What Is The Most Common Treatment For Enlarged Prostate
Transurethral resection of the prostate : This is the most common and most proven surgical treatment for BPH. TURP is performed by inserting a scope through the penis and removing the prostate piece by piece. Simple prostatectomy: An open prostatectomy is usually performed using general or spinal anesthesia.
Read Also: Does Enlarged Prostate Affect Ejaculation
What Medications Are Used To In The Treatment Of Bph
Several types of medications have been approved for treatment of urinary symptoms secondary to prostate enlargement. Men with severe symptoms may require treatment with a combination of these medications. Your doctor will determine the optimal combination for your condition:
Alpha-blockers, such as terazosin , prazosin , or doxazosin , relax the muscles in the prostate and thus may relieve symptoms. Newer alpha-blockers, such as tamsulosin , alfuzosin , and silodosin, are more commonly prescribed because they may have fewer side effects.
Finasteride or dutasteride can cause the prostate to shrink. As a result, the urinary symptoms may improve. These drugs are most helpful in men who have at least moderate enlargement of the prostate.
Tadalafil has recently been approved for the treatment of BPH.
Bladder calming medications that help with the symptoms related to bladder irritability from prostate blockage: oxybutynin , solifenacin , darifenacin , trospium , and mirabegron .
Once your doctor has given you a medical plan, you should stick to it and follow up as recommended. Sometimes men need follow-up with a urologist.
Cause Of Urinary Problems As Men Age
Many men experience urinary symptoms as they age, which may be caused by inflammation of the prostate gland . In older men, symptoms may be due to a blockage in the tubes due to a benign enlargement of the prostate gland . The most common symptom is difficulty emptying your bladder. Urinary symptoms may become bothersome enough that they require treatment. Not all urinary symptoms are due to changes to the prostate. Also, some men have enlarged prostates and yet experience few, if any, symptoms.
Also Check: Does Tamsulosin Affect Ejaculation
Spinal Tumors And Sciatica Symptoms
Tumors, masses, or growths that are benign or cancerous may cause sciatica-like signs and symptoms if they occur in the lower spine or on the sciatic nerve . Tumors of any type are a medical emergency and must be monitored and/or treated immediately. Depending on the patients age, overall health condition, and level of tolerance, surgical or other medical treatment may be performed.
Tumors growing within the vertebrae can make the spinal bones weak, causing them to break and collapse. Watch:Metastatic Spinal Cancer Video
Type Of Prostate Pain
Prostate pain can be non-specific and often associated with chronic unexplained pelvic pain in men . The presence of urinary symptoms, microorganisms and inflammatory cells in the urine and semen are the only conclusive indication that the pain is associated with the prostate gland.
Prostate pain is often described as discomfort or pain that lies deep to the penis and scrotum although most patients will report that it is not extending to the rectum. The character of the pain can vary significantly with some patients reporting a mild discomfort like the bladder is not completely empty pressure or fullness but not actual pain.
At other times, it may be described as a dull ache or pain that is mild, moderate or severe. The pain may be burning, attacks of sharp or stabbing pain, or a bursting pain similar to an extremely distended bladder. Identifying a prostate condition solely on the location and nature of the pain is difficult and therefore other symptoms have to be noted.
Also Check: Does An Enlarged Prostate Affect A Man Sexually
Can A Kidney Stone Cause Pain In The Lower Abdomen
Kidney stones can cause extreme stomach pain and lower abdominal pain when they move through your urinary tract. Kidney stones are small buildups of mineral deposits that can form in your kidneys. Dr. Melissa Conrad Stöppler on MedicineNet says that kidney stones can cause excruciating pain in the lower abdomen, groin, side or lower back.
Questions You May Want To Consider Asking Your Doctor Include:
- What type of prostate problem do I have?
- Is more testing needed and what will it tell me?
- If I decide on watchful waiting, what changes in my symptoms should I look for and how often should I be tested?
- What type of treatment do you recommend for my prostate problem?
