Size Does Matter Enlarged Prostate Severity of Blockage
The size of the prostate does not always determine the severity of the blockage or symptoms. Some men with greatly enlarged prostates have little blockage and few symptoms, while other men who have minimally enlarged prostates have greater blockage and more symptoms. Less than half of all men with benign prostatic hyperplasia have lower urinary tract symptoms.
Saw palmetto: Saw palmetto is one of the most popular herbal supplements taken for bph. The extract comes from ripened berries of the saw palmetto shrub. Extracts are thought to prevent testosterone from breaking down and triggering prostate tissue growth, similar to the 5-alpha reductase inhibitor medications. Studies of this supplement have had varied results.
Urologists use the bph impact index, a symptom questionnaire developed by the american urological association to determine if a man’s symptoms from bph require treatment. “It helps us understand how severe the problem is,” says slawin. Higher scores indicate more severe symptoms.
Lifestyle changes, medication, and surgery are all treatment options for symptoms that are affecting your quality of life. Your doctor will work with you to develop a treatment plan that helps you manage your symptoms and live a healthy life. That is why it’s important to discuss your symptoms of bph with your doctor, no matter how minor you feel they may be.
Tuna stands for transurethral needle ablation. High-frequency radio waves, delivered through twin needles, burn a specific region of the prostate in this procedure. Tuna results in better urine flow and relieves bph symptoms with fewer complications than invasive surgery.
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.
Bph And Prostate Cancer Can Share Many Symptoms
Prostate cancer is a more serious condition than bph. In most cases, prostate cancer needs to be treated. That is why it’s important to contact your doctor if you have symptoms of bph. Your doctor can test to make sure that your symptoms are not related to prostate cancer. Learn more about the similarities and differences of bph and prostate cancer.
There are minimally invasive surgery options when drug therapy is not enough to relieve bph symptoms. These procedures include transurethral microwave thermotherapy (tumt). Microwaves destroy prostate tissue with heat during this outpatient procedure.
Most men over 50 years old have some prostate enlargement with no symptoms, while bacterial prostatitis usually occurs in men younger than 35 years old and non-infectious prostatitis occurs in older men.
Researchers have not found that eating, diet, and nutrition play a role in causing or preventing benign prostatic hyperplasia. However, a health care provider can give information about how changes in eating, diet, or nutrition could help with treatment. Men should talk with a health care provider or dietitian about what diet is right for them.
Researchers Continue To Investigate New Therapies For Enlarged Prostates
“Another category of drugs is under development,” says slawin. “We’ve come a long way in treating bph. It’s no longer the life-threatening disease it once was. Now, in treatment, we’re working on quality of life issues¦ reducing side effects of treatment.”
It’s, retrograde ejaculation, is something we described but apparently it’s painless. Men, though, become very obsessed with how things should be and when there’s changes such as reduced volume they become upset with that and want to restore it.
A High Psa Level Does Not Necessarily Indicate Prostate Cancer
Psa blood test. A health care provider may draw blood for a psa test during an office visit or in a commercial facility and send the sample to a lab for analysis. Prostate cells create a protein called psa. Men who have prostate cancer may have a higher amount of psa in their blood. However, a high psa level does not necessarily indicate prostate cancer. In fact, benign prostatic hyperplasia, prostate infections, inflammation, aging, and normal fluctuations often cause high psa levels. Much remains unknown about how to interpret a psa blood test, the testâ€™s ability to discriminate between cancer and prostate conditions such as benign prostatic hyperplasia, and the best course of action to take if the psa level is high.
Alpha blockers were originally created to treat high blood pressure; dizziness is the most common side effect; other side effects are generally mild and controllable. Possible side effects include headache, stomach irritation, and stuffy nose. These drugs are not for men with significant urine retention and frequent urinary tract infections.
Treatment of bph can begin with self-care. If symptoms do not subside through self-care, medication or surgery may be recommended. Your age and general health will also influence the prescribed treatment. Learn more about bph treatment.
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 manâ€™s life. Benign prostatic hyperplasia often occurs with the second growth phase.
Endoscopy is a broad term used to described examining the inside of the body using an lighted, flexible instrument called an endoscope. Endoscopy procedure is performed on a patient to examine the esophagus, stomach, and duodenum; and look for causes of symptoms.
