Another Issue

 

Another prostate issue.

"Have any of your readers had the Rezume procedure? I will, over this month, be having all the tests to see what my Prostate looks like and why the medications I take for BPH are not working like they should. And, I probably will be facing some at least minimally invasive procedure to deal with all that. 

There are obviously a number of options that I will have but my reading seems to suggest that Rezume will at least leave me with normal sexual function which would be nice. My medications already result in redirection when I cum and I would like to have that no longer be the case.

Has anyone had either Rezume or any other procedure that not only dealt with the pee problem but either corrected or at least did not cause the ending of ejaculatory functions?

Thanks and also thanks for your blog,"

Oddly enough, many of the medications for BPH (Benign Prostate Hypertension), like FloMax, can cause retrograde ejaculation. I found that the Resum procedure should be able to shrink the prostate using water vapor and is not supposed to hamper sexual function.

The good news is that, if stopping the use of the prostate meds doesn't clear up the retrograde ejaculation, that can be treated. The meds your doctor might have you try for that are:  

• 
  
• mipramine, an antidepressant.
• Midodrine, a medicine that constricts blood vessels.
• Chlorpheniramine and brompheniramine, antihistamines that help relieve allergies.

I'd caution the strength of any of those - antidepressants and constricted blood flow are both known boner killers. 

The antihistamines can cause your cum to be thicker as they dry up mucus membranes. It'll be important for you to talk to your doctor about side effects as you test them.

If anyone is familiar with the Resum procedure, help out a fellow reader by leaving a comment or sending an email.

Daily Prostate Help

 BPH - Benign Prostate Hyperplasia - commonly known as an Enlarged Prostate. As we age, the adage goes that the prostate continues to grow. The result is that we guys have a difficult time fully emptying out the bladder when we pee. Sometimes called an "old man's syndrome," the result is needing to piss often, waking up numerous times during the night.

As I've posted over the past (almost) 12 years, there are medications to help. Things such as Proscar, which reduces the swelling and allows for better flow. Beyond that, the other options are various medical procedures; four of which we've tackled over the past six months or so.

But, as Upton asked in his comment on yesterday's post:

"...It would seem to me that there must be a way of restoring and maintaining a healthy prostate. I know diet and exercise are a part of the regimen. I wonder what else can be done - on a daily basis, at home."

According to the article "Crucial Advice to Help Reduce the Risk of BPH" at Urology Care Foundation, there are a few things.

"Heart healthy = Prsotate Healthy. ... Keep normal blood pressure, blood sugar and cholesterol level along with a heathy weight and waist size. Alcohol in moderation has been associated with a lower risk of BPH and in excess could reduce the efficacy of BPH drug therapy. Make sure to work up a sweat. Exercise on a regular basis to prevent BPH or reduce the growth of it, is to exercise regularly. Try to exercise at least 30-minutes per day."

There are all kinds of supplements out there touting help. Talk to your doctor before starting on any of them. Things like DHEA and Zinc have shown no evidence of effectiveness. In fact, "DHEA may increase the size of the prostate."

And, according to American Urology Association's AUA Journal, "Our findings suggest that ejaculation frequency is related to a decreased risk of BPH/LUTS (Lower Urinary Tract Symptoms)  as well as prostate cancer."

So, for daily help to maintain a healthy prostate and reduce the risk of BPH and prostate cancer eat well, exercise, and cum.

BPH Treatments

 

"What are some opinions on Rezum and water ablation surgeries for BPH?"

BPH (Benign Prostate Hyperplasia) is an enlargement of the prostate. That issue is the culprit behind men needing to pee often due to the inability to fully empty the bladder. Over the years there have been many different treatments which can cause a multitude of other problems. The one which concerns men the most, of course, is ED (Erectile Dysfunction).

We guys love our boners. Yes, we do. 

Aquablation (water ablation) therapy is a robotic procedure that removes prostate tissue using the power of water. The treatment is performed in a hospital and is done under anesthesia. The procedure typically takes less than an hour and involves an overnight stay.

Rezūm Water Vapor Therapy is a minimally invasive procedure that uses the natural energy stored in a few drops of water to treat the excess prostate tissue causing BPH symptoms and can be done in a doctor's office.

According to the NIH (National Institute of Health):

"Both tests have demonstrated the Rezum system to be successful at producing necrosis in targeted cell tissue while preserving non-treated tissue around the area, as the thermal energy is contained within the zonal boundaries of the prostate. Mean reduction of total prostate volume at 6 months post procedure was 28.9%."

According to Urology Times:

"They both use water, but in different ways. And so, Rezum is office-based and Aquablation is operating-room-based. One is minimally invasive and the other is more a surgical management of BPH."

According to reports I've found, you'll also be happy to know:

"Compared to many other BPH treatments, Aquablation is more effective and carries virtually no risk of reducing a man's sexual function. In fact, the vast majority of men experience no change in their sexual desire and/or erectile function after Aquablation."

Prostate Exploration

 

It's the final day of Pride Month. To paraphrase Rick on this blog post today:

Gay Pride and Pride Month was not born of a need to celebrate LGBTQ+, but the right to exist without persecution. 

Recent events prove there is much work yet to do.

Now, let's continue our prostate exploration.

An infection can cause swelling of the gland which, in turn, can cut or reduce the flow through the urethra.

Not only can that make it difficult to pee, it can make it difficult to ejaculate --- as I found out when in my early 30s. The urologist bent me over the table, massaged the gland, stood me up and turned me around and milked me to ejaculation.

As we all know, the gland continues to grow as we age, causing Benign Prostate Hyperplasia (BPH). That condition also makes it difficult to pee. Medication such a Proscar will alleviate the symptoms. Sometimes more radical treatment is necessary, such as Transurethral Resection of the Prostate (TURP), surgically removing the inside portion of the gland.

Not all is lost. You can be proactive. According to nwmedicalspecialties, here is a list of foods to help maintain prostate health.

Best Foods For Prostate Health

• Omega-3 Fatty Acids. Fish like salmon, tuna and flounder are rich in omega-3 fatty acids ...
• Choose the Mediterranean Diet. ...
• Broccoli. ...
• Cayenne. ...
• Green Tea. ...
• Pumpkin Seeds And Brazil Nuts. ...
• Asian Mushrooms.

And...

According to that urologist I saw back in my early 30s, the other proactive thing you can do to promote prostate health: Ejaculate on a regular basis. His recommendation: "Cum at least twice per week."

I think that's probably a prescription most men will happily follow.