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When Does Prostate Enlargement Begin And How Can It Be Treated?

Feature Article When Does Prostate Enlargement Begin And How Can It Be Treated?
JUL 9, 2022 LISTEN

Normal enlargement of the male prostate gland beyond age 40 is referred to as benign prostatic hyperplasia or benign prostatic hypertrophy (BPH). A variety of urination-related symptoms may result from this rise. Additionally, you can get more severe bladder and kidney issues.

Prostate adenoma can be effectively treated with a variety of medicinal and surgical techniques. Transurethral excision of the prostate is the most frequent procedure for prostate surgery (TUR of the prostate).

Prostate enlargement factors
The prostate is a nut-shaped gland that lies just below the bladder neck. Its primary job is to create a fluid that enriches and preserves sperm.

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As the prostate gland enlarges, the urethra, which is the tube that drains pee from the bladder, becomes more constricted and may obstruct urine flow.

The prostate gland steadily grows larger as a man ages. It typically starts after the age of 40, and hormonal changes are thought to be the root cause. This increase may make it difficult to urinate and may result in bladder and renal issues. Hyperplasia (an increase in cell number) and hypertrophy are the causes of the rise (an increase in cell size).

Prostate cancer is not brought on by an enlarged prostate. However, men with enlarged prostates are not immune from developing prostate cancer.

Symptoms and indications
As the prostate gland enlarges, the urethra, which is the tube that drains pee from the bladder, becomes more constricted and may obstruct urine flow. This may result in issues with urination, including the following:

• Increased urge to urinate
• Uncontrollable urge to urinate
• Nocturia—the need to get up frequently during the night to urinate

• Difficulty starting urine flow (indecisiveness)

• Poor urine flow—weak flow or stop / start of flow

• Dribbling of urine—especially at the end of urination

• Incomplete emptying of the bladder.
Lower urinary tract symptoms, or LUTs, is a term frequently used to describe a variety of urine symptoms linked to BPH.

While others may experience quite severe symptoms, some men may experience no symptoms at all. If the condition is severe, an enlarged prostate can also result in:

• Long-term renal failure
Urine tract infections (UTIs), bladder stones, enlargement and thickness of the bladder walls, bleeding from the urethra, and acute urinary retention.

Damage to the kidneys, urethra, and bladder can result from any of these circumstances. Consult a doctor right away if you experience burning, blood, or discomfort during urinating. Urinating very little or not at all demands immediate medical treatment.

Diagnostics
If you experience prostate enlargement symptoms, you should visit a doctor who can accurately diagnose the problem and suggest a course of action. It's critical to rule out alternative potential causes of symptoms, such as prostate cancer or prostatitis (prostate gland inflammation). Your doctor will do the following tests to determine this condition's diagnosis:

Medical history This covers the kind, length, and severity of the current symptoms, the existence of any additional health issues, and any history of prostate issues in the family.

Physical examination
The doctor will feel the patient's abdomen for indications of an enlarged bladder during the examination and perform a digital rectal examination to look for an enlarged prostate gland.

Blood test
They will be carried out to test for PSA and renal function (prostate-specific Antigen). The prostate gland secretes a protein called PSA into the blood. A higher-than-normal level could be an indication of prostate cancer, prostatitis, an enlarged prostate, or both. PSA levels are frequently, though not always, markedly raised in prostate cancer.

Urine test
This could indicate that there is an infection or that there is blood in the urine. Other urine tests can measure the volume and force of the flow as well as determine whether the bladder can completely empty.

A prostate biopsy may be advised to rule out prostate cancer if blood testing reveal elevated PSA levels and a digital rectal exam reveals an enlarged prostate. For males over 40, ultrasounds of the prostate and urinary system are also required.

Prostate enlargement treatments
Only if the enlarged prostate results in symptoms is treatment necessary. "Wait and see," medical treatment and surgical treatment were historically the three basic modes of treatment.

"Stay tuned" (i.e.: without treatment).
If the symptoms are minor and have little impact on quality of life, this technique may be suggested. Regular monitoring of the disease is done, and if symptoms increase, treatment will be suggested.

Medical attention
The treatment of an enlarged prostate can be accomplished using a variety of drugs. While some drugs have the effect of lessening the glandular component of the prostate, others operate by relaxing the muscles inside the prostate, making it simpler to open the urethra. Tamsulosin, Terazosin, Doxazosin, and Finasteride are medications that are frequently prescribed in Russia to treat enlarged prostate.

Surgical procedure
Up to 25% of men with an enlarged prostate require surgery, typically as a result of severe symptoms that impair their quality of life. There have lately been some less invasive methods created, but transurethral resection of the prostate is still the most popular operation because the long-term effects of these new treatments are still unknown.

An expert in the urinary system, or urologist, performs TURP procedures, which are typically done while the patient is under general anesthesia.

A resectoscope, a little telescope with a light at the end, is inserted by a specialist via the urethra and up into the prostate gland. A resectoscope or a TV monitor can be used by a specialist to observe the prostate and bladder.

A unique loop separates the glandular component into pieces, and a ball is subsequently used to coagulate the bleeding vessels.

You might have to stay in the hospital for one to five days following TURP. A specialist will provide recommendations for rehabilitation and exercise before you return home, so it's critical that you pay close attention to them.

Laser surgery
Laser prostate excision is a variant of the TURP procedure. Similar to TURP, except with a laser beam instead of a heated wire loop being used to chop off the prostate tissue. Compared to TURP, this procedure typically results in less bleeding, and the healing process is typically quicker.

Prostate transurethral incision (TUIP)
With the exception of not removing the prostate tissue, TUIP is comparable to TURP. The prostate gland is instead incised one to three times close to the bladder neck. By releasing a " ring " of enlarging tissue, the urinary system is given a broader aperture, allowing urine to flow more freely.

Open prostate removal
Through a cut in the lower abdomen or perineum, the prostate gland is removed partially or completely during this procedure (the area between the scrotum and the anus). It is also carried out by a qualified urologist, and it could be suggested when the prostate gland is noticeably enlarged.

It is typically carried out when completely unconscious. Following an open prostatectomy, hospital stays of up to five days are typical. Again, the specialist will suggest guidelines for rest and exercise.

Natural remedies
Along with the lycopene found in tomatoes, soy proteins appear to play a preventive effect in the emergence of prostate cancer. A diet rich in fruits and vegetables generally ensures the health of the prostate; it is helpful to restore balanced alkalinity. (Basenpulver) Red meat, snacks, sweets, and fried foods with modest saturated fat are best.

The regular consumption of pumpkin seeds has a positive impact on the bladder's muscular tone, prevents diseases associated with prostate gland enlargement, and is generally good in the fight against urinary tract diseases.

The epilobio also treats hyperplasia, and benign prostate, and generally enhances the urinary system due to its anti-inflammatory properties.

When used with antioxidants like zinc, selenium, and others, it might be helpful.

Here are three excellent medications: Vitamin C, grapefruit seed extract, Pumpkin, and yarrow.

Remember that alcohol, smoke, dehydration, and caffeine-containing beverages can all irritate the prostate.

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