Tuesday, May 17, 2022

Why Does The Prostate Get Enlarged

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Causes Of Benign Prostate Enlargement

WHAT IS PROSTATE AND WHY DOES IT GET ENLARGED? – 21 CLINIC

The exact cause of benign prostate enlargement is unknown, but research suggests that hormones probably play an important role in the condition’s development.

Hormones are powerful chemicals that can have a wide range of effects on the cells of the body.

One theory is that as some men get older, the levels of a type of hormone called dihydrotestosterone increases, which may stimulate the growth of the prostate.

Another theory suggests that two hormones, testosterone and oestrogen, play a role. Younger men produce high levels of testosterone and much smaller levels of oestrogen. But as men get older, their levels of testosterone decrease, which means they then have a higher proportion of oestrogen in their body. It’s been suggested that the relative increase in oestrogen may stimulate prostate growth.

Large Prostate With Significant Symptoms

For patients who have moderate or severe symptoms that have failed medical therapy from very enlarged prostates, the optimal treatment is often surgery. For very enlarged prostates, there are four main surgical options:

  • Open prostatectomy – The surgeon makes an incision and removes some of the enlarged prostate. This is done rarely today because less invasive surgeries through the urethra work well with fewer side effects.;
  • Transurethral resection of the prostate – Going in through the urethra, with the aid of a small camera, the surgeon removes tissue to open up the channel, which can help the urine flow and take some of the pressure off the bladder. Tissue is removed with bipolar energy that shaves off pieces of the prostate. While this method is less invasive than open prostatectomy, it still can have side affects, such as bleeding, infection, need for repeat resection, erectile dysfunction, and scarring.;
  • Transurethral laser ablation of the prostate – This is where the urine channel is opened up using a high-powered holmium laser to vaporize the prostate tissue. Like TURP, the procedure can help urine flow and symptoms from enlarged prostate. The use of the laser may decrease the need for a catheter or reduce bleeding after the procedure. A high-powered laser that uses “Moses effect” pulses has the potential to remove the tissue more efficiently, so the procedure time can be shortened.;
  • 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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    Is There Anything That Could Benefit Me Now

    For symptomatic relief, a fruit known as Saw Palmetto may be just the answer you were looking for, Long-term treatment of BPH with Serenoa repens saw research participants experience decreased urinary obstruction and increased flow, as well as an increase in sexual function. Products such as Prostate 1 come in tablets containing organic saw palmetto fruit extract and can be taken every day to manage symptoms. The berry works due to its ability to inhibit 5-reductase which results in reduced levels of dihydrotestosterone and a decreased risk of developing BPH. It also has the ability to inhibit epidermal growth factor which contributes to the enlargement of the prostatic glandular tissue.

    What Is The Prostate

    Your Prostate Gland

    The prostate is a walnut-shaped gland that is part of the male reproductive system. The main function of the prostate is to make a fluid that goes into semen. Prostate fluid is essential for a mans fertility. The gland surrounds the urethra at the neck of the bladder. The bladder neck is the area where the urethra joins the bladder. The bladder and urethra are parts of the lower urinary tract. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue, and it is in front of the rectum, just below the bladder. The urethra is the tube that carries urine from the bladder to the outside of the body. In men, the urethra also carries semen out through the penis.

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    Do I Have An Enlarged Prostate

    If youre having trouble urinating, you may have an enlarged prostate. Known as benign prostatic hyperplasia , an enlarged prostate commonly affects men as they age.

    An overgrowth of cells in the prostate, a walnut-sized organ that is part of the male reproductive system, can cause it to become enlarged. Because the prostate gland surrounds the urethra, an enlarged prostate can constrict the flow of urine through the urethra.

    Almost all men will experience an enlarged prostate as they age. Between the ages of 51 and 60, nearly 50% of men develop an enlarged prostate, with the percentage increasing each year. By age 80, 90 percent of men are likely to experience problems urinating because of an enlarged prostate.

