Benign prostatic hyperplasia (BPH) - Symptoms and causes - Mayo Clinic
Benign prostate enlargement (BPE) is the medical term to describe an enlarged prostate, a condition that can affect how you pass urine. BPE is common in . Acute urinary retention (AUR) is the sudden inability to pass any urine. Symptoms of. Benign enlargement of the prostate gland (BPH) is more common as men get older. It is rare for this form of acute urinary retention to cause kidney damage. The prostate is located at the apex of the bladder and surrounds the proximal urethra. degree of hydronephrosis (if any) in patients with urinary retention or signs of Association Symptom Index (AUA-SI) plus a disease-specific quality of life.
The main role of the prostate is to make fluid that protects and feeds sperm. The prostate makes about one third of the fluid that is ejaculated released from the penis at orgasm sexual climax. Where is the prostate? In young men the prostate is about the size of a walnut, but it gets bigger with age. The prostate sits underneath the bladder, and surrounds the top part of the urethra. Urine passes through the urethra on its way from the bladder to the penis.
A side view showing the main parts of the male reproductive system How does the prostate gland change with age? The male sex hormone testosterone makes the prostate grow in size. As men get older, the prostate grows larger. At puberty, testosterone levels in boys start to increase and the prostate grows to about eight times its size. It continues to grow, doubling in size between the ages of 21 and 50 years, and almost doubles again in size between the ages of 50 and 80 years. The reasons for this ongoing growth are not fully understood.
BPH benign prostatic hyperplasia is the most common prostate disease. BPH is a non-cancerous enlargement or growth of the prostate gland.
Prostate gland and urinary problems - Better Health Channel
As the prostate surrounds the top part of the urethra, enlargement of the prostate makes the urethra narrower and puts pressure on the base of the bladder. Narrowing of the urethra can affect the passing of urine in a number of ways. BPH is not usually life-threatening but symptoms can have a major effect on quality of life. How common is BPH?
Prostate gland and urinary problems
BPH is more common in older men, usually starting after 40 years of age; it affects nearly all men at some time in their lives. Some men do not have any symptoms even though their prostate has grown larger. BPH usually becomes more of a problem over time, with symptoms getting worse if they are not treated. The causes of BPH are not well understood. There may be genetic links, as sons of men diagnosed with BPH are more likely to develop prostate disease.
Older age and the male sex hormone testosterone are linked with BPH but may not be the cause. It is known that BPH only happens when testosterone, which is made in the testes, is present. What are the symptoms of BPH? Some men with BPH do not have many or any symptoms. Men who do have symptoms of BPH usually notice changes to their urination because BPH affects the part of the prostate that surrounds the top part of the urethra.
Also, some men have enlarged prostates and yet experience few, if any, symptoms. Symptoms of urinary problems Urinary symptoms commonly experienced with prostate problems include: Although these symptoms often do not need treatment, see your doctor if they are causing you difficulty, as they can be successfully treated. Urinary symptoms to be followed up See your doctor if you experience: Inflammation of the prostate gland Bacteria sometimes cause prostatitis inflammation of the prostate.
More commonly, the underlying cause is uncertain. Consult your doctor promptly if you experience: Treatment with antibiotics is essential for acute bacterial prostatitis. Admission to hospital is often necessary and, as with chronic ongoing bacterial prostatitis, specific antibacterial drugs are required for a long time.
Problems with enlarged prostate gland Benign enlargement of the prostate gland BPH is more common as men get older. The urethra passes through the prostate gland, so men may have problems urinating if the enlarged gland restricts the flow of urine.
If the flow stops completely, a catheter is required to empty the bladder. It is rare for this form of acute urinary retention to cause kidney damage. An enlarged prostate doesn't always cause urinary problems. Studies indicate that the size of a man's prostate gland has little influence on the type or severity of his urination problems. BPH is just one possible cause of urinary symptoms. Another cause of urinary symptoms can be changes to the muscular wall of the bladder, which may cause spasms of the bladder or weaken the bladder, causing problems passing urine.
Diagnosis of enlarged prostate gland and urinary problems If you are troubled by urination problems, see a doctor — no matter what your age.
If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests. A rectal examination may be done to check the size and shape of your prostate gland a urine check — to ensure the prostate is not infected a flow-rate check — to estimate the speed with which you pass urine an ultrasound examination — to assess if the bladder is emptying completely and to examine your kidneys urodynamics — a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.
Self-help strategies for urinary problems If your urination problems are simple and don't bother you very much, steps you can take at home include: This is especially important before bedtime, if getting up at night to pass urine is disturbing your sleep making changes to your diet to reduce processed foods, particularly refined carbohydrates increasing physical activity learning pelvic floor and bladder retraining exercises as they may help to ease some urinary symptoms.
See your doctor for advice. Treatment for urinary problems If your urinary problems are caused by infection or enlargement of the prostate gland, treatment may include: Types of procedures include: This procedure involves the transurethral insertion of staples to separate the lobes of the prostate.
It has minimal side effects and preserves ejaculatory and erectile function a number of other procedures that have been developed to reduce urinary symptoms.