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.
If Youre The Giving Partner
Cut and file your nails smooth to help avoid scratching or tearing the delicate skin in and around the anus.
Wash your hands thoroughly, even if youre planning to use a condom over your finger to penetrate your partner. For extra comfort, stuff cotton balls inside the condom or glove.
You can also get the party started in the shower together, which serves as foreplay and gets you both all nice and clean for the big show.
Youll probably need to try a few different moves and experiment with speed and pressure to find what feels best.
Here are some techniques to try, whether youre using fingers or toys.
Diagnosis Of An Enlarged Prostate
In order to establish the possible underlying causes for an enlarged prostate, doctors will perform a variety of tests.
Tests which are commonly used to find the cause of an enlarged prostate include:
- A digital rectal exam. A physician or nurse will insert a gloved finger into the patientâs rectum to digitally examine the prostate for swelling and/or enlargement.
- Swab tests for urethral discharge or urine. To determine underlying conditions such as STIs/STDs and urinary tract infections. A swab of discharge or urine is taken and sent to a medical laboratory for culturing, so that any microorganisms are identified.
- Urinalysis. A urine sample is sent to a medical laboratory for analysis and may be tested for urea nitrogen or creatinine, among other things.
- Blood tests. A sample of blood is sent to a medical laboratory for analysis, which may include tests for creatinine or blood urea nitrogen, as well as antibodies and infectious agents.
- Prostate-specific antigen test. A blood sample is sent to a medical laboratory to be tested for prostate-specific antigen , an enzyme produced by cells in the prostate. A change in PSA levels can indicate that there is a problem with the prostate.
If patients are referred to a urologist, they may have further tests, including:
Before referring the patient for tests, the physician may also ask questions in order to determine the possible causes of the discomfort, their severity, and their duration. Such questions may cover:
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Why Do You Scrape Your Prostate
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The urethra is the tube that carries urine out of the body. The prostate helps produce semen. A transurethral resection of the prostate is surgery to remove parts of the prostate gland through the penis. The wire loop is guided by the surgeon to remove the tissue blocking the urethra one piece at a time.
Similarly, what are the side effects of a TURP? Common side effects of TURP surgeries include:
- difficulty completely emptying the bladder.
- urinary incontinence or leakage.
- urinary urgency or the sudden urge to urinate.
- discomfort during urination.
- small dribbles or clots of blood in the urine, for up to 6 weeks.
Subsequently, question is, how much of the prostate is removed during TURP?
In the open surgery group, the largest prostate was measured at 160 ml, with a mean value of 90 ml. In 42 cases, in the TURP arm, the prostate was removed in two interventions, and the final result was consistent with the general features of the TURP arm.
Can the prostate grow back after a TURP?
Approximately 75% of patients experience this after TURP. Regrowth of the prostate. Although we remove a lot of the prostate, the prostate gland can grow back again, causing the original problem to return . If this happens, you may need to have another operation.
Additional Supplements To Help Relieve Symptoms Of An Enlarged Prostate
Another great supplement is the stinging nettle root. The nettle root contains similar anti-inflammatory and antioxidants as the pygeum and saw palmetto. Most times the nettle root is combined with saw palmetto.
Beta-sitosterol, a compound similar to cholesterol, is found in some plants and seeds like pumpkin seeds. This compound has been shown to improve urine flow. It can also reduce the amount of urine left in the bladder after one urinates. Issues with urination are a symptom of an enlarged prostate.
According to some studies, taking 10 grams of pumpkin seed extract daily can help with BPH symptoms. One study suggests that lycopene a naturally occurring pigment found in many fruits and vegetables may slow the progression of an enlarged prostate.
The richest source of lycopene available to most people is tomatoes. There are a few other vegetables and fruits that contain lower levels of this antioxidant. Generally speaking the deeper red or pink fruit or vegetable is in color the higher the lycopene content is.
The mineral zinc can reduce the likeliness of an enlarged prostate. Increasing the dietary intake of zinc could help reduce urinary issues associated with an enlarged prostate. People can find zinc in seafood, poultry, and many types of nuts and seeds. For example, sesame or pumpkin seeds.
Caffeine stimulates the bladder causing the sudden urge to urinate. This could potentially worsen BPH symptoms.
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Actions For This Page
- The prostate gland is a male reproductive organ that produces fluids to feed and protect sperm cells.
- Many men experience urinary changes as they age. In many cases, these changes do not need specific treatment.
