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 prostates 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.
Possible Cancer Protection From Prostate Drugs
Early research suggested that 5-alpha-reductase inhibitors , a class of drugs used to treat prostate enlargement, might increase the risk of developing more aggressive prostate cancer. However, newer studies have found that not only do the drugs appear to pose no extra risk, they may even protect against prostate cancer.
For instance, research from the Prostate Cancer Prevention Trial study in 2013 showed that taking the 5-ARI finasteride for seven years could lower the chance of getting low-grade prostate cancer by 25% among men ages 55 and older. A follow-up study of almost 9,500 men, published in the Nov. 1, 2018, issue of the Journal of the National Cancer Institute, also showed that finasteride lowered the risk by a similar amount , and found the protective effect lasted for at least 16 years.
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Diagnosing Benign Prostate Enlargement
You might have several different tests to find out if you have an enlarged prostate.
A GP may do some of these tests, such as a urine test, but others might need to be done at a hospital.
Some tests may be needed to rule out other conditions that cause similar symptoms to BPE, such as prostate cancer.
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Medication For Urinary Problems
Your doctor may suggest various medications to help ease your urinary problems, including:
- medications to reduce the tone of the muscles of the urethra and prostate to minimise any constriction to urine flow caused when these muscles contract
- medication to reduce the size of the prostate gland. These medications work by blocking the action of male hormones produced by the prostate gland
- medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination
- the over-the-counter preparation ‘saw palmetto’ is sometimes used. This may help some men, especially if frequent urination at night is a problem.
However, recent reviews of the evidence for using saw palmetto as a treatment for mild or moderate urinary symptoms did not show any improvement, compared to no treatment, in men with BPH.
When To Contact A Medical Professional
Contact your provider right away if you have:
- Less urine than usual
- Back, side, or abdominal pain
- Blood or pus in your urine
Also contact your provider 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.
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Blood In Urine Experienced As Symptom Of Prostate Cancer
Blood in urine is known as hematuria, and it can be related to a number of conditions, often not severe or consequential. But in the case of prostate cancer, it usually occurs in advanced stages of the disease and it should not be ignored. Instead of the normal pale yellow color of the urine, men may note it is pink, red, brownish-red, or tea-colored. In some cases, it may not be seen with naked eye, but the presence of red blood cells in urine can be detected in the lab.
Blood in urine is associated with damage to the kidneys, where urine is created, or to a problem in another part of the urinary tract, including the ureters , the bladder , or the urethra . The tumor may press one of these structures, while blood in urine also may be a side effect of radiation therapy. Reporting blood in urine to a doctor may help readjust the treatment and improve patients quality of life.
Complications And Recovery After Prostate Surgery
The healing process and possible complications should be well monitored after prostate cancer. As with any surgery, postoperative care and the recovery process is important after prostate surgery. Some complications such as bleeding and pain are quite common in the postoperative period of prostate surgery. In addition, it is recommended to check the patient for the signs of infection in the surgical site.
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Causes Of Benign Prostate Enlargement
The exact cause of benign prostate enlargement is unknown, but research suggests that hormones probably play an important role in the condition’s development.
Hormones are powerful chemicals that can have a wide range of effects on the cells of the body.
One theory is that as some men and anyone with a prostate gets older, the levels of a type of hormone called dihydrotestosterone increases, which may stimulate the growth of the prostate.
Another theory suggests that two hormones, testosterone and oestrogen, play a role. Younger men and anyone with a prostate produce high levels of testosterone and much smaller levels of oestrogen. But as they get older, levels of testosterone decrease, which means they then have a higher proportion of oestrogen in their body. It’s been suggested that the relative increase in oestrogen may stimulate prostate growth.
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.
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Scheduling Appointments For Enlarged Prostate Treatment At New York Urology Specialists
We offer affordable appointment prices with or without insurance. We offer weekday, weekend, and evening office hours.
Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of urinary problems in men. He is one of the few urologists who offers a full range of treatment options for BPH . He specializes in all aspects of care for men with an enlarged prostate and urinary problems, including frequent urination at night, difficulty emptying the bladder, urinary urgency, and incontinence. He has successfully treated thousands of men with urinary problems, including urinary retention, painful urination, and frequent urination.
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Basic Demographics And Referrals
Within Group I the mean age of presentation was 71 years . This was comparable to the group with previous TURP where the mean age was 75 years . The degrees of hematuria were identified by type of hematuria, the associated pain and any additional clinical features. These are summarised in table table11 below. Patients referred with painless hematuria formed the largest subgroup within both cohorts. The vast majority had no prior urological diagnoses with 1 patient identified as having a solitary renal cyst.
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Management Of Blood In Urine By Prostate Cancer Patients
There is no standard treatment for blood in urine and prostate cancer. Thats because blood in the urine is a symptom and not a disease in itself. So, to manage the problem, physicians start by evaluating it. In addition to asking about a patients medical history and appearance of the blood in urine, physicians request a urine sample to be analyzed in a test called urinalysis, and/or a urine cytology, which consists of microscopically seeking abnormal cells in the urine.
Blood tests may be ordered to look for high levels of wastes that kidneys are supposed to remove. Additional exams that may be requested include a computed tomography scan, a kidney ultrasound, an intravenous pyelogram , a cystoscopy, or a biopsy. If prostate cancer is confirmed, treatment options include watchful waiting or active surveillance, surgery, radiation therapy, cryosurgery, hormone therapy, chemotherapy, vaccine treatment and bone-directed treatment.
