Prostate Restored
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When should one go for prostate surgery?

Surgery is usually recommended in treating BPH-related complications, such as: Urinary retention (inability to urinate) Failure to respond to medical or minimally invasive treatment. Blood in the urine that is not getting better.

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While medications help many men with an enlarged prostate surgery -- also called benign prostatic hyperplasia (BPH), however, they may not always be effective in relieving symptoms. The Next Step in Enlarged Prostate Treatment is minimally invasive and surgical procedures. These are available to treat moderate-to-severe enlarged prostate symptoms that are bothersome. These procedures are also used if tests show that urinary function is seriously affected. Surgery is usually recommended in treating BPH-related complications, such as: Urinary retention (inability to urinate) Failure to respond to medical or minimally invasive treatment Blood in the urine that is not getting better Gallbladder stones Frequent urinary tract infections Kidney damage When to get the surgery for enlarged prostate done’ is the question most seniors face. As you discuss the options, ask your doctor these five questions:

Is there a good chance my condition will improve? How much will it improve? What are the chances of side effects from a treatment? How long will the effects last? Will I need to have this treatment repeated?

Longer Delays Could Double Risk

While delaying surgery for up to six months was not associated with an increased risk of recurrence, delaying treatment longer appeared to more than double the recurrence risk. This doesn't necessarily mean that all low-risk prostate cancer patients who wait longer than six months to get treated have a worse prognosis than those treated earlier.

Choose Treatment, Doctor Carefully

The study should reassure prostate cancer patients that they can take their time to choose the best treatment for them, but that should not take more than six months. Dr. Anupam Bhargava advises that it is not right to wait longer for the treatment unless the patient is older and decides not to get treated at all. Patients absolutely should take the time to fully understand the different treatment options and the side effects associated with those treatments. Another important consideration is the experience of the treating surgeon or radiologist.

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Is Tomato good for your prostate?

In the Health Professionals Follow-up Study, a two-serving per week increase in tomato sauce intake was associated with a 20% reduction in risk of prostate cancer progression (mostly biochemical recurrence).

Based on the American Cancer Society’s recommendation of 5 or more servings of vegetables and fruit each day, as well as the potential benefit of tomato intake for men with prostate cancer, we recommend that men consume 2 or more servings per week of cooked tomatoes, such as sauteed or roasted tomatoes, marinara sauce, tomato soup, etc. Some epidemiologic studies suggest that greater intake of tomatoes, especially cooked tomatoes (i.e. tomato sauce) after prostate cancer diagnosis reduces risk of prostate cancer progression. In the Health Professionals Follow-up Study, a two-serving per week increase in tomato sauce intake was associated with a 20% reduction in risk of prostate cancer progression (mostly biochemical recurrence). Tomatoes are a good source of the antioxidant, lycopene, which neutralizes free radicals and reduces oxidative damage to cells. Cooking tomatoes in a little oil increases the absorption of lycopene compared to raw tomatoes or tomato juice, which is why we recommend consuming cooked tomato products at least two times per week. Healthy unsaturated oils, such as canola or olive oil, may also be beneficial for men with prostate cancer and thus cooking tomatoes in small amounts of these healthy fats is a win-win! More information from clinical trials is needed to prove whether consuming lycopene-rich foods prevents progression of prostate cancer. Until these definitive studies are completed, we recommend obtaining lycopene through a healthy diet rich in vegetables and fruits, such as cooked tomato products, rather than supplements. Consuming excessive amounts of any one nutrient is rarely beneficial, and may actually be harmful, so it is best to achieve good nutrition through dietary choices.

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