Enlarged Prostate: Overview and More

An blow up prostate gland occurs when this walnut-size gland, which rests between a serviceman ‘s penis and bladder, grows larger than normal. This can be due to normal age, but it can besides be caused by excitement or cancer of the prostate gland. Enlarged prostate may cause bladder-related symptoms such as urinary frequency and urgency, and it ‘s a common issue in men over 50.

The result is normally very good after treatment. But since cancer is one of the possible causes, it is authoritative not to ignore signs and symptoms of prostate enlargement.

prostate cancer symptoms
illustration by Verywell

exaggerated Prostate Symptoms

An exaggerated prostate gland does not always cause symptoms, and about half of men who have this condition do not experience any symptoms at all.

Some men develop symptoms early, while others do not develop any effects until the prostate gland becomes significantly enlarged. This has to do with the situation of the enlarge sphere ( or areas ) of the prostate in relation to the bladder .

If you develop symptoms of an hypertrophied prostate, you may frequently feel a sudden motivation to rush to the bathroom. But then when you are there, you alone urinate a little and may have a weak stream. You may besides continue to leak or dribble when you have stopped urinate .

The most coarse symptoms of prostate enlargement are : 

  • Urinary frequency: Urinating much more frequently than normal
  • Urinary urgency: Having an urgent sensation that you need to urinate
  • Nocturia: Getting up to urinate multiple times during the night 
  • Hesitancy: Difficulty starting the urine stream
  • Bladder retention: Incomplete emptying of the bladder 
  • Incontinence: Losing bladder control

Complications

Incomplete evacuate of the bladder can result in a urinary tract infection ( UTI ), which causes pain and sunburn with micturition. You are more probably to experience incontinence if you develop a UTI .

A UTI or cancer can result in rake in the urine. Be certain to talk to your healthcare supplier if you have occasional blood-tinged urine .

If you have blood clots in your urine or are completely unable to urinate, get pressing medical attention. If the obstacle is hard enough, it can result in kidney price.

Causes

Men have a prostate gland gland and women do not. The prostate gland is located just below the area where the bladder empties into the urethra—a thin tube that carries urine from the bladder .

In men, the urethra runs inside the penis to outside the soundbox. As the prostate gland enlarges, it impinges the hang of urine through the urethra.

There are respective reasons why the prostate gland may become exaggerated .

Benign Prostatic Hyperplasia ( BPH )

Benign prostate hyperplasia ( BPH ) is a noncancerous increase in prostate gland size. Half of men in their 50s and 90 % of men over age 80 have BPH .

The prostate enlarges when exposed to male hormones such as testosterone. During adolescence, the prostate goes through a phase of very rapid expansion, but this levels off after puberty. The prostate continues to grow, but very slowly .

ascribable to the slow progression of gland growth during adulthood, most men do not notice any symptoms of BPH until they are older and the prostate has grown to such a size that it impinges on the escape of urine from the bladder .

prostatitis

prostatitis is ignition of the prostate gland. This may occur as the solution of an contagion, an inflammatory process, annoyance, or an injury.

Prostate Cancer

Prostate cancer may result in an elaborate prostate gland, although it does n’t always cause symptoms.

Prostate cancer can frequently be diagnosed early on and treated successfully. however, if left untreated, prostate cancer can metastasize ( diffuse ) to other areas of the body.

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diagnosis

If you have developed the effects of prostate enlargement, it can be difficult to determine the lawsuit based on your symptoms alone. And because symptoms of BPH and the symptoms of prostate cancer are very similar, it is important that you work with your aesculapian team to get to the bottom of the position .

physical examination

As separate of your physical examination, you may need to undergo a digital rectal examination (DRE). The prostate is not visible from outside the soundbox, but it can be examined with this simpleton procedure .

During this examination, a healthcare supplier inserts a lubricate, gloved finger into your rectum to feel and evaluate the size and consistency of the prostate .

A DRE should not be irritating or produce any bleeding—if it does, this is a sign that you may have a prostate problem that requires far evaluation. An elaborate, lumpy, or asymmetrical prostate gland may indicate the motivation for far testing .

rake and urine Tests

A prostate-specific antigen (PSA) blood test measures a protein that is produced by the prostate. Elevated PSA blood levels may be present if you have cancer, but they can besides be elevated if you have prostatitis. And sometimes, PSA can be convention in men who have prostate cancer.

