How Does Bph Occur
The prostate goes through two main periods of growth. In early puberty, the prostate doubles in size. Then, around age 25, the prostate begins to grow again and continues to grow throughout most of a manâs life.
The continuing enlargement of the prostate does not usually cause problems until later in life. However, the second period of growth may, many years later, result in BPH. According to the National Institute of Diabetes and Digestive and Kidney Diseases:
BPH rarely causes symptoms before age 40.
More than half of men in their 60s have some symptoms of BPH.
As many as 90 percent of men in their 70s and 80s have some symptoms of BPH.
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.
How Is Enlarged Prostate Treated
Treatments for enlarged prostate include:
Lifestyle changes: These can include reducing liquid intake, bladder training , abstaining from alcohol and caffeinated beverages and regularly exercising the pelvic muscles.
Medication: A class of medication called Alpha Blockers works to relax muscle fibers in the prostate and bladder. This relaxation allows for increased urine flow and less frequent urination. A second class of medication, called Alpha Reductase Inhibitors, works to block the hormones that cause the prostate to swell. Many patients will take a combination of these two types of medication.
Minimally invasive procedures: Our specialists are trained in two minimally invasive procedures that can help remove or reduce the obstructing prostate tissue:
Surgery: For severe cases of a very enlarged prostate, surgical removal of the prostatecalled transurethral resection of the prostate may be the recommended course of action. Patients will decide with their doctor if aggressive treatment is warranted, depending on the size of the prostate and severity of symptoms.
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Minimally Invasive Treatments For An Enlarged Prostate
When medications don’t help your enlarged prostate, several procedures can relieve symptoms — without surgery. They are performed in a doctor’s office. “These procedures use various types of heat energy to shrink a portion of the prostate,” explains Westney. “They are very effective.”
TUMT : This therapy for mild to moderate blockage reduces urinary frequency, urgency, straining, and intermittent flow — but does not correct any bladder-emptying problems. In this procedure, computer-regulated microwaves are used to heat portions within the prostate to destroy select tissue. A cooling system protects the wall of the urethra during the procedure. TUMT is performed in a doctor’s office and requires only topical anesthesia and pain medications.
Possible side effects include painful urination for several weeks. Temporary urgency and frequency of urination is also possible. There may be less semen ejaculated. Many men must have this procedure repeated, either because symptoms return or do not improve.
TUNA : This procedure also destroys prostate tissue to improve urine flow and relieve symptoms. It involves heating the tissue with high-frequency radiowaves transmitted by needles inserted directly into the prostate . The procedure does not require a hospital stay. Possible side effects include painful, urgent, or frequent urination for a few weeks.
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
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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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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
Tests Used To Check The Prostate
This first step lets your doctor hear and understand the “story” of your prostate concerns. You’ll be asked whether you have symptoms, how long you’ve had them, and how much they affect your lifestyle. Your personal medical history also includes any risk factors, pain, fever, or trouble passing urine. You may be asked to give a urine sample for testing.
Is A 40 Gram Prostate Large
The prostate gland tends to grow as men age. On average, the prostate is about the size of a walnut. It grows to roughly the size of a Ping-Pong ball, weighing 30 to 35 grams. In many men, it continues to grow even further, to the size of a tennis ball or larger.
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Signs Your Prostate May Be Enlarged
Age changes everything hair thins and grays, skin dries and wrinkles, and gravity does a number on once-firm flesh. But changes happen on the inside, too, and you may not realize it until you experience clear symptoms. In many men, one of these changes is a growing prostate gland.
Although an enlarged prostate doesnt necessarily mean cancer, it can mean youll suffer from some pretty uncomfortable symptoms until you get it treated.
Dr. James Lee at Woodstock Family Practice & Urgent Care in Woodstock, Georgia, specializes in mens health issues and can diagnose and treat your enlarged prostate to relieve your symptoms. Heres what you need to know.
Treating Enlarged Prostate With A Weight Of 105 Gram
QUESTION: I am 65 years old. I got my ultrasound yesterday. The weight of my prostate was 105 gram.
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How To Prevent Prostate Cancer Naturally
Follow these prostate cancer prevention tips:
#1. Follow a Healthy Lifestyle
A healthy lifestyle ideally protects you from various diseases, including prostate cancer.
Hence, smoking and drinking should be avoided as much as one can do!
In fact, smoking is one of the major causes responsible for the widespread menace of cancer.
Hence its ideal to stay away from smoking.
And that is, obviously, independent of the fact whether celibacy can cause prostate cancer or not.
#2. Following a Proper Meal Plan
A healthy diet rich in fruits and veggies and low in refined foods is ideal for a healthy prostate.
It protects as well as promotes the healthy functioning of your gland.
According to experts, you can have a diet plan containing whole grains, fruits, veggies, tomatoes, and yogurt.
#3. Do Not Use Supplements
People usually prefer going for nutrient supplements or for supplements that boost performance.
