The cause of prostate enlargement is still unknown, but it is believed to be linked to the hormonal changes that occur as a man ages. As the balance of hormones in the body shifts, it can lead to an increase in the size of the prostate gland. It is also thought that age-related factors and changes in testicular cells may contribute to the growth of the prostate and testosterone levels. Men who have had their testicles removed at an early age, such as due to testicular cancer, do not experience benign prostatic hyperplasia (BPH).BPH is a condition in which the prostate gland becomes enlarged but is not cancerous.
It surrounds part of the urethra, which is the tube that carries urine and semen out of the penis. When BPH occurs, the prostate swells and puts pressure on the urethra, restricting urine flow. It is estimated that 50% of men aged 60 have BPH, and this number increases to 90% by age 85.The symptoms of BPH can include weak urine flow and frequent trips to the bathroom during the night. Other urinary issues may also arise.
A healthcare provider can diagnose BPH based on symptoms and a digital rectal exam. Problems can arise if treatments for BPH leave much of the prostate intact.It is important for men who have had surgery or treatment for BPH to continue having a digital rectal exam once a year and to have any symptoms checked by a healthcare provider. There is no evidence that diet, nutrition, or lifestyle play a role in causing or preventing BPH.A urologist may use a special ultrasound probe inserted into the rectum near the prostate to diagnose BPH. Antibiotics may be prescribed to treat chronic prostatitis, which can occur with BPH.
If prostate problems return after treatment, additional treatment may be necessary.For this procedure, hot water flows through a catheter into a treatment balloon which heats and destroys surrounding prostate tissue. Studies such as the Medical Therapy of Prostatic Symptoms (MTOPS) Study have shown that combining two classes of medications can more effectively improve symptoms, urinary flow, and quality of life than using just one.Some men may experience temporary problems with sexual function after surgery for BPH. Another less invasive procedure works by opening up the prostate without removing or destroying any tissues. During this procedure, a doctor will put on a glove and gently insert a finger into the rectum to check the size and shape of the prostate.
Leave Reply