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The problem of an enlarged prostate or benign prostate hyperplasia is a very common occurrence as you grow older. It's known to strike men above the age of 50, with more than 50% of men after the age of 60, having this complaint.
Causes of enlarged prostate
A non-cancerous condition, enlarged prostate makes the passing of urine from the bladder through the urethra difficult. The multiplication of the prostate cells causes an enlargement of the gland, leading to a buildup of pressure on the urethra, affecting the discharge of urine from the body. The narrowing of the urethra, due to this benign condition, forces the bladder to contract more vigorously so as to push urine out of the body.
As time passes, the muscles of the bladder get significantly affected, causing them to become extremely sensitive, thicker and stronger. As a consequence, the bladder begins to contract, even if the amount of urine in the organ is negligible, causing episodes of frequent urination. Gradually, the bladder fails to completely empty itself of urine due to the constriction of the urethra. This can give rise to a number of health problems including the formation of bladder stones, urinary tract infections, blood in the urine and so on.
How can you identify the signs of the condition?
Signs of enlarged prostate are very easy to identify and include:
- A slow or weak urine flow
- Difficulty in initiating urination
- Instances of frequent urination
- A feeling of not completely emptying one's bladder
- Frequent urination during the night
- Exerting a lot to urinate
- Instances of dribbling
- Urgency to pass urine
- A feeling of urinating again minutes after doing so
- Urination that starts and stops. If you wish to discuss about any specific problem, you can consult a General Surgeon.
I am 40 years old. I am female. I have suffer from breast cancer from last 1 and 1/2 years. I have took surgery chemotherapy and radiation therapy from rcc, trivandrum. Please given any preventive method,
Bladder cancer can be caused by a variety of factors, which include genetic factors, inheritance, drugs, chemicals, environment related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. Besides smoking other important environmental factors might be chemotherapy, exposure to chemicals from newspaper, dye, leather, paints industries.
Symptoms of bladder cancer are as follows:
Most often it occurs in people more than 50 years of age. It can present in different ways, but common symptoms being :
- Painless hematuria - reddish or brownish colored urine with or without clots Increased frequency of urination Pain while passing urine .
- Difficulty in passing urine
The diagnosis requires a proper imaging workup including ultrasound, CT scan and urine examinations. Following the initial imaging, a biopsy is required to confirm the diagnosis and stage the disease. This is done by cystoscopy under anesthesia.
Treatments for bladder cancer.depend on the stage of cancer. Broadly bladder cancers can be categorised into Non-invasive and Invasive cancers.
- For non-invasive cancers: It requires recurrent cystoscopic surveillance and resection. For those with high risk of tumor recurrence or progression, intravesical chemotherapy or immunotherapy might be required.
- For invasive cancers the various treatment choices are:
- Surgery: For localised tumor which are amenable to resection perhaps surgery is the best possible treatment. This is a major undertaking where in whole of bladder along with accessory organs is removed. The surgeon may offer choices for reconstruction between neobladder (refashioning bladder with patient's gut) or ileal conduit (fashioning a stoma over which bag can be worn to collect urine). Following surgery a regular follow up is required and the prognosis is good.
- Chemotherapy: This modality is reserved for patient's where surgery is not possible or they have metastatic disease (disease spread to other body parts).In this method, medications are used to target and destroy cancer cells.
- Radiation Therapy: This might be and option for patient's that are not suitable for surgery. Radiation therapy uses gamma rays to destroy cancer cells in the body The key to good prognosis in bladder cancers is early detection timely intervention and good follow up. If you wish to discuss about any specific problem, you can consult a Urologist.
I am a cancer patient (breast, Stage II). I have completed all treatments for the last 2 1/2 years ago. Doctors operated by only partially (only affected area). The whole part are not remove. Cancer cells are again formed? Or not formed?
The prostate is a small gland positioned around the urethra and is responsible for creating the fluid to be ejaculated that contains semen. Commonly described as the shape and size of a walnut, the prostate has many important functions within the male reproductive system. Reports of cancer of this organ have become very frequent. Ayurveda has very effective treatments that not only stop the spread of the cancer, but can actually cause partial or full remission.
Some Ayurvedic treatments for Prostate cancer:
- Haritaki and Terminalia Chebula: When mixed with honey and ghee, this medication is known to be very effective in treating anemia. However, it is also very effective in fighting tumors and cancer cells and thus is both a supplement to the body as well as fighter of illnesses.
- Amalaki or Emblica Officinalis: One of the most used and go to remedies within Ayurveda is amalaki which is frequently used to cure digestive problems. It is also an antioxidant and quickly drains out free radicals from within the body. This helps in cancer treatment, immunity boosting and improving metabolism.
- Vibhitaki or Terminalia Belerica: This is an excellent medication, which is very beneficial in purifying blood and removing toxins from the body. It is very good in increasing red blood cell count, which is very important when the body is fighting any form of cancer. Thus it is effective in the case of prostate cancer as well.
- Guduchi or Giloy: This medication is very good to fight calcium deficiency and is very effective at fighting infections as well. This is necessary to ensure that the body is protected while it is fighting the cancerous cells.
- Curcumin or Curcuma Longa: This is one of the wonder drugs being touted around as the next big thing in fighting cancer. Curcumin is the primary chemical in turmeric and is known to be very effective in the prevention of growth and spread of cancer cells.
- Punarnava or Boerhavia Diffusa: This is a great medication, which helps improve blood flow to and from the kidneys and also helps in increasing the count of red blood cells. All these properties make this particular species of flowering plant an absolute master when it comes to preventing prostate cancer. If you wish to discuss about any specific problem, you can consult an ayurveda.
I am suffering from Pap smear with altered flora is it very dangerous also tell solution due to this is there any possibility of cancer.
What food I should eat for to cure or prevent polyps. What is the allergic test? Can I know the reason of polyps as I did not have cold in last 6 months still got polyps .how can I get allergic test done. Please specify the name of test. Regards and Thanks.
One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.
1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections
There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.
Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:
1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys
Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.
1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.
2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.
More men now opt for laser prostate removal as it has the following advantages:
1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.
As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery. If you wish to discuss about any specific problem, you can consult a Urologist.