![]() Readers may email questions to or send mail to 628 Virginia Dr., Orlando, FL 32803.The "books" related to the business are the revenue, spending, and income summary reports in accounting. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. I do want to emphasize that hyperbaric oxygen is used in addition to the best practices of wound care.ĭr. A longstanding wound tends to be harder to heal and requires more time. Uncontrolled studies have shown that 75% of radiation-induced wounds can be healed by hyperbaric oxygen, but it may take months to do so. While the exact mechanism for its effectiveness isn’t known, real-world data have shown its effectiveness, even if high-quality trials have not had consistent results. This has many effects both systemically and at the site of the wound. In practice, this involves a pressure chamber with pure oxygen, allowing the oxygen to come into direct contact with the wound at very high concentrations. Standard treatment for wounds can be augmented with the use of hyperbaric oxygen (“hyperbaric” means at a high pressure). Wound care experts typically include plastic surgeons and wound care nurses. However, since you have this complication, the treatment for it definitely requires special expertise. There are many treatments that are safer than radiation, which was at a dose where you have developed this serious complication. I am very surprised about the use of radiation treatment for plantar warts. K.L.ĪNSWER: Radiation can sometimes lead to chronic, non-healing wounds. It seems to be helping, but it’s taking a long time to heal. One turned into a wound that never healed until I started to see a podiatrist at a wound care center. I had radiation treatment for plantar warts last summer. ROACH: How effective is hyperbaric oxygen therapy in treating a radiation wound on one’s foot? I’m a 67-year-old male with high blood pressure that is currently under control. ![]() I refer men in your situation to a urologist.ĭEAR DR. Of course, it’s possible your problem really is an enlarged prostate, so contemplation of surgery and newer prostate procedures could be in your future. Hopefully the correct diagnosis will lead to better treatment. Urine flow can also be measured, and if the problem is thought to be an overactive bladder, an entirely different set of medications is used. An evaluation of how much urine is left in the bladder after urination is easily obtained by a handheld ultrasound, but most primary care doctors don’t (yet) have that ability. Urologists have specialized tools at their disposal that can help distinguish between these possibilities (and some less-common ones). Sometimes an overactive bladder can be very difficult to distinguish from an enlarged prostate by its symptoms. ![]() Very often, the problem isn’t the prostate at all - but the bladder. Although there are other medications, such as finasteride, it is worthwhile to take a figurative step backward and ask whether an enlarged prostate is really the problem. Tadalafil (Cialis) is more often used as a treatment for erectile dysfunction, but it is also a useful drug for men with prostate issues. Tamsulosin (Flomax) is a frequent choice and effective for most men with urinary symptoms due to an enlarged prostate, which is extremely common for men your age. Is there another alternative? - D.T.ĪNSWER: Many times, men with increased urinary frequency in the nighttime have a problem of an enlarged prostate. You can imagine how disruptive this situation is to my daily sleep. I was then prescribed tadalafil, which I have been taking for a month with no relief. I can set my clock by the urge! I was prescribed tamsulosin, which I took for many months, but it wasn’t effective. I must get up from sleeping every 1.5 hours. ![]() ROACH: I’m a 76-year-old male who has had nighttime urination problems for many years. ![]()
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