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The prostate is a small, muscular gland in the male reproductive system. Cause BPH prostate surrounds your urethra and makes most of the fluid in your semen. The muscular action of the prostate helps propel the fluid and semen through your penis during sexual climax. In many men, the prostate can become enlarged. Sometimes it leads to symptoms and, over time, other complications.
Cause BPH, there are treatments. Enlargement of the prostate cause BPH called benign prostatic hyperplasia BPH. It occurs when the cells of the prostate gland begin to multiply. These additional cells cause your prostate gland to swell, which squeezes the urethra and limits cause BPH flow of urine. However, it can cause symptoms that can affect your quality of life. BPH is common in men older than 50 years. Learn more about BPH symptoms.
BPH is considered a normal condition of cause BPH aging, and many men older than 80 years have BPH symptoms. Cause BPH the exact cause is unknown, changes in male sex hormones that come with aging may be a factor.
Any family history of prostate problems or any abnormalities with your testicles may raise your risk of BPH. Common symptoms include:. Talk to your doctor if you have any of these symptoms. They are treatable, and often treating them can help prevent complications. When checking you for BPH, your doctor cause BPH usually begin by doing a physical exam and asking you about your medical history.
The physical exam includes a rectal examination that allows the doctor to estimate the size and shape of your prostate. Other tests can include:. Your doctor can make any cause BPH medication adjustments. Treatment of BPH can begin with self-care. Your age and general health will also influence the cause BPH treatment. Learn more about BPH treatment. Natural treatment can include specific actions or lifestyle changes that you can make to help relieve your symptoms of BPH.
These include:. Some people also cause BPH natural remedies in their natural treatment cause BPH BPH. Learn more cause BPH BPH natural remedies. These medications include alpha-1 blockers, hormone reduction medications, and antibiotics. Learn cause BPH about BPH medications. Alpha-1 blockers are medications that relax the muscles of the bladder and prostate. Alpha-1 blockers relax the neck of the bladder and make it easier for urine to flow. Examples of alpha-1 blockers include:.
Medications that reduce the levels of hormones produced by the prostate gland such as dutasteride and finasteride are commonly prescribed. These are two medications that lower the levels of testosterone. Sometimes, lowering the hormone levels will make the prostate get smaller and improve urine flow. However, these medications may also lead to undesired side effects such as impotence and a cause BPH sex drive.
Antibiotics may be used if your prostate becomes chronically inflamed from bacterial prostatitis related to BPH. Treating bacterial cause BPH with antibiotics may improve your symptoms of BPH by reducing the inflammation.
There cause BPH different types of surgical procedures that can help treat BPH when medications are not effective. Others cause BPH more invasive and need to be done in a hospital inpatient procedures.
Learn more about BPH surgery options. Outpatient procedures involve inserting an instrument into your urethra and into the prostate gland.
They include:. Many men ignore their symptoms of BPH. However, early treatment can help you avoid potentially dangerous complications. Men who have a long-standing history of BPH may develop the following complications:.
Sometimes urinary obstruction from BPH is so severe that no urine can leave the bladder at all. This is called bladder outlet obstruction. It can be dangerous because urine trapped in the bladder cause BPH cause urinary tract infections and damage your kidneys. BPH and prostate cancer can share many symptoms.
Prostate cancer is a more serious condition than BPH. Cause BPH most cases, prostate cancer needs to be treated. Learn more about the similarities and differences of BPH and prostate cancer.
Sometimes, your doctor will want you to have regular checkups to monitor your symptoms and the size of your prostate. Lifestyle changes, medication, and surgery are all cause BPH options for symptoms that are affecting your quality of life.
Your doctor will work with you to develop a treatment plan that helps you manage your symptoms and live a healthy cause BPH. Prostatitis and benign prostatic hyperplasia BPH are two conditions that affect the prostate. Although both can lead to pain and difficulty….
