What Causes Enlarged Prostate
The prostate naturally grows over time. At puberty, the prostate doubles in size, and at about age 25, the prostate gland grows again. After age 40, this continued growth can lead to an enlarged prostate.
Experts do not know exactly what causes the prostate to grow. Scientific research has focused on several theories for enlarged prostate, including changes in hormone levels. These possible hormonal causes include:
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Continuing accumulation of a growth hormone
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Deficiency in male hormones and excess of female hormones
- Inactive growth hormones that are reawakened at an older age
Enlarged prostate may also be a symptom of a more serious prostate disease or disorder, including prostate cancer. Your healthcare professional can perform a full evaluation to diagnose the cause of your enlarged prostate.
Who Is A Candidate For Urolift
For men older than 50, benign prostatic hyperplasia is the most common prostate problem. For most of these men, medication is often the first choice of treatment.
However, for patients with a relatively small to moderate sized prostate gland who do not want to take a daily dose of medication, the UroLift treatment is ideal.
What Are The Warning Signs Of Benign Prostatic Hyperplasia
Your prostate surrounds your urethra. When BPH causes your prostate to grow, it can cause blockage in your urethra. As a result, early symptoms of BPH include:
- Slowness or dribbling when you pee.
- Difficulty starting to pee.
- Kidney damage due to pee backflow from your bladder up to your kidney. The pee backflow increases pressure on your kidney.
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What Is An Enlarged Prostate
Many men will experience an enlarged prostate in their lifetime. Learn about the symptoms of an enlarged prostate, what causes it, and how to treat an enlarged prostate here.By the time you reach the age of 60, you have a 50/50 chance of having an enlarged prostate. When you blow out 85 candles on the birthday cake, the likelihood increases to 90%.
You might be wondering, If its so common, whats the big deal about having benign prostatic hyperplasia ?
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A New Treatment Option For Men Instead Of Medications Urolift
Urolift System for BPH is an office procedure performed under local anesthesia in less than 1 hour. It opens up the urethra by pulling the prostate away. Urolift is a one-time procedure that is very effective for the treatment of symptoms of BPH in men. Many men who take medications for BPH can instead have a one-time procedure.
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Laser Surgery For An Enlarged Prostate Is No More Effective Than Standard Surgery
This is a plain English summary of an original research article
Two procedures to treat men with enlarged prostates are both effective, new research has shown.
A benign enlarged prostate is not cancer and is not usually a serious threat to health. But it is common in men over 50 and some need surgery to treat troublesome urinary symptoms caused by the growing prostate. The most common procedure is transurethral resection of the prostate which is usually successful but can lead to complications such as bleeding in some men.
The UNBLOCS trial compared the effectiveness of TURP to a new laser procedure which might reduce a patients hospital stay and cause fewer side effects. The thulium laser, ThuVARP, vaporises excess prostate. Men who needed a prostate operation were asked to consent to either procedure without knowing which one they would receive.
One year later, men in both groups were satisfied with their surgery. They reported similar improvements in their urinary symptoms and quality of life. There was no difference between the two procedures in terms of hospital stay or complications. However, men in the TURP group achieved a faster urinary flow rate . TURP was also slightly more cost-effective and faster to perform than the laser procedure.
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What Is The Outlook For Men Who Have Benign Prostatic Hyperplasia Surgery
Benign prostatic hyperplasia surgery has a very high success rate. However, for the best results from treatment, you should seek medical help at the earliest signs of a problem. Also, talk with a doctor if you are experiencing symptoms of BPH after surgery.
There is no evidence that BPH increases the risk of developing prostate cancer. However, the symptoms of BPH and prostate cancer are similar. The American Urological Association and the American Cancer Society recommend annual prostate screenings for men ages 55 to 69. Men at high risk such as African-American men and men with a family history of prostate cancer should begin screening at age 40.
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Surgical Treatment For Enlarged Prostate
- Transurethral resection of the prostate . In this surgery, the inner portion of the prostate is removed. Used 90% of the time, this is the most commonly used surgical procedure for BPH.
- Open prostatectomy . The surgeon makes an incision and removes the enlarged tissue from the prostate.
- Laser surgery Laser surgery uses laser energy to destroy prostate tissue and shrink the prostate.
- Transurethral incision of the prostate . This surgery does not involve removing prostate tissue. A few small cuts are made in the prostate gland to reduce the prostates pressure on the urethra, making urination easier.
What Are The Potential Complications Of An Enlarged Prostate
Left untreated, an enlarged prostate can prevent complete emptying of the bladder. This may lead to permanent damage to the urinary system. With early diagnosis, effective treatment can help manage symptoms and lower the risk of serious complications.