But such supplements may have a negative impact on your glands increasing the risk of prostate cancer.
Hence, try taking foods rich in specific nutrients instead of supplements.
#4. Using Medicines Right
People often skip the medications or overdo them the wrong way.
Apart from this, it has also been seen that people take medicines without proper consultation.
For example, long usage of aspirin.
Such practices harm your glands.
#5. Have More Sex and Masturbate Less
Ejaculatory frequency has a controversial link with reducing the risk of prostate cancer.
When Should You Call A Doctor For Bph
Urinary symptoms related to enlarging prostate initially affect the quality of life, and if no complications exist, as mentioned above , the decision to treat is optional and is left to the patient. This means that if you don’t feel bothered enough to take a medicine or undergo a procedure for it, you’ll need to follow up with your doctor to ensure the symptoms are stable, and the bladder empties well. This can be assessed by prostate symptom questionnaires and a measure of the strength of the urinary stream and residual urine in the bladder. If complications develop, however, or if the bladder starts holding increasing amounts of residual urine after urination, treatment should be started.
If you experience bladder pain or burning with urination, blood in the urine associated with fever/chills or nausea/vomiting, or if the prostate enlargement condition worsens and symptoms such as blood in the urine or lower back pain are present, consult a doctor immediately. If you cannot reach your doctor when these symptoms are present, seek evaluation at a hospital’s emergency department.
For acute symptoms such as acute urinary retention , you should immediately go to the closest emergency medical facility for bladder drainage, usually with a catheter, which is a tube inserted into the bladder.
Men over 50 years of age should have their prostate checked annually by their physician even if they have no symptoms.
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What Does An Elevated Psa Level Mean If Ive Had Prostate Cancer In The Past
If youve ever had treatment for prostate cancer, youll have regular PSA screenings for the rest of your life. An increasing PSA level may mean the cancer has returned. Your care team may use other tests, including imaging scans and biopsies, to check for signs of cancer. If cancer returns, your team will discuss your treatment options with you.
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.
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Are There Other Non
Yes, aside from BPH, there are a number of prostate problems that also have nothing at all to do with prostate cancer. Among these benign disorders of the prostate are acute prostatitis and chronic prostatitis and, rarely, prostatic infarct .
Acute prostatitis is a bacterial infection of the prostate. It can occur in men at any age. Symptoms include fever, chills, and pain in the lower back and between the legs. This problem also can make it hard or painful to urinate. Doctors prescribe antibiotic medicines for acute prostatitis and recommend that the patient drink more liquids. Treatment is usually successful.
Chronic prostatitis is a prostate inflammation that tends to recur over time. It is usually not associated with true bacterial infection but causes similar symptoms of pain and discomfort, without fevers or chills. Chronic prostatitis is difficult to treat, and the exact cause is not well understood. Antibiotics may be used in some cases as well as anti-inflammatory medicines such as ibuprofen. In many cases, symptoms will resolve on their own.
Prostate infarct is a localized area of dead prostate tissue as a result of inadequate blood supply. Prostate infarct is uncommon and may cause sudden increases in the PSA test.
If Youre The Receiving Partner
Youll want to be as relaxed and aroused as possible, because itll make the experience easier and more enjoyable.
The whole poop-comes-out-of-the-butt thing gives some people a case of the heebie-jeebies even when its their own butt.
Remedy this by taking a shower and paying a little extra attention back there to get it squeaky clean. Some people like to use an enema before engaging in butt play, but it isnt necessary.
Use the bathroom before getting started. Prostate stimulation can make you feel like you need to pee, and anal penetration can cause the sensation of needing to poop.
Even though you wont actually do either, worrying that you might can interfere with your ability to let go and enjoy yourself. Knowing your bladder and bowels are empty can help.
Getting used to the sensation of having your prostate touched can help, too. Practice with an anal sex toy, like a butt plug, or your fingers.
Be sure to set the mood so that youre turned on and primed for action. Light candles, watch porn, or engage in some good old-fashioned masturbation or foreplay to get there.
Finally, be sure to lube up real good. Applying a water-based lubricant will allow for easier penetration and make for some easy gliding if stimulating your prostate externally.
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What Is Considered An Elevated Prostate
Researchers havent settled on a single normal PSA level. Previously, a level of 4.0 ng/mL or higher would lead to more testing, usually a prostate biopsy. During the biopsy, a healthcare provider removes a small sample of prostate tissue to check it for cancer.
However, healthcare providers now consider other issues together with the PSA level to decide whether to perform a biopsy. Your age, general health, family history and health history factor into the decision.
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.
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What The Prostate Gland Does
Deep within your groin area, a gland the size of a pingpong ball rests just below your bladder. In fact, your urethra, the small tube that carries urine from your bladder through and out of your penis, runs through the middle of your prostate gland.
If your prostate changes shape or size, it squeezes the urethra and hinders the flow of urine. Here are some of the other signs you might notice if your prostate becomes enlarged, also called benign prostatic hyperplasia .