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If medical treatment does not reduce a patient's urinary symptoms, a TURP may be considered following a careful examination of the prostate or bladder through a cystoscope. If TURP is contraindicated, a urologist may consider a simple prostatectomy, in and out catheters, or a supra-pubic catheter to help a patient void urine effectively. [3]
This review found that bipolar and monopolar TURP probably results in comparable improvements in urinary symptoms, as well as a similar erectile function, the incidence of urinary incontinence, and the need for retreatment. Bipolar surgery likely reduces the risk of TUR syndrome and the need for blood transfusion. [citation needed]
BPH can be treated with medication, a minimally invasive procedure or, in extreme cases, surgery that removes the prostate. In general, treatment often begins with an alpha-1 adrenergic receptor antagonist medication such as tamsulosin , which reduces the tone of the smooth muscle found in the urethra that passes through the prostate, making it ...
Orchiectomy (also named orchidectomy) is a surgical procedure in which one or both testicles are removed. The surgery can be performed for various reasons: [1] [2] [3] treatment for testicular cancer; as part of gender-affirming surgery for transgender women; as management for advanced prostate cancer [4] to remove damaged testes after ...
The procedure is more painful for men than for women due to the length and narrow diameter of the male urethra, and results of a 2019 systematic review of the literature found that intraurethral lidocaine greatly reduces this painful procedure in men. [5] Relaxing the pelvic muscles helps make this part of the test easier.
Additionally, despite the novel treatment options (slings, urethral bulking injections, stem-cell therapy), AUS is considered to be the gold standard surgical management both for stress incontinence in men and for urinary incontinence developed as a complication of surgery, such as prostatectomy, cystectomy and TURP. [8] [4] [3]
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Infants and smaller children can lie down on a table and pee onto absorbent pads. For those children or infants with a neuropathic bladder, pressure on the suprabic region can help them to pee. [2] Fluoroscopic spot images and videos are taken during the micturition phase to detect any reflux.