How Is Enlarged Prostate Treated
Treatments for enlarged prostate include:
Lifestyle changes: These can include reducing liquid intake, bladder training , abstaining from alcohol and caffeinated beverages and regularly exercising the pelvic muscles.
Medication: A class of medication called Alpha Blockers works to relax muscle fibers in the prostate and bladder. This relaxation allows for increased urine flow and less frequent urination. A second class of medication, called Alpha Reductase Inhibitors, works to block the hormones that cause the prostate to swell. Many patients will take a combination of these two types of medication.
Minimally invasive procedures: Our specialists are trained in two minimally invasive procedures that can help remove or reduce the obstructing prostate tissue:
Surgery: For severe cases of a very enlarged prostate, surgical removal of the prostatecalled transurethral resection of the prostate may be the recommended course of action. Patients will decide with their doctor if aggressive treatment is warranted, depending on the size of the prostate and severity of symptoms.
Do Old Dogs Have Prostate Problems
As a dog ages, the prostate can become larger. This enlargement causes pressure on the surrounding structures. BPH typically causes some degree of prostate enlargement in almost all dogs over 5 years of age. This can cause mild discomfort as well as difficulty defecating and/or urinating.
The Symptom Overlap From An Enlarged Prostate And Prostate Cancer Are Nearly Identical As Far As Urine
Prostate cancer can masquerade as a benign enlarged prostate if the malignancy is still localized rather than spread.
First of all, the majority of patients who are diagnosed with prostate cancer have absolutely no symptoms, says Michael D. Lutz, MD, board certified urologist Partner at Michigan Institute of Urology President, MIU Mens Health Foundation.
The typical prostate cancer is diagnosed by the judicious use of the serum prostatic specific antigen blood test, continues Dr. Lutz.
Based upon this blood test result and a digital rectal examination, additional tests to confirm the diagnosis would be considered.
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What Are Causes Of An Enlarged Prostate
Benign prostatic hyperplasia occurs mostly in older menEnlarged prostate symptoms generally appear after age 40. In fact, BPH or enlarged prostate can affect about half of men ages 51 to 60, according to the National Institutes of Health .
Experts arent really sure what exactly causes an enlarged prostate, but because it occurs mainly in older men, they believe it may be due to hormone changes. For instance, as guys age, they tend to produce less testosterone, giving them a higher percentage of estrogen. Its possible this can trigger prostate growth.
Its also possible that an accumulation of the hormone dihydrotestosterone or DHT, which can continue even after testosterone levels dip, can make your prostate cells continue to grow, the NIH says.
When To Get Concerned About An Enlarged Prostate
Common symptoms of BPH involve difficulty beginning to urinate, straining to urinate, dribbling at the end, and a decreased force of the stream. This occurs because the prostate surrounds the urethra and its enlargement will squeeze the urethra making it difficult to urinate.
When symptoms begin to affect your quality of life, it is time to see McIver Clinic. It is time to decide on a treatment that is right for you depending on your age and the severity of your symptoms.
Do not ignore painful or burning urination, painful ejaculation, blood in the urine or semen, frequent pain in the lower back, hips, pelvic or rectal area.
Possible complications from untreated BPH include the following:
- Urinary retention
- Chronic prostatitis causing chronic pelvic syndrome with pain in the lower back, groin, and tip of the penis
- Bacteria infections
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What Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasia , or benign prostatic hypertrophy, is an enlargement of the prostate, a walnut-sized gland that forms part of the male reproductive system. During ejaculation, the prostate secretes fluid into the urethra, the narrow tube that runs through the center of the prostate. When a man urinates, the bladder squeezes urine out through the urethra.
As a man ages, the prostate can become enlarged. Because it surrounds the urethra right at the bladder exit, the prostate may squeeze or pinch the urethra as it gets larger over time. This may cause difficulty with urination such as a slow stream, the need to strain, increased frequency, urgency to urinate, incomplete emptying of the bladder, and intermittent flow or dribbling.
BPH is the most common disorder of the prostate gland and the most common diagnosis by urologists for males between the ages of 45 and 74. More than half of men in their sixties and as many as 90 percent in their seventies and eighties have some symptoms of BPH.
Although research has yet to pinpoint a specific cause for BPH, theories focus on hormones and related substances like dihydrotestosterone , a testosterone derivative in the prostate that may encourage the growth of cells.
Bill Turnbull Urges Men To Press Your Gp On Prostate Cancer
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Prostate cancer has few symptoms, meaning for many men they wont realise there is an issue until the cancer begins to spread. In order to avoid this, heres how to assess your risk for prostate cancer, and when to speak to your doctor.
