This article discusses the symptoms, treatments, and complications of benign prostatic hyperplasia.
What Is Prostate?
Benign Prostatic Hyperplasia (BPH) is an age-related growth and enlargement of the prostate gland. The tissue growth associated with BPH is benign (non-cancerous). But the growing prostate tissue can compress the urethra which it surrounds, resulting in obstruction to urine flow. Symptoms of BPH are due to the urinary outflow obstruction.
Lifestyle Changes: Taking small amounts of fluid spread throughout the day and limiting fluid intake during the evenings can help with increased urinary frequency at night. Whenever you need to urinate, try relaxing and void as completely as possible. This can help in reducing the volume of residual urine in the bladder, and help with symptoms of urinary urgency and frequency.
Less Invasive Procedures: Transurethral needle ablation (TUNA), transurethral microwave therapy, and laser therapy. Less invasive procedures have faster recovery time and less incidence of complications like urinary incontinence, erectile dysfunction, and retrograde ejaculation.
Surgery: Transurethral resection of the prostate (TURP), which is more effective than less invasive procedures.
The choice of treatment depends on the severity of the symptoms, complications, and response to the medications.
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Benign prostatic hyperplasia's exact cause is not known. It occurs mostly due to age-related changes. There is a huge change in the level of hormones due to aging. Patients who have had surgical removal of their prostate glands, do not get benign prostatic hyperplasia.
Terazosin and Tamsulosin help in the relaxation of the urethral muscles that help in proper urinary flow. Finasteride and Dutasteride help in reducing the size of the enlarged prostate glands. In severe cases, surgical treatment options would be required.
The diagnosis of benign prostatic hyperplasia is made in the following ways:
- Prostate-specific antigen blood test.
- A physical examination of the rectum is called the digital rectal examination. This is done to identify the enlargement of the prostate glands.
- Blood tests.
- Urine tests for detecting the presence of infections.
Water is very important for the health of your prostate glands. Some patients with benign prostate hyperplasia are known to reduce water intake to decrease urinary excretion. This will make them dehydrated. It is necessary to drink a lot of water. Soda and aerated drinks should be avoided.
Patients with an enlarged prostate are known to have erectile dysfunction. It might be due to poor blood supply. This will interrupt with the sexual activities of men. Some patients might even experience pain when they try to involve in sexual activities.
There is no proper cure for benign prostatic hyperplasia. With proper treatment, it is possible to alleviate the symptoms. The main goal of the treatment is aimed at reducing the enlargement of the prostate glands. Many surgical options are available for complicated cases.
If the benign prostatic hyperplasia is left untreated, it might lead to other complications. They are:
- Kidney dysfunction.
- Urinary retention.
- Urinary infections.
- Infection of the prostate glands like prostatitis.
- Bladder stone.
The extracts of banana have anti-inflammatory and anti-proliferative activities. It is helpful for benign prostatic hyperplasia. In addition to this, green leafy vegetables like broccoli can be consumed for this condition. You can get help from a dietician to understand which foods would be suitable for you.
The common signs and symptoms of benign prostatic hyperplasia are:
- Frequent urination.
- Weak urine stream.
- Urinary tract infections.
The recommended food for enlarged prostate glands are:
- Bell peppers.
- Sesame seeds.
Medical reports suggest that a few patients do not experience any difficulty with benign prostate hyperplasia, and they do not require any treatment. In such patients, the inflammatory conditions are known to subside. Only in patients who are having severe pain and discomfort treatment are recommended.
Phosphodiesterase inhibitors like Tadalafil are known to increase blood flow to the prostate glands and are useful for erectile dysfunction patients. Terazosin and Tamsulosin are beneficial for the relaxation of the urethral muscles. Finasteride helps in reducing the enlargement of prostate glands. In severe cases, surgical treatment options would be required.
The surgical options for benign prostatic hyperplasia are mostly transurethral. The most recommend procedures for benign prostate hyperplasia are:
- Transurethral vaporization of the prostate (TUVP).
- Transurethral laser enucleation.
- Transurethral resection of the prostate (TURP).
- Photoselective vaporization of the prostate (PVP).
- Transurethral incision of the prostate (TUIP).
- Prostatic urethral lift (PUL).
Last reviewed at:
07 Sep 2018 - 2 min read
Query: Hello doctor, I have the condition of enlargement of the prostate for the last over five years. I am 53 years old. I am taking capsule Urimax 40 mg once in a day and I am able to manage the condition. However, it seems that of late, my libido is negative and the sex life is absolutely zero. Though ... Read Full »
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