Are Prostatitis And Bph The Same Prostate Gland Problem
The answer to this question is yes and no, because both may have some similar health symptoms , but each prostate problem have different causes. Yes, BPH is by definition an enlarged prostate, and no, because the cause is not an infection/inflammation like prostatitis. However, not all enlarged prostates are due to BPH. An enlarged prostate may be caused by BPH, prostatitis, and prostate cancer.
Turp / Greenlight Pvp Laser / Thermotherapy
Transurethral resection of the prostate has long been the mainstay of enlarged prostate surgery, but less invasive alternatives are now available, with the potential for equal results. With TURP, the obstructing portion of the enlarged prostate tissue is removed. Although effective, TURP requires hospitalization and catheterization for 48 hours or more and comes with risks associated with anesthesia bleeding during and after the operation and, in rare cases, fluid absorption that can be life-threatening.
Prostate LaserOne alternative that has emerged is laser enlarged prostate surgery. Like TURP, the so-called GreenLight PVP Laser Therapy aims to create a channel in the urethra through which men can urinate more freely but the surgery is considerably less invasive. Instead of cutting tissue out, the newer technique creates the channel by vaporizing the tissue using laser energy. Thus far, almost every study has shown that when done by experienced urologists, the laser enlarged prostate surgery produces results that are equal to those with TURP, but without the severe side effects and risks. It is an outpatient procedure with minimal to no bleeding, no risk of fluid absorption, and catheterization only overnight, if at all.
Bph Treatment: Watchful Waiting
Your doctor may suggest watching the condition if you have only mild symptoms. You may need to visit the doctor for a checkup once a year or more often. You may never need treatment if the symptoms do not worsen. In fact, symptoms tend to resolve on their own in up to one-third of mild cases of BPH.
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What Is Swollen Prostate
A swollen prostate is the enlarging of the prostate gland in men. It is medically termed as benign prostatic hyperplasia that describes the increase in the cells in the prostate making it appear swollen. Benign prostatic hyperplasia is interchangeably used with benign prostatic hypertrophy . The two are interchangeably used by urologists, although the exact mechanism is different.
When the prostate swells, it causes significant obstruction of the urethra, which passes through the prostate in men. The prostate may partially or completely impede urine flow in the urethra depending on the severity.
The presence of a swollen prostate is initially identified by manifestations in the urinary tract. Despite the swelling or enlarging of the prostate, it does not result to cancer or malignancies.
Most affected men experience swelling and enlargement beginning 30 years of age. However, histologic evidence of BPH is significantly observed in men aged 50 to 80 years old. Most men are asymptomatic, but about 40% has clinically significant manifestations.
The prevalence of swollen prostate as a result of BPH is 2.7% in men aged 45 to 49 years old and it is increased by 9 fold by 80 years of age. The prostate of men usually enlarges as they age.
Location of Prostate Gland
Image source: healingdaily.com
Is An Enlarged Prostate A Serious Medical Condition
Frequent urination, feeling you always have to go, weak stream, dribbling, and waking up in the middle of the night are all symptoms of an enlarged prostate. Benign prostatic hyperplasia , or enlarged prostate, is more common than most men realize. And without treatment, it could lead to a more permanent condition. Urologist Dr. Stephen Summers talks about what BPH symptoms to look out for and why treatment is so important.
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How Will My Veterinarian Get These Samples
A free-flow urine sample iscollected . Samples of prostatic fluid are obtained by passing a urethral catheter to the level of the prostate and massaging the prostate to milk fluid out of it.
Samples of prostatic cells are obtained by fine needle aspiration or biopsy. If the prostate is greatly enlarged, it may be sampled by through the body wall by FNA or biopsied. FNA involves taking a small needle with a syringe and suctioning a sample of cells directly from the prostate and placing them on a microscope slide. A veterinary pathologist then examines the slide under a microscope. In some cases, results from FNA may not be entirely clear and biopsy may be necessary.