- When urinary changes cause problems, they can be treated successfully by lifestyle changes, medication, surgery or a combination of the three.
- For problems such as blood in the urine, pain on urination, inability to urinate or uncontrollable urine flow, see your doctor promptly.
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:
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What Are The Treatment Options For Prostate Enlargement
Enlarged Prostate Management Options
Each treatment option for an enlarged prostate has various benefits, risks and consequences. In collaboration with health.org.uk, we’ve put together a summary decision aid that encourages patients and doctors to discuss and assess what’s available.
No treatment is likely to clear all symptoms totally, although symptoms can usually be greatly improved with treatment. The treatments considered usually depend on how severe and bothersome your symptoms are.
Causes Of Swollen Prostate
There are vast causes of swelling of the prostate. These include:
- Benign prostatic hypertrophy or hyperplasia As discussed earlier, the occurrence of BPH is a significant cause of swelling of the prostate. The increase in size and the increase in cells usually mimic swelling of the prostate. Benign prostatic hyperplasia results from an increase in the dihydrotestosterone levels, a metabolite of testosterone. The presence of high levels of dihydrotestosterone acts in the stromal cells of the prostate leading to activation of growth factors that causes increase in the size of the prostate. Men with high testosterone levels, for example, hairy men, may experience BPH when they get old.
- Prostatitis Prostatitis is the inflammation of the prostate gland that results from possible infection. Presence of unmanaged urinary tract infection may spread in the prostate and cause infection in the area. The swelling that results from the infection also causes similar affectation of the urinary tract.
- Exogenous testosterone therapy Similar to the mechanism of BPH, exogenous testosterone leads to increased circulating dihydrotestosterone as a metabolite.
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Gene And Protein Expression
About 20,000 protein coding genes are expressed in human cells and almost 75% of these genes are expressed in the normal prostate. About 150 of these genes are more specifically expressed in the prostate, with about 20 genes being highly prostate specific. The corresponding specific proteins are expressed in the glandular and secretory cells of the prostatic gland and have functions that are important for the characteristics of semen, including prostate-specific proteins, such as the prostate specific antigen , and the Prostatic acid phosphatase.
In the developing embryo, at the hind end lies an inpouching called the cloaca. This, over the fourth to the seventh week, divides into a urogenital sinus and the beginnings of the anal canal, with a wall forming between these two inpouchings called the urorectal septum. The urogenital sinus divides into three parts, with the middle part forming the urethra the upper part is largest and becomes the urinary bladder, and the lower part then changes depending on the biological sex of the embryo.
Are The Treatments For Prostatitis And Bph Different
The treatment for an enlarged prostate and prostatitis are very different.
BPH treatment may include an interactive questionnaire to determine the extent of your symptoms. The results of the questionnaire may influence what medications or other treatments you may need. Drugs used to treat BPH include:
- Alpha receptor blockers
- Phosphodiesterase inhibitors
- Anticholinergic agents
Some patients with more severe prostatic enlargement may need surgery. A transurethral resection of the prostate is the usual procedure to reduce pressure on the urethra by reducing the size of the prostate.
Treatment for prostatitis depends on the type.
- Bacteria acute and chronic prostatitis are typically treated and cured with antibiotics like fluoroquinolones or trimethoprim. These infections typically take longer to cure so you may have to take antibiotics for as long as 4-8 weeks. Some infections of the prostate gland are resistant or unresponsive to treatment so antibiotics like gentamicin or doxycycline may need to be injected directly into the gland.
- Type III, chronic bacterial prostatitis and pelvic pain syndrome, is treated similarly with antibiotics, however, alpha-blockers and NSAIDs , for example, aspirin, ibuprofen , naproxen also are used.
- Type IV, asymptomatic inflammatory prostatitis, in most patients requires no treatment. However, some doctors prescribe antibiotics and NSAIDs for this condition.
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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.
Dont Wait To Seek Treatment
At Gulf Coast Urology, we take your urological health very seriously. Thats why were big believers in early intervention and detection. Even though an enlarged prostate is a benign issue, the symptoms can be a pain. Dont worry, you dont need to live with discomfort. If youre experiencing any issues,contact ustoday to schedule an appointment.
