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- The prostate gland is a male reproductive organ that produces fluids to feed and protect sperm cells.
- Many men experience urinary changes as they age. In many cases, these changes do not need specific treatment.
- When urinary changes cause problems, they can be treated successfully by lifestyle changes, medication, surgery or a combination of the three.
- For problems such as blood in the urine, pain on urination, inability to urinate or uncontrollable urine flow, see your doctor promptly.
Treatment For Benign Prostate Hyperplasia
Treatment for benign prostate hyperplasia can involve:
- Lifestyle changes, such as limiting a night-time consumption of liquids, avoiding caffeine and alcohol, avoiding medication such as diuretics, decongestants and antihistamines and getting more exercise, as well as dietary improvements, such as eating more fibre, avoiding artificial sweeteners and sweetened beverages.
- Medication, such as alpha-blockers or 5-alpha-reductase inhibitors.
- Interventions, such as the UroliftÂ® system, a non-surgical proprietary device that uses tiny implants to lift the prostate away from the urethra and thereby relieve BPH symptoms that result from pressure on the urethra.
- Surgical procedures, such as a prostatectomy , transurethral microwave thermotherapy , prostate laser, and Transurethral Resection of the Prostate .
- Herbal prostate treatments, such as saw palmetto extract. Saw palmetto extract is made from the fruit of the saw palmetto, which is native to the southeast and Gulf coasts of North America and may potentially assist in reducing urinary frequency and increasing urinary flow.
Treatment of prostate cancer can involve:
Tips For Coping With An Enlarged Prostate
When a man reaches about age 25, his prostate begins to grow. This natural growth is called benign prostatic hyperplasia and it is the most common cause of prostate enlargement. BPH is a benign condition that does not lead to prostate cancer, though the two problems can coexist.
Although 50% to 60% of men with BPH may never develop any symptoms, others find that BPH can make life miserable. The symptoms of BPH include:
- a hesitant, interrupted, weak urine stream
- urgency, leaking, or dribbling
- a sense of incomplete emptying
- more frequent urination, especially at night.
As a result, many men seek treatment. The good news is that treatments are constantly being improved. Patients and their physicians now have more medications to choose from, so if one doesn’t do the trick, another can be prescribed. And thanks to some refinements, surgical treatments are more effective and have fewer side effects than ever before.
But there are some things men dealing with BPH can do on their own. When symptoms are not particularly bothersome, watchful waiting may be the best way to proceed. This involves regular monitoring to make sure complications aren’t developing, but no treatment. For more troubling symptoms, most doctors begin by recommending a combination of lifestyle changes and medication. Often this will be enough to relieve the worst symptoms and prevent the need for surgery
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Does Prostate Exams Feel Good
The healthcare provider will sweep their finger along the wall of the rectum, feeling for any abnormalities in the prostate and may also press down on your lower abdomen during this process. It is normal to feel mild discomfort and the urge to urinate, but these sensations should last no longer than a few minutes.
Aim For Regularity For The Prostates Sake
The first step to relieving constipation is to improve your diet. Ideally, avoid processed foods high in sugar, salt, saturated or trans fats, and basically any foods that are difficult to digest or eliminate.
Drink a lot of water and avoid coffee and soft drinks.
Adopt a fibre-rich diet:
- Green vegetables , especially broccoli, kale, spinach and leek
- Dried fruits, including prunes, raisins, figs, mangoes and dates
- Prune juice
- Whole grains: in bread, breakfast cereals and pasta. Plain oatmeal is an excellent choice for breakfast. Wheat, which is ubiquitous, can be replaced by quinoa or millet to good effect.
- Choose whole-grain rice instead of white rice.
- Flax seed doesnt look like much, but when taken with water, its mucilage content helps clear the intestines. It also comes in the form of a laxative supplement.
- Beets ahoy! Delicious, rich in fibre and vitamins, beets help relieve constipation.
Be good to your intestinal flora. Because it plays a vital role in the digestive process, it is important to foster the growth of the good intestinal bacteria that make up the flora to prevent and relieve constipation. Prebiotic foods like onions, Jerusalem artichokes, asparagus, chicory, garlic and bananas nourish these good bacteria. Theres nothing too exotic about it. Using Molkosan whey extract is another way to create an environment whose pH fosters the growth of good bacteria. Thats how Molkosan promotes regularity.
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Symptoms Of Benign Prostate Enlargement
The prostate is a small gland, located in the pelvis, between the penis and bladder.
If the prostate becomes enlarged, it can place pressure on the bladder and the urethra, which is the tube that urine passes through.
This can affect how you pee and may cause:
- difficulty starting to pee
- a frequent need to pee
- difficulty fully emptying your bladder
In some men, the symptoms are mild and do not need treatment. In others, they can be very troublesome.
