How To Tell If Prostate Is Enlarged

How To Tell If Prostate Is Enlarged – These 10 changes in urination could be a sign of an enlarged prostate. Know when to see a doctor.

An enlarged prostate, also called benign prostatic hyperplasia, occurs as men age. The first signs are often disturbing or unpleasant changes in urination. Although an enlarged prostate is a common problem, men should seek medical attention as soon as they notice symptoms.

How To Tell If Prostate Is Enlarged

“Almost all men will have this problem,” said Jacob McCoy, MD, a urologist at Vanderbilt. “So people should be prepared for some symptoms.”

My Prostate Is Enlarged, What’s Next?

McCoy said urinary changes usually occur in men over 40, but symptoms can appear at any age. “Most men begin to experience symptoms of having to hold or strain to urinate,” he explained. “Some also feel like they have to go back to the toilet sooner because they feel like they haven’t emptied their bladder properly.”

A trickle that starts and stops can also be a sign of an enlarged prostate. “I think generally when you ask guys what’s bothering them, they say their flow isn’t what it used to be,” McCoy said. “It takes more effort to make them work.”

“Uncontrolled and worsening symptoms can compromise bladder and kidney health. It’s always better to get them under control when they start rather than delay.”

Some men see a urologist after they notice that they need to go to the bathroom more often in the middle of the night. However, McCoy said nocturia is not always a symptom of an enlarged prostate and may be related to other medical conditions or lifestyle habits that your urologist can discuss with you.

Prostate Enlargement Remedy

The bottom line: If you’re experiencing troubling changes in your urination or pain or discomfort, McCoy recommends talking to your doctor sooner rather than later. “Uncontrolled and worsening symptoms can harm bladder and kidney health,” he said. “That’s why it’s always better to control symptoms when they start rather than delay them.” If you notice blood in your urine, that’s a sign you should see your doctor right away, McCoy added.

Whatever symptoms you’re experiencing, don’t be afraid to talk about them. “Urologists are health care providers who have chosen to enter this field,” McCoy explained. “We are happy to discuss these matters and treat them with respect and confidentiality.”

When you make an appointment with your urologist, you may be asked to fill out a questionnaire, McCoy explained. The urologist can then assess your symptoms based on your answers. He or she may also perform a physical exam, request a urine sample, and perform a bladder exam, which allows the urologist to see how well you are emptying your bladder.

If you have an enlarged prostate, your urologist will discuss treatment options to help relieve bothersome symptoms. McCoy said options range from medication to help the prostate relax or shrink to surgery to remove the blockage. The right solution for you will depend on factors such as the severity of your symptoms, the size of your prostate, and other health problems you may have. It’s important to know that a urologist can help, and the sooner you see them after symptoms develop, the better.

Natural Dietary Treatments For Enlarged Prostate Bph

Talk to your doctor if you have signs and symptoms of an enlarged prostate, or visit Vanderbilt Urology to discuss your options. Benign prostatic hyperplasia (BPH) is a common urological disease caused by non-cancerous enlargement of the prostate.

The word “benign” means that the enlargement is not caused by cancer or infection. The word “hyperplasia” means growth. It is also known as benign enlargement of the prostate (BEP).

The prostate is a walnut-sized gland that is part of the male reproductive system. It lies below the bladder and surrounds the top of the urethra (the tube that carries urine out of the body). The main function of the prostate is to produce seminal fluid.

As the prostate enlarges, the gland grips the urethra like a garden hose clamp. As a result, it can put pressure on the urethra and slow or stop the flow of urine. The bladder wall becomes thicker and irritated, causing the bladder to contract even if it contains a small amount of urine, causing frequent urination. Over time, the bladder weakens and loses its ability to empty itself.

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Prostate size does not always determine the severity of obstruction or symptoms. Some men with very enlarged glands have fewer blockages and fewer symptoms, while others with less enlarged glands have more blockages and more problems. Sometimes a man may not know that he has any kind of obstruction until he suddenly finds that he cannot urinate at all.

A variety of treatment approaches can help manage BPH problems. To relieve the symptoms of BPH, medications may be needed to relax the prostate muscles or block hormones that cause the prostate to grow, or to relax the bladder and improve continence. Surgery is recommended for people who have not been able to successfully treat the condition with other treatment options.

The exact cause of BPH is not entirely clear, but aging and hormonal changes seem to play a role.

It is a well-known fact that BPH occurs mainly in older men and does not develop in men who have had their testicles removed before puberty.

Benign Prostatic Hyperplasia

Men produce testosterone (the male hormone) and small amounts of estrogen (the female hormone). The amount of active testosterone in the blood decreases with age, so a larger proportion of estrogen remains. Animal studies have shown that BPH can occur because increased amounts of estrogen in the gland increase the activity of substances that promote cell growth.

Another theory centers on dihydrotestosterone (DHT). DHT is a testosterone-derived substance in the prostate gland that helps control its growth. Most animals lose their ability to produce DHT as they age. Research has shown that men who do not produce DHT do not develop BPH.

Because the prostate is located below the bladder, its enlargement can cause symptoms that irritate or obstruct the bladder. Common symptoms of BPH include:

When a doctor evaluates someone for possible BPH, the evaluation usually includes a complete history, urinalysis (urine sediment test), physical exam (including a digital rectal exam, or DRE), and use of the AUA score index. BPH symptoms.

What Is Benign Prostatic Hyperplasia (bph)?

The American Urological Association (AUA) developed the AUA BPH Symptom Score Index to help assess the severity of BPH symptoms, which range from mild to severe.

A physical examination helps the doctor assess the patient’s overall health. A digital rectal examination (DRE) is usually the first test. The doctor assesses the size and condition of the prostate by inserting a gloved finger into the rectum and palpating the part of the prostate near the rectum.

Flowmetry/urine flow study: The doctor may ask the patient to urinate into a special device that measures the speed of the urine. Decreased urine flow often indicates BPH.

Kidney, ureter, and bladder ultrasound: This is a non-invasive test that helps determine the size of the prostate and whether urine remains after voiding (also called post-void residual volume or PVR). An ultrasound scan of the kidneys will show whether the blockage is due to an enlarged gland causing swelling or hydronephrosis. The test should be performed with a full bladder.

Prostate Problems And Treatment

The PSA (prostate-specific antigen) blood test is used to detect abnormally high levels of a protein in the blood that may indicate prostate cancer.

Cystoscopy: Cystoscopy allows the doctor to determine the size of the gland and determine the location and degree of obstruction.

Urodynamic pressure and flow study: Tests the pressure in the bladder during urination, but is rarely indicated. It is usually recommended if it is a repeat operation or if the symptoms mainly indicate bladder irritation and overactivity, or if there is a lot of residual urine, indicating poor bladder contraction.

This treatment option is good for patients who have mild symptoms of BPH and are not bothered by symptoms. During watchful waiting, the patient is closely monitored by a urologist, but does not receive active treatment. Annual examinations and test results help determine whether additional treatment is needed to control a patient’s BPH.

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Alpha blockers such as alfuzosin, terazosin, doxazosin, or tamsulosin work by relaxing the smooth muscles of the prostate and bladder to improve urine flow and reduce bladder outlet obstruction. Although they can relieve BPH symptoms, they usually do not reduce the size of the prostate.

5-alpha-reductase inhibitors such as finasteride and dutasteride can relieve BPH symptoms, increase urine flow, and shrink the prostate gland, although they must be used indefinitely to prevent symptoms. These medications also reduce the risk

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