- For men like me, has this treatment worked?
- How soon would I need to start treatment and how long would it last?
- Do I need medicine and how long would I need to take it before seeing improvement in my symptoms?
- What are the side effects of the medicine?
- Are there other medicines that could interfere with this medication?
- If I need surgery, what are the benefits and risks?
- Would I have any side effects from surgery that could affect my quality of life?
- Are these side effects temporary or permanent?
- How long is recovery time after surgery?
- Will I be able to fully return to normal?
- How will this affect my sex life?
- How often should I visit the doctor to monitor my condition?
Related Resources
Recommended Reading: Retrograde Ejaculation Tamsulosin
What Are The Complications Of Prostatitis
Men with acute bacterial prostatitis may develop . This widespread inflammation can be life-threatening. It requires immediate medical treatment.
Antibiotics can cause an upset stomach. Men with chronic bacterial prostatitis may need lots of antibiotics to treat recurring infections. Some people develop antibiotic resistance, making treatment ineffective.
Asymptomatic inflammatory prostatitis can lower sperm count, affecting fertility.
What Is The Prognosis For People Who Have Prostatitis
Antibiotics can cure acute bacterial prostatitis. These medications also ease chronic bacterial prostatitis symptoms in approximately 30% to 60% of men. Up to 80% of men with chronic pelvic pain syndrome feel better after receiving appropriate treatments for their symptoms using the UPOINT system. Men with asymptomatic inflammatory prostatitis dont need treatment.
Also Check: What Happens To The Prostate Later In Life
Urinating Frequently During The Day
It may be more difficult to notice a change in frequency during the day than at night. Most of us dont go around counting how many times we use the washroom in a given day!
Besides, whats normal, anyway?
Normal urination during the day is considered to be within a range offour to seven times for most healthy adult men. If youre going more often than this, it could indicate a prostate issue.
It can be easy to miss this sign. Drinking more water or caffeinated beverages than usual can be an easy explanation for a few extra trips.
Even a night out for dinner with a few more glasses of beer than usual can cause several extra trips to the bathroom because alcohol is a diuretic, meaning it triggers anincrease in urine production.
Diuretics cause your kidneys to process more salt and water out into your urine, resulting in increased volume that makes you need to go more often.Source:WonderWhizKids.com
But like your nighttime routine, if you notice an ongoing pattern of having to go more often during the day, ask your doctor about it. A simple blood test and rectal examination is often the first diagnostic step, which is quick and painless.
What Causes The Pain
We feel pain when our bones, muscles, organs, nerves or other parts of our bodies are damaged or irritated. Cancer which has spread into these areas might cause pain.
Sometimes pain can be due to cancer treatments. For example, radiotherapy to treat bone pain can sometimes cause your pain to get worse during treatment and for a few days afterwards. But this isnt very common.
Pain can also be caused by problems not linked to the cancer, such as an infection.
Your doctors and nurses will work with you to find out what is causing your pain and will talk to you about suitable treatments. There are effective ways to treat different types of pain.
Bone pain
If prostate cancer spreads to the bone, it can damage or weaken the bone and may cause pain. But not all men with cancer in their bones will get bone pain. Prostate cancer can spread to any area of bone around the body. It most commonly spreads to the spine. Pain in these areas can sometimes make it painful to walk and move around. The pain might remain in only one area, but over time it can spread to several parts of your body.
Bone pain is a very specific feeling. Some men describe it as feeling similar to a toothache but in the bones, or like a dull aching or stabbing. It can get worse when you move and can make the area tender to touch. Each mans experience of bone pain will be different. The pain may be constant or it might come and go. How bad it is can also vary and may depend on where the affected bone is.
Nerve pain
Don’t Miss: Cialis Prostatitis
Enlarged Prostate Treatments In The Pipeline
Researchers continue to investigate new therapies for enlarged prostates. Another category of drugs is under development, says Slawin. Weve come a long way in treating BPH. Its no longer the life-threatening disease it once was. Now, in treatment, were working on quality of life issuesââ¬Â¦ reducing side effects of treatment.
