Medications For Enlarged Prostate
There are two main classes of pharmaceuticals that work to alleviate enlarged prostate symptoms: alpha blockers and alpha reductase inhibitors
Alpha Blockers. Alpha blockers relax the smooth muscle around the bladder neck and within the urethra.
Inhibitors. Inhibitors stop the conversion of the male hormone testosterone to DHT to reduce the prostate’s size, eliminating blockage.
Dont be surprised if your physician prescribes a combination of the two medications, as they have been shown to work more effectively together than alone. The downside is that combination therapy may increase the likelihood of experiencing side effects from the medications. Be sure to work with your doctor to assess the benefits and costs before starting on combination therapy.
What Are The Signs And Symptoms Of An Enlarged Prostate
An enlarged prostate is the most common cause of urinary problems in men as they get older. Possible symptoms include:
- a weak flow when you urinate
- a feeling that your bladder hasnt emptied properly
- difficulty starting to urinate
- dribbling urine after you finish urinating
- needing to urinate more often, especially at night
- a sudden urge to urinate you may sometimes leak before you get to the toilet.
You may not get all of these symptoms, and some men with an enlarged prostate dont get any symptoms at all. These symptoms can also be caused by other things, such as cold weather, anxiety, other health problems, lifestyle factors, and some medicines.;Blood in your urine may be a symptom of an enlarged prostate. But this is rare and is usually caused by something else.;
If you have any of the symptoms above, you should visit your GP to find out what may be causing them.
Minimally Invasive Treatments For An Enlarged Prostate
When medications don’t help your enlarged prostate, several procedures can relieve symptoms — without surgery. They are performed in a doctor’s office. “These procedures use various types of heat energy to shrink a portion of the prostate,” explains Westney. “They are very effective.”
TUMT : This therapy for mild to moderate blockage reduces urinary frequency, urgency, straining, and intermittent flow — but does not correct any bladder-emptying problems. In this procedure, computer-regulated microwaves are used to heat portions within the prostate to destroy select tissue. A cooling system protects the wall of the urethra during the procedure. TUMT is performed in a doctor’s office and requires only topical anesthesia and pain medications.
Possible side effects include painful urination for several weeks. Temporary urgency and frequency of urination is also possible. There may be less semen ejaculated. Many men must have this procedure repeated, either because symptoms return or do not improve.
TUNA : This procedure also destroys prostate tissue to improve urine flow and relieve symptoms. It involves heating the tissue with high-frequency radiowaves transmitted by needles inserted directly into the prostate . The procedure does not require a hospital stay. Possible side effects include painful, urgent, or frequent urination for a few weeks.
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What Are The Symptoms Of Prostatitis
These are the most common symptoms of prostatitis:
- Need to urinate often
- Burning or stinging while urinating
- Pain when urinating
- Less urine when you urinate
- Rectal pain or pressure
- Fever and chills
- Pain in your lower back or pelvis
- Discharge through the urethra during bowel movements
- Erectile dysfunction or loss of sex drive
- Throbbing sensations in the rectal or genital area
The symptoms of prostatitis may look like other medical conditions or problems. Always see your healthcare provider for a diagnosis.
The Link Between Heart Problems And Your Prostate
Disclaimer: Results are not guaranteed*** and may vary from person to person***.
Cancer prevention is top of mind for most people, but once you are diagnosed with heart disease, it might slip to the back of your mind. A new study suggests that men might want to consider their prostates if they have heart issuesbecause they are at greater risk for cancer.
In a large analysis of men participating in a prostate drug trial, researchers at Duke University found a significant link between coronary artery disease and prostate cancer. They believe the two conditions may have shared causes.
If confirmed that heart disease is a risk factor for prostate cancer, the tumor might be combated in part by lifestyle changes such as weight loss, exercise, and a healthy diet all known to prevent heart disease. Maybe natural remedies for the heart will do the prostate good, too!
Coronary artery disease kills more adults in the U.S. than any other cause, accounting for one in four deaths. Risk factors include inactivity, obesity, high blood pressure and cholesterol, cigarette smoking, and diabetes.
Similarly, prostate cancer is a common killer. Its the second-most lethal cancer for U.S. men, behind lung cancer, with about 240,000 new cases diagnosed a year, and 34,000 deaths. Previous studies exploring the relationship between coronary artery disease and prostate cancer risk have found conflicting results.
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Key Points About Prostatitis
- Prostatitis is inflammation of the prostate gland caused by infection. It can be one of several types.
- Prostatitis is not contagious and is not an STD.
- Any man can get prostatitis at any age. Symptoms of prostatitis may include urinating more often, burning or stinging during urination, pain during urination, and fever and chills. Your healthcare provider usually diagnoses prostatitis by your symptoms and by checking your urine and semen for signs of infection.
- Antibiotics are used to treat prostatitis. In rare cases, you may need surgery.
Bloated Stomach And Prostate Cancer
A bloated stomach occurs in a prostate cancer victim usually after the carcinoma is treated by prostatectomy; one might consider it as a normal side effect of prostate cancer surgery.
