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Noctoria is one of the bothersome LUTS and also most difficult to eliminate in aging menNocturnal polyurea associated with circadian change of arginine vasopressine and atrial natriuretic peptide in the elderly has been suggested as the most dominant type of nocturiaDesmopressin is effective in treating nocturia to improve the patients QOLalthough a few adverse events such as hypernatremia might occur45]
Small CaltropsGokshurais useful in treating BPHgenitourinary infectionspainful urinationhematuria and dysuria.
Ayurveda describes two conditions known as mootrakruchra and mootraaghaatawhich coincide with the symptoms of prostatismMootrakruchra or strangury is characterized by severe pain in passing urine whereas in mootraaghaatathere is total suppression or intermittent flow of urine during urination.
Freeze-dried aqueous extract of the red variety of Lepidium meyeniiRed Macaon testosterone-induced BPH in adult rats of the Holtzman strain was investigated and compared with finasterideStudy suggested that Finasteride was able to reduce both prostate and seminal vesicles weight but Red Maca was specific to prostate weightAuthors suggested this may be an interesting alternative in the treatment of prostatic diseases58]
In the case of TURPshort-termmainly perioperativecomplications include deathbleedingclot retentiontransurethral resectionTURsyndromehypernatremia resulting in mental confusionnauseavomitingand raised blood pressureurinary tract infectionand inability to voidamong whichbleeding is the most commonSome of these complicationse.gbleeding and TUR syndromemay be serious and life-threateningShort-term complications of TURP include deathbleedingclot retentionTURurinary tract infectionand inability to voidLong-term acheter xenical pas cher. complications of TURP include failure to voidretrograde ejaculationimpotencepartial or complete incontinenceand retreatment27]
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