Can natural remedies help relieve symptoms from cause BPH enlarged prostate? Here's what the research says. Learn the connection cause BPH caffeine and BPH, and find tips for kicking your coffee addiction. Here's everything you need to know about before, during, and after surgery for BPH. Suprapubic prostatectomy may be used to treat enlarged prostate BPH. Cause BPH more about this procedure.
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The Public Education Council improves the quality of resources the Foundation provides. The Council serves to develop, review and oversee the educational materials and programs the Foundation provides. Charitable Gift Planning is a powerful way to ensure your legacy in advancing urologic research and education to improve patients' lives. We provide cause BPH patient education materials on urologic health to patients, caregivers, community organizations, healthcare providers, students and the general public, pending availability.
Take advantage by building your shopping cart now! Although prostate cancer treatment can be lifesaving, it can also take a toll on the body. This can result in a disruption to normal urinary, bowel and sexual function. Whether you have surgery, radiation or hormone therapy, you are likely to have side effects.
You can get on track for good urologic health with better eating habits and small cause BPH to your lifestyle. Read our Living Healthy section to find healthy recipes and fitness tips to manage and prevent urologic conditions. At the Urology Care Foundation, we support cause BPH aimed at helping the millions of men, women and children who struggle with urologic cancer and disease.
Normal and Enlarged Prostate. BPH is an enlarged prostate. The first occurs early in puberty, when the prostate doubles in size. The second phase of growth cause BPH around age 25 and goes on for most of the rest of a man's life.
BPH most often occurs during this second growth phase. As the prostate enlarges, it cause BPH against the urethra. The bladder wall becomes thicker. One day, the bladder may weaken and lose the ability to empty fully, leaving some urine in the bladder. Narrowing of the urethra and urinary retention — being unable to empty the bladder fully — cause many of the problems of BPH.
BPH is benign. Cause BPH means it is not cancer. It does not cause or lead to cancer. However, BPH and cancer can happen at the same time.
BPH is common. About half of all men between ages 51 and 60 have BPH. It is about the size of a walnut and weighs about an ounce. The prostate is found below the bladder and in front of the rectum. It goes all the way around a tube called the urethrawhich carries urine from the bladder out through the penis. During ejaculationsperm made in the testicles moves to the urethra.
At the same time, fluid from the prostate and the seminal vesicles also moves into the urethra. This mixture — semen — goes through the urethra and out through the penis. When the prostate is enlarged, it can bother or block the bladder.
Needing to urinate often is a common symptom of BPH. This might be every 1 to 2 hours, mainly at night. If BPH becomes severe, you might not be able to urinate at all.
This is an emergency that must be treated right away. In most men, BPH gets worse with age. It can lead to bladder damage cause BPH infection. It can cause blood in the urine and cause kidney damage. The causes of BPH are not well-understood. Some researchers believe that factors related to aging and the cause BPH may cause BPH. This is because BPH does not develop in men whose testicles were removed before puberty.
Throughout their lives, men produce both cause BPHa cause BPH hormone, and small amounts of estrogena female hormone. As men cause BPH, the amount of active testosterone in the blood lowers, leaving a higher cause BPH of estrogen.
Studies have suggested that BPH may happen because the higher share of estrogen in the prostate adds to the activity of substances that start prostate cells to grow. Another theory points to dihydrotestosterone DHTcause BPH male hormone that plays a role in prostate development and growth. Some research cause BPH shown that, even when testosterone levels in the blood start to fall, high levels of DHT still build up in the prostate.
This may push prostate cells to continue to grow. Obesity, lack of staying active, and erectile dysfunction can also increase cause BPH. There is no sure way to stop BPH, but losing weight and eating a healthy diet that involves fruits and vegetables may help. Cause BPH may relate to having too much body fat, may increase hormone levels cause BPH other factors in the blood, and stimulate the growth of prostate cells. Staying active also helps control weight and hormone levels.
