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Lisa Ann Mack, MSN, NP, APRN is a nurse in Lebanon, NH specializing in urology (urinary tract disease). Lisa Ann Mack, MSN, NP, APRN is affiliated with Dartmouth-Hitchcock Medical Center (DHMC), Dartmouth-Hitchcock (D-H), Dartmouth-Hitchcock Clinics and Dartmouth Hitchcock Medical Center.
1 MEDICAL CENTER DRIVE
Lebanon, NH 03756
Benign Prostatic Hyperplasia (Enlarged Prostate)
Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.
Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:
If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.
Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.
She is certified by the Board Certification: APRN, Family Nurse Practitioner and has a state license in New Hampshire.
Board Certification: Board Certification: APRN, Family Nurse Practitioner (2023)
Licensed In: New Hampshire
Lisa Ann Mack, MSN, NP, APRN is associated with these hospitals and organizations:
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Ms. Lisa Mack practices family medicine and urology (urinary tract disease) in Lebanon, NH. Her clinical interests encompass benign prostatic hyperplasia (enlarged prostate), erectile dysfunction (impotence), and voiding dysfunction. Ms. Mack is professionally affiliated with Dartmouth-Hitchcock Clinics and Dartmouth-Hitchcock Medical Center (DHMC).