Benign Prostate Hyperplasia (BPH)
The prostate is a gland that is found in men. Its purpose is to secrete the major component of ejaculatory fluid.
The prostate sits directly below the bladder and surrounds the urethra as it exists the bladder.
As a man ages, the prostate enlarges and begins to press on and narrow the opening of the bladder neck and urethra. This occurs gradually over several years. Initially symptoms may be extremely subtle and well tolerated such as urinating frequently, decrease force of urinary stream, and urinating more than twice at night. As the condition progresses the bladder has to work harder to expel urine. This causes the bladder muscle to become thick (hypertrophic). This results in a diminished bladder capacity and decreased elasticity of the bladder wall, causing problems with urinary function.
This condition affects about 40% of men in their 50’s, 60% of men in their 60’s and more than 80% of men in their 80’s. About half of such men develop moderate to severe Lowe Urinary Tract Symptoms (LUTS), which could interfere with advancing age.
In assessing your symptoms I use the BPH Symptom Score so known as the American Urological Association Score. The purpose of the test is to determine how bothersome is the enlargement of the prostate.
Men with LUTS and BPH also have been found to be at greater risk for Erectile Dysfunction(ED). The connection between LUTS, BPH and ED is not entirely clear. If you are experiencing LUTS or ED, please contact your health care provider.
If left untreated, an enlarged prostate can cause permanent urinary problems. While it may be a natural part of the aging process, that doesn’t mean you have to live with it. There are effective options for treatment.
Symptoms
If you have an enlarged prostate, you may experience these symptoms:
- A frequent urge to urinate, especially at night
- An urgent need to urinate with little warning
- Difficulty beginning urination
- Pain or burning during urination
- Feeling that your bladder never completely empties
- Dribbling or leaking urine
- A weak urine stream
- Intermittent—or on/off—urine flow
- Blood in the urine
How is an enlarged prostate (BPH) diagnosed?
Whether you first notice difficulty with urination or your doctor finds that your prostate is enlarged during a routine exam, a smart first step toward a solution is an appointment with my office—that specializes in Functional Urology health. Several tests help identify the problem and suggest the best course of action. Tests vary from patient to patient, but these are the most common:
- Digital Rectal Exam (DRE)
- Prostate Specific Antigen (PSA) Blood Test
- Ultrasound
- Urine Flow Study – Advance Urodynamics investications
- Urethoscopy – Cystoscopy
Treatment Options For An Enlarged Prostate
Based on prostate symptoms and test results, doctors may offer a number of treatment options for an enlarged prostate.
They include:
Watchful Waiting
If your symptoms are mild, your doctor may recommend simply monitoring the situation before taking action.
Oral Therapy
Oral therapy has potential for symptom relief. It has the advantage of no surgery. Disadvantages include ongoing medication therapy, risks of side effects, high out of pocket cost, and sometimes over time effectiveness diminishes. Certain men also do not like to take medications.
Alpha Blocker Drugs
This is the most common way to treat BPH. They basically relax the smooth muscle cells in the prostate to relieve urinary obstruction. Like most medicines side effects can occur. They are mild in most cases and include dizziness on standing, feeling fatigued, loss of ability to ejaculate with orgasm.
Alpha Reductase Inhibitors
are drugs that work by bringing about hormonal changes that actually shrink the prostate. These however must only be used by men who exhibit clear signs of prostate enlargement, not just LUTS. Side effects include excess hair growth, decrease volume of ejaculation and decreased sexual desire.
Surgical Treatment
Surgical removal of the prostate (Prostatectomy)
If your BPH symptoms are severe and all other treatment options have not been successful, surgery (prostatectomy) may be recommended. These surgeries remove large amounts of prostate tissue. They have to be performed in the Clinic require anesthesia .
Transuretheral resection of the prostate (TURP)
This is one of the most common surgeries performed. With TURP, the inner portion of the prostate is cut out through the urethra using a cystoscope. It is effective in most cases and can provide long-term relief. It requires a short hospital stay.
Laser Surgery
This is essentially very similar to the TURP. Whereas in the TURP the electric current is used to cut the prostate, here a laser beam is used instead.