What Is Ultrasound Imaging Of The Prostate
Ultrasound is safe and painless. It produces pictures of the inside of the body using sound waves. Ultrasound imaging is also called ultrasound scanning or sonography. It uses a small probe called a transducer and gel placed directly on the skin. High-frequency sound waves travel from the probe through the gel into the body. The probe collects the sounds that bounce back. A computer uses those sound waves to create an image. Ultrasound exams do not use radiation . Because images are captured in real-time, they can show the structure and movement of the body’s internal organs. They can also show blood flowing through blood vessels.
Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.
Prostate ultrasound, also called transrectal ultrasound, provides images of a man’s prostate gland and surrounding tissue. The exam typically requires insertion of an ultrasound probe into the rectum of the patient. The probe sends and receives sound waves through the wall of the rectum into the prostate gland which is situated right in front of the rectum.
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What Happens To The Prostate After Radiation
The entire prostate gland is radiated when we treat the cancer. The prostate normally produces some of the fluid in the ejaculation. Radiation therapy has the side effect of damaging the glands in the prostate, so a lot less fluid is produced. The ejaculation may be dry or nearly dry. In addition, you will probably be sterile after radiation, but this is not 100% guaranteed and should not be relied upon as a form of birth control. You can still usually have erections because the nerves and blood vessels that go to the penis are not as damaged as the prostate gland.
The prostate gland will end up having a lot of scar tissue. It will shrink in size to about half its original weight within a couple years after finishing radiation. The urethra passes through the canter of the prostate gland like the hole of a doughnut. Sometimes this passage can widen, other times it can shrink after radiation. In summary, the prostate gland is heavily damaged from radiation and does not work normally afterwards.
What Should I Do If I Think I May Have Prostate Problems
Regardless of which problem you may think you have, you should see your primary care doctor. To make the diagnosis your doctor will take a complete history, physical exam that includes a digital rectal exam, and other appropriate diagnostic tests, for example, a urinalysis, urine culture, blood tests such as the PSA test, electrolytes, creatinine, and occasionally blood urea nitrogen levels. Your doctor may order other tests, for example, an ultrasound, endoscopy, urine flow rate studies, and biopsy of the prostate gland. Your doctor also may refer you to a specialist called a urologist, especially if you require surgery as part of your treatment.
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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.
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What Does Prostate Cancer Look Like And Which Are The Alarming Symptoms Of Having One
Learn what does prostate cancer look like and see which the symptoms that alarm you have one are. Men older than 40 years should know this!
Just as women have to face some types of cancer, men must face or prevent prostate cancer. The worst of all is that their symptoms usually do not appear in the first stage.
This is somewhat complicated for your treatment, since it would be easier to treat if it is detected in its early state. This way, it will increase your chance for survival. That is why men must perform preventive check-ups to rule out any type of problem.
But, prostate cancer shows several symptoms that you cannot ignore. See what does prostate cancer look like really and how to recognize the symptoms the sooner the better!
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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.
Do Prostatitis And Bph Cause Pain
Prostatitis may cause painful urination, painful ejaculations, and generalized groin/abdominal pain. Prostatitis pain may be more constant and may be due to the inflammation of the prostatic tissue and/or adjacent tissues. Experts point out that often the source of pain from prostatitis is unclear.
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Risk Factors You Can Control
Diet seems to play a role in the development of prostate cancer, which is much more common in countries where meat and high-fat dairy are mainstays. The reason for this link is unclear. Dietary fat, particularly animal fat from red meat, may boost male hormone levels. And this may fuel the growth of cancerous prostate cells. A diet too low in fruits and vegetables may also play a role.
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How Does The Prostate Play A Role In Male Fertility
The prostate gland is essential for reproduction and male fertility due to the prostatic fluid it produces.
