Personal And Family Medical History
Taking a personal and family medical history is one of the first things a health care provider may do to help diagnose benign prostatic hyperplasia. A health care provider may ask a man
- what symptoms are present
- when the symptoms began and how often they occur
- whether he has a history of recurrent UTIs
- what medications he takes, both prescription and over the counter
- how much liquid he typically drinks each day
- whether he consumes caffeine and alcohol
- about his general medical history, including any significant illnesses or surgeries
Global Benign Prostatic Hyperplasia Treatment Market Research Report 2021
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Dec 01, 2021 –Global Benign Prostatic Hyperplasia Treatment Market” is expected to grow at a steady growth during the forecast period 2021-2025, Benign Prostatic Hyperplasia Treatment Market report offers insights into the latest trends. It summarizes key aspects of the market, with focus on leading key players areas that have witnessed the highest demand, leading regions and applications. It offers qualitative as well as quantitative information regarding the factors, challenges, and opportunities that will define the growth of the market over 2021-2026, The Report Contain117 Pages With Detailed Analysis.
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What Are The Symptoms
BPH causes urinary problems such as:
- Trouble getting a urine stream started and completely stopped .
- Often feeling like you need to urinate. This feeling may even wake you up at night.
- A weak urine stream.
- A sense that your bladder is not completely empty after you urinate.
In a small number of cases, BPH may cause the bladder to be blocked, making it impossible or extremely hard to urinate. This problem may cause backed-up urine , leading to bladder infections or stones or kidney damage.
BPH does not cause prostate cancer and does not affect a man’s ability to father children. It does not cause erection problems.
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Bph Procedures / Surgeries
If, after trying one or more medications or remedies, a patient gets to the point where he feels that their urinary problem is bothersome to the point that they have decided that they want the problem solved and not simply ameliorated, it is time to consider a procedure. There are many procedures to choose from, but they basically fall into two categories: Procedures designed to be done under local anesthesia in the office, that are quick, easy and low risk, and procedures that must be done in a surgery center or hospital under anesthesia and may or may not require an overnight stay. The fundamental difference between these two groups of procedural/surgical solutions are the convenience, the success rate, and the risk involved.
Please see our procedures section for a much more detailed description of each of these, and to learn why, after personally performing all of these here at Urologic Surgeons of Washington, we have decided, for now, that TUNA/Prostiva is the best single choice of office procedure for all of our BPH patients.
If one fails a minimally invasive office procedure, has more serious medical complications of BPH necessitating a more aggressive relief of obstruction, or if one simply wants to skip over office therapies in favor of something with a more immediate result with a higher success rate, an operating room procedure will be offered.
What Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is a condition in which the prostate, a walnut-sized body part made of glandular and muscular tissue, grows in size. The prostate surrounds part of the urethra, which is the tube that carries urine and sperm out of the body. The benign condition is also called benign prostatic enlargement .
The prostate is located directly beneath the bladder and in front of the rectum. The urethra passes through the prostate, so if the prostate becomes enlarged, it can keep urine or semen from passing through the urethra.
The main function of the prostate is to produce fluid for the semen, the milky fluid in which sperm swims. Sperm is produced in the testicles, which also make the main male hormone testosterone. During puberty, testosterone stimulates the growth and function of the prostate, and helps with the production of fluid for semen.
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Analysis And Interpretation Of The Urodynamic Data
Despite the fact that all placebo-controlled trials showed clearly a positive effect on LUTS including both obstructive and irritative scores and QoL scores, none of these studies shows any efficacy in terms of uroflowmetry parameters or PVR. These parameters are considered an important outcome measure in clinical trials, assessing the impact of drugs on LUTS including -adrenergic receptor antagonists and 5-reductase inhibitors.
Following the dose-finding study, Roehrborn and colleagues , provided a post hoc analysis on the effects of tadalafil on Qmax, bladder capacity and voiding efficiency . None of these parameters improved statistically significant. Tadalafil had its greatest effects on bladder capacity and voiding efficiency in men with a Qmax of < 10 ml/s at baseline, but these changes were not significantly different from placebo responses.
A recent meta-analysis reported that after pooling four doses , tadalafil failed to produce a significant outcome in Qmax although it was improved , but 5 mg of tadalafil significantly improved Qmax .
