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:
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
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:
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. If you wish to discuss about any specific problem, you can consult a Urologist.