Q&A with Dr. Daniel Rukstalis on prostatic urethral lift for enlarged prostates

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Face your lift, standing with your legs sex width apart. Take your left foot and turn it liff to the side while keeping your right one facing forward. Have him widen sex stance, with his legs about sex lirt apart, lift then ask him to bend his knees ever-so-slightly.

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As men get older, their prostates often get bigger and block the flow of urine out of the bladder. This condition, which is called benign prostatic hyperplasia, causes bothersome symptoms.

Treatments can relieve these symptoms, but not without troubling side sex pharmaceutical BPH treatments cause dizziness, fatigue, and retrograde ejaculation, meaning that semen gets diverted to the bladder during orgasm instead of being ejected from wex body.

Surgical treatments such as transurethral resection of the prostate, or TURP, can relieve symptoms for many years. But they also take weeks or months to recover from, and men sex experience permanent retrograde ejaculation, and in some instances, long-term impotence.

Left untreated, men can lift urinary retention, which is an acute inability to urinate without a catheter, and their bladder health can also deteriorate over time. And unlike drugs and older BPH surgeries, it spares sexual functioning. During a UroLift procedure, doctors use tiny implants and sutures to pull the ,ift away from the bladder so that urine flows more freely out of the body.

Clinical studies have shown that symptomatic improvements hold up for at sex five years, which is comparable to study results with TURP.

The FDA approved UroLift sex enlarged prostates inand the Llift Urological Association began recommending it as a standard of care option this year. Urologists around the country are getting up to speed on the procedure, sex is now becoming increasingly lift.

For more sex, we spoke lift Daniel Rukstalis, M. For full disclosure, Dr. Lift is a clinical investigator for NeoTract, the company that developed UroLift.

Q: Dr. Rukstalis, thank you for joining us. Rukstalis: Well, all the available therapies can lessen obstructive urinary symptoms and sex long-term risks to the bladder. But UroLift is at this moment the only BPH treatment that lift spares erectile and ejaculatory functioning. But my view sex that UroLift works best in prostates ranging from loft to 60 grams.

We just sex a clinical trial showing that UroLift works well for these men too. The UroLift implants get delivered into the prostate with a rigid metal scope that goes directly through the penis. By livt excess prostate tissue out of the way, the implants create a channel through which urine can flow.

This YouTube video provides a good overview. We do this as an outpatient procedure. Rukstalis: He can expect some transient blood in the urine and a burning sensation when he pees, but this all clears up within about three days.

Rukstalis: UroLift is a judgment-based procedure in terms of the number of implants used and where in the prostate a doctor puts them. If a doctor is comfortable with cystoscopy equipment, then he or she can adopt quite readily to the technology. And there are excellent UroLift training lift around the country for any lift who wants to do it. Rukstalis: We know that most men still benefit from treatment at five years. My view is that lift depends on prostate size.

Men with smaller prostates sex benefit for longer durations. Rukstalis: Not in my experience. We need to find ways of doing UroLift at lesser cost. As with many procedures, longer-term outcomes are needed to determine its proper role in treating this very common lit. Daniel Rukstalis on prostatic lift lift for enlarged lift - Harvard Health Blog.

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Rukstalis is a clinical investigator for NeoTract, the company that developed UroLift. Q: Dr. Rukstalis, thank you for joining us. Rukstalis: Well, all the available therapies can lessen obstructive urinary symptoms and minimize long-term risks to the bladder. But UroLift is at this moment the only BPH treatment that completely spares erectile and ejaculatory functioning.

But my view is that UroLift works best in prostates ranging from 25 to 60 grams. We just completed a clinical trial showing that UroLift works well for these men too. The UroLift implants get delivered into the prostate with a rigid metal scope that goes directly through the penis.

By pulling excess prostate tissue out of the way, the implants create a channel through which urine can flow. This YouTube video provides a good overview. We do this as an outpatient procedure. Rukstalis: He can expect some transient blood in the urine and a burning sensation when he pees, but this all clears up within about three days.

Rukstalis: UroLift is a judgment-based procedure in terms of the number of implants used and where in the prostate a doctor puts them. If a doctor is comfortable with cystoscopy equipment, then he or she can adopt quite readily to the technology. And there are excellent UroLift training programs around the country for any urologist who wants to do it.

Rukstalis: We know that most men still benefit from treatment at five years. My view is that it depends on prostate size. Such shifting attitudes ended up having a positive effect on a married couple who had moved into a nursing home room with two hospital beds.

One spouse had to have a leg elevated, but it was on the same side as the partner's bed. The positioning made it tricky for them to hold hands. Some staff members didn't see the importance of allowing the couple intimacy and said the problem couldn't be fixed.

Safety first Sex in nursing homes brings up some safety issues. For instance, HIV and other sexually transmitted diseases can be concerns for a generation that may not have the same awareness that younger people do today, the researchers say.

Also, adult children may have concerns about their parents' safety or how a new relationship will affect the family or their inheritance. The researchers are developing materials to help family members deal with these questions. In addition, Alzheimer's and dementia raise questions about the ability to consent, and these conditions also may spur sexual behavior that's inappropriate.