    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.

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    Any Final Tips To Remember Or Things To Avoid

    Lets do a quick recap, shall we?

    • Stimulating the prostatea walnut-size gland inside the male pelviscan feel really, really good thanks to the many nerve endings in the anus and surrounding area.

    • Because the anal lining and anus are very sensitive, prostate massages do come with risks like pain and tearing. Its essential to prepare beforehand, first by communicating what you and your partner are and arent comfortable with.

    • You also need to prepare physically by doing things like washing your hands, slipping on latex gloves if you want, taking deep breaths, and engaging in some foreplay.

    • If youre using your fingers to give a prostate massage, you can try applying firm yet gentle area to the perineum, that bit of skin between the testicles and anus, and experiment from there.

    • Lube is a must before any anal penetration occursbut leave the numbing agents out of it.

    • Only use sex toys that have a flared base for anal play.

    • Enjoy!

    So What Are The Key Points You Should Take Away From This

    Enlarged Prostate Signs & Symptoms (& Why They Occur)
    • Alcohol plays a contributing role in worsening the symptoms associated with an enlarged prostate
    • Follow Canadian Guidelines for alcohol consumption no more than 15 drinks a week. This includes defining what a ‘drink’ actually is:
    • 5oz of wine
    • 1.5oz of liquor
    • 12oz or beer, ciders, or coolers
  • If you struggle with ways to reduce your alcohol intake, consider having a discussion with your primary care provider or reaching out to local services.
  • Consider swapping out some animal protein for plant proteins
  • Add saw palmetto to your daily regiment
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    Lifestyle And Diet Root Causes Of Bph And Ed

    The root cause of erectile dysfunction, whether it comes as a result of BPH or not, is almost always a blood circulation issue.;

    To achieve a satisfactory erection, a man must have relatively decent blood circulation throughout his body. The penis becomes erect through a series of neurological and physical processes.

    The neurological process occurs in the brain when the man becomes sexually aroused. It initiates physical, sexual arousal, which then triggers the process of inflating the penis with blood to achieve a sufficient erection.;

    However, if arteries are clogged with plaque deposits, they certainly cannot deliver adequate blood flow to the penis for an erection. Thus, the erection is either weak, subsides quickly, or is non-existent. The most common circulatory issues that cause ED include but are not limited to the following conditions:;

    • High Blood Pressure
    • Excessive alcohol use
    • Cardiac Insufficiency.;;

    Any effort to improve symptoms of either BPH or ED must address the circulation issue if there is to be any degree of improvement. Note that BPH is not included on the list above because it usually occurs in a combination of one or more of the other listed items.

    Contrary to popular belief, erectile dysfunction is not a benign condition. An erection is wholly dependent on good blood circulation. The penis requires unimpeded blood circulation to produce an erection for sexual activity.

    How Is Benign Prostatic Hyperplasia Diagnosed

    Your doctor will look at your medical history and give you a complete physical examination.

    Your doctor will perform a digital rectal examination by inserting a gloved, lubricated finger into your rectum to feel the prostate, estimate its size and detect any hard areas that could be cancer.

    Several studies may be performed to help diagnose your condition:

    • A survey to evaluate how severe your symptoms are.
    • A flow study may be conducted to measure how slow the urinary stream is compared with normal urine flow.
    • A study to detect how much urine is left in the bladder after you finish urinating.
    • A cystoscopy to look into the bladder.

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    The Most Common Prostate Problem Among Men Over Age 50 This Condition Can Cause Embarrassing Urination Issues

    While BPH does not increase your risk of getting prostate cancer or having sexual problems, it can affect quality of life, specifically by causing annoying and embarrassing urination problems.

    “Since prostate enlargement happens gradually, men often think more frequent trips to the bathroom are a natural part of aging,” says Dr. Howard LeWine, chief medical editor at Harvard Health Publishing and an assistant professor of medicine at Harvard-affiliated Brigham and Women’s Hospital. “But a little medication can help relieve symptoms, meaning less urinary urgency and fewer nighttime awakenings to use the bathroom.”