Sign : Stop And Start Urination
Typically, the flow of urine should be smooth and steady. But when the prostate is too big, urine could come out in interrupted spurts. You urinate a little and then it stops, even though you know theres more.
We know how bothersome this is. Be careful not to force out the remaining urine as you might strain the various muscles in the pelvic area.
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Diagnosis Of Enlarged Prostate Gland And Urinary Problems
If you are troubled by urination problems, see a doctor no matter what your age. If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests.These may include:
- general examination medical history and review of any health conditions including obesity, diabetes, obstructive sleep apnoea, depression and erectile dysfunction. A rectal examination may be done to check the size and shape of your prostate gland
- a urine check to ensure the prostate is not infected
- a flow-rate check to estimate the speed with which you pass urine
- an ultrasound examination to assess if the bladder is emptying completely and to examine your kidneys
- urodynamics a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.
How Is Bph Diagnosed And Evaluated
Early diagnosis of BPH is important because if left untreated it can lead to urinary tract infections, bladder or kidney damage, bladder stones and incontinence. Distinguishing BPH from more serious diseases like prostate cancer is important.
Tests vary from patient to patient, but the following are the most common:
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Can An Enlarged Prostate Cause Testicle Pain
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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.
Treatment Of Enlarged Prostate And Ed
While an enlarged prostate can cause ED, there are treatment options available to you to facilitate normal sexual function. Luckily many forms of enlarged prostate-associated erectile dysfunction are treatable, and by tackling the underlying problem of an enlarged prostate, many men can restore or greatly improve their sexual performance.
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What Causes Benign Prostatic Hyperplasia
The cause of benign prostatic hyperplasia is not well understood however, it occurs mainly in older men. Benign prostatic hyperplasia does not develop in men whose testicles were removed before puberty. For this reason, some researchers believe factors related to aging and the testicles may cause benign prostatic hyperplasia.
Throughout their lives, men produce testosterone, a male hormone, and small amounts of estrogen, a female hormone. As men age, the amount of active testosterone in their blood decreases, which leaves a higher proportion of estrogen. Scientific studies have suggested that benign prostatic hyperplasia may occur because the higher proportion of estrogen within the prostate increases the activity of substances that promote prostate cell growth.
Another theory focuses on dihydrotestosterone , a male hormone that plays a role in prostate development and growth. Some research has indicated that even with a drop in blood testosterone levels, older men continue to produce and accumulate high levels of DHT in the prostate. This accumulation of DHT may encourage prostate cells to continue to grow. Scientists have noted that men who do not produce DHT do not develop benign prostatic hyperplasia.
What Causes An Enlarged Prostate Gland
The prostate gland continues growing throughout your life, and aging is the main cause of an enlarged prostate. In fact, by the time theyre 60 years old, about 50% of all men will have BHP, and by the time theyre 85, the percentage jumps to 90%.
The direct cause of an enlarged prostate isnt clear, but certain risk factors increase your chances of suffering symptoms:
- Heart disease
Dr. Lee performs a few tests to diagnose your enlarged prostate, including urine flow, bloodwork, and a rectal exam.
Several variables dictate the best type of treatment. Depending on how large your gland is, your overall health, your age, and your symptoms, Dr. Lee may recommend lifestyle changes, medication, or even minimally invasive surgery.
Without treatment, your enlarged prostate can cause complications, such as urinary tract infections, bladder stones, or damage to your bladder or kidneys.
To avoid those problems and relieve your symptoms, schedule a consultation today. Either call us or use our online booking tool.
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Is Drinking A Lot Of Water Good For Your Prostate
If you have BPH or prostatitis, make an effort to reduce your caffeine intake by cutting back on coffee, soda or energy drinks. Avoiding caffeine can make a big difference in your urinary health. Another important drink for you prostate is water. Stay hydrated, and do not try to drink less to reduce your urine.
About Half Of Men Older Than 50 Have An Enlarged Prostate Here Are Some Of The Basic Facts You Need To Know About This Common Condition
As men age, many experience prostate gland enlargement. This condition is known as benign prostatic hyperplasia .
The prostate gland surrounds the urethra, the hollow tube that carries urine out of the body. When the prostate gets bigger, it can squeeze or partially block the urethra, which leads to problems urinating.
BPH is quite common in older men. In fact, the condition impacts about 50% of men between the ages of 51 and 60. For men 80 and older, the prevalence of BPH is approximately 90%, according to the National Institute of Diabetes and Digestive and Kidney Diseases.
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When To Contact A Medical Professional
- Less urine than usual
- Back, side, or abdominal pain
- Blood or pus in your urine
Also call if:
- Your bladder does not feel completely empty after you urinate.