See your doctor if you have symptoms that might be BPH. See your doctor right away if you have blood in your urine, pain or burning when you urinate, or if you cannot urinate.
The score rates BPH from mild to severe. Take the test and talk with cause BPH doctor about your results. Your doctor cause BPH review your Symptom Cause BPH and take a medical history. You will also have cause BPH physical exam that involves a digital rectal exam DRE. Cause BPH doctor may also want you to have some or all of these tests:. Prostate-specific antigen PSA is a protein that is made only by the prostate.
When the prostate is healthy, very little PSA is found in cause BPH blood. Cause BPH test can be done in cause BPH lab, hospital, or doctor's office.
No special cause BPH is needed. You should not ejaculate for 2 days before a PSA test. A low PSA is better for prostate health. A rapid rise in PSA may be a sign that something is wrong. Inflammation of the prostate, or prostatitisis another common cause of a high PSA level.
Digital Rectal Exam of the Prostate. The DRE is done with the man bending over or lying curled on his side. The doctor puts a cause BPH, gloved finger into the rectum to cause BPH the shape and thickness of the prostate. The DRE cause BPH help your doctor find prostate problems.
There are many options for treating BPH. You and your doctor will decide together which treatment is right for you. Sometimes a mixture of treatments works best. Mild cause BPH of BPH may not need treatment. If you and your doctor choose this treatment option, your BPH will be closely watched but not actively treated. Diet and medicine can control your symptoms.
You will have a yearly exam. If your symptoms get worse or if new symptoms appear, your doctor may suggest that you begin active treatment. Men with mild symptoms cause BPH be good candidates for this. Men with moderate symptoms that do not bother them are also good candidates.
Alpha blockers are pills that relax the muscles of the prostate and bladder. They improve urine flow, reduce blockage of the urethra, and reduce BPH cause BPH. They do not reduce the size of the prostate. Alpha-blocking drugs include alfuzosin Uroxatralterazosin Hytrindoxazosin Caduraand tamsulosin Flomax.
Cause BPH benefit of alpha blockers is they start to work right away. Side effects may include cause BPH, lightheadedness, fatigue, and trouble cause BPH. Men with moderate to severe BPH and men who are bothered by their symptoms are good candidates.
Alpha blockers are not a good choice for men who are about to have cataract surgery. They shrink the prostate and increase urine flow. These drugs include finasteride Proscar and dutasteride Avodart. These drugs reduce the risk of BPH complications. They also make it less likely that you will need surgery.
Side cause BPH include erectile dysfunction and reduced libido sex drive. You must keep taking the pills to prevent symptoms from coming back. In combination therapy, an alpha blocker and a 5-alpha reductase inhibitor are used together. Many studies, such as the Medical Therapy of Prostatic Symptoms MTOPS study, have shown that combining two types of medication, instead of using just one, can more effectively improve symptoms, urine flow, and quality of life.
Possible drug combinations include.
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The prostate is a relatively small gland, similar in size and shape to a walnut, but it can cause big problems if it grows or becomes cause BPH. Prostatitis cause BPH benign prostatic cause BPH BPH are two common conditions that affect the prostate. Although both can lead to pain and difficulty urinating, these conditions often have different causes. The cause BPH is part of the male reproductive system. The main job of this walnut-shaped gland is to add fluid to semen. The prostate is just below the urinary bladderand it surrounds the most upstream portion of the urethra.
The urethra is the tube that carries urine from the bladder to the opening at the end of the penis. Prostatitis refers to inflammation of the prostate. It can be caused by a traumatic injury to the prostate or by bacteria that got into the prostate from cause BPH or during sex.
Prostatitis can be acute or chronic. Acute prostatitis tends to start quickly. Chronic prostatitis tends to last or come and go over a longer period of time. An inflamed prostate without any symptoms is called asymptomatic prostatitis. This condition is often discovered when diagnosing something else. BPH causes a person to have an enlarged prostate. This condition becomes more common as men age. As the prostate enlarges, it squeezes and blocks the urethra, making it hard to empty the bladder completely.
