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Enlarged Prostate Tips

Prostate Problem Warning Signs - Know More About It!

Dr. Shrikant M.Badwe 83% (31 ratings)
M.Ch - Urology/Genito-Urinary Surgery, MS - General Surgery, MBBS
Urologist, Mumbai
Prostate Problem Warning Signs - Know More About It!

The prostate gland in males surrounds the urethra, through which urine and sperm are passed out of the body. Its function is to secrete a fluid, which provides nourishment to the sperm. It is about the shape of a walnut and is present between the pubic bone and the rectum.

As a man crosses 40, the prostate gland begins to increase in size due to an increase in the number of cells. This is known as hyperplasia.  The condition is usually benign and therefore the name benign prostate hyperplasia (BPH). As it continues to grow, there is an increased pressure on the urethra. Therefore, there can be problems with urination. The bladder, being a muscular organ, compensates to some extent and so the problems with urination are mostly managed. If left untreated, this can continue to be a major problem and the bladder may not be able to compensate. In men who are 60-plus, BPH is very common.

Signs and symptoms 

  1. One of the initial symptoms of BPH is when the urine stream begins to grow weak.
  2. There could also be a reduced speed of passing urine.
  3. Men with BPH never have a feeling of complete emptying of the bladder.
  4. On the other hand, there is also a constant difficulty in initiating a urine stream. There could be intermittent breaks in the urine stream.
  5. The person may feel the need to strain to initiate the stream and to ensure complete emptying.
  6. There could be dribbling of urine after passing urine.
  7. The duration between two bathroom visits can constantly reduce, with the constant urge to urinate.
  8. There is a constant urge to visit the bathroom, which is more common in the night. One of the most annoying features of BPH is the walking up at night to urinate, but with an inability to initiate a stream and an inability to completely empty the bladder, it leaves the person very irritated and frustrated.
  9. There could be blood in the urine. In fact, blood in the urine accompanied by fever, chills, nausea and vomiting are indications of an emergency.
  10. There could be blockage of urine completely, if the enlargement is quite severe.

Diagnosis
If you are having any of these symptoms, then the doctor will first test for an enlarged prostate through a digital rectal exam. Then a test is done to check a chemical called prostate specific antigen.  Increased levels of this chemical is almost always indicative of BPH. In addition, X-rays and scanning may be used to confirm diagnosis. 

Treatment
Though medications are available, confirmatory treatment is through surgical removal. The procedure needs a inimum of 2 to 3 days. In case you have a concern or query you can always consult an expert & get answers to your questions!

3236 people found this helpful

6 Symptoms Of Enlarged Prostate And Its Causes!

Dr. Chetan Sheladia 88% (10 ratings)
DNB - Urology/Genito - Urinary Surgery, MS - General Surgery, MBBS
Urologist, Surat
6 Symptoms Of Enlarged Prostate And Its Causes!

The condition of enlarged prostate occurs due to the enlargement of a man’s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer. The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.

Causes
It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.

With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.

Some of the common symptoms of enlarged prostate include:
1. Frequent urination
2. Urgency to urinate
3. Difficulty during urination
4. A slow or weak urinary stream
5. Requirement of extra effort to urinate
6. Interrupted sleep due to need of urination

Further risks
Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition. In case you have a concern or query you can always consult an expert & get answers to your questions!

2118 people found this helpful

Problem In Prostate Gland - Know What Is The Right Treatment For It!

MBBS, MS - General Surgery, MCh - Urology
Urologist, Bhopal
Problem In Prostate Gland - Know What Is The Right Treatment For It!

The prostate gland is a male reproductive organ at the base of the urinary bladder and urethra is a thin tube that carries urine out of the penis. It runs through the prostate gland. A fluid produced by this gland helps to carry sperms produced by the testes outside during intercourse.

Cause of urinary problems in men

Men experience urinary symptoms either due to inflammation of the prostate gland or prostatitis or symptoms may be the result of a blockage of the passage due to enlargement of the prostate gland.

Symptoms of urinary problems

Urinary symptoms commonly experienced with prostate problems include;

1. The need to urinate frequently during the night.

2. Urinating more often during the day.

3. Urinary urgency is the urge to urinate can be so strong and sudden that one may not reach the toilet in time.

4. The urine stream is slow to start.

5. Urine dribbling for some time after finishing urination.

6. A sensation that the bladder is not fully emptied after urination.

7. A lack of force to the urine flow, which makes directing the stream difficult.

8. The sensation of needing to go again soon after urinating

Treatment

1. A long course of antibacterial medication (for bacterial prostatitis) is prescribed, because infection is difficult to get rid of, the antibacterial medication will need to be taken for many weeks.

