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Overview | Treatment | Surgery | Precautions | After Surgery Care
Benign prostatic hyperplasia (BPH) — also called prostate gland enlargement — is a common condition as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems.There are several effective treatments for prostate gland enlargement, including medications, minimally invasive therapies and surgery. To choose the best option, you and your urologist doctor will consider your symptoms, the size of your prostate, other health conditions you might have and your preferences.
The severity of symptoms in people who have prostate gland enlargement varies, but symptoms tend to gradually worsen over time. Common signs and symptoms of BPH include:
Less common signs and symptoms include:
The size of your prostate doesn’t necessarily determine the severity of your symptoms. Some men with only slightly enlarged prostates can have significant symptoms, while other men with very enlarged prostates can have only minor urinary symptoms.
In some men, symptoms eventually stabilize and might even improve over time.
BPH has been found to run in families, which means that if you have a family relative affected by the condition you are more likely to have it.
Age is another risk factor of BPH and one-third of men in between the ages 40 to 60 years may have moderate to mild symptoms. Around half the male population at the age of 80 and above has the symptoms of BPH.
Diseases including heart disease and diabetes may increase the risk of BPH.
Those having higher body mass index (BMI) or suffering from obesity are more exposed to the risk of BPH while those who exercise regularly have a reduced risk.
Your doctor will start by asking detailed questions about your symptoms and doing a physical exam. This initial exam is likely to include:
The prostate-specific antigen (PSA) blood test, tests the level of prostate-specific antigen (PSA) in the blood. PSA is a protein made only by the prostate gland. The PSA test can be done in a lab, hospital or health care provider’s office. There is no special preparation. Ejaculation can raise the PSA level for 24 to 48 hours. So the patient should not ejaculate for two days before a PSA test.
Very little PSA is found in the blood of a man with a healthy prostate. A low PSA is better for prostate health. A rapid rise in PSA may be a sign that something is wrong. One possible cause of a high PSA level is benign (non-cancer) enlargement of the prostate. Inflammation of the prostate, called prostatitis is one more common cause of high PSA levels.
The digital rectal examination (DRE) is done with the man bending over or lying curled on his side. The health care provider puts a lubricated gloved finger into the rectum. The health care provider will feel the prostate. They will be looking for abnormal shape or thickness in the prostate. The DRE can help your health care provider find prostate problems.
A wide variety of treatments are available for enlarged prostate, including medication, minimally invasive therapies and surgery. The best treatment choice for you depends on several factors, including:
If your symptoms are tolerable, you might decide to postpone treatment and simply monitor your symptoms. For some men, symptoms can ease without treatment
It is the most common treatment for mild to moderate symptoms of prostate enlargement. The options include
Tadalafil (Cialis). Studies suggest this medication, which is often used to treat erectile dysfunction, can also treat prostate enlargement.
Minimally invasive or surgical therapy might be recommended if:
Minimally invasive or surgical therapy might not be an option if you have:
Makes fluid that nourishes sperm. The prostate gland makes a fluid that helps to nourish sperm. Scientists do not know all of the prostate’s functions. One of its main roles is to squeeze fluid into the urethra as sperm move through during sexual climax. This fluid, which helps make up semen, energizes the sperm and makes the vaginal canal less acidic.
The medical term for enlarged prostate is benign prostatic hyperplasia (BPH). BPH causes the prostate gland to grow in size, which may compress the urethra that courses through the centre of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder (urinary retention) and increase the need to urinate frequently during the day and night. Other common symptoms include a slow flow of urine, the need to urinate urgently, and difficulty starting the urinary stream. More serious problems include urinary tract infections and complete blockage of the urethra, which may be a medical emergency and can lead to injury of the kidneys.
False. An enlarged prostate (benign prostatic hyperplasia or BPH) is completely benign. It is not a precursor to prostate cancer. In addition to BPH, there are other prostate problems that have nothing to do with cancer, such as acute and chronic prostatitis.
In most men, BPH gets worse with age. It can lead to bladder damage and infection. It can cause blood in the urine and cause kidney damage.
In most cases, an enlarged prostate does not possess a serious threat or problem to health and is a normal ageing process. In other cases, it may lead to serious conditions including urinary retention and kidney damage. Hence, it is important to get the condition diagnosed at an expert clinic or hospital.
There is no one-size-fits-all or best treatment for enlarged prostate and benign prostate hyperplasia. The extent of prostate enlargement, the effect of the condition on other organs, symptoms and their gravity and other aspects are evaluated for choosing the best treatment course for BPH, for a given individual or patient.
Dr. Utture is Outstanding Doctor who gave good treatment to my 75 years old mother who was suffering from Kidney problem and stomach ache since last 3 years.
Thanks to Dr. Utture
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I have been treated by Dr Anand Utture for multiple kidney stones.He is very knowledgeable, gives right advice, easily approachable and explains in simple language the problem and course of treatment.Takes special care of his patients, truly dedicated doctor
Extremely grateful to Dr Anand Utture for his timely and accurate diagnosis for treating my mother (81 years) for her kidney stones.
very experienced urologist & has done correct diagnosis & treatment of My Grandmother(81 yrs) for kidney stones.
An enlarged prostate (bph) is mostly having the symptoms related to difficulty in urination, as stated earlier. It is important to see the doctor if you have any of the symptoms as these will worsen over time and may also impact the health of other organs that are part of the urinary system.
As the symptoms of BPH / enlarged prostate are similar to other grave and fatal diseases, it is very important for you to reach out to an expert to diagnose the condition in the best way and with the most reliable results. A grave or more complete obstruction of the urinary tract may also occur if the condition is not treated in time.