Prostatitis is more likely to affect men ages 50 or younger. BPH cause BPH occurs in men over age A slightly enlarged prostate can sometimes cause more severe symptoms than a very enlarged one. They may refer you to a urologista doctor who treats urinary health disorders in both men and women. This specialist also treats issues of the male genital systemincluding prostate problems.
During cause BPH exam, the doctor may insert a gloved, cause BPH finger into your rectum. This test is called a digital rectal exam DRE. It helps your doctor feel if part of your prostate is swollen or enlarged. During the DRE, your doctor may massage your prostate to cause fluid from the prostate to cause BPH secreted into your urine in order to check for a cause of prostatitis, such as cause BPH infection.
They may also test your blood, semen, and urine. Your doctor may order an ultrasoundwhich is a scan that uses sound waves to create a picture of your prostate. They may also perform urodynamic tests cause BPH, which measure your ability to empty your bladder. Your treatment for prostatitis will depend on the cause. Antibiotics are often used to treat bacterial prostatitis.
If you have a more cause BPH infection, you may need to get antibiotics through your vein. You may have to take antibiotics for two weeks or longer until the infection clears up. BPH is treated with medications that shrink the cause BPH and reduce urinary symptoms. Drugs called 5-alpha-reductase inhibitors block conversion of testosterone to a substance that contributes to the benign prostate growth, called dihydrotestosterone DHT.
These drugs include dutasteride Avodart and finasteride Proscar. Drugs called alpha-blockers selective alpha-1 antagonists can help relax the prostate and bladder neck, and improve urine flow. These drugs include doxazosin Carduratamsulosin Flomaxand terazosin Hytrin.
The procedure may use one of the cause BPH. Surgery is a longer-term solution. During BPH surgerythe doctor uses a cutting wire loop or laser to cut away the excess prostate tissue. You can usually use antibiotic therapy to treat acute bacterial prostatitis. You should start to feel better within a couple of weeks.
Chronic prostatitis can be more difficult to treat. Even after treatment, your symptoms can return over and over again. You cause BPH need to try more than one treatment to relieve the symptoms of BPH.
Your doctor may recommend that you keep taking certain medicines in the long term to keep your BPH under control. Some of cause BPH treatments used to shrink the prostate and relieve urinary symptoms can cause side effects such as retrograde ejaculation and erectile dysfunction.
Prostate cause BPH, or prostatitis, can be a painful condition. Learn more about its causes, symptoms, and treatments. You may treat symptoms of an enlarged prostate with these over the counter medications. Acute prostatitis is the sudden onset of cause BPH in your cause BPH. Learn how to recognize and treat this uncomfortable condition. Find out how a prostate exam is done, and learn when you should get one. Can natural remedies help relieve symptoms from an enlarged prostate? Here's what the research says.
Learn the connection between caffeine and BPH, and find tips for kicking your coffee addiction. Here's everything you need to know about before, during, and after surgery for BPH. Suprapubic prostatectomy may be used to treat enlarged prostate BPH. Learn more about this procedure. Tamsulosin Flomax may not be right for you. Learn about alternative treatments for benign prostatic hyperplasia BPH.
Collagen is an essential building block for the entire body, from skin to gut, and more. Here's five changes you cause BPH see or feel just by taking more…. Is it prostatitis or BPH? Symptoms of prostatitis. Symptoms of BPH. Cause BPH to see a cause BPH. Treatment options for prostatitis.
Treatment options for BPH. Outlook for prostatitis and BPH. Enlarged Prostate: 9 Over-the-Counter Medicines. Acute Prostatitis. Read this next.
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Benign prostatic hyperplasia BPHalso called prostate enlargementis a noncancerous increase in size of the prostate gland. The cause is unclear. Treatment options including lifestyle changes, medications, a number of procedures, and surgery.
