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.
Herbal Therapies For An Enlarged Prostate
Several herbal supplements are marketed for enlarged prostates. Saw palmetto, beta-sitosterol, and pygeum are all are widely used in Europe. They are available in the U.S. and don’t require a prescription.
However, researchers and doctors are cautious about advising patients to try herbal supplements. Because they are not FDA-regulated, there are concerns about a product’s quality from batch to batch, according to the NIH’s Office of Dietary Supplements. Also, the safety of an herbal product depends on many things — the chemical makeup, how it works in the body, how it is prepared, and the dosage.
Something else to consider: Like any drug, a herbal remedy can affect how other medications or treatments work, or interact dangerously with your other medications. They can also have side effects. And, the AUA points out, they have not been well-studied for effectiveness or safety.
Before trying any alternative treatment, learn as much as you can about it, the AUA says. Most importantly — talk to your doctor before you try an herbal remedy. Many doctors consider alternative therapies like saw palmetto to “have no effect on symptoms, except as expensive placebos,” Slawin tells WebMD.
Beta-sitosterol: This compound is extracted from pollen of rye grass. There has been some evidence that it provides relief from urinary symptoms. However, in four studies the supplement did not increase urinary flow rates, shrink the prostate, or improve bladder emptying.
When To Seek Medical Care
A person may have urinary symptoms unrelated to prostatitis that are caused by bladder problems, UTIs, or benign prostatic hyperplasia. Symptoms of prostatitis also can signal more serious conditions, including prostate cancer.
Men with symptoms of prostatitis should see a health care provider.
Men with the following symptoms should seek immediate medical care:
- complete inability to urinate
- great discomfort or pain in the lower abdomen and urinary tract
The Most Common Prostate Problem Among Men Over Age 50 This Condition Can Cause Embarrassing Urination Issues
While BPH does not increase your risk of getting prostate cancer or having sexual problems, it can affect quality of life, specifically by causing annoying and embarrassing urination problems.
“Since prostate enlargement happens gradually, men often think more frequent trips to the bathroom are a natural part of aging,” says Dr. Howard LeWine, chief medical editor at Harvard Health Publishing and an assistant professor of medicine at Harvard-affiliated Brigham and Women’s Hospital. “But a little medication can help relieve symptoms, meaning less urinary urgency and fewer nighttime awakenings to use the bathroom.”
Home Remedies For Swollen Prostate
Home remedies are also available for swelling of the prostate. These include:
- Saw palmetto extract This is an herbal preparation used to reduce the size of the prostate and prevent swelling for normal individuals. Saw palmetto also reduces symptoms associated with swollen prostate.
- Pygeum This is also an herbal preparation extracted from Prunus Africana bark.
- Others Other herbal preparations for swollen prostate include hypoxis rooperi, pumpkin seed, rye grass and stinging nettle. These herbal medications may control symptoms and do not have potential side-effects.
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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.
Does Bph Affect Sexual Health
Even after understanding what causes an enlarged prostate, you might still wonder how it affects your sex life.
While BPH doesnt directly affect your sexual function, some medications that treat an enlarged prostate might have sexual side effects, such as ED .
However, if youre experiencing both ED and BPH , some ED medications can also improve BPH.
How The Prostate Changes As You Age
Because the prostate gland tends to grow larger with age, it may squeeze the urethra and cause problems in passing urine. Sometimes men in their 30s and 40s may begin to have these urinary symptoms and need medical attention. For others, symptoms aren’t noticed until much later in life. An infection or a tumor can also make the prostate larger. Be sure to tell your doctor if you have any of the urinary symptoms listed below.
Tell your doctor if you have these urinary symptoms:
- Are passing urine more during the day
- Have an urgent need to pass urine
- Have less urine flow
- Feel burning when you pass urine
- Need to get up many times during the night to pass urine
Growing older raises your risk of prostate problems. The three most common prostate problems are inflammation , enlarged prostate , and prostate cancer.
One change does not lead to another. For example, having prostatitis or an enlarged prostate does not increase your risk of prostate cancer. It is also possible for you to have more than one condition at the same time.
Problems With Enlarged Prostate Gland
Benign enlargement of the prostate gland is more common as men get older. It can cause troublesome symptoms, although it doesnt always.
The urethra passes through the prostate gland, so men may have problems urinating if the enlarged gland restricts the flow of urine. If the flow stops completely, a catheter is required to empty the bladder. It is rare for this form of acute urinary retention to cause kidney damage.
An enlarged prostate doesn’t always cause urinary problems. Studies indicate that the size of a man’s prostate gland has little influence on the type or severity of his urination problems. BPH is just one possible cause of urinary symptoms.
