.
Cures and Treatments
The longstanding fix for gynecomastia has been ultimately resorting to cosmetic surgery to remove the excess tissue. Male breast reduction surgery is a costly and somewhat risky venture. Beyond that, it doesn't solve the problem and the breasts can resurface because the cause is still there.
Nature's Cancer Remedies: Organic Prostate Cancer Treatments
Prostate cancer affects more than 200,000 men every year in the
United States alone. Worldwide statistics for prostate cancer continue
to grow exponentially, and with the continued modernization of 2nd and
3rd world nations the number of cases is likely to increase. While these
numbers may seem grim, when detected early the recovery rate for men
with prostate cancer is very high. Men approaching their mid to late
forties should make it a point to have regular screenings for this form
of cancer, as early detection is the first step to any successful
treatment.
The precise cause of prostate cancer remains undetermined, but certain factors do seem to be linked to the occurrence of the disease. Heredity, hormone imbalances, advancing age and exposure to environmental toxins all appear to be linked to the onset of prostate cancer in most men. In its early stages, prostate cancer may present few, if any, outward symptoms. As the cancer develops, however, symptoms will begin to manifest themselves. These include difficulty urinating, blood in the urine, back and genital pain, fatigue and weight loss.
Conventional treatments for prostate cancer continue to rely on invasive techniques to combat the disease. Chemotherapy, drugs and surgery remain the standard of treatment for most instances of prostate cancer. But these treatments come with a number of unpleasant side effects. Chemotherapy, while destroying the cancerous cells, also seriously compromises the patient's immune system. Surgery can also have adverse effects on a man's general health and quality of life. Rather than endure these unwanted side effects, many men are turning to more natural treatments. Men with prostate cancer are finding that through a combination of holistic therapies and faith they can return to optimal health.
Prostate Cancer and Nutrition
Nutrition plays a large part in the recovery from any disease, and prostate cancer is no different. Strategic changes to a patient's diet can have significant pro-active effects on their health. Cancer patients should first begin to remove potentially harmful items from their daily diets, including refined sugars, salt, processed meats and dairy products. The benefits of a largely vegetarian diet continue to gain credence in cancer studies around the world. While it can be a definite challenge for some, moving away from a meat based diet can have great therapeutic effects for men with prostate cancer.
As men make changes to their dietary routine, it is important that they begin to add nutritionally powerful foods to their regular menu. Fresh organic fruits and vegetables, seeds and nuts contain nutrients that retard the growth of cancer cells and should be a part of every cancer fighting diet. Tomatoes, carrots and other rich sources of lycopene and beta-carotene also aid in the fight against cancer, and should be added to an already healthy diet.
Nutritional supplements may also be taken to help prevent the growth and reproduction of cancerous cells. Specifically vitamins A, D and E are powerful antioxidants that help the body fight off new cancerous growths. Minerals, such as selenium, calcium and magnesium, also have distinct anti-cancer properties that make it increasingly difficult for the cancerous cells to thrive. Men who have been diagnosed with prostate cancer will want to consult a holistic clinician to help them devise a dietary regimen, complete with nutritional supplements, that addresses their specific needs as a cancer patient.
The precise cause of prostate cancer remains undetermined, but certain factors do seem to be linked to the occurrence of the disease. Heredity, hormone imbalances, advancing age and exposure to environmental toxins all appear to be linked to the onset of prostate cancer in most men. In its early stages, prostate cancer may present few, if any, outward symptoms. As the cancer develops, however, symptoms will begin to manifest themselves. These include difficulty urinating, blood in the urine, back and genital pain, fatigue and weight loss.
Conventional treatments for prostate cancer continue to rely on invasive techniques to combat the disease. Chemotherapy, drugs and surgery remain the standard of treatment for most instances of prostate cancer. But these treatments come with a number of unpleasant side effects. Chemotherapy, while destroying the cancerous cells, also seriously compromises the patient's immune system. Surgery can also have adverse effects on a man's general health and quality of life. Rather than endure these unwanted side effects, many men are turning to more natural treatments. Men with prostate cancer are finding that through a combination of holistic therapies and faith they can return to optimal health.
