Monthly Archives: July 2010

Treating an Enlarged Prostate

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Having an enlarged prostate is not only annoying. It can be embarrassing as well. To make matters worse, the condition can lead to life-threatening complications.

“If after you think you’ve emptied your bladder there are still several ounces of urine left behind, you are at risk for acute urinary retention. That means that one day while you are on a train, a plane, climbing a mountain, driving on some remote highway, or scuba diving off a tropical island hours away from medical help, you may suddenly have to ‘go’ and find that you can’t. The signal to void becomes progressively more intense and painful until you have to be rushed to the nearest medical facility where a catheter inserted into the bladder via the penis is the only way to release the retained urine. If help is a long way off, you may be in real trouble,” explained Dr. Isadore Rosenfeld of the New York Hospital Sloane-Kettering Cancer Center in “The Best Treatment.”

Before that happens, what are your options? How do you deal with benign prostatic hyperplasia (BPH)?

In the past, the only option for people with BPH or an enlarged prostate was surgery. Called transurethral prostate resection (TURP), this procedure involves “shaving” or removing small pieces of the enlarged prostate that block the flow of urine.

TURP is done with a tiny instrument called a resectoscope or operating cystoscope equipped with a light and electric cutting device at its end. The instrument is inserted into the urethra (the tube where urine flows) and a miniature telescope enables the urologist to see the area and cut portions of the prostate gland.

“After the operation, the resectoscope is removed and a catheter is inserted through the urethra into the bladder, where it remains for a day or two so that that the bladder can void while the enlarged channel heals. The hospital stay generally is about a week,” according to Dr. David E. Larson, editor-in-chief of the “Mayo Clinic Family Health Book.”

TURP usually relieves the uncomfortable symptoms of BPH but there are a few problems. First, the prostate may enlarge again, requiring another operation. This is true for one in five men who may have to undergo a second TURP procedure in five years. Secondly, surgery does not prolong life. One study suggests that it actually reduces a person’s lifespan by a year.

In rare cases, TURP can cause impotence or complete inability to control urination. The most common side effect, however, is retrograde ejaculation, that is, the ejaculated semen enters the bladder instead of shooting out of the penis. This may impair a man’s fertility.

“Men who have had a TURP experience no decrease in sexual desire and retain the ability to have erections, engage in sexual intercourse, and ejaculate. Unfortunately, the surgical procedure may cause damage to the internal bladder sphincter, the valve responsible for forward ejaculation of semen. A damaged bladder sphincter cannot close prior to ejaculation, resulting in retrograde ejaculation of semen into the bladder,” said Dr. Richard F. Spark, associate clinical professor of medicine at Harvard Medical School in “Male Sexual Health: A Couple’s Guide.” (Next: Laser for prostate enlargement.)

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Sharon Bell is an avid health and fitness enthusiast and published author. Many of her insightful articles can be found at the premier online news magazine http://www.HealthLinesNews.com.

Understanding A Prostate Biopsy Procedure

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If you have been diagnosed with prostate cancer, you want to make sure the diagnosis is completely accurate so that you can pursue the right type of treatment. One of the best ways of determining whether or not you have prostate cancer is with a prostate biopsy procedure. This procedure is the most thorough way of detecting cancer cells, even at its earliest stages. The goal behind a prostate biopsy procedure is to take a small amount of tissue from the area and examine it to see whether or not cancer cells are present. Here is how a prostate biopsy procedure is performed.

• Preparing for the biopsy: The first thing that you will do before you have a prostate biopsy procedure is to prepare for the medical test. By now you have already had an initial physical examination and your doctor suspects that something is abnormal. When a biopsy is performed, it can look at the cells to see if cancer is present. Your doctor will inform you of the procedures before it takes place. Your doctor may ask that you have an enema before the procedure to clean out the intestines beforehand. The doctor will also mostly likely prescribe antibiotics. This will help ensure that there are no infections present before the prostate biopsy procedure is performed. In addition, your doctor may ask that you do not take any medications prior to the procedure. For more info see http://www.prostatecancertreatmenthelp.com/Prostate_Biopsy on enlarged prostate.