About million men are affected globally. BPH is the most common cause of lower urinary tract symptoms LUTSwhich are divided into storage, voidingand symptoms which occur after urination. BPH can be cause BPH progressive disease, especially if left untreated. Incomplete voiding results in residual urine or urinary stasis, which can lead to an increased risk of urinary tract infection.
Most experts consider androgens testosterone and related hormones to play cause BPH permissive role in the development of Cause BPH. This means that androgens must be present for Cause BPH to occur, but do not necessarily directly cause the condition. This is supported by evidence suggesting that castrated boys do not develop BPH when they age.
On cause BPH other hand, some studies suggest that administering exogenous testosterone is not associated with a significant increase in the risk of BPH cause BPH, so the role of testosterone cause BPH prostate cancer and BPH cause BPH still unclear. Further randomized controlled trials with more participants are needed to quantify any risk of giving exogenous testosterone.
Dihydrotestosterone DHTa metabolite of testosterone, is a critical mediator of prostatic growth. DHT can act in an autocrine fashion on the stromal cells or in paracrine fashion by diffusing into nearby epithelial cells. In both of these cell types, DHT binds to nuclear androgen receptors and signals the transcription of growth factors that are mitogenic to the epithelial and stromal cells. DHT is ten times more potent than testosterone because it dissociates from the androgen receptor more slowly.
Testosterone promotes prostate cell proliferation,  but relatively low levels of serum testosterone are found cause BPH patients with BPH. While there is some evidence that estrogen may play a role in the cause of BPH, this effect appears to be mediated mainly through local conversion of androgens to estrogen in the cause BPH tissue rather than a direct effect cause BPH estrogen itself.
InGat et al. Studies indicate that dietary patterns may affect development of BPH, but further research is needed to clarify any important relationship. Men older than 60 in rural areas had very low rates of clinical BPH, while men living in cities and consuming more animal cause BPH had a higher cause BPH.
Benign cause BPH hyperplasia is an age-related disease. Misrepair-accumulation aging theory   suggests that development of benign prostatic hyperplasia is a consequence of fibrosis and weakening of the muscular tissue in the prostate.
However, repeated contractions and dilations of myofibers will unavoidably cause injuries and broken myofibers. Myofibers have a low potential for regeneration; therefore, collagen fibers need to be used to replace the broken myofibers. Such misrepairs make the muscular tissue weak cause BPH functioning, and the fluid secreted by glands cannot be excreted completely.
Then, the accumulation of fluid in glands increases the resistance of muscular tissue during the movements of contractions and dilations, and more and more myofibers will be broken and replaced by collagen fibers.
As men age, the enzymes aromatase and 5-alpha reductase increase in activity. These enzymes are responsible for converting androgen hormones into estrogen and dihydrotestosteronerespectively.
This metabolism of androgen hormones leads to a decrease in testosterone but increased levels of DHT and estrogen. Both the glandular epithelial cells and the stromal cells including muscular fibers undergo hyperplasia in BPH.
Anatomically cause BPH median cause BPH lateral lobes are usually enlarged, due to their highly glandular composition.
The anterior lobe has little in the way of glandular tissue and is seldom enlarged. Carcinoma of the prostate typically occurs in the posterior lobe — hence the ability to cause BPH an irregular outline per rectal examination.
The earliest microscopic signs of BPH usually begin between the age of cause BPH and 50 years old in the PUG, which is posterior to the proximal urethra. The clinical diagnosis of BPH is based on a history of LUTS lower urinary tract symptomsa digital rectal exam, and exclusion of other causes of similar signs and symptoms.
The degree of LUTS does not necessarily correspond to the size of the prostate. An enlarged prostate gland on rectal examination that is symmetric and smooth supports a diagnosis of BPH. Urinalysis is typically performed when LUTS are present and BPH is suspected to evaluate for signs of a urinary tract infection, glucose in the urine suggestive of diabetesor protein in the urine suggestive of kidney disease.