    Can Prostatitis And Bph Be Cured

    Prostate Cancer: A Guide for Aging Men

    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.

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    What Are The Available Treatments For Bph

    As men get older, their prostates tend to become enlarged. This is usually from a lifetime of bad habits. However, prostate enlargement does not equate to prostate cancer. Having an enlarged prostate does not inevitably mean you will get cancer.

    Once diagnosed, doctors usually recommend medication. It is essential you know that some of the drugs used to treat BPH have side-effects. Some of these include erectile dysfunction and a diminished sex drive.

    Men who take alpha-blockers and alpha-reductase are prone to develop erectile dysfunction.

    Studies show that approximately 3% of men who took Dutasteride and 6.4% of men who took Finasteride experienced a loss of libido.

    Therefore, it is not uncommon for men to experience flagging sexual desire and compromised erectile after initiation of treatment.

    Recent scientific research has pointed out that medicine such as blue pills will also have a relaxing effect on the prostate.

    30% of men facing BPH will encounter compromised sexual function. One-third of men suffering ED have troubling symptoms related to the prostate.

    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 Benign Prostatic Hyperplasia Treated

    Patients who have mild symptoms may not require treatment other than continued observation to make sure their condition doesnt get worse. This approach is sometimes called watchful waiting or surveillance. There are a number of treatment options available if your symptoms are severe.

    Medications

    Finasteride and dutasteride work by decreasing the production of the hormone dihydrotestosterone , which affects the growth of the prostate gland. These appear to be most beneficial for men with larger prostates.

    Drugs that relax the muscle in the prostate are more commonly used. These include terazosin , doxazosin , tamsulosin , alfuzosin , and silodosin . The most common side effects are lightheadedness, weakness and retrograde ejaculation.

    Medications are sometimes combined to help treat symptoms and improve the flow of urine. One such medication is dutasteride and tamsulosin .

    Surgery

    Several different types of surgery can be used to remove the prostate tissue that blocks the flow of urine, including:

    Minimally invasive treatments

    Last reviewed by a Cleveland Clinic medical professional on 03/10/2020.

    References

    Turp / Greenlight Pvp Laser / Thermotherapy

    Enlarged Prostate – What You Need To Know

    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.

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    Dont Wait To Seek Treatment

    At Gulf Coast Urology, we take your urological health very seriously. That’s why we’re big believers in early intervention and detection. Even though an enlarged prostate is a benign issue, the symptoms can be a pain. Don’t worry, you dont need to live with discomfort. If youre experiencing any issues,contact ustoday to schedule an appointment.

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    How Can Alcohol Affect An Enlarged Prostate

  • As a diuretic, alcohol further exacerbates urinary frequency, causing you to feel the need to go even more often. The toxin downregulates the production of the anti-diuretic hormone, more formally known as vasopressin. The function of vasopressin is to tell the body, specifically the kidneys, to reabsorb water. However, it now signals to the brain that you’re ready to go
  • Alcohol can potentially cause the neck of the urinary bladder to constrict, leading to urinary retention and a feeling of incomplete voiding as the bladder retains fluid, despite increasing the need to pee.
  • When alcohol is broken down, it forms products such as acetaldehyde. This toxic byproduct then gets converted into acetate, which is further broken down into water and carbon dioxide so it can be expelled. Acetaldehyde is a known carcinogen and heavy consumption is associated with an increased risk of developing prostate cancer.
  • Alcohol depletes many key minerals in the body. This includes minerals such as magnesium, zinc, and many of the B vitamins, especially thiamine or B1. These perform key functions in the body, and research has demonstrated that zinc can inhibit 5-alpha-reductase, the enzyme responsible for converting testosterone into dihydrotestosterone. Zinc also seems to show some ability to inhibit these androgens from binding to receptors in the prostate, which could explain its ability to reduce symptoms of BPH.
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