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Enlarged Prostate Tips

Top Reasons To See A Urologist!

Dr. Rajesh Kumar Agrawal 90% (11 ratings)
M.Ch - Urology, DNB (General Surgery), MS - Urology, MBBS, DNB - Urology
Urologist, Jalandhar
Top Reasons To See A Urologist!

Be it frequent urination, painful urination, or change in color of urine, you must not hesitate to visit a urologist, especially when the symptoms persist for more than two days. Typically, an abnormal urge to urinate is directly affected by any infection in the bladder or due to any underlying medical condition. A urologist who is specialized in the study and treatment of disorders related to the urinary system is the right person to diagnose the problem and put you on the right treatment. Read on to have an insight into symptoms that would necessitate a urologist visit.

Inability to urinate: Many people tend to have calcium depositions in their urinary tract. This is what is known as a stone. When this stone grows big in dimension, it can block the ureters or the urethra. In both these situations, the total urine output reduces to a great extent or can stop completely. The first symptom, in this case, will be an intolerable pain in the back or lower abdomen. This is also a common sign in males with an enlarged prostate.

As the prostate grows in size, it pushes onto the bladder, thus again making it difficult to release urine.

  1. Pain in the lower abdomen: Pain in the lower abdomen is also a symptom of various kinds of urinary problems. If the pain is accompanied by urinary frequency or a burning sensation during urination, it inevitably prompts a visit to the urologist to check for bladder cancer or prostate.
  2. Blood in urine: Irrespective of the gender of the sufferer, blood in the urine is never a good sign. An immediate visit to the urologist is suggested as he can order tests which can highlight an infection or a disease or in extreme cases, even the early signs of cancer in kidney or bladder.
  3. Repeated urinary tract infections: Cases might arise, when a particular person is suffering from two or more infections in a span of 6 months. This situation should never be ignored, and immediately a doctor should be visited as this can be a serious health problem in both men and women. Prophylactic or some antibiotic treatments will be prescribed in this case.
  4. Chronic pain in the pelvic region: This is again another urinary condition which can affect both sexes. This condition is characterized by increased frequency of urination and nocturia and pain in the lower abdomen are also reported. Nocturia is severe nighttime urination. The treatment for this condition depends on the reason. A series of tests and examinations have to be carried out to find out the reason, and accordingly, a treatment plan has to be charted out.

Apart from the symptoms mentioned above, if you experience uncontrolled urine leakage or any sediments in urine or if you sense any abnormality concerning the lower abdominal area a urologist visit is warranted. No need to shy away from reporting even such minor discomfort as it could help avoid dire consequences.

Overactive Urinary Bladder - What Can Possibly Help Manage It?

Dr. Kuldip Singh 88% (199 ratings)
Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Overactive Urinary Bladder - What Can Possibly Help Manage It?

Overactive bladder (OAB) is a set of symptoms that causes a sudden urge to urinate to an extent that can negatively affect a person’s life. OAB incidence increases with age but it is not part of the normal aging process. Many affected people may feel embarrassed and isolate themselves from work and social activities. During normal urination, the detrusor muscle of the bladder contracts when the bladder is full and relaxes when empty. A normal adult bladder contains up to 600cc of urine, in OAB, as little as 200cc of urine can trigger bladder contraction. Certain neurological conditions like stroke, multiple sclerosis, Alzheimer’s disease, tumors, diabetes, bladder stones, enlarged prostate and other abnormalities that obstruct bladder outflow can lead to an overactive bladder. Excessive consumption of caffeine or alcohol could also obstruct the process of normal urination.

While sometimes one may have an urgent urge to urinate due to diet or lifestyle modification, but mentioned below are few symptoms mentioned below should not be ignored:

  • Urgency to urinate for a longer period of time, however, a patient may or may not urinate after feeling this urge.
  • Patients may leak urine after feeling a sudden urgency. They find it unable to control the flow leading to leakage of few drops or sometimes a gushing large amount of urine.
  • Frequent urination, more than 8 times in 24 hours.
  • Nocturia i.e waking up one or more times at night to urinate.

Treatment

  1. Diet, lifestyle modification should be the first line of treatment

    • Weight loss in obese patients reduces episodes of incontinence
    • Avoiding caffeine and alcohol can do the trick.
    • Kegel exercises are exercises of pelvic muscle, which strengthen the muscles of the pelvis and the urethra which support the opening to the bladder. Recommended 30-80 times every day for 8 weeks.
    • In women, vaginal weight training can be really helpful. In this small weights are held by the vagina by tightening the vaginal muscles. It should be practiced for 15 minutes twice daily for 4-6 weeks.
    • Bladder training is generally done with the help of physical therapist or urologist. It also uses pelvic floor muscle contractions to expand the intervals between voiding and to suppress the urge to void.
  2. Medications: Used as the second line of treatment as the drugs in most cases are only moderately helpful.
    • Anticholinergics act by relaxing the bladder, they decrease the hyperactivity of the detrusor muscle. There are several other medications that may be prescribed by the doctor depending upon the severity of the condition.
  3. Other procedures: third line of treatment
    • Botox injections can be given directly into the bladder wall. It suppresses involuntary bladder contractions by blocking nerve signals.
    • Neuromodulation uses electrical stimulation to reorganize spinal reflexes involved in bladder control.
    • Reconstructive bladder surgery enlarges the size of the bladder by using part of the intestine.

Frequent Urination - It Could Be A Sign Of Enlarged Prostate!

Dr. Praveen Kumar Pandey 85% (10 ratings)
MBBS, MS ( Surgery ), MCH ( Urology ), DNB ( Urology )
Urologist, Lucknow
Frequent Urination - It Could Be 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. In case you have a concern or query you can always consult an expert & get answers to your questions!

2132 people found this helpful

Enlarged Prostate - Understanding The Signs Your Body Is Indicating!

Dr. Kalyan Kumar 87% (58 ratings)
MBBS, MS - Urology, DNB
Urologist, Secunderabad
Enlarged Prostate - Understanding The Signs Your Body Is Indicating!

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!

1932 people found this helpful

Prostate Problem Warning Signs - Know More About It!

Dr. Shrikant M.Badwe 85% (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!

3237 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!

3177 people found this helpful

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

Dr. Ranjit Chaudhary 87% (10 ratings)
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

Prostate Problem - 8 Warning Signs - Watch Out!

Dr. Praveen Kumar Pandey 85% (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.

2037 people found this helpful

Prostate/ BPH / Cancer Prostate

Dr. Nitesh Jain 87% (77 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 85% (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
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