Prostate cancer is not considered to be curable once the mutated cells of the organ have had the chance to metastasize too far out regions of the body ? bone and lymph nodes; even a locally metastasized disease constitutes a lot of more trouble than a localized tumor in the prostate.
However, a radical prostatectomy to remove the gland or parts of it while the tumor is still confined to the organ is considered to be a very decisive treatment for the condition, in which the cancer is not even expected to return for as far out as ten year after the procedure. As such it is a common treatment for early stage prostate cancer, or for cancer that has failed to respond to radiation therapy. Usually it is a radical retropubic prostatectomy , in which the surgeon removes the prostate through an abdominal incision, but often a radical perineal prostatectomy is done, where the surgeon does the operation with incisions made in the perineum.
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Losing Control Of Your Bladder
Urinary incontinence can range from uncontrolled release of a full bladder to slower leakage. Leaking urine can also present in varying ways, from leaking a few drops after coughing, exercising, or bending, to leaking large quantities or leaking during sex. This usually improves over time if its a result of prostate cancer treatment, however, it can be longer-lasting if its from spinal cord compression. The good news is, there are some ways to manage losing control of your bladder, if needed, including:
- Absorbent pads or pants
- Pelvic floor muscle exercises
- Bed protectors
- Urinary sheaths
If urine incontinence continues for longer periods of time, or becomes a serious impairment to quality of life, there are other additional options including:
- Artificial urinary sphincter
- Internal male sling
- Anti-cholinergic medications
All of these options for serious impairment require surgery with the exception of medications. Your doctor will help you determine the side effects and potential benefits for your specific case. Additional lifestyle changes may also be beneficial to help fight urinary incontinence, including eating a well-balanced diet with fiber , exercising , avoiding alcoholic, fizzy, or caffeinated drinks, quitting smoking, and retraining your bladder by creating and maintaining a urination schedule.1-4
So Where Does The Prostate Fit In
The bowel is located right next to the prostate. If an overabundance of toxins seep into the nearby tissues, the toxins will directly impact the prostate. If they get into the prostate, they can cause inflammation and pain.
When the bowel is full, it can exert pressure on the prostate and the bladder. The straining required to defecate affects the pelvic muscles, which are important in bowel movements and bladder control. This can prevent the bowel and bladder from filling properly and cause them to contract when they shouldnt.
A large quantity of feces in the bowel can also prevent the bladder from voiding completely. Add this to the urinary symptoms caused by an enlarged prostate, and you might end up practically living in the bathroom.
Constipation, combined with an enlarged prostate, often gives rise to elevated levels of prostate-specific antigen .1;
Produced by the prostate, PSA is a protein found in sperm and, in lesser quantities, in blood. Abnormally high levels of blood PSA can indicate the presence of prostate cancer or some other prostate condition. The PSA test used to detect prostate cancer can be affected by constipation, which is something you clearly dont need. However, once the constipation is relieved, PSA levels returns to normal.
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Metastatic Spinal Cord Compression
Metastatic spinal cord compression happens when cancer cells grow in or near to the spine and press on the spinal cord. MSCC isnt common, but you need to be aware of the risk if your prostate cancer has spread to your bones or has a high risk of spreading to your bones. The risk of MSCC is highest if the cancer has already spread to the spine. Speak to your doctor or nurse for more information about your risk.
MSCC can cause any of the following symptoms.
- Pain or soreness in your lower, middle or upper back or neck. The pain may be severe or get worse over time. It might get worse when you cough, sneeze, lift or strain, or go to the toilet. It might get worse when you are lying down. It may wake you at night or stop you from sleeping.
- A narrow band of pain around your abdomen or chest that can move towards your lower back, buttocks or legs.
- Pain that moves down your arms or legs.
- Weakness in your arms or legs, or difficulty standing or walking. You might feel unsteady on your feet or feel as if your legs are giving way. Some people say they feel clumsy.
- Numbness or tingling in your legs, arms, fingers, toes, buttocks, stomach area or chest, that doesnt go away.
- Problems controlling your bladder or bowel. You might not be able to empty your bladder or bowel, or you might have no control over emptying them.
It is very important to seek medical advice immediately if you think you might have MSCC.
How Might An Enlarged Prostate Affect My Life
Having an enlarged prostate affects men in different ways. Some men can manage mild symptoms and dont need treatment. Other men find they need to stay near a toilet. This can make it difficult to work, drive, be outdoors and attend social events. If you need the toilet a lot during the night, this can affect your sleep and make you feel more tired during the day.
Some men with an enlarged prostate find their symptoms improve over time without treatment. But for most, the symptoms will stay the same or slowly start to cause more problems over time unless they have;treatment.
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Signs And Symptoms Of Prostate Cancer
Most prostate cancers are found early, through screening. Early prostate cancer usually causes no symptoms. More advanced prostate cancers can sometimes cause symptoms, such as:
- Problems urinating, including a slow or weak urinary stream or the need to urinate more often, especially at night
- Blood in the urine or semen
- Trouble getting an erection
- Pain in the hips, back , chest , or other areas from cancer that has spread to bones
- Weakness or numbness in the legs or feet, or even loss of bladder or bowel control from cancer pressing on the spinal cord
Most of these problems are more likely to be caused by something other than prostate cancer. For example, trouble urinating is much more often caused by benign prostatic hyperplasia , a non-cancerous growth of the prostate. Still, its important to tell your health care provider if you have any of these symptoms so that the cause can be found and treated, if needed. Some men might need more tests to check for prostate cancer.