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Using Pads Or A Sheath
Absorbent pads and pants can be worn inside your underwear, or may replace your underwear altogether. These will soak up any leaks.
Urinary sheaths can also help with dribbling. They look like condoms with a tube coming out of the end. The tube connects to a bag that you can strap to your leg under your clothing.
How Common Is Benign Prostatic Hyperplasia
BPH is the most common prostate problem in men. Almost all men will develop some enlargement of the prostate as they grow older. By age 60, 50% of men will have some signs of BPH by age 85, 90% of men will have signs of the condition. About half of these men will develop symptoms that need to be treated.
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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.
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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Testing For Prostate Cancer Metastasis
After your biopsy, additional tests or imaging may be performed to check for cancer spread, though these are not required in all men with newly diagnosed prostate cancer.
You may need additional tests if you have:
- High PSA levels
- Computed tomography scans of your abdomen and pelvis
- Bone scans
- Magnetic resonance imaging of your pelvis
Many centers, including SCCA, are testing other means of finding cancer spread using new types of positron emission tomography scans. Sometimes lymph nodes around the prostate may be checked for metastasis in order to design treatment appropriately.
At SCCA and University of Washington Medical Center, a long-term effort has identified cells in the bone marrow that originated from prostate cancer, even in the absence of other evidence of spread. With these and other studies being offered to men with advanced prostate cancer, we hope to find ways to identify men at the highest risk of relapse so this knowledge can inform our treatment recommendations.
Three Stages Of An Enlarged Prostate
It is difficult to tell how many men actually have an enlarged prostate since most men do not have any noticeable symptoms. It is believed there are three stages.
The first is known as the microscopic stage where small areas of the prostate are enlarged but can only be seen through a microscope. Symptoms are rare at this stage, and only one in four men will ever develop symptoms.
The macroscopic stage shows larger areas under a microscope, and can be felt by McIver Clinic during a rectal exam.
The symptomatic stage is noted by changes in urinary habits. There is decreased blood flow to the prostate and there can be additional symptoms related to inflammation of the prostate, an infection, or even prostate cancer.
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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
Prostate Specific Antigen Testing
Prostate Specific Antigen is a protein made by the cells in your prostate. Your PSA levels can be measured using a blood test and give an indication of your prostate health.
A PSA test isnt a test for cancer. Higher levels of PSA might indicate prostate cancer, but a high reading could also be caused by other conditions. It is also possible to have low level readings and have prostate cancer. This means that a PSA test isnt enough to definitively diagnose or rule out prostate cancer. Your PSA levels can vary, so your doctor might run this test a few times to compare your results and help determine your risk of prostate cancer.
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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.
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.
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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.
How Do You Keep Your Prostate Healthy
A recent study conducted on a large cohort of men throughout their life found that frequent ejaculation with a partner or solo reduces the risk of prostate cancer. Additionally, keeping your waist within a reasonable size with exercises can go a long way to keeping your prostate and your sex life in great shape.
Stay away from processed foods as much as you can and eat whole foods which nurture your body. What is good for your heart is good for your prostate. Age doesnt matter if you have your prostate health under control.
However, as you age, muscles around your bladder can become weak. This can lead to erectile dysfunction issues as well as prostate issues. Whats most important to naturally cure prostate problems is to do relevant exercises which will also improve sexual function.
Thousands of men around the world have waved good-bye to worrying about nagging urinary problems with this best natural prostate cure. Theyve rediscovered their sexual health, eliminated poor urination, restored healthy prostate function and rekindled the intimacy they thought was gone forever.
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How Is Bph Treated
In some cases, in particular where symptoms are mild, BPH requires no treatment. At the opposite extreme, some men require immediate intervention if they cannot urinate at all or if kidney/bladder damage has occurred. When treatment is necessary, many men will simply require daily medication. If this fails to completely treat the symptoms, or if there are signs of damage from BPH, the doctor may recommend minimally invasive endoscopic surgery . Or, in some cases, traditional surgery may be recommended.
- Drug treatment: The FDA has approved several drugs to relieve common symptoms associated with an enlarged prostate, including drugs that inhibit the production of the hormone DHT and drugs that relax the smooth muscle of the prostate and bladder neck to improve urine flow.
For surgery, there are many procedures to choose from, and the choice depends largely on your specific prostate anatomy, and surgeon preference and training. These procedures all have a common goal of widening the urethral channel as it passes through the prostate. Procedures include the following:
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.
Age
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.
Hormone levels
The balance of hormones in your body changes as you get older. This may cause your prostate to grow.
Other factors
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.
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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:
- Genetics
- Diabetes
- 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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