Prostate Woe Breakthrough

The News is good for New York men suffering from an enlarged prostate: Laser surgery hailed as the most significant breakthrough in 50 years as well as a new drug therapy are now available here.

The condition, known as benign prostatic hyperplasia, is so common that at least half of men older than 50 are affected and half of those have urinary symptoms.

"This includes frequency, urgency, slow urinary stream and waking up at night to urinate," says Dr. Alexis Te, director of the Brady Prostate Center at New York-Presbyterian Hospital.

The new surgical procedure, known as photoselective vaporization of the prostate, uses a green laser light to literally burn away or vaporize up to 15% of the over-grown prostate tissue. This, doctors say, offers instant symptom relief via a virtually bloodless operation.

"What makes this laser so special is that first, it is the; most powerfull available for human use, and second, it works to seal off blood vessels as it cuts, and this allows us to safely remove significant amounts of prostate tissue," Te says.

"You can go home the same day or the next morning, recovery is almost immediate and most men return to normal activities right away," Te says.

There is a downside to the procedure. Studies show it causes relatively minor ejaculation problems in 30% of patients.

In the past, other laser procedures could only heat or "cook" the prostate, after which it could take up to three months for the excess tissue to die and fall away. During that time, most symptoms would still prevail.

Other minimally invasive prostate procedures currently in use also use some form of heat source to accomplish the same thing and also require about three months to see the full effect.

The only other way to remove prostate tissue is by traditional surgery, an operation that can result in significant blood loss, a long recovery period, some sexual dysfunction and even up to 2% risk of death.

When it comes to nonsurgical treatments for the condition, results from a five-year National Institutes of Health study of some 3,000 men show that combining an anti-hypertensive drug with a traditional prostate medicine curbs symptoms and halts the progression of disease, with symptom relief seen within several weeks.

"Traditionally, we have used medications to treat symptoms of an enlarged prostate. For the first time, we now have evidence that at least one of those medications - drugs known as alpha blockers - can diminish the progression of disease," says Dr. Steven Kaplan, a urologist at New York-Presbyterian, one of 20 sites around the nation where the new research was conducted.

Kaplan says the study also found that by combining alpha blockers with more traditional prostate medicine, the outcome is far better than what either drug accomplishes on its own.

The one-two drug punch would not be right, he says, if urinary retention is the key problem, or if recurrent urinary infections are present.

Beyond Viagra : Internal Penile Pump Restores Normal Sexual Function

More than 20 million men in the United States are affected by erectile dysfunction. For the majority of these men, the cause is usually related to abnormal blood flow in the penis. Viagra is successful in restoring erections for 70% of men. Therefore, a little less than a third of all sufferers require a more advanced treatment option. The internal penile pump is currently the best option for men who don't respond to Viagra, says Dr. J. Francois Eid of Advanced Urological Care in Manhattan. Dr. Eid is the top-rated physician in the Northeast for this procedure, and he performs more than 100 each year.

"The internal penile pump makes our patients feel as normal as possible, and that is my goal when treating them," says Dr. Eid. "I've had patients who have used the pump for 18 years, and they've thanked me for enabling them to enjoy spontaneous lovemaking again."

The internal penile pump is an inflatable, saline-filled device. During the course of a 45-minute outpatient procedure, the pump is inserted through a one-inch opening in the scrotum. Squeezing the pump, which is completely in the scrotal sac, for about a minute, brings fluid into the penis that causes a lasting erection. To return the penis to its original state, simply squeeze the pump again so that the fluid retreats into the reservoir. Once in place, there is no maintenance required for the pump, which can remain inserted for a lifetime.

The highlight of this treatment is that it restores the patient's control over his own body, so that he able to obtain and maintain an erection at his disposal. Normal sensation, including orgasm and ejaculation, is not affected. Compared to Viagra, the internal penile pump is the best long-term option for patients with advanced erectile dysfunction.

