LADIES, IF YOU ARE FEELIN' TIRED, AND YOU'RE IRRITABLE,
AND YOU'RE ANXIOUS, BECAUSE YOUR HUBBY IS
KEEPIN' YOU UP, EVERY HOUR OF THE NIGHT TO GO TO THE BATHROOM,
IF COULD BE TIME FOR THE TALK.
AND, HERE TO HAVE THAT TALK, WITH US, THIS MORNING, IS OUR
CELEBRITY GUEST HOST, ALAN THICKE.
YEAHHHHHH.
HI, ALAN.
THANK YOU, DANIELLE.
B-P-H, BENIGN PROSTATIC HYPERPLASIA.
THAT'S A COMMON DISEASE EFFECTING 50% OF MEN OVER 50.
I KNOW SOME OF THEM.
I DIDN'T EVEN KNOW YOU WERE 50?!?
AH, YEAH, THANK YOU, VERY MUCH.
I LOVE YOU, MORE THAN EVER, NOW.
(LAUGHTER).
UM, B-P-H CAN DISTRESS THE QUALITY OF LIFE---.
SURE.
---FOR MILLIONS OF PEOPLE, EVERYDAY.
THAT'S RIGHT.
AND, THAT'S WHY, JOINING US, TODAY, TO TALK ABOUT THIS
CONDITION, AND AN ALTERNATIVE TREATMENT TO HELP RESTORE YOUR
PARTNER'S VITALITY, IS DOCTOR ALAN NIEDER, ASSISTANT PROFESSOR
AT COLUMBIA UNIVERSITY'S DIVISION OF UROLOGY, AT MOUNT
SIANI MEDICAL CENTER.
WELCOME, DOCTOR.
GOOD TO SEE YOU, THIS MORNING.
HI.
THANKS FOR HAVING ME.
YOU KNOW, LET'S GET RIGHT INTO THIS.
B-P-H, BENIGN PROSTATIC HYPERPLASIA.
IT IS WHAT MOST OF US KNOW AS AN ENLARGED PROSTATE.
YEAH, THAT'S CORRECT.
I MEAN, IT'S TYPICALLY, UH, A PROBLEM THAT MEN EXPERIENCE ONCE
THEY HIT, ABOUT, AGE 50, AND CAN BECOME MORE, YOU KNOW, WORSE, AS
THEY GET OLDER.
MEN ALWAYS, UH, I THINK OFTEN, UH, UH, THE, THE WORD PROSTATE,
THE TERM, UH, THEY FIND SYNONYMOUS WITH CANCER.
THEY EQUATE THOSE.
YEAH.
SO, UM, IT'S A COMMON QUESTION WE HAVE, FROM PATIENTS.
IT'S REALLY A TOTALLY DIFFERENT THING.
PROSTATE CANCER IS THE NUMBER ONE, UH, CANCER FOR MEN, IN THE
UNITED STATES.
UH, AND IT'S REALLY, TOTALLY SEPARATE THAN AN ENLARGED
PROSTATE.
THEY BOTH HAPPEN TO ORIGINATE IN THE SAME GLAND, OR ORGAN.
BUT, THEY REALLY DON'T HAVE MUCH TO DO WITH EACH OTHER.
UH HUH.
THERE'S A FEAR---.
IT'S GOOD TO BE PAYING ATTENTION.
---FACTOR, RIGHT?
YEAH.
UH, THERE'S, YEAH, FOR SURE.
AND, I THINK, YOU KNOW, THE BOTTOM LINE IS THAT, UH, YOUR
UROLOGIST, OR YOUR INTERNIST, SHOULD BE ABLE TO HELP, SORT OF,
FIGURE OUT ONE WAY OR ANOTHER, PRETTY, YOU KNOW, QUICKLY, IF
YOU'RE, IF YOU'RE DEALING WITH SOMETHING MORE INSIDIOUS, OR
DANGEROUS THAN JUST AN ENLARGED PROSTATE.
SO, WE WENT ON FACEBOOK, AND WE DID A QUIZ.