You can help minimize your risk by following the treatment plan you and your healthcare professional design specifically for you. Complications of enlarged prostate include:
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Kidney or bladder damage
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Best Prostate Supplements Top Mens Prostate Support Pills
- Friday, March 5, 2021 1:30am
Did you know that prostate enlargement is a condition that impacts 50% of men between the ages of 51 and 60, and a much higher rate for men over the age of 80? This is a condition that comes with discomfort, and in some cases, pain that is relatively excruciating. Since the prostate is essential in not only a mans fertility, but also the bladder and urinary tract functions, possible solutions for this issue were hunted down. After some extensive research, the following guide was compiled to share everything there is to know about prostate supplements, starting with our top 10 picks, which are entirely based on those gathered by the Review Player team:
Entadfi Approved For Benign Prostatic Hyperplasia
The Food and Drug Administration has approved Entadfi for the treatment of the signs and symptoms of benign prostatic hyperplasia in men with an enlarged prostate for up to 26 weeks.
Entadfi is a fixed-dose combination of finasteride, a 5-reductase inhibitor, and tadalafil, a phosphodiesterase 5 inhibitor. The approval was based on a randomized, double-blind, placebo-controlled phase 3 study that evaluated the efficacy and safety of tadalafil plus finasteride in 696 men.
Patients were randomly assigned to receive tadalafil 5mg with finasteride 5mg or placebo with finasteride 5mg. The primary endpoint was the change from baseline to week 12 in total International Prostate Symptom Score .
Findings showed a statistically significant improvement in the signs and symptoms of BPH when tadalafil was administered with finasteride vs placebo plus finasteride . Improvement in total IPSS was observed starting at week 4 and continued through week 26 .
Entadfi is not recommended for more than 26 weeks because the incremental benefit of tadalafil decreases from 4 weeks until 26 weeks and the incremental benefit beyond 26 weeks is unknown.
Entadfi is supplied as a capsule containing a combination of finasteride 5mg and tadalafil 5mg in 30- or 90-count bottles. The product is expected to be available in early 2022.
References
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Nonsurgical Treatment For Benign Prostatic Hyperplasia
If youre a man over 50, you have a one in three chance of having benign prostatic hyperplasia , the most common benign tumor found in men. BPH causes symptoms such as lack of bladder control, increased urinary frequency, and urgency and pain. For those with minor symptoms, medication or diet changes can help, but as symptoms increase, surgery is often the next step.
But for men who are not candidates for surgery, or have a strong desire to avoid surgery, prostatic artery embolization is a new treatment option.
Interventional radiologist Brian Holly, M.D. , explains what you should know about the prostatic artery embolization procedure and if it may be right for you.
Men Now Have Many Options For Treating Bph
- Matthew Strain, MD
Benign prostatic hyperplasia, or BPH, is the most common cause of urinary issues in men. There are now many ways physicians can treat BPH, including behavioral modifications, medications, and minimally invasive surgical procedures. Like many things, the first step to treating any medical condition is letting your doctor know you’re having issues.
The prostate is a relatively small gland located in front of the bladder. Urine flows from the bladder through the prostate via the urethra, or urine channel. BPH creates an obstruction to this flow, causing urinary difficulty. BPH is sometimes referred to as an enlarged prostate, and while men with larger prostates tend to have urinary trouble, the actual size of the prostate does not always correlate to the degree of urinary difficulty.
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Assessing The Symptoms Of An Enlarged Prostate
To help your doctor understand how bothersome enlarged prostate symptoms are for you, the American Urological Association has developed a BPH Symptom Index. This is a brief questionnaire that asks about specific symptoms and how frequently they occur. Each answer is assigned a number — and your total is ranked on a scale ranging from mild to severe.
A score of 0 to 7 is considered a mild symptom score 8 or over is considered moderate to severe.
The AUA recommends the following treatment for an enlarged prostate based on the severity of symptoms:
- Mild symptoms that don’t bother you : If you are not bothered by your symptoms, and they don’t affect your daily life, watchful waiting is the best option for you. You should get regular checkups to make sure that you are not developing complications.
- Moderate to severe symptoms : If you are not bothered by your symptoms, you may choose watchful waiting. However, if your symptoms do start to interfere, you may choose medication, a minimally invasive procedure, or surgery.
- Moderate to severe symptoms with complications: If symptoms are bothersome and you have developed complications such as inability to urinate, you may need a catheter, surgery, or other treatment.
What Is Prostatic Enlargement
Prostatic enlargement means that the prostate becomes bigger due to its overgrowth. Usually, its referred to as benign prostatic hyperplasia .
Normally, the prostate is located around the urethra . And its important for the viability of the sperms.
Enlargement is a physiological event that arises as a result of the regular proliferation of prostate glandular cells and vacuoles.
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Choosing To Stop Treatment Or Choosing No Treatment At All
For some people, when treatments have been tried and are no longer controlling the cancer, it could be time to weigh the benefits and risks of continuing to try new treatments. Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.