Herbal Remedies For Benign Prostatic Hyperplasia
The healing garden offers several remedies for BPH. Tea, tincture, or capsules of hydrangea root or horsetail are often used to reduce the inflammation of the prostate gland. Nettle root tincture or capsules are also helpful. In fact, scientific studies have proved its ability to diminish this enlarged gland. Amounts used in successful studies range from 6-12 mL of tincture per day in divided doses, or 120 mg capsules twice a day.
Saw palmetto, a very beneficial and well-studied herb, provides great therapy for the enlarged prostate. In fact, one study showed significant improvement in 45 days with only mild or no side effects. However, saw palmetto is a wild palm tree that grows in swamps of the southeastern United States — so it’s not likely to be in your garden or landscape. For best results, you may wish to use a combination of all the herbs mentioned. Since excessive consumption of animal products increases the risk of BPH, eating more vegetables and fruits of all kinds is likely to be beneficial.
An enlarged prostate gland should be diagnosed only by a health care practitioner to rule out prostate cancer. Get a thorough lab workup to ensure you are dealing only with an enlarged prostate. If you have Wilson disease, you should not use copper supplements.
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What You Need To Know
- BPH is a benign enlargement of the prostate gland
- It is a very common problem as men age
- Most urinary symptoms in men are due to BPH, but prostate cancer and prostatitis will be ruled out during your visit
- Largely unknown, however age plays the most significant role. Secondarily, lifestyle issues including poor diet and minimal exercise may exacerbate BPH
About Benign Prostatic Hyperplasia
This condition is commonly referred to as an enlarged prostate gland. Typically occurring in half of men over the age of 50 in the United States, an enlarged prostate gland sometimes makes urination difficult.
BPH may be accompanied by frequent urges to urinate and sometimes by partial incontinence. It is not predictive of prostate cancer, but its presence is still disturbing, and it should be monitored by a health care professional who can determine whether it is a benign condition or cancer.
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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:
Diagnosis And Management Of Benign Prostatic Hyperplasia
JONATHAN L. EDWARDS, MD, Barberton Citizens’ Hospital, Barberton, Ohio
Am Fam Physician. 2008 May 15 77:1403-1410.
Patient information: See related handout on benign prostatic hyperplasia, written by the author of this article.
Benign prostatic hyperplasia is a common condition in older men. Histologically, it is characterized by the presence of discrete nodules in the periurethral zone of the prostate gland.1 Clinical manifestations of BPH are caused by extrinsic compression of the prostatic urethra leading to impaired voiding. Chronic inability to completely empty the bladder may cause bladder distension with hypertrophy and instability of the detrusor muscle. Some patients with BPH present with hematuria. Because the severity of symptoms does not correlate with the degree of hyperplasia, and other conditions can cause similar symptoms, the clinical syndrome that often accompanies BPH has been described as lower urinary tract symptoms.
SORT: KEY RECOMMENDATIONS FOR PRACTICE
Men with suspected BPH can be evaluated with a validated questionnaire to quantify symptom severity.
BPH = benign prostatic hyperplasia.
A = consistent, good-quality patient-oriented evidence B = inconsistent or limited-quality patient-oriented evidence C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. For information about the SORT evidence rating system, see page 1360 or .
SORT: KEY RECOMMENDATIONS FOR PRACTICE
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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.
Different Types Of Hyperplasia
Physiologic cases of hyperplasia are normal, benign and even serve important roles. Most of us experience some type of normal hyperplasia at some points during our lives for example, muscle tissue sometimes experiences temporary hyperplasia after exercise, which allows muscles to grow back bigger and stronger. Pathologic types are illness-related, however, and not only contribute to cancer in some cases, but also to hormonal imbalances, infertility, thyroid disorders and other issues.
Depending on what type someone has, the condition can go by many different names:
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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.
Is There Still A Role For Combination Therapy
Since the coadministration of tadalafil and -adrenergic antagonists is safe when following the proper instructions, another question that arises is the possible role of combination treatment in patients with BPH-associated LUTS, especially using the new more uroselective -adrenergic antagonists.
Recently, data on the combination of tadalafil with finasteride have been published . This study was an international, randomized, double-blind, parallel study including men with prostate volumes 30 ml or greater. The combination of tadalafil 5 mg and finasteride 5 mg improved IPSS significantly compared with finasteride monotherapy at all time points . IPSS improved by 1.7, 1.4 and 1 more in the combination group compared with the finasteride-only group at the above time points, respectively. As expected, IIEF improved significantly in the combination group . Combination therapy was well tolerated and most adverse events were mild/moderate. Interestingly, almost no sexual adverse event has been reported in the combination group.
