Benign Prostate Hyperplasia (BPH) Benign Prostate Hyperplasia (BPH)

Benign Prostate Hyperplasia (BPH)

Are the symptoms of prostate enlargement bothering you?

Our experienced team is available for an assessment of your unique situation. Please contact us today to see what treatment option might benefit you.

BENIGN PROSTATE HYPERPLASIA (BPH)

Benign prostatic hyperplasia (BPH) — also called prostate gland enlargement — is a common condition as men get older. All men will develop some enlargement of the prostate as they age, and some of them may require therapy for related symptoms.

The prostate is a small gland that starts out about the size of a walnut. As men age, the gland becomes enlarged.

Overall, the number of men with BPH increases progressively with age. By age 60, 50% of men will have some symptoms of BPH. By age 85, 90% of men will have symptoms of the condition. About half of these men will develop symptoms that need to be treated.

There are several effective treatments for prostate gland enlargement, including medications, minimally invasive therapies and surgery. To choose the best option, you and your doctor will consider your symptoms, the size of your prostate, other health conditions you might have and your preferences.

SYMPTOMS

The symptoms of BPH are often very mild at first, but they become more serious if they aren’t treated.

Common symptoms include:

  • Unable to completely empty the bladder
  • Need to urinate two or more times per night
  • Incontinence
  • Straining to urinate
  • Sudden urge to urinate
  • Weak urine stream
  • Dribbling of urine
  • Painful urination
  • Blood in the urine

As the prostate enlarges, it can partially block the flow of urine from the bladder, causing urine to back up in the bladder. This can increase the frequency of urination and potentially cause urinary tract or kidney problems.

THINK YOU HAVE SYMPTOMS OF BENIGN PROSTATE ENLARGMENT?

Take a quiz on our website. Use your answers talk to your doctor about your symptoms. The quiz will assist your doctor to assess your symptoms and create a personalised management plan and and suitable treatment options.

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Benign Prostate Enlargment

CAUSES OF AN ENLARGED PROSTATE

BPH is considered a normal condition of male aging. The exact cause is unknown and for some men poses no problem. For others, treatment will be required.

LIFESTYLE FACTORS

To help control the symptoms of an enlarged prostate, you can:

  • Limit beverages in the evening. Don’t drink anything for an hour or two before bedtime to avoid middle-of-the-night trips to the toilet.
  • Limit caffeine and alcohol. They can increase urine production, irritate the bladder and worsen symptoms.
  • Limit decongestants or antihistamines. These drugs tighten the band of muscles around the urethra that control urine flow, making it harder to urinate.
  • Schedule bathroom visits. Try to urinate at regular times — such as every four to six hours during the day — to “retrain” the bladder. This can be especially useful if you have severe frequency and urgency.
  • Follow a healthy diet. Obesity is associated with enlarged prostate.
  • Stay active. Inactivity contributes to urine retention. Even a small amount of exercise can help reduce urinary problems caused by an enlarged prostate.
  • Urinate — and then urinate again a few moments later. This practice is known as double voiding.
  • Keep warm. Colder temperatures can cause urine retention and increase the urgency to urinate.

DIAGNOSIS

Your doctor can diagnose BPH by asking questions about your symptoms and medical history and by doing a physical examination. A rectal examination will be needed for the doctor to assess the size of the prostate.

Your doctor may ask you how often you have symptoms of BPH, how severe they are, and how much they affect your life. If your symptoms are mild to moderate and do not bother you much, lifestyle changes may be all that you need to help keep them under control. Your doctor may want to see you regularly to check on your symptoms and make sure other problems haven’t come up.

Diagnostic and assessment tests may include:

  • Urinalysis (urine test)
  • Ultrasound of the prostate
  • Bladder ultrasound measuring residual urine
  • Cystoscopy to look at the urethra or bladder with a scope
  • Urodynamic pressure to test pressure in the bladder during urinating
  • Urinary Flow Test
diagnostics

Cystoscopy

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Urodynamic Testing

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Prostate Ultrasound

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Urinary Flow Test

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Bladder Ultrasound

TREATMENTS FOR BPH

There are several effective treatments for prostate gland enlargement, including medications, minimally invasive therapies and surgery. To choose the best option, you and your doctor will consider your symptoms, the size of your prostate, other health conditions you might have, and your preferences.

An enlarged prostate is not cancerous, but symptoms can mimic more serious conditions. Screening for prostate or bladder cancer is not uncommon in diagnosing BPH.

MEDICATIONS

Alpha Blockers: These pills relax the muscles of the prostate and bladder to improve urine flow. They reduce symptoms of BPH and blockage of the urethra. The pills do not reduce the size of the prostate. Alpha blockers work almost immediately and provide much relief for urinary problems.

Alpha Reductase Inhibitors: These pills block the production of dihydrotestosterone (DHT) which has been considered to be a factor in prostate enlargement. These pills are particularly affective for men with prostates that have grown so large they are imposing on the bladder or urethra.

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SURGERY

If the patient has attempted other treatments without success, is unable to urinate or has bladder stones, surgery may be required.

Transurethral resection of the prostate (TURP): The doctor goes through the urethra with a scope and removes portions of the prostate that are affecting your urinary flow. This is the most common surgical procedure for enlarged prostrate.

Open Prostatectomy: This procedure removes the inner part of the prostate through an abdominal incision. It is applied when the size of the prostate is too large for a TURP.

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The images and/or videos are not presented as a guarantee of result. The results may vary. Patients gave their consent for the publication of images and/or videos.

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At Steinberg Urology we pride ourselves on our compassionate care we offer to those facing challenges that affect their quality of life. Our urologists have years of experience and a commitment to excellence.

If you need to discuss this sensitive medical concern, schedule a consultation at our clinic in a safe confidential environment. Let us help you achieve optimal health and wellness in a professional setting.

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