What Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasiaalso called BPHis a condition in men in which the prostate gland is enlarged and not cancerous. Benign prostatic hyperplasia is also called benign prostatic hypertrophy or benign prostatic obstruction.
The prostate goes through two main growth periods as a man ages. The first occurs early in puberty, when the prostate doubles in size. The second phase of growth begins around age 25 and continues during most of a mans life. Benign prostatic hyperplasia often occurs with the second growth phase.
As the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty completely, leaving some urine in the bladder. The narrowing of the urethra and urinary retentionthe inability to empty the bladder completelycause many of the problems associated with benign prostatic hyperplasia.
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.
Symptoms Of Enlarged Prostate
Benign Prostatic Hyperplasia, or BPH, is the enlargement of the prostate gland. About half of men over age 75 will experience symptoms of BPH. BPH is a very minor condition and is not related to prostate cancer. However, symptoms can cause discomfort and be inconvenient.
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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:
How Many Grams Is An Enlarged Prostate
The mean weight of the normal prostate in adult males is about 11 grams, usually ranging between 7 and 16 grams. The volume of the prostate can be estimated by the formula 0.52 ×length× width ×height. A volume of over 30 cm3 is regarded as prostatomegaly .
Secondly, how do you reduce the size of an enlarged prostate? To help control the symptoms of an enlarged prostate, try to:
Also to know is, what is enlarged prostate size?
Enlarged prostate. The prostate gland surrounds the urethra, the tube through which urine passes out of the body. An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men as they get older. An enlarged prostate is often called benign prostatic hyperplasia .
At what size of prostate requires surgery?
For patients with prostate glands larger than 80 grams, an open prostatectomy is performed. After the surgeon makes an incision from the navel to the pubic bone, the bladder is opened and tissue of the prostate is removed.
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Can A Enlarged Prostate Lead To Prostate Cancer
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: more frequent urination, especially at night. As a result, many men seek treatment.
An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men as they get older. An enlarged prostate is often called benign prostatic hyperplasia . It is not cancer, and it does not raise your risk for prostate cancer.
Wednesday 4 October 2017
Hey guys, we know that talking about your prostate can be a little uncomfortable. You might not know where or what it is, or you might have only heard about it in stories about older men having difficulty peeing or the doctor sticking their finger up you know where to check on it.
Below, weve got all the details about what your prostate is, where it is and what it does. Well also discuss how it might change as you age, and any changes or symptoms you should keep an eye on and tell your doctor about.
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Whats The Risk Of Prostate Cancer At Age 60
PSA Test at Age 60 Predicts Risk of Death from Prostate Cancer. Men who had a PSA level of 1 nanogram of PSA or lower per milliliter of blood were considered at low risk of prostate cancer and had 0.2 percent chance of dying from prostate cancer and probably did not need regular screening, the researchers said.
How Is A Prostate Problem Diagnosed
A prostate problem is most often diagnosed because of the symptoms that it causes. Your doctor will also do a physical examination called a digital rectal exam, or DRE. Other tests can be done to measure the urine flow, which can help the doctor decide how much the prostate is blocking the urine stream.
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What Causes Benign Prostatic Hyperplasia
The cause of benign prostatic hyperplasia is not well understood however, it occurs mainly in older men. Benign prostatic hyperplasia does not develop in men whose testicles were removed before puberty. For this reason, some researchers believe factors related to aging and the testicles may cause benign prostatic hyperplasia.
Throughout their lives, men produce testosterone, a male hormone, and small amounts of estrogen, a female hormone. As men age, the amount of active testosterone in their blood decreases, which leaves a higher proportion of estrogen. Scientific studies have suggested that benign prostatic hyperplasia may occur because the higher proportion of estrogen within the prostate increases the activity of substances that promote prostate cell growth.
Another theory focuses on dihydrotestosterone , a male hormone that plays a role in prostate development and growth. Some research has indicated that even with a drop in blood testosterone levels, older men continue to produce and accumulate high levels of DHT in the prostate. This accumulation of DHT may encourage prostate cells to continue to grow. Scientists have noted that men who do not produce DHT do not develop benign prostatic hyperplasia.
How Can Treatment Affect The Risk Of Prostate Cancer
While BHP is not prostate cancer, the 5-alpha reductase inhibitors can reduce a mans risk over time of developing prostate cancer by about 25%. There are two benefits to this: First, it makes prostate cancer easier to detect, and second, it prevents the treatments down the road that cause side effects. These hormonal agents are not as effective on more aggressive prostate cancers, and have not been shown to save lives due to prostate cancer. As always, its important to discuss the risks and benefits of these medicines with your doctor.
That said, symptoms are symptoms, and no matter whats most likely to be causing them, you should get them checked out by a doctor.
The prostate uses male hormones called androgens, such as testosterone and dihydrotestosterone , to trigger and maintain male sex characteristics and reproduction. Normally,
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What Treatments Are Used For An Enlarged Prostate
A number of treatments are available for an enlarged prostate that is causing urine problems.
