Archive for the ‘Enlarged Prostate’ Category

Benign Prostatic Hyperplasia

The prostate gland is a small organ of the size of a walnut. It lies below the bladder (urine where is stored) and the urethra (the tube which leads urine from the bladder) surrounds. The prostate gland is a humor which helps to feed sperms as a part of the humor semen (ejaculation humor).

Prostate gland problems are men 50 years and older together with. Most can be treated successfully without impairment of the genital function. A urologist is a specialist for illnesses of the urinary tract, including the diagnosis and treatment of problems of the prostate gland.

A doctor is able to do as a rule an enlarged prostate gland by rectal examination to Recognise. The doctor can then examine, the urethra, bladder and prostate gland with cytoscope, an instrument which is introduced by the penis.

Benign prostate gland is non-malignant hyperplasia (noncancerous) enlargement of the prostate gland, a common occurrence with older men. It also becomes known as a benign prostate gland hyperplasia and shortened BPH.

In BPH, the prostate gland grows to the size. It can compress the urethra, the courses by the middle of the prostate gland. This is able to do the river of the urine of the bladder by the urethra outwardly to hinder. It can lead to it back till the urine bladder (retention) leads to the need, frequent urge to pass water during the day and night. Other frequent symptoms are a slow river of the urine which urgently urinate and the ray begins micturition difficulty. Other serious problems are urinary tract infections and blockade of the entire urethra, it a medical emergency and can lead to damages the kidneys is able.

There are different possibilities for the treatment of BPH:
Wait becomes often from men, by the symptoms of BPH are not the chosen disturbed. They have received no treatment, but regular examinations and wait precaution Whether the state becomes worse.

Physician care of the BPH is as a rule for men, the significant symptoms have reserved. The available drugs belong

Alpha tailors relax the smooth musculature of the prostate gland and the vesical neck which helps to relieve stagnation micturition by an enlarged prostate gland with BPH. As cephalalgias side effects, fatigue or torpor are able. Often used with BPH alpha tailors belong Tamsulosin (Flomax), alfuzosin (against infections), and older drugs like terazosin (Hytrin) or doxazosin (coach dura). These drugs generally to an improvement of the symptoms within several weeks lead and have no influence on prostate gland size, and

5 alpha-reductase inhibitors block the transformation of the male hormone testosterone in his active form in the prostate gland (DHT). The enlargement of the prostate in BPH is directly depending on DHT, so that these drugs lead to approx. 25% of reduction with prostate gland size from six to more than 12 months. That’s why improvement urinary tract symptoms mostly lasts so long to step. Examples of 5 alpha-reductase inhibitors belong Finasteride (Proscar) and dutasteride (Avodart). A sinking interest is able to do so the side effects of finasteride in sex, erection problems, and problems with the ejaculation.

Surgery or in the office procedure can therefore have to the treatment of BPH, most, often with men who have not answered, urinate contently to drugs or those, more severe problems, as a complete inability to become.

Transurethral resection of the prostate gland (TURP) has been used for the longest time. After the patient receives anesthesia, the doctor adds a special instrument into the urethra by the penis. With the instrument then the doctor away part of the internal prostate gland shaves the drain of the urine from the bladder to relieve.

Laser procedure: A row of laser procedures at the possession by which some can be carried out in the Medical Practise with minimum anesthesia. These procedures thus contain the removal of the prostate gland tissue impediment. They are associated with as a rule less bleeding and quicker convalescense than TURP, however, is not able Sun men actually in the long term in a few.

Microwave therapy: This procedure is carried out as a rule in practice and contain the application of microwave energy delivered, around the prostate gland, around some of the cells leads to kill, finally, to the shrivelling of the prostate gland.

Men should weigh carefully, the risks and advantages of the single options. Prostate gland operation has itself traditionally as most offers advantages for the BPH been seen, unfortunately, bears the biggest risks.

Apart from BPH, there is a row of prostate gland problems, they also deal with cancer nothing at all. Under these benign illnesses of the prostate gland are acute and chronic prostatitis prostatitis.

Acute prostatitis is a bacterial infection of the prostate gland. It can appear with men at every old person. The symptoms are fevers, shake and pains in the lower back and between the bones. This problem can make to urinate so it seriously or painfully. Doctors prescribe antibiotics with acute prostatitis and recommend that the patient drink more humors. The treatment is mostly successful.

Chronic prostatitis is an inflammation of the prostate gland, they in the course of the time tended repeat. It is not ordinarily with real bacterial infection, however, causes similar symptoms of pains and complaints, without fever or shake. Chronic prostatitis, it is difficult to treat, and the exact cause is not yet well understood. Antibiotics can be used in some cases as well as anti-inflammatory drugs like ibuprofen. In many cases the symptoms become on own lysis.

