Enlarged Prostate and Labiaplasty

A male reproductive system contains a gland called prostate that produces the fluid carrying sperm during ejaculation. When the gland becomes bigger it comes to be known as enlarged prostate. It is a common in men as they grow older. The growing gland presses the urethra causing bladder and urination problems. 

Though the cause of enlarged prostate is not known, it has been linked to aging and the testicles. However, men who have had their testicles removed may not develop enlarged prostate. The symptoms may include

·         Dribbling after urination.

·         Urinary retention.

·         Incomplete emptying of bladder.

·         Incontinence.

·         Urge to urinate frequently at night.

·         Urination followed by pain or bloody urine.

·         Slow or delay the urinary system.

·         Straining while urinating.

·         Weak urinary system.

At Dr. Safir’s, the treatment for enlarged prostate may be based on the severity of the symptoms. The treatment may start with some self-care measures such as the patient being asked to

·         Urinate at the firs urge.

·         Avoid alcoholic beverages after dinner.

·         Avoid drinking fluids 2 hours within bedtime.

·         Avoid medications containing decongestants or antihistamines as they may increase the symptoms.

The patient may be prescribed medications such as 

·         Alpha-1 blockers to relax muscles of bladder neck and prostate. It may help to urinate easily.

·         Finasteride and dutasteride to reduce size of prostate increasing the urine rate. 

Additionally, surgical procedures may also be performed. The two most common surgical procedures are

1.      TURP (transurethral resection of the prostate). The patient is administered a general anesthesia or spinal anesthesia. The surgeon may insert a cystoscope or endoscope through urethra. A special cutting tool may then be inserted that removes prostate n pieces with an electric current.

2.      TUIP (transurethral incision of the prostate). It may be performed on men having smaller prostate. A cystoscope or endoscope is inserted and incisions may be made in the prostate enlarging the urethra opening and bladder outlet.  

Labiaplasty is a cosmetic procedure performed in women to improve the vagina’s external appearance by reducing labia. In some women, the labia may be asymmetrical or big on one or both sides while in others it occurs after childbirth or aging. Labiaplasty may be either labia minora or labia majora.

At Dr. Safir’s, Labiaplasty is performed under local anesthesia and may be performed in 1-2 hours. It is done on an outpatient basis without requiring any need for hospitalization. The after surgery precautions may include avoiding sexual activities and heavy strenuous activities for 6 weeks. It may also be recommended to maintain local hygiene.