2. Medication to improve urine flow and other symptoms (for obstruction caused by an enlarged prostate).

3. Surgical procedures (for blockage caused by an enlarged prostate), such as Transurethral Resection of the prostate(TURP), Laser Resection of prostate, Transurethral Incision of the prostate(TUIP).

UroLift: A new method of treatment for men, where medication has not been successful, but their prostates are not so enlarged that they need more invasive surgery. It involves the Transurethral Insertion of staples to separate the lobes of the prostate. It has minimal side effects and preserves ejaculatory and erectile function.

A number of other procedures that have been developed to reduce urinary symptoms.

Medication for urinary problems

Various medications to help ease your urinary problems, including;

1. Medications to reduce the tone of the muscles of the urethra and prostate to minimize any obstruction to urine flow caused when these muscles contract.

2. Medication to reduce the size of the prostate gland. These drugs work by blocking the action of male hormones produced by the prostate gland.

3. Medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination.

4. Over-the-counter medicine 'Saw Palmetto' (Serenoa repens) is used sometimes. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2689 people found this helpful

Benign Prostatic Hyperplasia (BPH) - Role Of Homeopathy In Treating It!

Dr. Parminder Punn 93% (209 ratings)
MD - Homeopathy, BHMS
Homeopath, Ludhiana
Benign Prostatic Hyperplasia (BPH) - Role Of Homeopathy In Treating It!

Benign Prostatic Hyperplasia(BPH) is the enlargement of the prostate gland which can lead to other serious problems of the urinary tract, bladder, and kidneys.

It might be the result of an infection of the urinary tract or a scar in the bladder from an earlier surgery. Prostrate inflammation or urethral narrowing can also cause an enlargement of the gland. Kidney or bladder stones may also be responsible for prostate enlargement.
 

Age also plays a role in the enlargement of the gland. The hormonal changes that are natural with advances in age can cause the gland to grow in size. The prostate, in fact, doubles in size when men enter puberty, and later when they are about 25 years of age, it begins to grow again. In most cases, this growth continues for the rest of their lives.

Symptoms of BPH
As the prostate gland continues to grow, it can begin to exert pressure on the urethra. This affects the flow of urine and leads to some of the most common symptoms of BPH. These include-

 

  • A difficulty in starting urination.
  • A weak or irregular stream of urine.
  • A sudden and urgent need to urinate.
  • An inability to empty the bladder completely.
  • An increase in the frequency of urination during the night.
  • Dribbling after one finishes.

Though quite rare, you might find yourself unable to urinate or notice blood in your urine. If you notice one or more of the above-mentioned symptoms, consult a physician at your earliest possible. BPH can lead to a number of serious ailments that include bladder stones, severe damage to the bladder and even damage to the kidneys.

Role of Homeopathy
Given that in most men the prostate gland continues to grow throughout their lives, it is best to take the necessary preventive measures to ensure that it doesn’t progress to a serious health condition. Homeopathy, being both natural and effective, is one of the most popular methods of prevention.

A practitioner of homeopathy will evaluate all aspects of your lifestyle and health and prescribe a combination of medications designed to both reduce the inflammation of the prostate and regulate your urinary problems. You might even be prescribed natural pain relievers that will help manage any pain that you might be experiencing during urination. A pro-active approach is advised when it comes to the treatment of the prostate gland.

Prostate Problem 8 Warning Signs - Watch Out!

Dr. Praveen Kumar Pandey 89% (10 ratings)
MBBS, MS ( Surgery ), MCH ( Urology ), DNB ( Urology )
Urologist, Lucknow
Prostate Problem 8 Warning Signs - Watch Out!

The prostate gland in males surrounds the urethra, through which urine and sperm are passed out of the body. Its function is to secrete a fluid, which provides nourishment to the sperm. It is about the shape of a walnut and is present between the pubic bone and the rectum.

As a man crosses 40, the prostate gland begins to increase in size due to an increase in the number of cells. This is known as hyperplasia.  The condition is usually benign and therefore the name benign prostate hyperplasia (BPH). As it continues to grow, there is an increased pressure on the urethra. Therefore, there can be problems with urination. The bladder, being a muscular organ, compensates to some extent and so the problems with urination are mostly managed. If left untreated, this can continue to be a major problem and the bladder may not be able to compensate. In men who are 60-plus, BPH is very common.

Signs and symptoms 

  1. One of the initial symptoms of BPH is when the urine stream begins to grow weak.
  2. There could also be a reduced speed of passing urine.
  3. Men with BPH never have a feeling of complete emptying of the bladder.
  4. On the other hand, there is also a constant difficulty in initiating a urine stream. There could be intermittent breaks in the urine stream.
  5. The person may feel the need to strain to initiate the stream and to ensure complete emptying.
  6. There could be dribbling of urine after passing urine.
  7. The duration between two bathroom visits can constantly reduce, with the constant urge to urinate.
  8. There is a constant urge to visit the bathroom, which is more common in the night. One of the most annoying features of BPH is the walking up at night to urinate, but with an inability to initiate a stream and an inability to completely empty the bladder, it leaves the person very irritated and frustrated.
  9. There could be blood in the urine. In fact, blood in the urine accompanied by fever, chills, nausea and vomiting are indications of an emergency.
  10. There could be blockage of urine completely, if the enlargement is quite severe.