WE ACTUALLY ASKED SOME OF OUR VIEWERS WHAT THEY KNOW ABOUT
B-P-H.
ANY QUESTIONS THEY MAY HAVE ABOUT IT.
HOW IS IT EFFECTING THEIR MARRIAGE, AND SO ON, AND SO
FORTH.
AND SO, THEY SHARED THEIR STORIES, AND GREAT, UH, ADVICE.
SO, I WANT TO SHARE A COUPLE OF THOSE, WITH YOU, AND GET YOUR
RESPONSE.
ALRIGHT?
AND, HERE WE GO.
SO, CLAUDIA SAYS, "YOU HAVE NO IDEA.
ARE THERE MAN DIAPERS AROUND?
HUBBY SPENDS MORE TIME IN THE RESTROOM THAN MANNING THE REMOTE
CONTROL.", AND SHE SAYS IT IN A JOKING WAY, BUT OBVIOUSLY, THIS
IS SOMETHING THAT'S EFFECTING HER LIFE.
YEAH, I MEAN, CLEARLY IT BECOMES PROBLEMATIC, AS UH, THE, AS THE
ENLARGEMENT OF THE PROSTATE GROWS, AND UH, AS THE SYMPTOMS
REALLY BECOME WORSE, AND SO, RIGHT, SHE'S BEING SOMEWHAT,
PROBABLY, FUNNY ABOUT IT.
BUT YEAH, IT'S PROBABLY A SIGNIFICANT PROBLEM, AND HER
HUSBAND PROBABLY NEED, YOU KNOW, HE SHOULD DEFINITELY SEE A
UROLOGIST, AND HE SHOULD BE, YOU KNOW, ASSESSED, FULLY.
SO, THE, UH, IMPORTANT QUESTION, WHAT ARE SOME OF THE TREATMENT
OPTIONS FOR B-P-H?
WELL SO, USUALLY THE FIRST LINE THERAPY IS MEDICAL THERAPY.
UH, AND THE MEDICINES WORK WELL FOR A DESCENT NUMBER OF MEN, BUT
NOT EVERYBODY.
UH, THE MEDICINES DO HAVE SIDE EFFECTS.
SOME PILLS CAN GIVE YOU A RUNNY NOSE, THEY CAN MAKE YOU DIZZY,
UM, AND THEY CAN DECREASE YOUR LIBIDO.
AND THEN, THERE'S ALSO SURGICAL TREATMENTS, SUCH AS, YOU KNOW,
LASER SURGERY, OR, YOU KNOW, MORE NOVEL TREATMENTS, LIKE A
PLASMA BUTTON, WHICH WE'VE BEEN USING A LOT OF.
AND, THE PLASMA BUTTON?
IT'S A NEW TYPE OF TREATMENT FOR MEN WITH, UH, AN ENLARGED
PROSTATE.
SO, FOR MEN WHO'VE REALLY FAILED MEDICAL THERAPY, OR CAN'T
TOLERATE, AGAIN, THE SIDE EFFECTS OF MEDICINES, IT'S A
PROCEDURE WE PERFORM IN THE OPERATING ROOM, TYPICALLY,
USUALLY UNDER GENERAL, OR SPINAL ANESTHESIA, AND WHAT IT DOES IS
IT VERY GENTLY VAPORIZES, UH, THE PROSTATE.
AND, I THINK ONE OF THE BENEFITS, OR WHAT WE'VE SEEN, AT
LEAST, WITH OUR PATIENTS, IS THAT MOST MEN CAN TYPICALLY GO
HOME THE SAME DAY.
UH, OFTEN, THERE'S VERY LITTLE BLEEDING, AND, UH, THEY DO
PRETTY WELL.
IS THERE SOMETHING YOU DO, UH, AS A FOLLOW UP, AFTER A COUPLE
OF THE OTHER, UH, UH, OPTIONS, UH, HAVE FAILED?
IF THE MEDICATION FAILS, FOR INSTANCE?
AGAIN, TYPICALLY, THAT'S SORT OF MY TREATMENT ALGORITHM.
I'D LIKE TO TRY YOU ON MEDICINE, FIRST.
