What Is Meant By Frequent Urination In Men
Urination is our bodys natural mechanism of getting rid of waste fluids. Your urinary tract includes your kidneys, bladder, ureters and urethra.;
Urine is produced in the kidneys where the waste and toxins are filtered from the blood. Then the urine flows through the ureters and gets stored in the bladder. Through the urethra, the urine is passed from the bladder and out of our bodies. On average, a person urinates nearly 4-8 times during the day.;
Frequent urination in men is exactly what the name entails. It is majorly a symptom of an underlying condition that causes a person to pass urinate several times throughout a day. In this condition, a man experiences a reduced ability to hold urine in the bladder and an increased urge to pass urine.;
Frequent urination is often associated with an underlying health condition. It can even compel you to wake up several times in the night to urinate. The condition in which your bladder forces you to wake up in the middle of the night is known as nocturia.;
Enlarged Prostate Treatments In The Pipeline
Researchers continue to investigate new therapies for enlarged prostates. “Another category of drugs is under development,” says Slawin. “We’ve come a long way in treating BPH. It’s no longer the life-threatening disease it once was. Now, in treatment, we’re working on quality of life issuesÃ¢â¬Â¦ reducing side effects of treatment.”
Also being studied is a procedure called water-induced thermotherapy , an experimental procedure that involves destroying excess prostate tissue utilizing heated water and an air-filled balloon, which protects normal prostate tissue. The procedure is performed with only local anesthesia. Results may not be fully apparent for three to four months. However, preliminary studies examining WIT have shown positive results, with a near doubling in urine flow. However, the American Urological Association has not thus far endorsed WIT as a viable treatment option for symptoms of BPH.
What Are Prostate Cancer Treatment Side Effects
Some prostate cancer treatments can affect the bladder, erectile nerves and sphincter muscle, which controls urination. Potential problems include:
- Incontinence: Some men experience urinary incontinence. You may leak urine when you cough or laugh, or you may feel an urgent need to use the bathroom even when your bladder isnt full. This problem can improve over the first six to 12 months without treatment.
- Erectile dysfunction : Surgery, radiation and other treatments can damage the erectile nerves and affect your ability to get or maintain an erection. Some men regain erectile function within a year or two . In the meantime, medications like sildenafil or tadalafil can help by increasing blood flow to the penis.
- Infertility: Treatments can affect your ability to produce or ejaculate sperm, resulting in male infertility. If you think you might want children in the future, you can preserve sperm in a sperm bank before you start treatments. After treatments, you may undergo sperm extraction. This procedure involves removing sperm directly from testicular tissue and implanting it into a womans uterus.
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What Is Prostate Enlargement
Enlargement of the prostate occurs when the prostate gland cells begin to multiply and cause the prostate gland to swell. This swelling tends to compress the urethra, limiting urine flow and causing symptoms known as lower urinary tract symptoms . BPH is a condition that many men encounter with aging.;
Most of the symptoms of BPH are associated with urinary function. They are:
- Frequent need to urinate
- Urinary retention inability to empty the bladder
- An intense urge to urinate, even shortly after urinating
- A weak urine stream or an interrupted urine stream
- Difficulty starting or stopping urination
While BPH itself is not a directly linked cause of sexual problems, most men that suffer from it do indeed find it affects sexual performance. Some common sexual side effects of BPH are:
- Inability to maintain an erection
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Difficulty Urinating: Symptoms & Signs
- Medical Author: Melissa Conrad Stöppler, MD
Medically Reviewed on 9/10/2019
Difficulty urinating can be a result of anatomical abnormalities within the genitourinary tract. In men, enlargement of the prostate gland, due most commonly to benign prostatic hyperplasia and less commonly to prostate cancer, can cause difficulty urinating. In both men and women, difficulty urinating can result from neurological or muscular conditions that affect function of the bladder. When it becomes difficult to urinate, other symptoms such as dribbling and a weak urine stream may also be present. Certain medications can also cause problems with urination. Scar tissue from surgery or trauma can also cause problems with the flow of urine. Infections of the urinary tract or of the nervous system can also cause retention of urine.