The components of the prostatic fluid ensure that sperm is healthy and is able to fertilize eggs. Prominent components of prostatic fluid include:
- The enzyme prostate-specific antigen , which thins or loosens up semen so that sperm can travel more freely
- Prostatic acid phosphatase, an enzyme that catalyzes the breakdown of energy-rich compounds present in seminal fluid and may also increase sperms motility
- Citric acid, which may help maintain osmotic-electrolytic equilibrium in semen
- Zinc, which is important for semen coagulation
- Spermine, which is ultimately responsible for semens unique odor and may play a role in sperm motility and helping sperm fertilize eggs, according to an article published in Endocrine Reviews.
- Prostatic inhibin, or prostatic secretory protein, a protein that plays a role in regulating cell growth
Additionally, prostatic fluid is alkaline , and research published in July 2015 in the journal PLoS One suggested that the pH level of sperm can play a role in reproduction, helping maintain the viability of sperm and successful fertilization.
Infertility may develop if there are changes to the composition or secretion of the prostatic fluid.
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How Prostate Cancer Is Diagnosed And Staged
Cancer staging helps you and your doctor understand how advanced your cancer is and how much it has spread at the time of diagnosis. Knowing your cancer stage also helps your doctor determine the best treatment options for you and estimate your chance of survival.
The most widely used staging system for cancer is the American Joint Committee on Cancers TNM system that classifies cancer from stage 1 to stage 4.
TNM stands for:
- Tumor: the size and extent of the tumor
- Nodes: the number or extent of nearby lymph node involvement
- Metastasis: whether cancer has spread to distant sites in the body
The TNM scale is used for many types of cancer. When a doctor uses it to determine your prostate cancer stage, theyll consider several other factors as well, including:
- grade groups
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Prostate Cancer: Coping With Erectile Dysfunction
Erectile dysfunction is a very common side effect of most prostate cancer treatments. In some men, especially those under age 70, improved erectile function may occur within about 2 years after surgery. Additionally, the patient may benefit from various ED medications and therapies, including several types of devices specific for men with ED. Men with ED should discuss the various options with their doctor and partner to determine the best individual treatment method.
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How Do I Keep My Prostate Healthy
There are five measures to improved prostate health.
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
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Is A Prostate Massage The Same Thing As Trying For A Prostate Orgasm
Yes. If you massage the prostate in a way that feels good, youre probably going to have an orgasm if you keep at it.
Some doctors recommend prostate massage therapy to help relieve the symptoms of certain conditions, such as painful ejaculation prostatitis.
Yep! Though evidence on the efficacy of prostate massage for certain conditions is somewhat limited, it does appear to have some benefits.
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
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When Is Bph Treatment Necessary
The course of BPH in any individual is not predictable. Symptoms, as well as objective measurements of urethral obstruction, can remain stable for many years and may even improve over time for as many as one-third of men, according to some studies. In a study from the Mayo Clinic, urinary symptoms did not worsen over a 3.5-year period in 73% of men with mild BPH. A progressive decrease in the size and force of the urinary stream and the feeling of incomplete bladder emptying are the symptoms most correlated with the eventual need for treatment. Although nocturia is one of the most annoying BPH symptoms, it does not predict the need for future intervention.
If worsening urethral obstruction is left untreated, possible complications are a thickened, irritable bladder with reduced capacity for urine infected residual urine or bladder stones and a backup of pressure that damages the kidneys.
- Inadequate bladder emptying resulting in damage to the kidneys
- Complete inability to urinate after acute urinary retention
- Incontinence due to overfilling or increased sensitivity of the bladder
- Bladder stones
- Recurrent severe hematuria
- Symptoms that trouble the patient enough to diminish his quality of life
Find a Location
Currently, the main options to address BPH are:
- Watchful waiting
Who Interprets The Results And How Do I Get Them
A radiologist, a doctor trained to supervise and interpret radiology exams, will analyze the images. The radiologist will send a signed report to your primary care or referring physician, who will share the results with you.
Follow-up exams may be needed. If so, your doctor will explain why. Sometimes a follow-up exam is done because a potential abnormality needs further evaluation with additional views or a special imaging technique. A follow-up exam may also be done to see if there has been any change in an abnormality over time. Follow-up exams are sometimes the best way to see if treatment is working or if an abnormality is stable or has changed.