What Are The Signs And Symptoms Of Bph
- Urinating 8 or more times each day
- A feeling of not fully emptying your bladder when you urinate
- An urgent need to urinate that you could not put off, or urinating again within 2 hours
- Being woken from sleep because you needed to urinate
- Trouble starting your urine flow, or a need to push or strain to get it to start
- Urine that stops and starts several times when you urinate
- A weak urine stream, or dribbling after you urinate
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.
Large Prostate With Few Symptoms
Patients with very enlarged prostates may have few symptoms or mild symptoms. Doctors verify that there are no problems with kidney or bladder function. If not, they know that the enlarged prostate is not harming the body. In this case, doctors may recommend just watching the prostate or doing non-surgical treatments. Options include changing certain eating and drinking habits and urinating less often. Patients can take medications that relax the prostate, such as tamsulosin, or shrink the prostate, such as finasteride or dutasteride. Patients also may try supplements like saw palmetto to help their symptoms.
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Keeping Track Of Your Prostate As You Age
Prostate cancer is the second most common cancer diagnosed in men. Catching the disease in its early stages may improve a manâs chance of survival.
When you reach age 40, talk to your doctor about your familyâs medical history and other key factors that will help determine your risk of developing the disease.
If you get tested, youâll likely undergo a digital rectal exam and a PSA test, a blood-draw that measures your levels of prostate specific antigen . High PSA levels could indicate cancer, but they can also be caused by other conditions, including BPH. Talk to your doctor to make sure you understand what the results mean.
How Do You Prepare To Give A Prostate Massage
When it comes to sex, there are two kinds of safety: physical and psychological. Psychological safety starts with permission, Hong explains. Prostate stimulation is not something you surprise withit takes some preparing, Lexx Brown-James, Ph.D., L.M.F.T., tells SELF. That means bringing it up verbally before getting down to business. A simple You know, theres something Ive been really excited about trying… can help start the conversation, Brown-James says.
If you and your partner both agree to try it, youll also need to account for physical safetywhich boils down to avoiding anal trauma. So it might be helpful to learn a few best practices before you talk to your partner, TBH. This way you can discuss any concerns they or you might have.
The first step in safe prostate play is washing your hands with good old soap and water. You can use these handy instructions from the Centers for Disease Control and Prevention . As you probably know from the new coronavirus pandemic, keeping your hands clean is one way to avoid spreading germs on your hands to the eyes, nose, or mouth. Its also a good time to mention that you dont need any special antibacterial soap for this. As SELF has previously reported, tried-and-true hand soap will do the trick.
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Why Can Stimulating The Prostate Feel So Good
The anus and its surrounding area are packed with nerve endings, Hong explains. Thats precisely why anal play can feel so amazing whether or not you have a prostate. Dr. Hong also notes that the prostate has plenty of blood vessels that swell with increased blood flow. The extra blood helps make the area more sensitive, which can boost pleasure.
Even though the anus is surrounded by nerve endings, its also surrounded by stigma. The human body is amazing in that parts like the vagina and anus have natural functions but can also be sites of intense pleasure. Trying out different sex-related acts is normal, and discovering new ways to experience pleasure is always a good idea.
How Is It Treated
If you have BPH but no symptoms, or your symptoms are mild, you may not need any treatment. You should have regular exams to be sure that you are not developing more serious problems.
If your symptoms get bothersome or there is a risk that your kidneys will be affected, your provider may recommend treatment. BPH may be treated with medicines. If medicines do not work, several different procedures may be done to treat BPH. They may use energy, like radio waves or a laser, to remove or destroy excess prostate tissue, or they may make cuts in prostate tissue to reduce pressure on the urethra. In some cases, surgery may be done to remove the center of the prostate. Your healthcare provider will discuss the risks and benefits of the procedures available to you.
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Any Final Tips To Remember Or Things To Avoid
Lets do a quick recap, shall we?
Stimulating the prostatea walnut-size gland inside the male pelviscan feel really, really good thanks to the many nerve endings in the anus and surrounding area.
Because the anal lining and anus are very sensitive, prostate massages do come with risks like pain and tearing. Its essential to prepare beforehand, first by communicating what you and your partner are and arent comfortable with.
You also need to prepare physically by doing things like washing your hands, slipping on latex gloves if you want, taking deep breaths, and engaging in some foreplay.
If youre using your fingers to give a prostate massage, you can try applying firm yet gentle area to the perineum, that bit of skin between the testicles and anus, and experiment from there.
Lube is a must before any anal penetration occursbut leave the numbing agents out of it.
Only use sex toys that have a flared base for anal play.
Is It Easy To Orgasm This Way
Lets say it may take some practice and patience.
Actual clinical research on prostate-induced orgasms is seriously lacking, so we dont know how common it is or if its possible for everyone with a prostate to have this type of orgasm.
Every body is different, so some experimenting to see what feels good is in order. If you do manage to have one, reproducing it will be easy.
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What Causes An Enlarged Prostate
We still dont really know all the things that cause the prostate to grow. But we do know about two risk factors that can increase your risk of having an enlarged prostate.
Your risk of having an enlarged prostate increases as you get older. Many men aged 50 or over have an enlarged prostate, but they dont all get symptoms. And some men have symptoms that don’t bother them.