Prostate Cancer and Nutrition
Nutrition plays a large part in the recovery from any disease, and prostate cancer is no different. Strategic changes to a patient's diet can have significant pro-active effects on their health. Cancer patients should first begin to remove potentially harmful items from their daily diets, including refined sugars, salt, processed meats and dairy products. The benefits of a largely vegetarian diet continue to gain credence in cancer studies around the world. While it can be a definite challenge for some, moving away from a meat based diet can have great therapeutic effects for men with prostate cancer.
As men make changes to their dietary routine, it is important that they begin to add nutritionally powerful foods to their regular menu. Fresh organic fruits and vegetables, seeds and nuts contain nutrients that retard the growth of cancer cells and should be a part of every cancer fighting diet. Tomatoes, carrots and other rich sources of lycopene and beta-carotene also aid in the fight against cancer, and should be added to an already healthy diet.
Nutritional supplements may also be taken to help prevent the growth and reproduction of cancerous cells. Specifically vitamins A, D and E are powerful antioxidants that help the body fight off new cancerous growths. Minerals, such as selenium, calcium and magnesium, also have distinct anti-cancer properties that make it increasingly difficult for the cancerous cells to thrive. Men who have been diagnosed with prostate cancer will want to consult a holistic clinician to help them devise a dietary regimen, complete with nutritional supplements, that addresses their specific needs as a cancer patient.
Prostate Treatment: Best Ways To Tackle The Problem
In the condition of an enlarged prostate, the flow of urine is
blocked, as the prostate cells multiply gradually and exert pressure on
the urethra. Because of this, the bladder now has to push the urine
forcefully out of the urethra. As this condition worsens, the muscles of
the bladder may become thicker and overly sensitive. During this stage,
the bladder muscle starts to contract even with small amounts of urine,
which causes the frequent urination. The muscle becomes overly narrowed
and thus does not allow the bladder to become completely empty. You can
find effective prostate treatment that targets the most popular
symptoms.
Some of the common symptoms of an enlarged prostate include -
· Slow urination
· Difficulty in starting the urination
· Frequent urination
· Incomplete emptying of bladder
· Strain during urination
· Dribbling of urine
· The stream of urination is intermittent
· Frequent urination during the night
It is always recommended that men with these above mentioned symptoms should see the doctor immediately and find the best prostate treatment. There are a range of treatments for this condition. You can take medication, go for surgery in advanced cases or opt for less or minimally invasive surgical procedures. This treatment is heavily influenced by your general health conditions and age. As a person ages the kind of treatment varies. Many of the less invasive treatment are considered as beneficial as, they allow the patient to recover quickly and there are fewer side effects. For people with urinary retention, or bothersome symptoms, doctors suggest that medication is best bypassed. To have relief from such a condition, a less invasive surgery is recommended.
Some of the common symptoms of an enlarged prostate include -
· Slow urination
· Difficulty in starting the urination
· Frequent urination
· Incomplete emptying of bladder
· Strain during urination
· Dribbling of urine
· The stream of urination is intermittent
· Frequent urination during the night
It is always recommended that men with these above mentioned symptoms should see the doctor immediately and find the best prostate treatment. There are a range of treatments for this condition. You can take medication, go for surgery in advanced cases or opt for less or minimally invasive surgical procedures. This treatment is heavily influenced by your general health conditions and age. As a person ages the kind of treatment varies. Many of the less invasive treatment are considered as beneficial as, they allow the patient to recover quickly and there are fewer side effects. For people with urinary retention, or bothersome symptoms, doctors suggest that medication is best bypassed. To have relief from such a condition, a less invasive surgery is recommended.
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