- Medicine: Two types of medicines are now in use to treat prostate enlargement. A medicine that is normally used for high blood pressure helps to relax the muscle tissue in the prostate, relieving part of the blockage. The second type of medicine used shrinks the enlarged prostate by blocking the effect on the prostate of the male hormone, testosterone. These medicines are helpful to some of the men who have enlarged prostates.
- Surgery: This is currently the most widely accepted method of treating enlarged prostate when symptoms are severe. Basically, the operation removes some of the enlarged tissue to relieve the symptoms. More limited types of surgery are also done, which just make cuts in the prostate instead of removing tissue.
- Newer treatments: High levels of electric current can be used to destroy enlarged prostate tissue. Thermal therapy uses microwave or radiofrequency energy to reduce the glands size. Herbal extracts such as saw palmetto have been reported to help reduce symptoms in some cases. These new treatments are still being evaluated by doctors, and the long-term risks and benefits are not yet known. Your doctor will advise you about what treatment is best for you.
Prostate Problems Symptoms And Warning Signs
It’s common for men over the age of 50 to have prostate problems. The prostate gland produces semen. Common conditions that affect the gland are enlarged prostate , acute and chronic bacterial prostatitis, chronic non-bacterial prostatitis, and prostate cancer. Talk to your doctor if you think you may have problems urinating or pain with urination.
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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.
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.
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What Are Enlarged Prostate Treatments
There are a wide variety of strategies for getting that prostate gland back to normal, according to Dr. Ramin. In less severe cases, he notes, it may be enough to limit coffee, tea, and sodacaffeine can stimulate the bladder and increase urinary frequency, which might be putting stress on the prostate.
In slightly more advanced situations, medications like alpha blockerswhich relax muscles in your bladder and prostate to make peeing easier, and alpha reductase inhibitors, which can shrink prostate growth, may be needed.
There are also minimally invasive treatment options like microwave therapy, Dr. Ramin says. In other cases, you may need to undergo resection of the prostate through laser therapy.
For markedly enlarged prostates, patients may need a robotic subtotal prostatectomy procedure.
The best treatment option really depends on a particular patients symptoms and results of testing, says Dr. Ramin. Not every patient with enlarged prostate is created equal, and not every treatment option is a good option for all patients.
So talk to your doctor about whats right for you. Just dont ignore the issue: Untreated enlarged prostate can lead to issues like incontinence, blood in your urinedue to inflammation from straining to peeand eventually, youre at risk for kidney damage, says Dr. Ramin.
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.
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Tips For Relieving Bph Symptoms
Four simple steps can help relieve some of the symptoms of BPH:
For more on advances in the diagnosis and treatment of prostate diseases, read the Annual Report on Prostate Diseases from Harvard Medical School.
What Happens If My Psa Level Is Elevated
If you have a high PSA level, you will need ongoing PSA tests and DREs so your provider can look for any changes. If the PSA level continues to increase or if your healthcare provider finds a lump during a DRE, you may need other tests, including:
- Transrectal ultrasound and prostate biopsies.
- Prostate MRI.
- Iso PSA or 4Kscore® .
A biopsy can tell you definitively if you have prostate cancer. The biopsy results also affect your treatment. For example, if the biopsy shows a lot of cancer cells, you might need more aggressive treatment.
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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.
Dangers Of An Enlarged Prostate
Did you know that as men age, your risk for developing an enlarged prostate increases quickly? By age 55, about 25% of all men will have developed benign prostatic hyperplasia , commonly referred to as an enlarged prostate. By age 60, this number rises to 50%, and by age 85, at least 90% of men have BPH.
Although an enlarged prostate isnt the same as prostate cancer and doesnt increase your risk of developing prostate cancer, that doesnt mean BPH is danger-free. At Alate Health, were committed to providing the safest and most effective treatments for BPH to men in and around Houston, Texas.
Board-certified radiologist Andrew Doe, MD, understands the frustration the symptoms of an enlarged prostate cause and the risks untreated BPH brings. Our team has put together this informative article to help you better understand BPH and the dangers leaving it untreated may cause.
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How Is An Enlarged Prostate Treated
The treatment plan for an enlarged prostate depends on several factors unique to you. At Alate Health, Dr. Doe considers your age, medical history and overall health, the size of your prostate, and the severity of your symptoms.
Based on your unique condition, he may begin treatment with medication for mild or moderate BPH cases. If your BPH is more severe, Dr. Doe may recommend prostate artery embolization .
PAE is a minimally invasive, cutting-edge modality that uses X-ray technology to treat BPH. During the procedure, youre given a catheter, and Dr. Doe makes a small incision in your groin or wrist to access your blood vessels.
X-ray dye is then injected to allow Dr. Doe to create a map, or arteriogram, of the blood vessels supplying your prostate gland. Once these vessels are mapped, Dr. Doe injects microspheres, or microscopic plastic beads, to slow the supply of blood reaching the prostate.
The catheter is then removed, and the process is repeated on the other side of the prostate gland. When the procedure is complete, your prostate begins to shrink over the following weeks since its blood supply is limited. As it shrinks, your symptoms improve.
Ready to learn more about the dangers of an enlarged prostate and how the team at Alate Health can help? Contact our Houston office or schedule an appointment by calling 713-893-0650 today!
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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
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