- You take medicines that may cause urinary problems, such as diuretics, antihistamines, antidepressants, or sedatives. DO NOT stop or change your medicines without talking to your provider.
- You have tried self-care steps for 2 months and symptoms have not improved.
When To Seek Medical Advice
See a GP if you have any of the symptoms of an enlarged prostate .
Even if the symptoms are mild, they could be caused by a condition that needs to be investigated.
Any blood in your urine must be investigated by a GP to rule out other more serious conditions.
Page last reviewed: 10 February 2020 Next review due: 10 February 2023
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When Should I Call A Doctor
Your symptoms may not bother you too much. But itâs important to talk over any urinary problems with your doctor.
Itâs hard to predict how BPH will play out, and you canât assume that the problem will get better on its own. Your doctor also will want to rule out things that cause similar problems.
Some symptoms need quick medical attention. If you have any of these, call your doctor right away or head to an emergency room:
- You canât urinate at all.
- You have to pee frequently, itâs painful, and you have fever and chills.
- You have blood in your urine.
- You feel a great deal of pain in your lower belly and urinary tract.
National Institutes of Health: National Institute of Diabetes, Digestive and Kidney Diseases — Prostate Enlargement: Benign Prostatic Hyperplasia.
Cleveland Clinic: Diseases and Conditions — Benign Prostatic Enlargement .
Johns Hopkins Medicine Health Library: Benign Prostatic Hyperplasia.
Mayo Clinic: Diseases and Conditions — Benign Prostatic Hyperplasia .
Sign : Hesitancy To Start Urinating
It sometimes happens. You go to urinate, and nothing comes out immediately. However, if it occurs regularly, something might be amiss.
When the prostate pushes too much against the urethra, the narrowed tube can prevent you from even starting. You stand there ready, yet it takes a while to get going. This is particularly frustrating if it has happened when youve urgently wanted to go.
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Can You Refuse A Prostate Exam
A rectal exam for tone, sensation and volition, plus a check of the bulbocavernosus reflex for completeness sake is the best and quickest way to confirm your suspicions and send him packing. Unfortunately, you cant do the rectal without his consent.
What Is The Prostate
The prostate is a walnut-sized gland that rests just below the bladder. It surrounds the urethra, the tube that carries urine from the bladder out of the body. The prostate plays a critical role in the male reproductive system by helping to nourish sperm and direct it from the testicles when a man ejaculates.
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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.
Tadalafil has recently been approved for the treatment of BPH.
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.
Does An Enlarged Prostate Affect A Man Sexually
The quick and easy answer is that an enlarged prostate can definitely impact men and their sexual health. If that’s all you were looking for, you can go on with your day, but the ways in which an enlarged prostate can affect a man’s sexual health is quite interesting and worth a read.
The prostate is a uniquely male structure in the human body that works in a unique way. Because the urethra is dual purpose and is the common pathway for semen and urine, the prostate acts as the traffic controller, ensuring that both are routed correctly and do not occur simultaneously. Additionally, the prostate is a crucial component in the creation of seminal fluid.
To fully answer the question as to how an enlarged prostate can impact a man sexually, it is important to compare the different dimensions surrounding sexual health and how an enlarged prostate affects these components of sexual functioning. Below is a deeper look into an enlarged prostate and its effect on male sexual health.
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Tests Used To Check The Prostate
This first step lets your doctor hear and understand the “story” of your prostate concerns. You’ll be asked whether you have symptoms, how long you’ve had them, and how much they affect your lifestyle. Your personal medical history also includes any risk factors, pain, fever, or trouble passing urine. You may be asked to give a urine sample for testing.
When Should You Call A Doctor For Bph
Urinary symptoms related to enlarging prostate initially affect the quality of life, and if no complications exist, as mentioned above , the decision to treat is optional and is left to the patient. This means that if you don’t feel bothered enough to take a medicine or undergo a procedure for it, you’ll need to follow up with your doctor to ensure the symptoms are stable, and the bladder empties well. This can be assessed by prostate symptom questionnaires and a measure of the strength of the urinary stream and residual urine in the bladder. If complications develop, however, or if the bladder starts holding increasing amounts of residual urine after urination, treatment should be started.
If you experience bladder pain or burning with urination, blood in the urine associated with fever/chills or nausea/vomiting, or if the prostate enlargement condition worsens and symptoms such as blood in the urine or lower back pain are present, consult a doctor immediately. If you cannot reach your doctor when these symptoms are present, seek evaluation at a hospital’s emergency department.
For acute symptoms such as acute urinary retention , you should immediately go to the closest emergency medical facility for bladder drainage, usually with a catheter, which is a tube inserted into the bladder.
Men over 50 years of age should have their prostate checked annually by their physician even if they have no symptoms.