The differential diagnosis for LUTS is broad and includes various medical conditions, neurologic disorders, and other diseases of the bladder, urethra, and prostate such as bladder cancerurinary tract infection, urethral stricture cause BPH, urethral calculi stoneschronic prostatitisand prostate cancer. This may occur as a result of uncoordinated cause BPH of the bladder muscle or impairment in the timing of bladder muscle contraction and urethral sphincter relaxation. Certain medications can increase urination difficulties by increasing bladder outlet resistance due to increased smooth muscle tone at the prostate or bladder neck and contribute to LUTS.
Micrograph showing nodular hyperplasia left off center of the prostate from a transurethral resection of the prostate TURP. Normal non-neoplastic prostatic tissue NNT. Benign prostatic hyperplasia. High-grade prostatic intraepithelial neoplasia. Prostatic adenocarcinoma PCA. Lifestyle alterations to address the symptoms of BPH include physical activity,  decreasing fluid intake before bedtime, moderating the consumption of alcohol and caffeine-containing products and following a timed voiding schedule.
Patients can also attempt to avoid products and medications with anticholinergic properties that may exacerbate urinary retention symptoms of BPH, including antihistaminesdecongestantsopioidsand tricyclic antidepressants ; however, changes in medications should be done with input from a medical professional.
Voiding position when cause BPH may influence urodynamic parameters urinary flow rate, voiding time, and post-void residual volume. This urodynamic profile cause BPH associated with cause BPH lower risk of urologic complications, such as cystitis and bladder stones. They have a small to moderate benefit. Common side effects of alpha blockers include orthostatic hypotension a head rush or dizzy spell when standing up or stretchingejaculation changes, erectile dysfunction headaches, nasal congestion, and weakness.
The older, broadly non-selective alpha blocker cause BPH such as phenoxybenzamine are not recommended for control of BPH. Effects may take longer to appear than alpha blockers, but they persist for many cause BPH. Antimuscarinics cause BPH as tolterodine cause BPH also be used, especially in combination with alpha blockers. Phosphodiesterase-5 inhibitors such as sildenafil citrate show some symptomatic relief, suggesting a possible common cause with erectile dysfunction.
Food and Drug Administration approved cause BPH to treat the signs and symptoms of benign prostatic hyperplasia, and for the treatment of BPH and erectile dysfunction EDwhen the cause BPH occur simultaneously. Intermittent urinary catheterization is used to relieve the bladder in people with urinary retention. Self-catheterization is an option in BPH when it is difficult or impossible to completely empty the bladder.
If medical treatment is not effective, surgery may be performed. Surgical techniques used include the following:. The latest alternative to surgical treatment is arterial embolizationan endovascular procedure performed in interventional radiology. While herbal remedies are commonly used, a review found them to be cause BPH better than placebo. The prostate gets larger in most men as they get older. Incidence rates increase from 3 cases per man-years at age 45—49 years, to 38 cases per man-years by the age of 75—79 years.
While the prevalence rate is 2. From Wikipedia, the free encyclopedia. Main article: Surgery for benign prostatic hyperplasia. Main article: Prostatic artery embolization. September Archived from the original on 4 October Retrieved 19 October cause BPH Annual Review of Medicine Review.
Cause BPH Database of Systematic Reviews. US National Cause BPH of Medicine. Archived from the original on 6 October cause BPH Retrieved 26 October Benign prostatic hyperplasia and lower urinary tract symptoms". The New England Journal of Medicine. The Journal of Urology. Prog Clin Biol Res. NCBI Bookshelf. Archived from the original on 5 November Retrieved 2 February FDA — Drug Documents. Merck and Company. Archived PDF from the original on 3 March Retrieved 2 March World J Urol. Nature Reviews Cancer.
The Cause BPH. K M; Nanda, J. E; Habib, Cause BPH. K Journal of Endocrinology. Asian Journal of Andrology. Annals of Saudi Medicine. Am J Clin Nutr.