Enlarged Prostate
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Facts about Enlarged Prostate:
A man's prostate gland usually starts to enlarge after he reaches
40 years of age. This condition is called benign prostatic
hyperplasia (BPH).
The prostate gland secretes a fluid that helps to nourish sperm.
The gland itself surrounds the urethra, which is the tube that
carries urine from the bladder out through the tip of the penis (see
multimedia file 1). As the prostate grows larger, it may press on
the urethra. This narrowing of the urethra can cause some men with
prostate enlargement to have trouble with urination. Prostate
enlargement may be the most common health problem in men older than
60 years of age.
According to the National Kidney and Urological Disease
Information Clearinghouse, the most common prostate problem for men
over 50 is prostate enlargement. By age 60, over one-half of men
have BPH; by age 85, the number climbs to 90%, according to the
American Urological Association (AUA).
Sources:
eMedicineHealth:
http://www.emedicinehealth.com/enlarged_prostate/article_em.htm
WebMD:
http://men.webmd.com/prostate-enlargement-bph/features/enlarged-prostate-bph-complex-problem
What are the causes of Enlarged Prostate?
The actual cause of prostate enlargement is unknown. It is
believed that factors linked to aging and the testicles themselves
may play a role in the growth of the gland. Men who have had their
testicles removed at a young age (for example, as a result of
testicular cancer) do not develop BPH.
Similarly, if the testicles are removed after a man develops BPH,
the prostate begins to shrink in size.
If the prostate grows larger and the urethra is squeezed more
tightly, the bladder might not be able to fully compensate for the
problem and completely empty. In some cases, blockage from prostate
enlargement may cause repeated urinary tract infections and
gradually result in bladder or kidney damage. It may also cause a
sudden inability to urinate (acute urinary retention) -- a medical
emergency.
Some facts about prostate enlargement:
The likelihood of developing an enlarged
prostate increases with age.
BPH is so common that it has been said, that
all men will have an enlarged prostate if they live long enough.
A small amount of prostate enlargement is
present in many men over age 40 and more than 90% of men over
age 80.
No risk factors have been identified other
than having normally functioning testicles.
Sources:
eMedicineHealth:
http://www.emedicinehealth.com/enlarged_prostate/page2_em.htm
MedlinePlus:
http://www.nlm.nih.gov/medlineplus/ency/article/000381.htm
What are the symptoms of Enlarged Prostate?
Symptoms of enlarged prostate can include:
A weak or slow urinary stream
A feeling of incomplete bladder emptying
Difficulty starting urination
Frequent urination
Urgency to urinate
Getting up frequently at night to urinate
A urinary stream that starts and stops
Straining to urinate
Continued dribbling of urine
Returning to urinate again minutes after
finishing
When the bladder does not empty completely, you become at risk
for developing urinary tract infections. Other serious problems can
also develop over time, including bladder stones, blood in the
urine, incontinence, and acute urinary retention (an inability to
urinate). A sudden and complete inability to urinate is a medical
emergency; you should see your doctor immediately. In rare cases,
bladder and/or kidney damage can develop from BPH.
Sources:
MedlinePlus:
http://www.nlm.nih.gov/medlineplus/ency/article/000381.htm
WebMD:
http://men.webmd.com/prostate-enlargement-bph/features/enlarged-prostate-bph-complex-problem
What treatments are available for Enlarged Prostate?
Benign prostatic hyperplasia (BPH) cannot be cured, so treatment
focuses on reducing your symptoms. Treatment is based on how severe
your symptoms are, how much they bother you, and whether you have
complications.
Deciding how to treat BPH is greatly influenced by how bothersome
your symptoms are.
Symptoms that are mild or that do not bother you may be best
treated by watchful waiting. This means you may make small changes
to your lifestyle to control your symptoms, but you do not take
medicines or have surgery. You have regular checkups to be certain
your symptoms are not getting worse.
Medications:
Finasteride and dutasteride lower levels of
hormones produced by the prostate, reduce the size of the
prostate gland, increase urine flow rate, and decrease symptoms
of BPH. It may take 3 to 6 months before you notice a
significant improvement in your symptoms. Potential side effects
related to use of finasteride and dutasteride include decreased
sex drive and impotence.
Alpha 1-blockers (doxazosin, prazosin,
tamsulosin, terazosin, and afluzosin) are a class of medications
also used to treat high blood pressure. These medications relax
the muscles of the bladder neck, allowing easier urination.
Two-thirds of the people treated with alpha 1-blocker
medications report an improvement in symptoms.
Antibiotics may be prescribed to treat
chronic prostatitis (inflammation of the prostate), which may
accompany BPH. Some men note relief of their BPH symptoms after
a course of antibiotics.
Saw palmetto has been used by millions of men to ease BPH
symptoms and is often recommended as an alternative to medication.
Experts suggest a fat-soluble saw palmetto extract with 85 - 95%
fatty acids and sterols.
Surgery - The choice of a specific surgical procedure is
usually based on the severity of your symptoms and the size and
shape of your prostate gland.
Transurethral resection of the prostate (TURP):
This is the most common surgical treatment for BPH. The TURP is
performed by inserting a scope through the penis and removing
the prostate piece by piece.
Transurethral incision of the prostate (TUIP):
This procedure is similar to TURP, but is usually performed in
men who have a relatively small prostate. This procedure is
usually performed as an outpatient without need for a hospital
stay. Like the TURP, a scope is inserted through the penis until
the prostate is reached. Then, rather than removal of the
prostate, a small incision is made in the prostatic tissue to
enlarge the opening of the urethra and bladder outlet.
Open prostatectomy: An open
prostatectomy is usually performed using general or spinal
anesthesia. An incision is made through the abdomen or perineal
area (i.e., through the pelvic floor, including the region from
the scrotum to the anus). Then, the prostate is removed. This is
a lengthy procedure, and it usually requires a hospital stay of
5 to 10 days.
Sources:
WebMD:
http://men.webmd.com/prostate-enlargement-bph/tc/benign-prostatic-hyperplasia-bph-treatment-overview
MedlinePlus:
http://www.nlm.nih.gov/medlineplus/ency/article/000381.htm
HerbaCall Enlarged Prostate Testimonials:
· Shelton Moberley tells Herbacall, "Yes
Simone! At age 70, I have an enlarged prostate gland that slows and
restricts the urinary flow considerably. The
Ultimate Prostate Formula
has produced a very significant improvement in this condition. I
would wake up 4to 5 times at night needing to void. After the
Ultimate Prostate use, I now need to go only once during the night.
Quite an improvement in my ability to get a good night's rest."
· Robert Wood said, "About fifteen months
ago I went through surgery for prostate cancer. Herbalife may not
have saved me from that surgery, but it absolutely made my recovery
relatively easy. Adding Rose Ox and Nutri 9 has made me even
stronger than ever and I know that I have more energy and vitality
than I did ten years ago. This proves to me that if you take
reasonable care of yourself in terms of exercise, take the best
nutritional supplements you can, life becomes so much more
worthwhile and you can achieve so much more for yourself and those
around you."
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