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Can prostate cure without surgery?

For those with minor symptoms, medication or diet changes can help, but as symptoms increase, surgery is often the next step. But for men who are not candidates for surgery, or have a strong desire to avoid surgery, prostatic artery embolization (PAE) is a new treatment option.

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Prevention Diet: Foods for an Enlarged Prostate Sesame seeds. Salmon. Bell peppers. Tomatoes. Avocados. Vegetables. Tofu.

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If you’re a man over 50, you have a one in three chance of having benign prostatic hyperplasia (BPH), the most common benign tumor found in men. BPH causes symptoms such as lack of bladder control, increased urinary frequency, and urgency and pain. For those with minor symptoms, medication or diet changes can help, but as symptoms increase, surgery is often the next step. But for men who are not candidates for surgery, or have a strong desire to avoid surgery, prostatic artery embolization (PAE) is a new treatment option. Interventional radiologist Brian Holly, M.D. , explains what you should know about the prostatic artery embolization procedure and if it may be right for you.

What is PAE?

PAE is a nonsurgical procedure that decreases the blood supply to the prostate, thus reducing its size and symptoms. An interventional radiologist, who uses X-rays and other imaging techniques to see inside the body and treat conditions without surgery, performs PAE. At Johns Hopkins, our interventional radiologists are expertly trained and experienced in performing this technically challenging procedure.

Who is eligible for PAE?

The PAE procedure is best for candidates who are either ineligible due to pre-existing health conditions or not interested in traditional surgery. An exam with an interventional radiologist can determine if you are a candidate for PAE. At this appointment, you may be asked how often you have urinary symptoms of BPH, how severe they are, and how much they affect your quality of life. Men who have advanced heart diseases associated with smoking or diabetes may not be candidates for PAE.

What are the benefits to PAE?

PAE is less invasive then other procedures so patients can return to their normal lives sooner. The PAE procedure can also have a lower risk of urinary incontinence and sexual side effects (retrograde ejaculation or erectile dysfunction), when compared with more invasive surgical procedures such as a TransUrethral Resection of the Prostate (TURP).

How effective is PAE?

PAE is a new and promising procedure. In a study published in 2016, 630 patients underwent a prostate artery embolization procedure. The study found that the procedure had a positive effect on urinary symptoms as well as overall quality of life. This positive effect lasted 1-3 years in 82% of the patients and lasted 3-7 years in 76% of the patients. Additionally, there was no urinary incontinence or sexual dysfunction reported. With the high success rate of PAE, men ineligible for surgery are able improve their quality of life by eliminating or reducing uncomfortable BPH symptoms. Be sure to speak to your urologist to help determine the best approach for you.

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Is wine good for enlarged prostate?

Drinking alcohol -- even more than six drinks a week -- doesn't make the symptoms of an enlarged prostate any worse. In fact, men who drink more than is otherwise good for them have fewer prostate symptoms and better sexual function than teetotalers. A low-carb/high-fat diet slows the growth of prostate tumor cells.

Several meeting reports focused on how lifestyle affects the symptoms of an enlarged prostate and the risk of prostate cancer prostate cancer . May 22, 2006 - If you're a drinker or an Atkins dieter, there's good news for you from this week's annual meeting of the American Urological Association in Atlanta. It's one of those things that people -- including urologists -- nearly all believe. Men with an enlarged prostate , they say, shouldn't drink alcoholic beverages. It's supposed to make the symptoms of an enlarged prostate -- urinary flow, urinary irritation, and poor sexual function -- worse. There isn't much scientific evidence for this, says Claus Georg Roehrborn, MD, of the University of Texas Southwest Medical Center at Dallas. So Roehrborn and colleagues analyzed data from 19,000 men enrolled in six different international clinical trials of treatments for enlarged prostate and prostate cancer. Some of these over-45-year-old men said they didn't drink at all. Others said they had no more than two, three to six, or more than six drinks a week. (A drink, in this study, was 1 ounce of 80-proof liquor, a small glass of wine, or a glass of beer.) "The patients who claim they drank more complained of less irritative and obstructive symptoms," Roehrborn said at a news conference. "The more alcohol people said they were consuming, the better their urine flow, and the better their libido." Does this mean a man with an enlarged prostate should take up drinking? No, Roehrborn says. But he argues that doctors should stop telling men their prostate symptoms will get better if they stop drinking.

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