In this Health Article:
- What Causes Enlarged Prostate?
- What Are the Symptoms of Enlarged Prostate?
- What Are the Diagnosis & Tests for Enlarged Prostate?
- What Are the Treatments Available for Enlarged Prostate?
- How Do You Cope Up with Enlarged Prostate?
- What Are the Ways to Prevent Enlarged Prostate?
- Medications for Enlarged Prostate Available at InternationalDrugMart.com
- Self Care
IntroductionAn enlarged prostate indicates the extra growth of the prostate – the male reproductive gland. This is medically termed as benign prostatic hyperplasia (BPH). The prostate produces the fluid that carries sperm during ejaculation. It is surrounded by the urethra, the tube through which urine passes out of the body.
What Causes Enlarged Prostate?Prostate enlargement is common among men as they get old. As the gland grows, it presses the urethra and causes urination or bladder problems. There is no certain cause for the enlargement of the prostate gland. The likelihood of developing enlarged prostate increases with age. Testicles also play a major role in the growth of the prostate gland. BPH is a non-cancerous enlargement of the prostate that blocks the flow of urine through the urethra. Men who had their testicles removed at very young age do not develop enlarged prostate.
What Are the Symptoms of Enlarged Prostate?Slowed or delayed start of the urinary stream, feeling of incomplete bladder emptying, straining to urinate, strong and sudden urge to urinate, bloody urine, or pain while urinating and frequent urination are certain symptoms of enlarged prostate or benign prostatic hyperplasia. When the bladder does not empty completely, you become at risk for developing urinary tract infections. Other serious problems can also develop over time, including bladder stones, blood in the urine, incontinence, and acute urinary retention (an inability to urinate). A sudden and complete inability to urinate is a medical emergency; you should see your doctor immediately. In rare cases, bladder and/or kidney damage can develop from BPH.
What Are the Diagnosis & Tests for Enlarged Prostate?Based on your reports of symptoms, the doctor will perform a couple of tests to confirm the enlargement of your prostate. The tests include
Digital Rectal Exam: A doctor performs a digital rectal exam to feel the prostate gland. He or she can feel the prostate by inserting a gloved, lubricated finger into the rectum. This procedure allows your doctor to estimate the size and condition of the prostate. Digital rectal examination enables your doctor to feel for lumps or hard areas that could indicate the presence of prostate cancer.
Urinalysis: You will be prescribed for a urine test whereby the sample is tested for blood or signs of infection. Your blood may be tested for kidney problems or sent for a prostate-specific antigen (PSA) level, a screening test for prostate cancer.
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What Are the Treatments Available for Enlarged Prostate?The treatment for enlarged prostate depends on the severity of your symptoms and the extent to which they affect your daily life, and the presence of any other medical conditions. Medications like alpha blockers and 5 alpha reductase inhibitors are effective in relieving the symptoms of enlarged prostate. If you don’t respond for medication, your doctor might prescribe minimally invasive treatment for BPH. These procedures use various types of heat energy to shrink a portion of the prostate.
Some of them include
Interstitial Laser Therapy (ILT): Laser lights are used to remove prostate tissue that is pressuring the urethra. Men are given anesthesia for the procedure. This procedure involves placing a small tube containing a laser fiber thought the urethra and inserted it into the prostate. Once in the prostate, laser energy is activated to heat the prostate and destroy the tissue to shrink the gland. There is very little bleeding or recovery time. However, there may be a need for a second laser treatment.
TUMT (Transurethral Microwave Thermotherapy): This therapy is used to treat mild to moderate blockage reduces urinary frequency, urgency, straining, and intermittent flow. 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.
TUNA (Transurethral Radio Frequency Needle Ablation): This procedure destroys prostate tissue to improve urine flow and relieve symptoms. It involves heating the tissue with high-frequency radio waves transmitted by needles inserted directly into the prostate.
Prostatic stents: In some cases, a tiny metal coil called a stent can be inserted in the urethra to widen it and keep it open. Stenting is done on an outpatient basis under local or spinal anesthesia. Usually, stents are only for men who are unwilling or unable to take medications, or who are reluctant or unable to have surgery. The majority of doctors don't consider stents a good option for most men.
SurgerySurgery can relieve the symptoms of enlarged prostate. Your doctor will decide whether you require a surgery. Many The choice of a specific surgical procedure is usually based on the severity of your symptoms and the size and shape of your prostate gland.
Transurethral Resection of the Prostate (TURP): This is the most common surgical treatment for BPH. The TURP is performed by inserting a scope through the penis and removing the prostate piece by piece.
Transurethral Incision of the Prostate (TUIP): This procedure is similar to TURP, but is usually performed in men who have a relatively small prostate. Like the TURP, a scope is inserted through the penis until the prostate is reached. Then, rather than removal of the prostate, a small incision is made in the prostatic tissue to enlarge the opening of the urethra and bladder outlet.
Open Prostatectomy: An open prostatectomy is usually performed using general or spinal anesthesia. An incision is made through the abdomen or perineal area (i.e., through the pelvic floor, including the region from the scrotum to the anus). Then, the prostate is removed. This is a lengthy procedure, and it usually requires a hospital stay of 5 to 10 days.
How Do You Cope Up with Enlarged Prostate?You are not alone. Enlarged prostate affects 50% of men in sixties and 90% in their seventies and eighties.
Following are certain tips that would help your cope up with enlarged prostate.
- Wear loose clothing so that the genital area is not too cramped.
- Avoid drinking liquids close to bed time
- Go to the bathroom often and completely empty the bladder
- Prostate massage may alleviate symptoms. Prostate massage is a healthy and pleasurable activity that you can learn with your partner.
- Add broccoli & cauliflower to your diet.
- Exercise regularly.
What Are the Ways to Prevent Enlarged Prostate?There is no certain way to prevent enlarged prostate since it is common with aging. However, following tips might help you in certain ways
- Avoid drinking liquids after 6 p.m. to reduce the need to urinate frequently during the night.
- Drinking more fluid, up to eight glasses of water per day, may help prevent infection. However, for men already suffering with increased urinary frequency, this may only exacerbate the problem.
- There is evidence that cranberry juice may be helpful in the prevention of urinary tract infections in those who are prone to developing these.
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Self CareHere are few simple, effective enlarged prostate self-care tips that can reduce enlarged prostate breakouts and control future breakouts.
- Urinate whenever you the urge.
- Avoid alcohol and caffeine.
- Don't drink a lot of fluid all at once. Spread out fluids throughout the day.
- Avoid drinking fluids within 2 hours of bedtime.
- Avoid over-the-counter cold and sinus medications that contain decongestants or antihistamines.
- Learn and perform pelvic strengthening exercises (Kegel exercises)
- Reduce stress and relax well.