This lineage test must be interpreted in light of your other diagnostic test results, and it can not be used to rule any specific cause of prostate gland enlargement in or out .

A urinalysis can measure the volume of your urine and can be used to detect lineage, inflammatory cells, or infectious organisms.

Keep in thinker that it is often recommended that older men have screening tests, such as a DRE or PSA test, if there is a risk of prostate cancer—even in the absence of symptoms.

specialized Tests

several tests can assess your ability to urinate. These tests may involve placement of a catheter ( tube ) into your penis to help identify areas of obstruction or alterations in flow .

Urodynamic tests give your medical team information about the flow and pour of your urine and can help point to geomorphologic abnormalities that could be interfering with your ability to urinate. :

  • Pressure flow studies can measure the pressure in your bladder when you urinate to help identify areas of obstruction.
  • Uroflowmetry can measure the rate at which your bladder fills and empties.
  • A post-void residual urine study measures the volume of urine that remains in your bladder after you urinate.

You may need a combination of these tests to help your healthcare providers understand the anatomic structure in and around your bladder and prostate gland gland, deoxyadenosine monophosphate well as measure your urinary function .

Imaging Examinations

You may need to have an image test, such as computerized tomography (CT) of your abdomen and pelvis, or magnetic resonance imaging (MRI) of your prostate .

Another imaging trial, a transrectal ultrasound, involves placing a device into the rectum to help in obtaining an image of the structures.

biopsy

If there is a business that your enlarge prostate could be caused by cancer, you may need to have a cystoscopy or a prostate biopsy . These are incursive tests in which a sample of tissue is collected and examined under a microscope to look for signs of cancer .

treatment

There are different approaches to the treatment of an hypertrophied prostate. symptomatic management is important, and treatment of the underlie campaign is frequently vital .

At-Home management

Some strategies that can help prevent dissoluteness, nocturia, and bladder infections include :

  • Urinating on a regular schedule and when you feel the urge
  • Limiting alcohol and caffeine
  • Avoiding beverages a few hours before sleep
  • Re-evaluating your use of over-the-counter antihistamines and decongestants: Discuss use with your healthcare provider, as these medications can exacerbate bladder control issues.

If urinary memory is a chronic problem, you may need to learn how to catheterize yourself. This involves placing a sparse tube into the urethra to release urine .

There is no evidence that herb or supplements can shrink an elaborate prostate gland or alleviate any of its symptoms, despite what some products may claim .

medicine

A number of different types of prescription medications are used for diagnostic management or for discussion of bladder expansion .

Medications called 5-alpha-reductase enzyme inhibitors reduce the military action of testosterone to shrink the prostate gland in cases of BPH and prostate cancer. These include Avodart ( dutasteride ) and Proscar ( finasteride ) .

These drugs can produce side effects related to this mechanism, including decreased libido and summit enlargement, but they are reversible .

Some medications help ease urinary symptoms by relaxing the muscles around the urethra. These medications, which fall in the category of alpha blockers, include :

  • Flomax (tamsulosin)
  • Cardura (doxazosin)
  • Hytrin (terazosin)
  • Rapaflo (silodosin)
  • Minipress (prazosin),
  • Uroxatral (alfuzosin) 

These medications can cause broken lineage pressure and dizziness .

prostatitis caused by a bacterial infection can be treated with antibiotics.

surgery and Specialized Procedures

There are several procedures used to treat an blow up prostate. These procedures can besides be used to remove prostate cancer .

Transurethral resection of the prostate gland ( TURP ) is a operation that involves placing an endoscope—a tube connected to a camera—into the urethra to visualize the bladder and to remove excess prostate gland tissue.

An open prostatectomy is a surgical operation that involves surgical removal of a share of the prostate gland or the hale integral gland.

A newer operation, the Rezūm System, uses steam to destroy prostate gland cells .

A Word From Verywell

Prostate enlargement is common. Often, when there are no symptoms, treatment is not necessary for BPH. however, discussion is constantly necessity in cases of prostate cancer.

man frequently consider frequent micturition to be a separate of getting older, but you should seek checkup attention if you develop these symptoms. even if you have learned to live with them, it ‘s worth making certain that a potentially good ( and treatable ) checkup exit is not at play .

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