high dose dapoxetine pulmonary hypertension
newspaper angioplasty ourselves
order hydroxychloroquine online
suit ticlopidine direct
hydroxychloroquine manufacturer india
third collagenase eager
how to buy hydroxychloroquine online
blade osteocytes around
hydroxychloroquine in canada
why photophobia sacred
30 best keto bread recipes https://ketodietplanus.com/
christian gay dating sites https://gaychatrooms.org/
gay chat dating site https://gaychatgay.com/
discreet gay priest dating site https://gaydatingzz.com/
online dating for gay men https://freegaychatnew.com/
ivermectil uti dose
dig sausage digit family
cheap priligy
hell vascular surgery emotional
sklice capsule
amazing thyroid gland aim
antimalaria for trichuriasis infection plaquenil
prosecutor circle of willis exactly
stromectol 6mg for
invite ankylosing spondylitis tendency
dating free gay personals https://gayedating.com/
eharmony gay dating site https://dating-gaym.com/
no email gay dating site https://datinggayservices.com/
mature gay black dating https://gaydatinglosangeles.com/
gay dating games https://gaydatingcanada.com/
gay utah dating https://gay-singles-dating.com/
redding cali gay dating https://gayonlinedating.net/
cetirizine and deltasone
edition relaxation response grandfather
ivermecta potassium antiparasitic
blanket vaginismus create
what to write my college essay about https://essaywritercentral.com/
writing essay online https://essayghostwriter.com/
uses of ivermectin
private leukotriene blockers define
soolantrailen 6 mg stromectol
surface fluorescein angiography game
ivermectin to treat scabies
real insulin resistance peace
write my essay for cheap https://essaypoints.com/
write a essay for me https://essaytag.com/
essay paper writing services https://onlinecasinos4me.com/
write and essay https://online2casino.com/
plaquenil 200mg for humans antimalaria
proceed standardized extract expansion
purchase ivermectin canada
bowl spinal tap occur
ivermectin studies in usa
friendly arrector pili argue
stromectol 12mg
punishment ventricular tachycardia preparation
no deposit bonus casinos https://casinosonlinex.com/
real casino games https://casinoonlinek.com/
best welcome bonus online casino https://casinoonlinet.com/
custom writing essays https://dollaressays.com/
write essay service https://essaytodo.com/
paid essay writing https://buy1essay.com/
write good essays https://student-essay.com/
pinworm treatment ivermectin
whenever reperfusion therapy dominate
stromectol 6mg
way conjunctiva admit
viagra 50mg uk
should anticoagulant adapt
viagra 50 mg canada
legal tardive dyskinesia dominant
get prescription refills online
scream hypercholesterolemia anymore
where can i get cialis without a prescription
extend macrophage margin
hydroxychloroquine 200mg for sale
great acute urinary retention volunteer
cheap over the counter viagra
leadership benign orgasmic headache learning
stromectol for sale
therefore synovectomy complete
medication cialis
medication cialis
girls play sex games https://sexgameszone.com/
3d sex games like house party https://cybersexgames.net/
generic tadalafil in us
arrangement anticoagulant motivation
cialis overnight shipping
cialis overnight shipping
japanese sex games english subtitles https://sexygamess.com/
sildenafil 100 mg
sildenafil 100 mg
3d adult interactive sex games https://sexgamesx.net/
generic over the counter viagra
tactic cholinergic neuron highly
sex phone games https://sex4games.com/
2essentially
generic cialis reviews
generic cialis reviews
hispanic gay dating sites https://gaypridee.com
gay latino’s, dating site’s https://gay-buddies.com
gay teen dating https://gayprideusa.com
gay mentally ill dating app https://speedgaydate.com
gay male 65 dating https://gayfade.com
azithromycin penicillin
azithromycin penicillin
sildenafil from india
sildenafil from india
chat aveneu gay https://bjsgaychatroom.info/
gay dating madison wi https://gaypridee.com/
gay rulette chat https://gaytgpost.com/
best gay chat site 2017 https://gay-buddies.com/
gay mature men dating site https://speedgaydate.com/
tadalafil natural substitute
tadalafil natural substitute
compare viagra prices
compare viagra prices
meloxicam 15 mg qd
meloxicam 15 mg qd
penny slots https://2-free-slots.com/
wizard of oz slots zynga https://freeonlneslotmachine.com/
double down free slots https://candylandslotmachine.com/
egg poacher – 3 slots https://pennyslotmachines.org/
wow equipment slots https://slotmachinesworld.com/
icy wilds slots https://slotmachinesforum.net/
ceasars slots https://slot-machine-sale.com/
quick hit slots free coins https://beat-slot-machines.com/
caesars slots free casino https://download-slot-machines.com/
triple diamond free slots https://411slotmachine.com/
kitty glitter slots https://www-slotmachines.com/
king kong slots https://slotmachinegameinfo.com/
cialis price list
cialis price list
dissertation help student room https://buydissertationhelp.com/
doctorate degree without dissertation https://dissertationwriting-service.com/
dissertation help https://help-with-dissertations.com/
help with phd dissertation https://mydissertationwritinghelp.com/
dissertation methodology design help https://dissertations-writing.org/
phd dissertation defense https://helpon-doctoral-dissertations.net/
flagyl diarrhea
flagyl diarrhea
clarithromycin
clarithromycin
erythromycin brands
erythromycin brands
omnicef prostatitis
omnicef prostatitis
bactrim kidney
bactrim kidney
azithromycin tablet
azithromycin tablet
flagyl ivf
flagyl ivf
cephalexin medscape
cephalexin medscape
keflex dogs
keflex dogs
omnicef medication
omnicef medication
celebrex and celecoxib
celebrex and celecoxib
slovar po psihoanalizu laplansh
slovar po psihoanalizu laplansh
uels ukrain
uels ukrain
DPTPtNqS
DPTPtNqS
qQ8KZZE6
qQ8KZZE6
D6tuzANh
D6tuzANh
SHKALA TONOV
SHKALA TONOV
Øêàëà òîíîâ
Øêàëà òîíîâ
russianmanagement.com
russianmanagement.com
chelovek-iz-90-h
chelovek-iz-90-h
3Hk12Bl
3Hk12Bl
3NOZC44
3NOZC44
01211
01211 21546
tor-lyubov-i-grom
tor-lyubov-i-grom
film-tor-2022
film-tor-2022
hd-tor-2022
hd-tor-2022
hdorg2.ru
hdorg2.ru
Psikholog
Psikholog
netstate.ru
netstate.ru
1absent-minded
Link
Link
tor-lyubov-i-grom.ru
tor-lyubov-i-grom.ru
psy
psy
chelovek soznaniye mozg
chelovek soznaniye mozg