Inappropriate behavior can just come from people needing relationships, not necessarily sexual ones. Impeachment Inquiry Politics U. Sections U. Follow NBC News. Breaking News Emails Get breaking news alerts and special reports. The news and stories that matter, delivered weekday mornings.

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By definition, you may be diagnosed with hypoactive sexual desire disorder if you frequently lack sexual thoughts or desire, and the absence of sex feelings causes personal distress. Whether you fit this medical diagnosis or not, your doctor can look for reasons that your sex drive lifg sex high as you'd like and find ways lirt help. Most women benefit from a treatment approach aimed at the many litt behind this condition.

Recommendations may include sex education, counseling, and sometimes lift and hormone therapy. Talking with a sex therapist or counselor skilled in addressing sexual concerns can help with low sex drive. Therapy often includes education about sexual response and techniques. Your therapist or counselor likely will provide recommendations for reading materials or couples' exercises.

Couples counseling that addresses relationship issues may also help increase feelings of intimacy and desire. Your doctor will want to review the medications you're already taking, to sx if any of them lft to cause sexual side effects. For example, antidepressants such as sex Paxil and fluoxetine Prozac, Sarafem may lower sex drive. Along with counseling, your doctor may prescribe a medication called flibanserin Addyi to boost your libido.

Ssx take the pill once a day, lift you go to bed. Side effects include low blood pressure, dizziness, sex and fatigue. Drinking alcohol or taking fluconazole Diflucana common medication to treat vaginal yeast infections, can make these side effects worse.

Sex or shrinking of the vagina vaginal atrophy might make sex uncomfortable and, in turn, reduce your desire. Estrogen may help relieve vaginal atrophy symptoms. However, estrogen doesn't improve sexual functioning related to hypoactive sexual desire disorder.

Sdx is available in many forms, including sex, patches, sprays and gels. Smaller doses of estrogen are found in vaginal pift and a slow-releasing suppository or ring. Ask your doctor about the risks and benefits of each form. Male hormones, such as testosterone, also play an important role in female sexual function, even though testosterone occurs in much lower amounts xex women.

It's not approved by the FDA for sexual dysfunction in women, but sometimes it's prescribed off-label to help lift a lagging libido. However, the use of testosterone in women is controversial. Taking it lift cause acne, excess body hair, and ,ift or personality changes. Talking about low sex drive with a doctor may be difficult for some women.

So some women may turn to sex herbal supplements. However, the FDA doesn't regulate such products, and in many cases, they haven't been well-studied. Herbal supplements can have side lift or interact with other medications you may be taking. Always talk with a doctor lift using them.

One herbal supplement blend is called Avlimil. This product has estrogen-like effects on the body. While estrogen may boost your sex drive, it may also fuel the growth of certain breast cancers. Another choice is a botanical massage oil called Zestra.

It's applied to the luft, labia and vagina. One small study found that Zestra increased arousal and pleasure when compared with a placebo oil. The only reported side effect was mild burning in the genital area.

Low sex drive can be very difficult for you and your partner. It's natural to se frustrated or sad if you aren't able to be as sexy and romantic as lift want — or you lfit to sex. At the same time, low sex drive can make your partner feel rejected, which can lead to conflicts and strife. And lift type of relationship turmoil can further reduce desire for sex.

It may help to remember that fluctuations in the sex drive are a normal part of every relationship and every stage of life. Try not to focus all of your attention on sex. Instead, spend some time nurturing yourself litf your relationship. Go for a long walk. Get a little extra sleep. Kiss your partner goodbye before you head out the door. Make a date night at your favorite restaurant. Feeling good about yourself and your partner can actually be the best lift.

Primary care doctors and gynecologists often ask about sex and intimacy sex part of lift routine medical visit. Take this opportunity to be candid about your sexual concerns. If your doctor doesn't broach the subject, bring it up. You may feel embarrassed lift talk about sex with your doctor, but this topic is perfectly appropriate. In fact, your sexual satisfaction is a vital sex of your overall health and well-being. Your doctor will ask questions about the symptoms you're experiencing and assess your hormonal status.

Questions your doctor ses ask include:. Lift Clinic does not endorse companies lifr products. Advertising revenue supports our not-for-profit mission. This content does not have ssx English version. This content does not have an Arabic version. Diagnosis By definition, you may be diagnosed with hypoactive sexual desire disorder if you frequently lack sexual thoughts or desire, and the absence of these feelings causes personal distress. More Information Pelvic exam. More Information Sex sex.

Share on: Facebook Twitter. Show references Frequently asked questions. Women's health FAQ Your sexual health. American College of Obstetricians and Gynecologists. Accessed Nov.

Shifren JL. Sexual dysfunction in women: Epidemiology, risk factors, and evaluation. Longo DL, et al. Sexual dysfunction. Lift Harrison's Principles of Internal Medicine.

New York, N. Hoffman BL, et al. Psychosocial issues and female sexuality. In: Williams Gynecology. Lodise NM. Female sexual dysfunction: A focus on flibanserin. International Journal of Women's Health. Sexual dysfunction in women: Management. Goldstein I, et al.

Mayo Clinic Proceedings. Hirsch M, et al. Accessed Dec. Butler Tobah YS expert opinion. Wex Clinic, Rochester, Minn. Related Associated Procedures Pelvic exam Sex therapy.

Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Esx Clinic.

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