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    Enlarged Prostate Treatments

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    Questions to Ask Yourself About Enlarged Prostate Treatment

    When you discuss the treatment options for an enlarged prostate with your doctor, keep these points in mind:

    • How much are my symptoms bothering me?
    • Do they keep me from doing things I enjoy?
    • How long do I want to deal with them?
    • Am I willing to accept small risks to improve my symptoms?
    • Do I understand the risks?
    • Am I ready to do something about this problem?

    Other Points to Consider With Enlarged Prostate

    Need for repeat procedures: With minimally invasive procedures for an enlarged prostate, there is a chance you will need to have a repeat procedure later on. Having the procedure when you're young makes that a near certainty. However, that may be a risk you're willing to take -- to avoid surgery in the short term.

    Side effects of treatments: Some BPH treatments cause erection problems, although that risk is low. Men who have normal erections before surgery will not likely have trouble afterward. Some treatments cause retrograde ejaculation (the man ejaculates into the bladder instead of through the urethra). Fertility can also be affected, but is still possible with newer assisted reproductive techniques.

    Multiple health problems: If you have other health problems, especially if you are on an anticoagulant (blood thinner) and cannot stop taking this medication, your treatment options for enlarged prostate may be affected. For example, if you have had surgery for obstructive sleep apnea or pulmonary (lung) surgery in the past, having surgery with general anesthesia may be too risky. However, spinal anesthesia may be an option for you. Or you may wish to have a minimally invasive office procedure that doesn't require anesthesia at all.

    Talk to your doctor about your BPH symptom score, your concerns, and about the plan of treatment that works best for you.

    WebMD Medical Reference

    Reviewed by Stuart Bergman, MD on January 16, 2016
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