Another cause of urinary symptoms can be changes to the muscular wall of the bladder, which may cause spasms of the bladder or weaken the bladder, causing problems passing urine.
How Do I Know If My Prostate Is Enlarged
If your prostate is enlarged, it may not be a sign of cancer, but it is something that you should discuss with your doctor. Many of the symptoms of an enlarged prostate tend to relate to urination. If you are concerned about an enlarged prostate, here are 7 symptoms to look for:
Lets Come To The Signs & Symptoms Of Prostate Enlargement
Some of the most common symptoms of BPH are:
- Hesitancy and straining in the urine stream
- Weak flow or decreased strength of the urine stream
- Feeling that the bladder is not completely empty
- Dribbling after urination
- A sudden, uncontrollable urge to urinate
- Mid-night urination
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 Benign Prostate Enlargement Diagnosed
If your GP suspects that you have an enlarged prostate, 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 indicates the severity of your symptoms.
Your GP will also want to rule out other conditions that cause similar symptoms to prostate enlargement.
You may have a number of standard tests, such as urine tests, plus some more specific tests, such as a blood test that measures PSA.
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:
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.
Enlarged Prostate Gland: Causes Symptoms And Treatments
Disclaimer: Results are not guaranteed*** and may vary from person to person***.
As men age, their prostate gland grows, and if not treated at the first sign of symptoms, it can lead to serious health issues such as urinary tract infections, urinary stones, and even damage to the kidneys.
Enlarged prostate gland disorder is a natural aging process that affects most men and is the most common health issue for men over 60 years of age.
The prostate gland is responsible for secreting fluid that protects and nourishes the sperm.
Beginning as the size of a walnut, this gland sits between the penis and the bladderwith the urethra running through itsending urine from the bladder to the penis. The prostate excretes the fluid into the urethra during ejaculation to blend with the sperm to create semen.
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 Does Bph Affect Your Bladder
Your prostate is nestled right beneath the bladder, with the urethra running through it. This means that when its enlarged, it can cause uncomfortable symptoms in the urinary tract.
When the prostate squeezes the urethra, it creates an obstruction that makes passing urine more difficult. Often, it keeps you from emptying your bladder. Incomplete emptying makes you more susceptible to UTIs , overflow incontinence, and frequent urination.
You might even have difficulty beginning a stream of urine or dribble more than usual after finishing. If you are experiencing incontinence and want to learn more about the different types, causes, and treatments, check out our guide Everything You Want to Know About Male Incontinence.
But what causes an enlarged prostate besides BPH?
Sometimes its due to prostatitis, but prostate cancer is a possibility. Just because your bladder symptoms are minimal, dont skip a visit to your doctor. A significantly enlarged prostate might cause only mild symptoms in some men.
Its best to have your doctor determine any other underlying causes for your enlarged prostate, such as cancer.
What Are The Symptoms Of Enlarged Prostate
When the prostate becomes enlarged, it can block the urethra and impair bladder function. Symptoms that may indicate this is happening include:
- Urinating many times a day and being unable to hold off urination
- Problems starting a urine stream or a weak or interrupted stream, followed by dribbling at the end
- Waking at night to urinate and accidental loss of urine
- Decrease in the volume of ejaculate
Symptoms Of Benign Prostate Enlargement
The prostate is a small gland, located in the pelvis, between the penis and bladder.
If the prostate becomes enlarged, it can place pressure on the bladder and the urethra, which is the tube that urine passes through.
This can affect how you pee and may cause:
- difficulty starting to pee
- a frequent need to pee
- difficulty fully emptying your bladder
In some men, the symptoms are mild and do not need treatment. In others, they can be very troublesome.
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What Are The Causes Of Benign Prostatic Hyperplasia
The exact cause is not known. Enlargement of the prostate gland is a normal process that develops as men get older. Therefore it becomes more common with increasing age. it is thought that changes in the male sex hormones that occur with ageing may be at least part of the cause.
Prostate gland enlargement can be caused by other conditions such as prostate cancer, acute prostatitis and chronic prostatitis. See the separate leaflets called Prostate Cancer, Acute Prostatitis and Chronic Prostatitis.
Is Treatment Always Necessary
No. In most cases, an enlarged prostate does not do any damage or cause complications. Whether treatment is needed usually depends on how much bother the symptoms cause. For example, you may be glad for some treatment if you are woken six times a night, every night, with an urgent need to go to the toilet. On the other hand, slight hesitancy when you go to the toilet and getting up once a night to pass urine may cause little problem and not need treatment.
How To Treat Enlarged Prostate Gland
See your doctor for more severe symptoms such as difficulty urinating, blood in urine, fever and chills, pain in lower back or abdominal regions, or not having your bladder empty completely after urinating. It is important for them to discuss your medical history and run tests to determine the severity of your symptoms.