Diagnosis
If you are having any of these symptoms, then the doctor will first test for an enlarged prostate through a digital rectal exam. Then a test is done to check a chemical called prostate specific antigen.  Increased levels of this chemical is almost always indicative of BPH. In addition, X-rays and scanning may be used to confirm diagnosis. 

Treatment
Though medications are available, confirmatory treatment is through surgical removal. The procedure needs a inimum of 2 to 3 days.

2 people found this helpful

Prostate/ BPH / Cancer Prostate

Dr. Nitesh Jain 89% (70 ratings)
MCh - Urology, MBBS
Urologist, Chennai
Prostate/ BPH / Cancer Prostate

Don't shy away from urinary complains: It can be treated. Enlarged prostate in elderly.

We live in a country of excess where size often matters most. Supersize, grand, max, king size - but is bigger always better? Certainly not when it comes to male health and an enlarged prostate.

Enlarged prostate what we medically call as bph (benign prostatic hyperplasia) is a disease of old age, starts presenting usually after 50 years of age. It is non-cancerous enlargement of the prostate which is a walnut sized gland seen in men located beneath the bladder forming a channel through which stored urine in bladder can flow into the urethra. As we grow the prostate also enlarges in size (usually after 50 yrs). This enlarged prostate squeezes or partially blocks the surrounding urethra the tube that carries the urine from the bladder out of the body. This can lead to bothersome urinary symptoms that may include a weak stream, trouble starting and stopping, the frequent feel to urinate, inability to hold back the urine when desire comes, leaking or dribbling, and the sense that the bladder isn't empty after urination.
Complete emptying of the bladder may not occur due to obstruction in the flow of urine and as such can make an individual more susceptible to urinary tract infections, bladder stone formation, and if obstruction is prolonged and severe can lead to kidney function impairment.

The symptoms of bph will often bring patients to their doctor, although the enlarged prostate can also be diagnosed during a routine digital rectal examination (internal examination) or ultrasonography. Other common tests used to diagnose bph include a urinalysis (to check for infection or other causes of bph-like symptoms); a urine flow study, which uses a device that measure the speed of the stream; a ultrasound, which measures the size of the prostate gland and evaluate the kidney along with psa (blood test) to rule out cancer.

It is seen that most men feel uncomfortable talking about prostate, since the glands play an important role in sex and urination. Many older men live in this situation believing that it is age related. While it is indeed age related but it could be due to enlarged prostate for which there is relief available through treatment.
Age is the primary cause for enlargement of the gland. A clinical examination, uroflow and sonography helps to determine the severity of the problem. Regular medication helps to solve the problem and can prevent dreaded complications and only patient with bothersome symptoms or with some complication related to prostate needs surgery.

Elderly men should not feel shy to share their urinary problems as prostate enlargement is a common part of ageing alike grey hair or wrinkles. Visit the doctor and regain confidence and lead healthy life again. And remember, earlier you address this, better your chances of relief without surgery.

4 people found this helpful

Frequent Urination - Is It A Sign Of Enlarged Prostate?

Dr. Shrikant M.Badwe 83% (31 ratings)
M.Ch - Urology/Genito-Urinary Surgery, MS - General Surgery, MBBS
Urologist, Mumbai
Frequent Urination - Is It A Sign Of Enlarged Prostate?

The condition of enlarged prostate occurs due to the enlargement of a man’s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer. The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.

Causes
It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.

With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.

Some of the common symptoms of enlarged prostate include:

  1. Frequent urination
  2. Urgency to urinate
  3. Difficulty during urination
  4. A slow or weak urinary stream
  5. Requirement of extra effort to urinate
  6. Interrupted sleep due to need of urination

Further risks
Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition.

3074 people found this helpful

Prostate Operation - Tips That Can Be Helpful In Recuperating!

Dr. Amit Tuli 92% (441 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Prostate Operation - Tips That Can Be Helpful In Recuperating!

A prostate operation involves the removal of a part of the prostate gland or sometimes the removal of the entire prostate gland. Such a surgery is a serious one and several recovery tips must be followed by a patient to ensure quick and successful healing. 