Also being studied is a procedure called water-induced thermotherapy , an experimental procedure that involves destroying excess prostate tissue utilizing heated water and an air-filled balloon, which protects normal prostate tissue. The procedure is performed with only local anesthesia. Results may not be fully apparent for three to four months. However, preliminary studies examining WIT have shown positive results, with a near doubling in urine flow. However, the American Urological Association has not thus far endorsed WIT as a viable treatment option for symptoms of BPH.
When Is Bph Treatment Necessary
The course of BPH in any individual is not predictable. Symptoms, as well as objective measurements of urethral obstruction, can remain stable for many years and may even improve over time for as many as one-third of men, according to some studies. In a study from the Mayo Clinic, urinary symptoms did not worsen over a 3.5-year period in 73% of men with mild BPH. A progressive decrease in the size and force of the urinary stream and the feeling of incomplete bladder emptying are the symptoms most correlated with the eventual need for treatment. Although nocturia is one of the most annoying BPH symptoms, it does not predict the need for future intervention.
If worsening urethral obstruction is left untreated, possible complications are a thickened, irritable bladder with reduced capacity for urine infected residual urine or bladder stones and a backup of pressure that damages the kidneys.
- Inadequate bladder emptying resulting in damage to the kidneys
- Complete inability to urinate after acute urinary retention
- Incontinence due to overfilling or increased sensitivity of the bladder
- Bladder stones
- Recurrent severe hematuria
- Symptoms that trouble the patient enough to diminish his quality of life
Find a Location
Currently, the main options to address BPH are:
- Watchful waiting
- Medication
- Surgery
Don’t Miss: Flomax Side Effects No Ejaculation
How The Prostate Changes As You Age
Because the prostate gland tends to grow larger with age, it may squeeze the urethra and cause problems in passing urine. Sometimes men in their 30s and 40s may begin to have these urinary symptoms and need medical attention. For others, symptoms aren’t noticed until much later in life. An infection or a tumor can also make the prostate larger. Be sure to tell your doctor if you have any of the urinary symptoms listed below.
Tell your doctor if you have these urinary symptoms:
- Are passing urine more during the day
- Have an urgent need to pass urine
- Have less urine flow
- Feel burning when you pass urine
- Need to get up many times during the night to pass urine
Growing older raises your risk of prostate problems. The three most common prostate problems are inflammation , enlarged prostate , and prostate cancer.
One change does not lead to another. For example, having prostatitis or an enlarged prostate does not increase your risk of prostate cancer. It is also possible for you to have more than one condition at the same time.
Recurrent Prostate Cancer Symptoms
Prostate cancer that returns after treatment is considered recurrent. When it returns to the area around the prostate, the disease is classified as a local recurrence. If the cancer is found in another part of the body, the recurrent cancer is considered metastatic. If the cancer metastasizes outside the prostate, it most likely develops in bones first. Metastatic prostate cancer most often spreads to the liver, bones and lungs.
After initial treatment for prostate cancer, PSA levels are expected to drop dramatically. The first sign of recurrent prostate cancer may be a rise in the PSA level. Other symptoms of recurrent cancer may depend on whether and where the cancer has spread. Symptoms include:
- Blood in the urine
- Difficulty breathing
- Jaundice
Patients should discuss any symptoms with their doctor and ask about scheduling regular PSA tests after treatment.
Recommended Reading: External Prostate Massage Prostatitis
Can An Enlarged Prostate Cause Testicle Pain
4.1/5causetesticular paincancausedenlarged prostatetesticleread here
Prostatitis is pain and swelling, inflammation, or both of the prostate gland. The cause is sometimes a bacterial infection. Pain can occur in the area between the scrotum and anus or in the lower back, penis, or testes.
Additionally, where do you feel prostate pain? It can cause pain in the lower back, in the groin area, or at the tip of the penis. Men with this problem often have painful ejaculation. They may feel the need to urinate frequently, but pass only a small amount of urine.