A Complex Problem

It is a problem that several names – enlarged prostate gland, benign prostate gland hyperplasia, BPH, or simply has. measures in accordance with the Nationwide Kidney Disease and urological Information Clearing House which is more than 50 enlargement of the prostate in the most frequent problem for prostate gland. At the age of 60, about half of the men have BPH; old person after 85, the number rises on 90%, after the American Urological Association (OUCH).

“You can not sit by a meeting or a flight without getting up,” says Kevin Slawin, MD, professor in the urology for Baylor School of Medicine in Houston. ‘It is very irritating … and if they must go, they really have to go “.

Enlarged prostate gland symptoms and causes
With men urine from the bladder flows by the urethra. BPH is benign (noncancerous) enlargement of the prostate gland blocks the river of the urine by the urethra. The prostate gland cells increase bit by bit, by which a dilatation that pressure on the urethra – the “pouring”, by the urine and semen leaves the body.

His whole life long, he slept like a calculus. But now there is a tiresome duct to the toilet every night, sometimes one or two times per night.

After some time the bladder muscle is able to do bit by bit stronger, thicker and excessively sensitively, it starts, contract contents, even if it tiny amounts of urine, what to a need, frequent urge to pass water. Finally, the bladder muscle can not overcome the effect of the narrowed urethra, urine remains in the bladder and it is not entire are emptied.

For most men can be this night bath the first sign of enlarged prostate gland for runs. Other symptoms can dribble or problems while starting a stream of urine, leaking. And, like gray hairs, an enlarged prostate gland a natural by-product of the aging is, say doctors. The problem is, the night bath runs have become more frequent – finally, her way in the verge of the day routine.

The “propelling strength with the treatment,” she explains, is Whether the symptoms are affected your quality of life – and Whether a blockade causes serious complications, like the inability, blood in the urine, bladder stones, renal failure or urinate to other vesical disorders.

The symptoms of an enlarged prostate gland can enclose:

A weak micturition ray or slowly
A feeling of the incomplete vesical evacuation
Degree of difficulty from urine
Frequent urination
To urinate urgency
To urinate often at night the rising
A ray micturition begins and stops
To urinate strain
Continuation dribbling
Return urinate again minutes after ending
If the bladder not completely stated herein, the risk becomes to you for the development of urinary tract infections. Other serious problems can thus develop in the course of the time to urinate blood in the urine, incontinence and acute urinary retention (inability) including Bladder stones. To a sudden and complete inability to urinate is a medical emergency, you should visit your doctor immediately. In rare cases, bladder and / or kidney damages can develop from BPH.

Because the urethra narrows, the bladder urine contract has stronger push by the body.

Urologists use the BPH Impact Index, a symptom questionnaire of the American Urological Association developed to identify Whether a man the symptoms of BPH treatment need. “It helps us to understand how serious the problem is”, says Slavic. Higher values show stronger symptoms.

If the symptoms of an enlarged prostate gland are mild, with low values on the BPH Impact Index (less than 8), it can be, wait best of all before the beginning of a treatment – What is there as “waiting famously.”

It is not always clear what is wrong, adds Slavic. “If people begin with micturition problems, it is difficult, the reason for it know. They had to do something if a doctor changes, because it can be a vesical cancer, calculi, of the cancer. Prostate BPH is often seen to be a The diagnosis of exclusion … after we put you certainly nothing more severe ones is wrong. ”

The size of the prostate gland, your old person and your general health thus becomes factor in the treatment decisions. What is the best for a man in his 50th possibly not for a 80 year-old Optimally. An older person can want immediate relief of the symptoms by drugs or an operation, while a younger person can lean to a minimum-invasive treatment. According to the American Urological Association, surgery often the best job of the relief of the symptoms, but it also does not have more risks than other treatments.

With regular controls once a year or more often, the doctors can explain for the initial problems and signs that the condition is a health risk or see an essential disadvantage. This is where the index BPH is especially helpful, tells WebMD Westney. “It lets us know, how high the score … is a symptom, if to begin the treatment.”

To relieve a row of enlarged prostate gland symptoms treatments – drugs, minimum-invasive procedures Office, and surgery. Best for you is depending on your symptoms as severe they are, and Whether you other medical conditions.

Growth of the prostate gland – and the trouble, it Causes – varied strongly from person to person, says SUPRA Lenain Westney, MD, department manager for urology In The University of Texas Medical School in Houston, Texas. “Some people have more growth than other. Some people with very big prostate gland have no problems with evacuation. It is a very individual thing.”