Since 1986, Dr. Eid has treated a variety of urological conditions, including erectile dysfunction, premature ejaculation/orgasm and Peyronie's disease. He is the director of Advanced Urological Care and an associate clinical professor of Urology at Weill Cornell Medical College/New York Hospital. He was included this year on New York magazine's annual list of the city's top doctors.

Hernia solution without surgery

The Hernia Institute of Manhattan offers long-term solutions for hernia sufferers. A hernia is defined as a torn, dislocated muscle within the abdominal wall that can weaken with time if not properly maintained.

The rigid trusses once worn to treat a hernia have been replaced by the Myo-Kleber support system since 1919 - a device created with a superior unique European rubber elastic that can be worn with greater comfort, enabling patients to resume an active life-style. It acts as an invisible muscle, supporting the area with simultaneously inward and upward motion, never pushing down. Even after surgery, it should be worn for anywhere between six months and two years to help prevent a recurrence.

Established in Manhattan nearly 30 years ago, the Hernia Institute offers the Myo-Kleber support system. More than 25 models are already in stock for immediate fitting. Custom designed models can be made for complicated cases.

Malaria

The usual party suspects the water in that pretty flower arrangement. Your exquisite fish tank. The air cooler in the club. Your own overhead water tank. A walk in the park in the dark. A blood transfusion before heart bypass surgery.

But Why? The female mosquito who harbours the parasite (the male is a veggie) loves clean stagnant water and bites between dusk and dawn.

Play Safe

Curb accumulation of water in drums, cans, buckets, tubs, flower pots, tree holes; change water and clean out fish tanks vases and air coolers every 24 hours.

Clean underground and overhead tanks every month with organophosphorus insecticide (ABATE) to prevent mosquito breeding (it is harmless and tasteless).

Keep overhead tanks, cisterns, wells, air coolers covered.

Keep surroundings free of stagnant water. Pour soil, oil or kerosene over pools and yaddles.

Insist that your Municipal Ward fogs your compound out intervals, cleans gutters and drains, fills in pounds and trenches.

Check that your swimming pool is chlorinated.

Fix mesh screen on doors, windows and open balconies.

Use mosquito repellent creams, liquids, coils, spray, electronic devices. Follow the instructions carefully and watch out for allergic and breathing problems.

Wear white and paint doors white. Mosquitoes are attracted to dark surfaces.

Sleep under mosquito nets.

Wear long sleeves and trousers if you are outdoors at night, specially in gardens, to ward off bites. Arms, legs and feet are most vulnerable.

You're A Victim If you have a spiky fever teemed with shivering, sweats, headaches and joint pains that disappear and reappear at fixed, say 24-hour intervals, with clockwork regularity.

Or a spasmodic or continuous fever with headaches, runny nose, body aches, abdominal pains, vomiting, diarrhoea.

Be A Survivor

Identify the malaria and the responsible parasite by a CARD blood test or blood smear.

Get treated. Classic malaria needs chloroquine and prinaquine. Malignant malaria needs quinine. Both respond to Mefloquine.

Do not attempt self medication.

Do not stop the course without your doctor's approval because of unpleasant side effects. Ask for something to counter them.

Do not overdose hoping that you will get well sooner.

Dengue

(Pronounced Dengee)

The Usual Party Suspects Flower pots in a terrace garden or lawn.

But Why? The mosquito that carries the virus lives in still, preferably clean waters.

Play Safe follow the first 8 guidelines under Malaria

You're A Victim If you have a high fever, a rash, pain behind reddish eyes; muscle and joint pains (which have earned it the nickname of break bone fever); nausea; a bitter taste in the mouth.

Be A Survivor

Confirm by a blood platelet count and blood antibody test

Seek medical help immediately

Avoid aspirin which can lead to acidity or bleeding

Your doctor may put you on an intravenous drip, give you blood transfusions, treat the symptoms of fever and body ache, prescribe mild sedatives.

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Comments

Rather interesting. Has few times re-read for this purpose to remember. Thanks for interesting article. Clifford .

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