Surgical Treatment For Enlarged Prostate
Transurethral resection of the prostate . In this surgery, the inner portion of the prostate is removed. Used 90% of the time, this is the most commonly used surgical procedure for BPH.
Open prostatectomy .The surgeon makes an incision and removes the enlarged tissue from the prostate.
Laser surgery –Laser surgery uses laser energy to destroy prostate tissue and shrink the prostate.
Transurethral incision of the prostate .This surgery does not involve removing prostate tissue. A few small cuts are made in the prostate gland to reduce the prostate’s pressure on the urethra, making urination easier.
Prostatitis And Other Pelvic Problems
The prostate, a small male gland located between the testes and the rectum, can cause a lot of problems, from prostatitis to cancer. Cancer is easy to diagnose but hard to treat; prostatitis is elusive because it has such a wide range of symptoms and no known cause. Prostatitis can cause pelvic pain, urologic concerns such as frequent urges to urinate, a weak or interrupted stream, and even blood in the urine. Sexual symptoms may include erectile dysfunction and pain during intercourse. Prostate problems may also cause irritable bowel syndrome , because the irritated prostate may in turn aggravate the nerves that affect the lower digestive tract.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
- The prostate, a small male gland located between the testes and the rectum, can cause a lot of problems, from prostatitis to cancer.
- Prostatitis can cause pelvic pain, urologic concerns such as frequent urges to urinate, a weak or interrupted stream, and even blood in the urine.
What Other Problems Might An Enlarged Prostate Cause
A small number of men may find it difficult to empty their bladder properly this is called urine retention. If youve been diagnosed with an enlarged prostate, your doctor will look at your test results to see if youre at risk of urine retention. You may be more likely to get urine retention if:
- youre aged 70 or over
- your prostate is very large
- you have a raised;prostate specific antigen ;level
- you have severe urinary symptoms and a very slow flow.
Chronic urine retention
This is where you cant empty your bladder fully, but can still urinate a little. It usually develops slowly over time. Chronic means long-lasting. The first signs often include a weak flow when you urinate, or leaking urine at night. You may feel that your abdomen is swollen, or that youre not emptying your bladder fully.
Chronic urine retention is usually painless. But the pressure of the urine can slowly stretch your bladder muscle and make it weaker. This can cause urine to be left behind in the bladder when you urinate. If you dont empty your bladder fully, you might get a urine infection, need to urinate more often, leak urine at night, or get painful bladder stones. You might also see some blood in your urine. Chronic urine retention can damage your bladder and kidneys if it isnt treated.
There are treatments for chronic urine retention, including:
- passing a thin, flexible tube called a catheter to drain urine from your bladder
- surgery to widen the urethra.
Acute urine retention
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Herbal Therapies For An Enlarged Prostate
Several herbal supplements are marketed for enlarged prostates. Saw palmetto, beta-sitosterol, and pygeum are all are widely used in Europe. They are available in the U.S. and don’t require a prescription.
However, researchers and doctors are cautious about advising patients to try herbal supplements. Because they are not FDA-regulated, there are concerns about a product’s quality from batch to batch, according to the NIH’s Office of Dietary Supplements. Also, the safety of an herbal product depends on many things — the chemical makeup, how it works in the body, how it is prepared, and the dosage.
Something else to consider: Like any drug, a herbal remedy can affect how other medications or treatments work, or interact dangerously with your other medications. They can also have side effects. And, the AUA points out, they have not been well-studied for effectiveness or safety.
Before trying any alternative treatment, learn as much as you can about it, the AUA says. Most importantly — talk to your doctor before you try an herbal remedy. Many doctors consider alternative therapies like saw palmetto to “have no effect on symptoms, except as expensive placebos,” Slawin tells WebMD.
Beta-sitosterol: This compound is extracted from pollen of rye grass. There has been some evidence that it provides relief from urinary symptoms. However, in four studies the supplement did not increase urinary flow rates, shrink the prostate, or improve bladder emptying.
The Top 7 Signs Of Advanced Prostate Cancer
In the early stages, you may not notice any symptoms related to prostate cancer. This is why screenings are important. Symptoms can sometimes be noticed for the first time when the cancer advances.
Advanced prostate cancer, also called metastatic cancer, means the cancer has spread to other areas of your body beyond your prostate gland. The most common areas for prostate cancer to spread are your bladder, rectum, and bones. It can also spread to your lymph nodes, liver, lungs, and other body tissues.
Whether youve just been diagnosed or youre in treatment, its also important to know the signs of advanced cancer. Cancer can behave differently depending on your genetics, so not every person will experience the same symptoms in the same way.
Read on to learn more about the seven top symptoms of advanced prostate cancer and how to spot them.
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