What Causes An Enlarged Prostate
Scientists believe hormones play a significant role in developing BPH, but they have different theories about which hormones are most responsible.
The first theory suggests testosterone and estrogen impact BPH the most. When testosterone levels drop with age, a greater proportion of estrogen exists in your system. And its this higher percentage of estrogen that indirectly increases prostate cell growth.
The second theory proposes that the male hormone dihydrotestosterone is the critical factor. Its converted from testosterone and is involved in prostate development and growth. Your body continues to produce DHT even as testosterone levels drop.
As high levels of DHT accumulate in your prostate, it encourages growth. Men who dont produce DHT or produce in smaller quantities are not as likely to develop an enlarged prostate.
Both theories may contribute to the development of BPH.
What Causes Enlarged Prostate Gland
There is no concrete reason why the cells in the gland increase in number; experts just know that it is constantly growing once a man reaches his forties. This phenomenon, known in medical terms as benign prostatic hyperplasia , is linked to male hormones , estrogens, and other growth factors.
Risk factors for prostate gland enlargement include age, as men do not experience symptoms until the age of 60 with the majority reporting signs after the age of 80 years. Heredity can also play a big role as your risk increases if your father or brother has symptoms.
In keeping with family, your ethnic background plays a part as Caucasian and African-American men have a higher risk than those of Asian background. Other high-risk factors are health related such as diabetes, heart disease, and obesity.
Symptoms Of Urinary Problems
Urinary symptoms commonly experienced with prostate problems include:
- the need to urinate frequently during the night
- urinating more often during the day
- urinary urgency the urge to urinate can be so strong and sudden that you may not reach the toilet in time
- the urine stream is slow to start
- urine dribbling for some time after finishing urination
- a sensation that the bladder isn’t fully emptied after urination
- lack of force to the urine flow, which makes directing the stream difficult
- the sensation of needing to go again soon after urinating.
Although these symptoms often do not need treatment, see your doctor if they are causing you difficulty, as they can be successfully treated.
Tips For Coping With An Enlarged Prostate
When a man reaches about age 25, his prostate begins to grow. This natural growth is called benign prostatic hyperplasia and it is the most common cause of prostate enlargement. BPH is a benign condition that does not lead to prostate cancer, though the two problems can coexist.
Although 50% to 60% of men with BPH may never develop any symptoms, others find that BPH can make life miserable. The symptoms of BPH include:
- a hesitant, interrupted, weak urine stream
- urgency, leaking, or dribbling
- a sense of incomplete emptying
- more frequent urination, especially at night.
As a result, many men seek treatment. The good news is that treatments are constantly being improved. Patients and their physicians now have more medications to choose from, so if one doesn’t do the trick, another can be prescribed. And thanks to some refinements, surgical treatments are more effective and have fewer side effects than ever before.
But there are some things men dealing with BPH can do on their own. When symptoms are not particularly bothersome, watchful waiting may be the best way to proceed. This involves regular monitoring to make sure complications aren’t developing, but no treatment. For more troubling symptoms, most doctors begin by recommending a combination of lifestyle changes and medication. Often this will be enough to relieve the worst symptoms and prevent the need for surgery
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 Common Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is the most common prostate problem for men older than age 50. In 2010, as many as 14 million men in the United States had lower urinary tract symptoms suggestive of benign prostatic hyperplasia.1 Although benign prostatic hyperplasia rarely causes symptoms before age 40, the occurrence and symptoms increase with age. Benign prostatic hyperplasia affects about 50 percent of men between the ages of 51 and 60 and up to 90 percent of men older than 80.2
Diagnosis Of Enlarged Prostate Gland And Urinary Problems
If you are troubled by urination problems, see a doctor no matter what your age. If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests.These may include:
- general examination medical history and review of any health conditions including obesity, diabetes, obstructive sleep apnoea, depression and erectile dysfunction. A rectal examination may be done to check the size and shape of your prostate gland
- a urine check to ensure the prostate is not infected
- a flow-rate check to estimate the speed with which you pass urine
- an ultrasound examination to assess if the bladder is emptying completely and to examine your kidneys
- urodynamics a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.
Can Prostatitis And Bph Be Cured
The prognosis for BPH for most patients that undergo treatment is good to fair, depending upon how well patients respond. BPH that requires surgery may result in complications such as erectile dysfunction. The prognosis for patients with more severe BPH symptoms that require surgery and medication for symptom relief is fair. There is no cure for BPH.
Most men with prostatitis may have significant symptom relief, and most men can be cured with long-term appropriate antibiotic treatments. The prognosis for prostatitis ranges from good to fair because some patients have a tendency to have recurrent bouts of the condition.