Understanding Benign Prostatic Hyperplasia (BPH)
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We provide free patient education materials on urologic health to patients, caregivers, community organizations, healthcare providers, students and the general public, pending availability. BPH Diagnose advantage by building your shopping cart now! Although prostate cancer treatment can be lifesaving, it can also take a toll on the body.
This can result in a disruption to normal urinary, BPH Diagnose and sexual function. Whether you have surgery, radiation or hormone therapy, you are likely to have BPH Diagnose effects. You can get on track for good urologic health with better eating habits and small changes to your lifestyle.
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BPH is an enlarged prostate. The first occurs early in puberty, when the prostate doubles in size. The second phase of growth starts around age 25 and goes on for most of the rest of a man's life. BPH most often occurs during this second growth phase. As the prostate enlarges, it presses against the urethra.
The bladder wall becomes thicker. One day, the bladder may weaken and lose the ability to empty fully, leaving some urine in the bladder. Narrowing of the urethra and BPH Diagnose retention — being unable to BPH Diagnose the bladder fully — cause many of the problems of BPH.
BPH is benign. This means it is not cancer. It does not cause or lead to BPH Diagnose. However, BPH and cancer can happen at BPH Diagnose same time.
BPH is common. About half of all men between ages 51 and 60 have BPH. It is about the size of a walnut and weighs about an ounce. The prostate is found below the bladder and in front of the rectum. It goes all the way around a tube called the urethrawhich carries urine from the bladder out through the penis.
During ejaculationsperm made in the testicles moves to the urethra. At the same time, fluid from BPH Diagnose prostate and the seminal vesicles also moves into the BPH Diagnose. This mixture — semen — goes through the urethra and out through the penis. When the prostate is enlarged, it can bother or block the bladder. Needing to urinate often is BPH Diagnose common symptom of BPH. This might be every 1 to 2 BPH Diagnose, mainly at night. If BPH becomes severe, you might not be able to urinate at all.
This is an emergency that must be treated right away. In most men, BPH BPH Diagnose worse with age. It can lead to bladder damage and infection.
It can cause blood in the urine and cause kidney damage. The causes of BPH are not well-understood. Some researchers believe that factors related to aging and the testicles may cause BPH.
This is because BPH does BPH Diagnose develop in men whose testicles were removed before puberty. Throughout their lives, men produce both testosteronea male hormone, and small amounts of estrogena female hormone. As men age, the amount of active testosterone in the blood lowers, leaving a higher share of estrogen. Studies have suggested that BPH may happen because the higher share of estrogen in the prostate adds to the activity of substances that start prostate cells to grow. Another theory points to dihydrotestosterone DHTa male hormone BPH Diagnose plays a role in prostate BPH Diagnose and growth.
Some research has shown that, even BPH Diagnose testosterone levels in the blood start to fall, high levels of DHT still build up in the prostate. This may push prostate cells to continue to grow. Obesity, lack of staying active, and erectile dysfunction can also increase risk. There is no sure way to stop BPH, but losing weight and eating a healthy diet that involves fruits and vegetables may help.
This may relate to having too much body fat, may increase hormone levels and other factors in the blood, and stimulate the growth of prostate cells. Staying active also helps control weight and hormone levels.
See BPH Diagnose doctor if you have symptoms that might be BPH Diagnose. See your doctor right away if you have blood in your urine, pain or burning when BPH Diagnose urinate, or if you BPH Diagnose urinate. The score rates BPH from mild to severe. Take the test and talk with your BPH Diagnose about your results. Your doctor will review your Symptom Score and take a medical history. You will also have a physical exam that involves a digital rectal exam DRE.
Your doctor may also want you to have some or all of these tests:. Prostate-specific antigen PSA is a protein that is made only by the prostate.
When the prostate is healthy, very little PSA is found in the blood. The test can be done in a lab, hospital, or doctor's office. No special preparation is needed. You should not ejaculate for 2 days before a PSA test. A low PSA is better for prostate health. BPH Diagnose rapid rise in PSA may be a sign that something is wrong. Inflammation of the BPH Diagnose, or prostatitisis another common cause of a high PSA level. Digital Rectal Exam of the Prostate.
BPH Diagnose DRE is done with the man bending over or lying curled on his side. The doctor puts a lubricated, gloved finger into the rectum to feel the shape and thickness of the prostate. The DRE can help your doctor find prostate problems.
There are many BPH Diagnose for treating BPH. You and your doctor will decide together which treatment is right for you. Sometimes a mixture of treatments works best. Mild cases of BPH may not need treatment. If you and your doctor choose this treatment option, your BPH will be closely watched but not actively treated. Diet and medicine can control your symptoms. You will have a yearly exam. If your symptoms get worse or if new symptoms appear, your doctor may suggest that you begin active treatment.
Men with mild symptoms may be good candidates for this. Men with moderate symptoms that BPH Diagnose not bother them are also good candidates. Alpha blockers are pills that relax BPH Diagnose muscles of the prostate and bladder. They improve urine flow, reduce blockage of the urethra, and reduce BPH symptoms. They do not reduce the size of the prostate. Alpha-blocking drugs BPH Diagnose alfuzosin Uroxatralterazosin Hytrindoxazosin Caduraand tamsulosin Flomax. One benefit of alpha blockers is they start to work right away.
BPH Diagnose effects may include dizziness, BPH Diagnose, fatigue, and trouble ejaculating. Men with BPH Diagnose to severe BPH and men who are bothered by their symptoms are good candidates. Alpha blockers are not a good choice for men who are about to have cataract surgery. They shrink the prostate and increase urine flow.
These drugs include finasteride Proscar and dutasteride Avodart. These drugs reduce the risk of BPH BPH Diagnose. They also make it less likely that you will need surgery. Side effects include erectile dysfunction and reduced libido sex drive. You BPH Diagnose keep taking the pills to prevent symptoms from coming back.
In combination therapy, an alpha blocker and a 5-alpha BPH Diagnose inhibitor are used together. Many studies, such as the Medical Therapy of Prostatic Symptoms MTOPS study, have shown that combining two types of medication, instead of using just one, can more effectively improve symptoms, urine BPH Diagnose, and quality of life.
Possible drug combinations include.