The treatment plan is defined by a physician or a multi-disciplinary team of physicians, including urologists and oncologists. Treatment depends on factors like the cancers stage and grade, patients age and expected lifespan, and additional health conditions. Other considerations include the patients and physicians opinions about the urgency of treating the cancer, potential side effects from each treatment, and the probability of each treatment in curing the cancer.
Diagnosis Of Blood Clots In Urine
A medical expert will order specific tests to determine the cause of the blood clot in the urine. The series of examination procedures may include urinalysis and intravenous pyelogram .
Moreover, cystoscopic examination may be performed which involves the use of a tiny camera in viewing the urethra to detect possible tumors in the urethra. Kidney x-ray may also be used in order to detect kidney abnormalities in patients especially when other tests cannot provide reliable findings.
There are other various tests like urine culture, abdominal ultrasound, and MRI, also helpful in identifying the condition of internal organs. See signs of internal bleeding.
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Are There Different Causes For Men
In some cases, blood in the urine may mean something different for men than for women. Blood may show up from either an enlarged prostate gland or prostate cancer.
And, both bladder and kidney cancers are more common in men than in women.
For 2018, the American Cancer Society estimates 42,680 new diagnoses of kidney cancer in men and 22,660 in women.
For bladder cancer, the society estimates 62,380 new cases among men and 18,810 in women in 2018.
The most common cause of bladder cancer is smoking, Dr. Abouassaly says.
The carcinogens get absorbed in the blood and filter into the kidneys and bladder and they just sit there, he says. I recommend if you are a smoker, do everything you can to stop smoking.
Kidney And Bladder Stones
If the blood contains too little liquid and too much waste, the waste products can bind with chemicals in the urine, forming hard stones in the kidneys or bladder.
Often, the stones are small enough to pass through urination. Larger stones may remain in the kidney or bladder or get stuck elsewhere in the urinary tract.
Larger stones generally cause more noticeable symptoms, such as:
- blood in the urine
- cloudy or strong-smelling urine
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Who Has An Enlarged Prostate
Its estimated that approximately half of all men in their fifties have an enlarged prostate. This number is even higher for men beyond this age range. Some men dismiss changed in urination habits as an inevitable part of the aging process. However, ignoring the problem can lead to other serious problems with the urinary system and its various structures.
How Is Benign Prostatic Hyperplasia Diagnosed
Your healthcare provider will review your medical history, ask you questions and perform a physical examination. Part of the physical exam involves a digital rectal exam.
During a digital rectal exam, your healthcare provider will carefully insert their gloved digit into your rectum. Theyll feel the edges and surface of your prostate, estimate the size of your prostate and detect any hard areas that could be cancer.
Your healthcare provider may also order:
- A survey to evaluate the severity of your symptoms.
- A urine flow test to measure the speed of your pee stream.
- A study to detect how much pee remains in your bladder after youve finished peeing.
- A cystoscopy to look into your bladder.
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What Are The Symptoms
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. If you have any symptoms, visit your GP to find out what may be causing them.
Blood in your urine may be a symptom of an enlarged prostate. But this is rare and is usually caused by something else. Tell your doctor if you have blood in your urine.
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The Initial Causes Blood In Urine After Greenlight Prostate Laser
One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.
Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.
If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.
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International Prostate Symptom Score
You’ll be asked to complete a questionnaire to assess your symptoms. Each question has five possible answers that carry a score, and your overall score is used to assess the severity of your symptoms.
The checklist includes the following questions.
Over the past month:
- How often have you had the sensation of not completely emptying your bladder after urinating?
- How often have you had to urinate again less than two hours after finishing urinating?
- How often have you found that you stopped and started again when urinating?
- How often have you found it difficult to postpone urination?
- How often have you had a weak stream of urine?
- How often have you had to push or strain to begin urinating during the course of one night?
- How often have you had to get up during the night to urinate?
After your GP has assessed the severity your symptoms, they’ll aim to rule out other conditions with similar symptoms using certain tests.
What Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasiaalso called BPHis a condition in men in which the prostate gland is enlarged and not cancerous. Benign prostatic hyperplasia is also called benign prostatic hypertrophy or benign prostatic obstruction.
The prostate goes through two main growth periods as a man ages. The first occurs early in puberty, when the prostate doubles in size. The second phase of growth begins around age 25 and continues during most of a mans life. Benign prostatic hyperplasia often occurs with the second growth phase.
As the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty completely, leaving some urine in the bladder. The narrowing of the urethra and urinary retentionthe inability to empty the bladder completelycause many of the problems associated with benign prostatic hyperplasia.
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Day Before Your Surgery
Follow a light diet
Follow a light diet, such as a small sandwich, eggs, toast, crackers, or soup. Limit the amount of dairy products you eat and drink, and avoid fried foods and foods with a lot of seasoning.
Note the time of your surgery
A staff member from the Admitting Office will call you after 2 p.m. the day before your surgery. If your surgery is scheduled for a Monday, theyll call you the Friday before. If you do not get a call by 7 p.m., call .
The staff member will tell you what time to arrive at the hospital for your surgery. Theyll also remind you where to go.
Do your bowel preparation
The night before your surgery, use a saline enema as instructed on the box.
Shower with a 4% CHG solution antiseptic skin cleanser
The night before your surgery, shower with a 4% CHG solution antiseptic skin cleanser.
Do not use any lotion, cream, deodorant, makeup, powder, perfume, or cologne after your shower.