Besides, can an enlarged prostate cause pain in the groin?
Prostatitis is swelling and inflammation of the prostate gland, a walnut-sized gland situated directly below the bladder in men. Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals and sometimes flu-like symptoms.
Can enlarged prostate cause burning sensation?
Some symptoms of BPH are not as common, and they could signal that your condition is more complicated or advanced. Those signs include: Burning or pain when you pee. Blood in your urine.
Prostate Pain Location Causes Symptoms And Tests
Posted by Dr. Chris
Pain just above the genitals in men usually raises the concern about bladder or prostate problems. In young boys and male teens, prostate problems are usually not a consideration. However, prostate problems can arise in late teens with recent studies noting an increase in prostate cancer among teen males. In younger males, pain above the genitals is more likely associated with the bladder.
With older males, either prostate or bladder problems can be the cause of pain in this region. The bladder lies above the prostate. Therefore bladder pain is typically felt slightly higher than prostate pain. Most of the time this can be difficult to isolate and prostate problems can only be differentiated from bladder problems after conducting diagnostic investigations. Even other symptoms may also be similar in both bladder and prostate problems.
Don’t Miss: Flomax Ejaculate
Is Lower Abdomen Pain A Sign Of Prostatitis
Can we consider pain in left lower abdomen in men as a sign of prostatitis?
Wuhan Dr.Lee introduces that lower abdomen pain is indeed a symptom of prostatitis. In general, prostatitis can be divided into acute prostatitis and chronic prostatitis. Chronic prostatitis is actually a uncured result of acute prostatitis. Therefore every man ought to concern prostate problems.
Why does pain in left lower abdomen happen?
Diagnosis Of An Enlarged Prostate
In order to establish the possible underlying causes for an enlarged prostate, doctors will perform a variety of tests.
Tests which are commonly used to find the cause of an enlarged prostate include:
- A digital rectal exam. A physician or nurse will insert a gloved finger into the patientâs rectum to digitally examine the prostate for swelling and/or enlargement.
- Swab tests for urethral discharge or urine. To determine underlying conditions such as STIs/STDs and urinary tract infections. A swab of discharge or urine is taken and sent to a medical laboratory for culturing, so that any microorganisms are identified.
- Urinalysis. A urine sample is sent to a medical laboratory for analysis and may be tested for urea nitrogen or creatinine, among other things.
- Blood tests. A sample of blood is sent to a medical laboratory for analysis, which may include tests for creatinine or blood urea nitrogen, as well as antibodies and infectious agents.
- Prostate-specific antigen test. A blood sample is sent to a medical laboratory to be tested for prostate-specific antigen , an enzyme produced by cells in the prostate. A change in PSA levels can indicate that there is a problem with the prostate.
If patients are referred to a urologist, they may have further tests, including:
Before referring the patient for tests, the physician may also ask questions in order to determine the possible causes of the discomfort, their severity, and their duration. Such questions may cover:
Don’t Miss: What Is Perineural Invasion In Prostate Cancer
What Are The Types Of Prostatitis
Types of prostatitis include:
- Acute bacterial prostatitis : A UTI causes an infection in the prostate gland. Symptoms include fever and chills. You may experience painful and frequent urination or have trouble urinating. Acute bacterial prostatitis requires immediate medical treatment.
- Chronic bacterial prostatitis : Bacteria become trapped in the prostate gland, causing recurrent UTIs that are difficult to treat.
- Chronic pelvic pain syndrome, or CPPS : CPPS is the most common prostatitis type. Prostate gland inflammation occurs in approximately 1 out of 3 men. As the name implies, this type causes chronic pain in the pelvis, perineum and genitals.
- Asymptomatic inflammatory prostatitis : This condition causes prostate gland inflammation but no symptoms. You may learn you have this condition after getting tests to find the cause of other problems. For example, a semen analysis for infertility may detect asymptomatic inflammatory prostatitis. This type doesnt need treatment.