Some people, especially if the cancer is advanced, might not want to be treated at all. There are many reasons you might decide not to get cancer treatment, but its important to talk to your doctors and you make that decision. Remember that even if you choose not to treat the cancer, you can still get supportive care to help with pain or other symptoms.
If Treatment Does Not Work
Recovery from cancer is not always possible. If the cancer cannot be cured or controlled, the disease may be called advanced or terminal.
This diagnosis is stressful, and for some people, advanced cancer may be difficult to discuss. However, it is important to have open and honest conversations with your health care team to express your feelings, preferences, and concerns. The health care team has special skills, experience, and knowledge to support patients and their families and is there to help. Making sure a person is physically comfortable, free from pain, and emotionally supported is extremely important.
People who have advanced cancer and who are expected to live less than 6 months may want to consider hospice care. Hospice care is designed to provide the best possible quality of life for people who are near the end of life. You and your family are encouraged to talk with the health care team about hospice care options, which include hospice care at home, a special hospice center, or other health care locations. Nursing care and special equipment, including a hospital bed, can make staying at home a workable option for many families. Learn more about advanced cancer care planning.
After the death of a loved one, many people need support to help them cope with the loss. Learn more about grief and loss.
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Diagnosis Of An Enlarged Prostate
The doctor will ask some detailed questions about the symptoms and by doing a physical exam. This will include:
- Urine test: The doctor will analyze the sample of your urine which can help to detect the infection or conditions which can cause the symptoms.
- Blood test: This will indicate kidney problems
- Digital rectal exam: The doctor here inserts a finger into the rectum to check for prostate enlargement
If the condition is bad, the doctor will recommend:
- Prostate biopsy: In transrectal ultrasound, needles are used to take some tissue samples of the prostate. By examining the tissue, the doctor can determine the problem.
- Cystoscopy: This is a lighted, flexible instrument which is inserted into the urethra, which allows the doctor to see the inside of the bladder. The doctor will give the anesthesia.
- Transrectal ultrasound: An ultrasound probe is inserted in the rectum to measure and examine your prostate.
What Are The Types Of Prostate Surgery For Benign Prostatic Hyperplasia
Several minimally invasive surgeries may be used for benign prostatic hyperplasia. These include:
GreenLight laser: Photoselective vaporization of the prostate is a treatment that vaporizes prostate tissue to create a channel in the urethra for free urination. This is surgical treatment performed in the operating room under general anesthesia.
Plasma button electrovaporization: Prostate tissue is removed using low temperature plasma energy. Tissue is vaporized. This is an operating room-based therapy and requires an anesthetic.
Water vapor therapy : Water vapor is directly delivered to the prostate tissue. Over a 3-month period the tissue is destroyed and reabsorbed by the body. This is an office-based therapy and is performed under a local nerve block.
UroLift®: A mechanical approach that places implants to pin the lateral prostate lobes out of the way to reduce obstruction. This is an office-based procedure performed under a local nerve block.
Prostatic artery embolization: This approach uses catheters to deliver agents that block blood flow to the prostatic artery to reduce symptoms of BPH by shrinking tissue. This prostate procedure uses local anesthesia and doesnt require a hospital stay.
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Rezum: A Speedy Solution For Prostate Problems
27/05/2021
For some men, the prospect of retirement brings the happy expectation of long days spent out on the golf course. However, what if a common medical condition was to put paid to such long walks around an 18-hole course?
This particular medical problem is experienced by men only as it affects the prostate organ. Happily, it can be treated and one of the ways to do this is by using an innovative new vapour treatment called Rezum.
An enlarged prostate is a common problem experienced by men over 50. The condition affects almost 1:3 men in their 50s, and symptoms can include urinary problems, sleepless nights and decreased quality of life.
The condition can cause those affected to urinate much more frequently and it is this aspect of the condition that can have negative effect on lifestyle. Other symptoms are problems with initiating urination , interruption of the urine flow and difficulty in emptying the
bladder, which in turn, can increase the risk of urinary tract infections. Traditional treatment for this condition routinely involves medication, however pills are not always effective and, in some cases, can result in side-effects. Another option would be to look at surgical procedures such as Green Light laser surgery or Holmium enucleation procedure which removes part of the prostate to improve urine flow out of the bladder.
Mr Al Jaafari performing the Rezum procedure
Does Having Benign Prostatic Hyperplasia Increase The Risk Of Prostate Cancer
Research shows that having BPH doesnt increase your risk of developing prostate cancer. However, BPH and prostate cancer have similar symptoms. If you have BPH, you may have undetected prostate cancer at the same time.
To help detect prostate cancer in its early stages, every person with a prostate should get a prostate screening every year between the ages of 55 and 69. You have an increased risk of getting prostate cancer if youre Black or have a family history of prostate cancer. If you have an increased risk of prostate cancer, you should start getting prostate screenings at age 40.
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