Other causes of difficulty urinating
- Bladder Stones
Treatment For Prostate Disease
Treatment for prostatitis may include antibacterial drugs and supportive treatments, depending on the type of prostatitis.Treatment for BPH may include medications to relax the smooth muscle of the gland or to shrink the size of the prostate, and surgery to produce a permanently widened channel in the part of the urethra that passes through the prostate.Treatment for prostate cancer is tailored to suit individual circumstances. The nature of the cancer, other health problems the person may have, and their wishes will all be taken into account.Management approaches for prostate cancer include:
- active surveillance
- surgery for example, prostatectomy
- ablative treatments such as high-intensity focused ultrasound and NanoKnife®
- hormone treatment
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What Are The Symptoms Of Prostate Cancer
Early-stage prostate cancer rarely causes symptoms. These problems may occur as the disease progresses:
- Frequent, sometimes urgent, need to urinate, especially at night.
- Weak urine flow or flow that starts and stops.
- Painful urination .
- Painful ejaculation and erectile dysfunction .
- Blood in semen or urine.
- Lower back pain, hip pain and chest pain.
- Leg or feet numbness.
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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What Are The Symptoms Of Prostate Problems
The symptoms of a prostate problem may include problems with urinating and bladder control. Bladder control is how well you can delay, start, or stop urination. These problems can cause you to
- go to the bathroom frequently
- feel as if you need to rush to the bathroom, only to find you cant urinate or you urinate only a little
- leak or dribble urine
- have a weak urine stream
Depending on the cause of your prostate problems, you may have other symptoms.
What Procedures Or Tests Diagnose This Prostate Problem
A doctor or other health care professional usually can detect an enlarged prostate by rectal examination. A medical professionals may perform a rectal examination to ensure that there are no “nodules,” which are hard, irregular areas in the prostate suspicious for prostate cancer, as well as to assess the size of the prostate. Assessment of prostate size and shape is better assessed with an abdominal or transrectal ultrasound or cystoscopy. A cystoscope is a long, thin telescope-like instrument that has a light source and lens allowing one to look at the urethra, the prostate, and the bladder when inserted through the opening at the tip of the penis. Cystoscopy and/or ultrasound is recommended prior to surgical treatment of BPH. Other tests that medical professionals may perform include: bladder scanner postvoid residual determination and uroflowmetry . Lastly, a PSA is often obtained and if abnormal may require further evaluation to rule out prostate cancer.
The American Urological Association recommends that men with BPH complete the AUA-symptom index , which assesses the degree to which symptoms bother. It is a useful way to assess changes in bothersome symptoms with treatment.
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How To Control Frequent Urination
The management or treatment of frequent urination depends upon its underlying cause. If the symptoms begin to disrupt the quality of your life, you should instantly seek medical intervention.;
Your urologist will perform a variety of tests and analysis to diagnose the correct cause of frequent urination. Here is what you can expect during the diagnosis:
- Detailed consultation: Your healthcare provider will ask you a variety of questions. They will aim to get a better understanding of your symptoms and your medical history of the illness.;;
- Physical exam: Your doctor will analyse your general wellbeing. At the physical exam, you will be checked for your weight, blood pressure, heart rate and overall health.;
- Urine analysis: Urine analysis is a series of tests for visual and microscopic examination of the components of urine such as the presence of blood, bacteria, red blood cells, white blood cells, crystals, proteins, pH and more.;
- Ultrasound: Ultrasound scans of the kidney or bladders can help your doctor to visualise abnormalities.;
- Urodynamic test: Through urodynamic tests, your doctor assesses the strength and effectiveness of your bladder.;
Your healthcare provider may order additional tests to confirm the diagnosis if they suspect the need for it.;
Inflammation Of The Prostate Gland
Bacteria sometimes cause prostatitis . More commonly, the underlying cause is uncertain. Consult your doctor promptly if you experience:
- pain in the groin
- urgent and frequent urination.;
Treatment with antibiotics is essential for acute bacterial prostatitis. Admission to hospital is often necessary and, as with chronic bacterial prostatitis, specific antibacterial drugs are required for a long time.;
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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
How To Stop Frequent Urination Naturally
Frequent urination can easily translate into a habit. It is, however, possible to effectively control the urgency through some natural measures, such as:
- Monitoring fluid intake: You can prevent increased frequent urination by carefully monitoring the intake of fluids throughout the day. You should make sure to not drink excessive fluids while maintaining a state of hydration.;
- Limit alcohol & caffeine: Caffeinated beverages can irritate your bladder and lead to an increased urge to urinate.;
- Eat high-fibre foods: Foods rich in fibre content are known to help prevent constipation and improve the passing of urine.;
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What Causes Prostate Cancer
Researchers do not know exactly what causes prostate cancer. But they have found some risk factors and are trying to learn just how these factors might cause prostate cells to become cancer cells.