Here are some important tips for recuperating from a prostate operation:

  1. After the surgery, you need to spend up to three days in the hospital for initial recovery. You might be given fluids, which go directly into your veins until you fully recover from anesthesia.
  2. After the operation, normal urination will be disrupted in the beginning, as the urethra stays swollen. Urinating gets a little difficult and uncomfortable for a few days after the removal of the catheter.
  3. You may feel fatigued and may feel under the weather for some weeks after a prostate operation. So you must take things easy for at least two months.
  4. Avoid lifting or moving heavy objects for some weeks following the surgery. Do not perform any exercise, which causes strain. You should ask your friends and family members to carry out chores for you.
  5. After becoming slightly stable you should start gentle exercises. Walking is an effective remedy, which helps in blood circulation and lowers the risk of getting blood clots in the legs.
  6. You should drink lots of water during the recovery stage. This will reduce the risk of getting a urinary tract infection and also help in clearing any trace of blood from your urine.
  7. For improving bladder control, you should perform several pelvic floor exercises.
  8. In case of any kind of pain, you can take over the counter painkillers to ease the pain.
  9. It will take you a time span of three to six weeks for total recovery after a prostate operation. You should consult your surgeon about the best time to return to normal daily activities.
  10. You can get back to work soon, but it depends on your nature of work. Office jobs are not much of a problem, but in case of physical labour, more time is needed before you can resume your duties.
  11. Activities such as driving can be started quite soon after initial recovery. However, it varies from person to person. Some people may get back to driving within two weeks while some may need a month.
  12. You have to wait for 6 to 8 weeks after a prostate operation before getting back to sexual activities.
  13. In case you experience high fever, pain during urination or the inability to urinate, you must consult your doctor immediately.
  14. It takes a person several weeks to recover from a prostate operation completely. Initially, total rest is required. But eventually, he can return to normal activities and lead a healthy life.
1887 people found this helpful

Symptoms Of Enlarged Prostate - An Insight!

MCh Urology, MS - General Surgery, DNB (General Surgery), MBBS
Urologist, Chennai
Symptoms Of Enlarged Prostate - An Insight!

A man’s prostate enlarging after he reaches 40 years is considered typical. Affecting millions of men every year, the condition is treatable by a urologist. When the prostate has grown to be substantially large, the urethra is tightly squeezed, and this makes it difficult for the bladder to compensate for the problem and empty entirely.

In some cases, it may lead to blockage from prostate enlargement and subsequent stagnation and backing up of urine. This, in turn, increases the chances of urinary tract infections, bladder diverticula and bladder stones, and kidney damage.

Signs and symptoms of enlarged prostate
The signs and symptoms of an enlarged prostate are quite mild at first but can turn into a serious problem if left untreated. The common symptoms of enlarged prostate include:

  1. Incomplete emptying of the urinary bladder
  2. Need to urinate two or more times in the night
  3. Dribbling at the end of the stream
  4. Leakage of urine or incontinence
  5. A weak stream of urine
  6. A slowed and delayed stream of urine
  7. Presence of blood in the urine
  8. Finding it difficult to start urinating
  9. Having a weak flow of urine

Leaking of urine can take place when there is a sudden urge for urinating that cannot be controlled. It may also take place when a person strains owing to cough, sneeze or lifting a heavy object all of a sudden. This phenomenon is known as stress incontinence.

The most common form of leaking happens when a little amount of urine dribbles in the underwear after urinating. It is important to consider these symptoms and consult a nephrologist without further delay. This is because even though the symptoms are mild, they may be triggered by some underlying conditions that need to be treated.

What is the next step?
Your doctor may recommend you to get certain tests done in order to determine whether the prostate gland is enlarged. Some of these tests include:

  1. Urinary frequency-volume: The test gives you a record of the amount of water consumed and how much urine you pass and how often you are required to empty your bladder on a day to day basis along with any leakage you have.
  2. IPSS questionnaire: This test refers to International Prostate Symptom Score questionnaire which allows the doctor to comprehend how serious the symptoms are.
  3. Digital rectal examination: Through the test, the doctors can feel the prostate gland through the wall of the rectum.

Besides these diagnostic tests, the doctor may ask you to undergo a blood test for checking that the kidneys are functionally alright. The treatments for the enlarged prostate gland depend on the severity and intensity of the symptoms, and the treatments include medication, catheters, lifestyle changes and surgery. Thus, being aware of your body and taking the necessary steps can help solve the issue.  In case you have a concern or query you can always consult an expert & get answers to your questions!

2980 people found this helpful

Enlarged Prostate - Risks It Can Lead To!

Dr. Neeraj Gupta 89% (111 ratings)
MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bhopal
Enlarged Prostate - Risks It Can Lead To!

The condition of enlarged prostate occurs due to the enlargement of a man’s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer. The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.

Causes
It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.

With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.

Some of the common symptoms of enlarged prostate include:
1. Frequent urination
2. Urgency to urinate
3. Difficulty during urination
4. A slow or weak urinary stream
5. Requirement of extra effort to urinate
6. Interrupted sleep due to need of urination

Further risks
Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3793 people found this helpful
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