UH, AND THEN, IF THAT DOESN'T WORK, THEN WE DO USUALLY
PROGRESS TO A TREATMENT, LIKE AN ENDOSCOPIC TREATMENT, OR
SOMETHING THAT WE DO IN THE OPERATING ROOM, LIKE THE, LIKE
THE PLASMA BUTTON.
YOU KNOW, MOST MEN DO MUCH BETTER.
THEY'RE SIGNIFICANTLY IMPROVED.
AND, THEY'RE ACTUALLY, USUALLY KICKING THEMSELVES.
YOU KNOW, WHY DIDN'T I DO THIS THREE, FOUR, FIVE YEARS, FIVE
YEARS EARLIER?
SOME MEN, IT, THEY DO HAVE SOME RESIDUAL INFLAMMATION.
IT COULD TAKE A COUPLE OF WEEKS 'TIL THEY ARE BACK TO WHERE THEY
REALLY NEED TO BE.
BUT, I THINK, ON A WHOLE, MEN DO VERY WELL WITH IT.
THEY SOUND LIKE MANAGEABLE, UH, SIDE EFFECTS.
SO, TO, WHAT ARE OUR DOS AND DONT'S, NOW?
WE NEED TO ADDRESS THIS, TAKE CARE OF IT, AND MAKE SURE, UH,
ANY POTENTIAL PROBLEMS ARE, UH, ARE, UH, UH, UH, UH, ALLEVIATED
BY THIS, AND CERTAINLY, ANYTHING GOING ON, NOW.
YEAH.
I MEAN, I THINK THE FIRST, THE REAL TAKE HOME MESSAGE IS, IF
YOU, AS A MAN, OR YOUR PARTNER, OR YOUR SPOUSE, IS REALLY
EXPERIENCING SIGNIFICANT SYMPTOMS, THEY SHOULD CLEARLY,
YOU KNOW, UH, MAKE AN APPOINTMENT TO SEE A PHYSICIAN,
OR HOPEFULLY, A UROLOGIST, EVENTUALLY, AND GET FULLY
CHECKED OUT.
AND THEN, YOU KNOW, THE UROLOGIST TYPICALLY CAN GET THEM
ON A TREATMENT PROGRAM, WHETHER IT'S MEDICAL THERAPY, OR
SURGICAL THERAPY, TO SORT OF, IMPROVE THE QUALITY OF THEIR
LIFE, AND THEIR URINATION.
THINGS ARE CHANGING, YOU KNOW, AS YOU GET, UH, CLOSER TO 50,
ANYWAY.
SO, IT'S A GOOD IDEA TO BE IN TOUCH WITH ALL OF YOUR
SPECIALISTS.
BUT, IN THIS AREA, PARTICULARLY, UH, BECAUSE IT EFFECTS OUR, OUR
SOCIAL AND MARITAL LIVES, AS WELL AS OUR, UH, LONG TERM
HEALTH.
GOOD IDEA.
FOR SURE.
YOU HAVE TO DO IT.
AND LADIES, IF YOUR MAN DOESN'T WANT TO GO, YOU DRAG 'EM THERE.
'CAUSE, I KNOW, MEN HAVE A DIFFICULT TIME GOIN' TO THE
DOCTOR THEMSELVES.
THAT'S A WHOLE 'NOTHER SEGMENT.
WE'RE GONNA DO THAT ONE---.
(LAUGHTER).
---AT A LATER DATE.
UH, BUT DOCTOR NIEDER, THANK YOU FOR JOINING US.
REALLY GREAT INFORMATION.
APPRECIATE YOU STOPPING BY.
THANK FOR HAVING ME, GUYS.
THANK YOU.
PLEASURE.
AND REMEMBER, YOU CAN TAKE THE B-P-H QUIZ ANYTIME AT
www.plasmabutton.com, AND FOR MORE INFORMATION ON THE PLASMA
BUTTON TREATMENT WE'VE REVIEWED, HERE, THIS MORNING, YOU CAN ALSO
FIND THIS INFORMATION AT plasmabutton.com.