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What Are Common Prostate Problems What Are The Symptoms And Signs
Here are some examples of non-cancer prostate problems:
Benign prostatic hyperplasia, or BPH, means your prostate is enlarged, but is not cancerous. It is very common in older men. An enlarged prostate may make it very difficult to urinate or cause dribbling after you urinate. You may feel the need to urinate a lot, often at night. See your family doctor for an exam. Treatments for BPH include:
- Watchful waiting, also called active surveillance. If your symptoms are not too bad, your doctor may tell you to wait before starting any treatment to see if the problem gets worse. Your doctor will tell you how often you need to return for checkups. You can start treatment later if your symptoms worsen.
- Medications. There are medicines that can help shrink the prostate or help relax muscles near your prostate to ease your symptoms. Talk with your doctor about possible side effects.
- Surgery. If nothing else has worked, your doctor may suggest surgery to help urine flow. There are many types of BPH surgery. Talk with your doctor about the risks. Regular checkups are important after surgery.
- Other treatments. Sometimes radio waves, microwaves, or lasers are used to treat urinary problems caused by BPH. These methods use different kinds of heat to reduce extra prostate tissue.
What Are The Possible Complications
Urinary symptoms do not worsen in everyone. Serious complications are unlikely to occur in most men with an enlarged prostate. Complications that sometimes occur include:
- In some cases, a total blockage of urine occurs so you will no longer be able to pass urine. This is called urinary retention. It can be very uncomfortable and you will need to have a small tube inserted to drain the bladder. It occurs in less than 1 in 100 men with an enlarged prostate each year. See the separate leaflet called Urinary Retention.
- In some cases, only some of the urine in the bladder is emptied when you pass urine. Some urine remains in the bladder at all times. This ongoing condition is called chronic retention. This may cause repeated urine infections, or incontinence .
Note: the risk of prostate cancer is not increased. Men with a benign prostate enlargement are no more or less likely to develop prostate cancer than those without benign prostate enlargement.
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Key Points About Prostatitis
- Prostatitis is inflammation of the prostate gland caused by infection. It can be one of several types.
- Prostatitis is not contagious and is not an STD.
- Any man can get prostatitis at any age. Symptoms of prostatitis may include urinating more often, burning or stinging during urination, pain during urination, and fever and chills. Your healthcare provider usually diagnoses prostatitis by your symptoms and by checking your urine and semen for signs of infection.
- Antibiotics are used to treat prostatitis. In rare cases, you may need surgery.
How Can I Tell The Difference Between Prostatitis And Bph
If you do not have any symptoms of BPH or any of the types of prostatitis, which can be the situation for some men, you may not be able to tell if you have either problem. However, a doctor or other health care professional can detect enlargement of the prostate with a digital rectal exam , even if you dont have any symptoms.
If you do have symptoms, they are related to the increase in size of your prostate gland. When the gland enlarges, it can constrict the urethra and produce one or more of these symptoms.
- The need to urinate frequently during the day or night
- The sudden urgent need to urinate
- Difficulty initiating urinary stream
- Feeling like you still need to urinate even though you recently urinated
- Feeling like you need to push or strain to empty your bladder
- A decrease in the force of the urine stream
- Loss of small amounts of urine
The symptoms of prostatitis depend upon the type of prostatitis.
Acute bacterial prostatitis symptoms
Asymptomatic inflammatory prostatitis
Some men may have some of these symptoms with both BPH and prostatitis. If you are over age 50, it is more likely BPH than prostatitis, and if you are under age 35, acute bacterial prostatitis is more likely than BPH. In some patients, prostatitis may be recurrent .
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Why Prostate Bleeding Occurs
One thing that a medical doctor should do before rendering treatment options to a bleeding prostate is to know first the causes of the medical condition. Rough sex could cause intermittent bleeding prostate and infection. However, this disease is the number one sign of prostate cancer.
There is no obvious evidence that there is a reduction in the death rate caused by prostate cancer even if there are early detection and treatments available. Actually in several studies, men who undergo screening have not been revealed to have extended life span than men who do not subject themselves to screening. The majority of those who are affected with prostate cancer are men ages 65 years and above.
The choice to have PSA test starts at 40 years old. When a person is already 40 years old, he will be at greater risk of developing prostate cancer. Sadly, many men would disregard the presence of the condition and yet they don’t even seek any medical attention. This could cause apprehension and unnecessary tests with pain, infection, and bleeding prostate. False-positives PSA tests are common results. According to several researches, one out of four patients are tested positive with prostate cancer.
When a person is already 40 years old, he will be at greater risk of developing prostate cancer.