On a basic level, prostate cancer is caused by changes in the DNA of a normal prostate cell. DNA is the chemical in our cells that makes up our genes, which control how our cells function. We usually look like our parents because they are the source of our DNA. But DNA affects more than just how we look.
Some genes control when our cells grow, divide into new cells, and die:
- Certain genes that help cells grow, divide, and stay alive are called oncogenes.
- Genes that normally keep cell growth under control, repair mistakes in DNA, or cause cells to die at the right time are called tumor suppressor genes.
Cancer can be caused by DNA mutations that keep oncogenes turned on, or that turn off tumor suppressor genes. These types of gene changes can lead to cells growing out of control.
DNA changes can either be inherited from a parent or can be acquired during a persons lifetime.
Ejaculation Is A Potential Cause Of Mildly Elevated Psa
“Ejaculation can cause a mild elevation of your;PSA;level, and so can having a digital rectal exam,” says;Milner. “These types of;PSA;elevations are usually not enough to make a significant difference unless your;PSA;is borderline.;PSA;should return to normal in two to three days.”
To avoid this type of elevation, doctors will usually draw blood for a person’s;PSA;level before doing a rectal exam. Ask your doctor if you should avoid ejaculation for a few days before a;PSA;test.
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How Is Prostate Cancer Diagnosed
Screenings are the most effective way to catch prostate cancer early. If you are at average cancer risk, youll probably have your first prostate screening at age 55. Your healthcare provider may start testing earlier if you have a family history of the disease or are Black. Screening is generally stopped after age 70, but may be continued in certain circumstances.
Screening tests for prostate cancer include:
- Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum and feels the prostate gland, which sits in front of the rectum. Bumps or hard areas could indicate cancer.
- Prostate-specific antigen blood test: The prostate gland makes a protein called protein-specific antigen . Elevated PSA levels may indicate cancer. Levels also rise if you have BPH or prostatitis.
- Biopsy: A needle biopsy to sample tissue for cancer cells is the only sure way to diagnose prostate cancer. During an MRI-guided prostate biopsy, magnetic resonance imaging technology provides detailed images of the prostate.
Do Prostate Problems Cause Other Problems
Yes, a prostate problem may cause other problems, such as
- problems having sex
- feeling stressed due to chronic pain
- inflammation in areas near your prostate
- bladder stones
- kidney failure
Which problem you may get depends on the type of prostate problem you have. Other problems may vary from man to man for each type of prostate problem.
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What Are Medications And Surgery Procedures That Treat Bph
There are several different ways to treat BPH, and the treatment may vary with the different factors. Alpha-blockers and PDE-5 inhibitors commonly treat the dynamic factors associated with BPH, whereas 5-alpha reductase inhibitors and surgical interventions treat the static factors, and anticholinergics and beta 3-adrenoceptor agonists treat the compensatory factors.
Men should carefully weigh the risks and benefits of each of these options. Although surgical intervention tends to produce the most significant impact on symptoms, it is associated with greater risk and is typically reserved for individuals who fail medical therapy, either by lack of adequate symptom improvement or side effects of the medication.
Medical treatment of BPH is usually reserved for men who have an elevated AUA-SI :
Surgery or office procedures may also be used to treat BPH, most commonly in men who have not responded satisfactorily to medicine or those who have more severe problems, such as a complete inability to urinate, kidney problems due to the BPH, recurrent urinary tract infections, recurrent bladder stones, or gross hematuria .