The balance of hormones in your body changes as you get older. This may cause your prostate to grow.
Some studies show that obese men and men who have diabetes may be more likely to develop an enlarged prostate. Regular exercise may help to reduce your risk of urinary symptoms. But we still need more studies into the causes of enlarged prostate to know for certain if, and how, we can prevent it.
There is also some research that suggests you may be more at risk of developing an enlarged prostate if your father or brother has one. Again, further studies are needed to confirm this.
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?
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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
Surgery For An Enlarged Prostate
For most men with very enlarged prostates, surgery can relieve symptoms — but there are both risks and benefits with each type of operation. Discuss them with your doctor. After a careful evaluation of your situation and your general medical condition, your doctor will recommend which is best for you.
TURP : This is the most common surgery for an enlarged prostate, and considered to bring the greatest reduction in symptoms. Only the tissue growth that is pressing against the urethra is removed to allow urine to flow easily. The procedure involves an electrical loop that cuts tissue and seals blood vessels. Most doctors suggest using TURP whenever surgery is required, as it is less traumatic than open surgery and requires shorter recovery time.
With the TURP procedure, patients can expect to have retrograde ejaculation afterwards, says Westney. This is a condition in which a man ejaculates backward into the bladder instead of through the urethra. “Retrograde ejaculation generally isn’t painful,” she tells WebMD. “It shouldn’t be an issue unless fertility is a concern.” Other possible side effects include blood loss requiring transfusion , painful urination, recurring urinary tract infections, bladder neck narrowing, and blood in the urine.
After TURP, the odds of erection problems range from 5% to 35%. However, this is often temporary — and the ability to have an erection and an orgasm returns after a few months.
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Symptoms Of Prostate Cancer
- Frequent urge to pass urine, especially at night
- Weak or interrupted urine stream
- Pain or burning when passing urine
- Blood in the urine or semen
- Painful ejaculation
- Nagging pain in the back, hips, or pelvis
Prostate cancer can spread to the lymph nodes of the pelvis. Or it may spread throughout the body. It tends to spread to the bones. So bone pain, especially in the back, can be a symptom of advanced prostate cancer.
Okay Exactly What And Where Is The Prostate
The prostate is a walnut-size gland nestled deep inside the male pelvis, and it helps produce semen and nourish it with important substances, Hong, M.D., a urologist in Phoenix, tells SELF. Cisgender women dont have prostates. But for the folks who do have them, the prostate is made up of tissue known as stroma, secretory glands that produce semen ingredients, and muscle fibers. Its located right in front of the bladderthe ducts in the prostate gland actually flow into the urethra, which is why prostate issues can affect urinary function. For example, if someone has an enlarged prostate , they might find that they have a more frequent urge to pee, among other symptoms, the Mayo Clinic explains.
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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.
How Is Each Condition Diagnosed
Youll see a specialist called a urologist to diagnose BPH or prostate cancer. Doctors use many of the same tests to diagnose both of these conditions.
- Prostate-specific antigen test:This blood test detects PSA, a protein your prostate gland makes. When your prostate grows, it produces more of this protein. A high PSA level can only tell your doctor that your prostate has grown. It cant tell for sure that you have BPH or prostate cancer. Youll need more tests to confirm the diagnosis.
- Digital rectal exam : Your doctor will insert a gloved, lubricated finger into your rectum. This test can show if your prostate is enlarged or abnormally shaped. Youll need more tests to find out if you have BPH or prostate cancer.
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What Is The Normal Prostate Size
A small prostate has a volume of 30 ml to 40 ml and a weight of 20 g to 70 g. A medium prostate has a volume of 40 ml to 80 ml and a weight of 20 g to 125g . A large prostate has a volume of 40ml to 100 ml and a weight of 40 g to 125 g.
Around age 40, prostate gland begins to grow. With a benign prostatic hyperplasia , glands size can increase by 4 to 5 times compared to its initial size.
Détection précoce du;cancer;de la prostate, Actualisation du référentiel de pratiques de lexamen périodique de santé , document PDF , HAS, mai 2013
Southern Cross Medical Library
The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to;the Medical Library index page.
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What Can I Do To Manage Bph
- Urinate on a regular schedule. This will train your bladder to hold urine longer. A larger amount of urine may make it easier to urinate.
- Talk to your healthcare provider about all your medicines. This includes prescription and over-the-counter medicines. Some medicines can make BPH worse. Do not start any new medicines before you talk to your provider.
- Drink less liquid during the day. Do not have liquid for several hours before you go to bed at night. Do not drink large amounts of any liquid at one time.
- Limit alcohol and caffeine. These can irritate your bladder and make your symptoms worse.
- Eat less salt. Salt can cause fluid buildup and make it harder to urinate. Examples of salty foods are chips, cured meats, and canned soups. Do not use table salt.
- Elevate your legs if you have swelling. Elevate your legs above the level of your heart. This can relieve swelling caused by fluid buildup. You may not have to get up in the night to urinate.
- Lose weight if you are overweight. Obesity increases your risk for obstructive sleep apnea . OSA can make you need to get up in the night to urinate. Exercise can help you reach or maintain a healthy weight. A lack of exercise may make BPH symptoms worse. Aim to get at least 30 minutes of exercise on most days of the week.