While these preliminary data show that combination therapy may provide additional efficacy benefits, it is questionable whether these benefits are of clinical importance. In addition to significantly increasing the treatment cost, new data are required and combination therapy currently should be considered only in clinical trials.
Microwave Therapy And Medical Management
A randomized study of 103 patients 9, Qmax< 12ml/s and voided volume 150ml) comparing the efficacy, safety and durability of TUMT with the alpha-blocker terazosin reported significant differences between treatment modalities in the magnitude and timing of clinical effects. At 2 weeks, treatment with alpha-blocker exhibited greater improvements in symptoms, Qmax and QOL scores. In contrast, by 12 weeks and thereafter, TUMT was markedly more efficacious than alpha-blockers in all three outcome measures. At 6 months, a 50% or greater improvement in symptoms, Qmax and QOL were achieved in a higher percentage of patients treated with TUMT than alpha-blocker , and these outcomes on TUMT were maintained up to at least 18 months. Adverse events resulting in discontinuation of therapy were reported in 11.5% of patients treated with an alpha-blocker. A limitation of this study is that only one alpha-blocker was evaluated there was no inclusion of placebo group or sham arm and no placebo lead-in period. Thus, contribution of nonspecific effects on treatment outcomes could not be evaluated. Nevertheless, this study demonstrated that TUMT provides superior longer-term outcomes and is an option for patients when long-term improvement is a priority. In patients requiring rapid relief, however, therapy with an alpha-blocker is appropriate. The combination of neoadjuvant and adjuvant alpha-blocker with TUMT has demonstrated early relief with long-term improvement.
What Is The Prostate
The prostate is a walnut-shaped gland that is part of the male reproductive system. The main function of the prostate is to make a fluid that goes into semen. Prostate fluid is essential for a mans fertility. The gland surrounds the urethra at the neck of the bladder. The bladder neck is the area where the urethra joins the bladder. The bladder and urethra are parts of the lower urinary tract. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue, and it is in front of the rectum, just below the bladder. The urethra is the tube that carries urine from the bladder to the outside of the body. In men, the urethra also carries semen out through the penis.
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Epidemiological Data On The Association Of Ed And Luts
Several epidemiological studies have reported a strong correlation between ED and LUTS. The National Health and Social Life Survey demonstrated an increasing prevalence of ED in men with age, ranging from 7% to 18%. In the Cologne Male Survey the overall prevalence of ED was 19.2%. The EDEM study reported an ED prevalence rate of 12.1%. The Krimpen study showed that the overall prevalence of significant ED was 11%. The UrEpik study reported that the overall prevalence of ED was 21%. The Cross National Study on the Epidemiology of ED and its Correlates reported an overall prevalence of moderate or complete ED of 16%. The Multinational Survey of the Aging Male reported an overall prevalence of ED of 48.7% with 10% of men reporting complete absence of erections. In a population-based study in Denmark, the prevalence of ED was 28.8% while the prevalence of LUTS was 39.1% . Finally, in the Boston Area Community Health study the overall prevalence of ED was 47% while the overall prevalence of LUTS was 81% . In all of these studies LUTS were a significant risk factor for ED, but in the majority of them, LUTS were also an independent risk factor
Nonsurgical Treatment For Benign Prostatic Hyperplasia
If youre a man over 50, you have a one in three chance of havingbenign prostatic hyperplasia, the most common benign tumor found in men. BPH causes symptoms suchas lack of bladder control, increased urinary frequency, and urgency andpain. For those with minor symptoms, medication or diet changes can help,but as symptoms increase, surgery is often the next step.
But for men who are not candidates for surgery, or have a strong desire toavoid surgery, prostatic artery embolization is a new treatmentoption.
Interventional radiologistBrian Holly, M.D., explains what you should know about the prostatic artery embolizationprocedure and if it may be right for you.
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.
The Prostate Protection Program
At around age 30, a man should begin a prostate protection program. A few easy steps can prevent a lot of issues later on!
Exercise: Walking is amazing for the prostate because it exercises muscles in the pelvic region that improves circulation to all the glands in the area.
Water: Drink water consistently throughout the day from a reverse osmosis system.
Diet: Maintain a high intake of fresh organic fruits and vegetables, eat grass-fed red meat, pastured eggs, salmon, herring, sardines, tuna , soaked nuts and seeds.
Alcohol can wipe out zinc and B6. Everything in moderation!