Turp (transurethral resection of the prostate): This is the most common surgery for an enlarged prostate, and considered to bring the greatest reduction in symptoms. Only the tissue growth that is pressing against the urethra is removed to allow urine to flow easily. The procedure involves an electrical loop that cuts tissue and seals blood vessels. Most doctors suggest using turp whenever surgery is required, as it is less traumatic than open surgery and requires shorter recovery time.
5-Alpha reductase inhibitors: These drugs can partially shrink the prostate by reducing levels of a male hormone — dihydrotestosterone (dht) — which is involved in prostate growth. These drugs take longer to work than alpha blockers, but there is urine flow improvement after three months. These drugs can reduce risk of acute retention (inability to urinate) — and also reduce the need for prostate surgery. You may need to take them for 6 to 12 months to see if they work.
Laser surgery. With this surgery, a urologist uses a high-energy laser to destroy prostate tissue. The urologist uses a cystoscope to pass a laser fiber through the urethra into the prostate. The laser destroys the enlarged tissue. The risk of bleeding is lower than in turp and tuip because the laser seals blood vessels as it cuts through the prostate tissue. However, laser surgery may not effectively treat greatly enlarged prostates.
Most health care providers agree that if men with benign prostatic hyperplasia were able to maintain an erection before surgery, they will probably be able to have erections afterward. Surgery rarely causes a loss of erectile function. However, benign prostatic hyperplasia surgery most often cannot restore function that was lost before the procedure. Some men find a slight difference in the quality of orgasm after surgery. However, most report no difference.
Another method is transurethral incision of the prostate (tuip). During tuip, the surgeon makes incisions in the neck of the bladder and in the prostate. This serves to widen the urethra and increase urine flow.
Cystoscopy to Look Inside the Uretha and Bladder
Cystoscopy is a procedure that uses a tubelike instrument, called a cystoscope, to look inside the urethra and bladder. A urologist inserts the cystoscope through the opening at the tip of the penis and into the lower urinary tract. A urologist performs cystoscopy during an office visit or in an outpatient center or a hospital. The urologist will give the patient local anesthesia; however, in some cases, the patient may require sedation and regional or general anesthesia. A urologist may use cystoscopy to look for blockage or stones in the urinary tract.
The prostate grows larger due to an increase in the number of cells (hyperplasia). However, the precise reason for this increase is unknown. A variety of factors may be involved, including androgens (male hormones), estrogens, and growth factors and other cell signaling pathways (cell-to-cell communication).
It’s not always obvious what’s going on, slawin adds. “When men start having urinary problems, it’s hard to know the reason. They should see a doctor when anything changes, because there can be bladder cancer, stones, prostate cancer. Bph is often a diagnosis of exclusion â€¦ after we make sure nothing more serious is going on.”
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 man’s 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.
It’s common for men over the age of 50 to have prostate problems. The prostate gland produces semen. Common conditions that affect the gland are enlarged prostate (bph, benign prostatic hyperplasia), acute and chronic bacterial prostatitis, chronic non-bacterial prostatitis, and prostate cancer. Talk to your doctor if you think you may have problems urinating or pain with urination.
After surgery, the prostate, urethra, and surrounding tissues may be irritated and swollen, causing urinary retention. To prevent urinary retention, a urologist inserts a foley catheter so urine can drain freely out of the bladder. A foley catheter has a balloon on the end that the urologist inserts into the bladder. Once the balloon is inside the bladder, the urologist fills it with sterile water to keep the catheter in place. Men who undergo minimally invasive procedures may not need a foley catheter.
Transurethral microwave thermotherapy.
This procedure uses microwaves to destroy prostate tissue. A urologist inserts a catheter through the urethra to the prostate, and a device called an antenna sends microwaves through the catheter to heat selected portions of the prostate. The temperature becomes high enough inside the prostate to destroy enlarged tissue. A cooling system protects the urinary tract from heat damage during the procedure.
A urinary tract infection (uti) is an infection of the bladder, kidneys, ureters, or urethra. E. Coli, a type of bacteria that lives in the bowel and near the anus, causes most utis. Uti symptoms include pain, abdominal pain, mild fever, urinary urgency and frequency. Treatment involves a course of antibiotics.
Both bph (benign prostatic hyperplasia) and prostatitis are problems with theÂ prostate gland, a gland surrounding the neck of the bladder in males. The prostate gland is responsible for releasing prostatic fluid that helps make up part of the semen.
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.
There is also drug combination therapy, which may be effective against symptoms associated with bph. Some examples of combined drugs include an alpha-blocker and a 5-alpha-reductase inhibitor; or an alpha-blocker and an anticholinergic.