Treatment may not be needed in mild cases. In moderate to severe cases, the following treatment options are available:
Drugs that relax the smooth muscle of the prostate and bladder neck are Transurethral resection of the prostate (TURP) is the most common technique used to treat BPE. used to improve urine flow and reduce bladder outlet obstruction. Drugs that inhibit production of the male hormone DHT, which is involved with prostate enlargement, are used to prevent progression of growth of the prostate or actually shrink the prostate in some men.
Most urologists recommend removal of the enlarged part of the prostate as the best long-term solution for someone with BPE. With surgery for BPE, only the enlarged tissue that is pressing against the urethra is removed; the rest of the inside tissue and the outside capsule are left intact. Surgery may be performed by the following methods:
Sexual Function After Surgery
Most men are able to continue to have erections after surgery. After prostate surgery, the neck of the bladder is widened, so the semen takes the path of least resistance and enters the wider opening to the bladder rather than be expelled through the penis. Later, it is harmlessly flushed out with the urine. The main impact of prostate surgery is that you will not be able to father children in the normal way as you have a dry ejaculate. However, most men find little or no difference in the sensation of orgasm or sexual climax after surgery.
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