Benign Prostatic Hyperplasia
Jun 27, 2023
Benign Prostatic Hyperplasia
Older men are frequently affected by Benign Prostatic Hyperplasia (BPH), generally known as prostate gland enlargement. Urethra- the tube through which urine passes, is surrounded by the prostate, a tiny gland that is situated just below the bladder. BPH is brought on by the prostate glands progressive expansion, which presses against the urethra and reduces urine flow.
Age and variations in hormone levels, particularly a rise in dihydrotestosterone (DHT), are thought to play a role in BPH; however, the specific reason is not entirely understood. Men over the age of 50 are more likely to have BPH, and the condition worsens with time.
BPH symptoms can range in intensity and might include:
- A greater need to urinate frequently, especially at night.
- Difficulty beginning to urinate
- Weak pee flow or intermittent urine flow
- An incomplete bladder emptying
- Compulsion to urinate
- After the conclusion of urination, dribbling
You should consult to specialist if you think you may have BPH or are exhibiting any of these mentioned symptoms. To rule out other disorders, including prostate cancer, they can assess your symptoms, do a physical exam, and possibly order additional tests like a urine flow study or a blood test for prostate-specific antigen (PSA).
The severity of the symptoms and how they affect a person's quality of life will determine the best course of treatment for BPH. Mild instances can merely need monitoring and lifestyle adjustments, including cutting back on fluids before bed and staying away from coffee and alcohol. Several therapy options can be taken into consideration if symptoms increase or severely interfere with everyday life:
Medications are frequently used to treat the symptoms of BPH and reduce prostate size. The prostate and bladder neck muscles are relaxed by alpha-blockers, which promote urine flow. Tamsulosin, alfuzosin, and terazosin are a few examples. By preventing the formation of dihydrotestosterone (DHT), a hormone involved in the growth of the prostate gland, a different class of medications known as 5-alpha reductase inhibitors (including finasteride and dutasteride) can assist in reducing the size of the prostate gland.
In more extreme circumstances, prostate gland removal or reduction in size may be required. A part of the prostate is removed during a common surgical operation called a transurethral resection of the prostate (TURP), utilizing an instrument that is inserted through the urethra. The enlarged prostate gland is removed via an open prostatectomy- a conventional open procedure, using an abdominal incision. Although there may be a longer recovery time, these surgical techniques are typically beneficial.
It's important for individuals with BPH to consult with a healthcare professional to discuss symptoms, evaluate the need for treatment, and determine the most appropriate course of action. Regular follow-up visits are essential to monitor symptoms and make any necessary adjustments to the treatment plan.
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