• Determining the type of prostate biopsy procedure: Before your appointment, your doctor will have already determined which procedure is right for you. There are several different biopsy procedures that can be done. The most common is the needle in the perineum. A needle in inserted and cells are taken for examination. About 6-12 samples are taken. This procedure takes about 20 minutes and there are little to no difficulties from the procedure. Other common procedures are the needle in the rectum and the cytoscopy.

• Care after the procedure: Depending on which procedure you have, your doctor will recommend that you slow your daily activities and that you watch for swelling or bleeding. There is usually a little pain and discomfort, but it should not last more that two days. You should contact your doctor if you have problems urinating after 24 hours or have bleeding, swelling or fever.

There are usually little to no side effects of the prostate biopsy procedure except for mild pain and discomfort. Side effects can include difficulty urinating, bleeding from the rectum, a lowered sperm count and infection.

Understanding A Prostate BioYou can also find more info on prostate cancer treatment and laser prostate.

The Launch And Uptake Of Nine Emerging Therapies Will Drive The Prostate Cancer Drug Market To More Than Double To $8.4 Billion In 2019

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Decision Resources, one of the world’s leading research and advisory firms for pharmaceutical and healthcare issues, finds that the launch and uptake of nine emerging therapies will drive the prostate cancer drug market to more than double from nearly $4 billion in 2009 to $8.4 billion in 2019 in the United States, France, Germany, Italy, Spain, the United Kingdom and Japan…

View full post on Prostate / Prostate Cancer News From Medical News Today

Minimally Invasive Surgery for an Enlarged Prostate Gland

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For a lot of men who are suffering from an enlarged prostate gland drug treatment is the solution and can lower prostate symptoms to an acceptable level. However, for others however drug treatment does not prove helpful or is not a workable choice and the doctor may suggest minimally invasive surgical treatment.

The first option to consider is catheterization which involves the insertion of a catheter through the penis and into the bladder to act as a drain and is usually considered to be only a temporary solution. It is largely used for people who are waiting for the affects of drug treatment to kick in (a number of drugs used to treat an enlarged prostate gland can take anywhere from 6 to 12 months before they begin to show results) or for other surgical treatments. It may also be helpful in treating infections.

The next option to consider is Holmium laser enucleation prostate (HoLEP). This procedure, which is performed under anesthetic and involves a brief 1 to 2 day stay in hospital, involves the insertion of a resectoscope through the penis and into the urethra. After insertion a laser beam is then passed through the resectoscope and is used to remove tissue from the prostate gland.

Interstitial laser coagulation is another treatment which is omparable to HoLEP. This form of treatment is once again performed under anesthetic although patients are not usually required to stay in hospital overnight. For this treatment a cystoscope, which is a metal tube through which a laser and visual lens can be passed, is used to burn away tissue from the prostate gland using laser energy.

Where a patient is unable to accept anesthetic a prostatic stent may be used. Stenting involves the placement of a spring-like device in the urethra at the point at which it passes through the prostate gland in order to keep the urethra open. Regrettably there are one or two problems associated with this form of treatment and it is generally only used for individuals who suffer from additional medical problems and for whom surgery presents an unacceptable.

TUMT (transurethral microwave thermotherapy of the prostate) is another form of minimally invasive surgery that does not require full anesthesia or hospitalization and can be performed using a local anesthetic and with oral pain drugs. In this procedure a catheter is inserted through the penis and computer controlled microwaves heat up and shrink areas of the prostate gland.

Yet another office-based procedure is the transurethral radio frequency needle ablation of the prostate (TUNA). In this case light anesthesia and drugs are employed to make the patient drowsy and prostate gland tissue is heated and shrunk using radio frequency energy which is transmitted through several needles placed directly into the prostate gland. This treatment at first produces a swelling of the prostate gland which is followed by shrinkage and individuals will generally have to use a catheter for a brief time following this treatment.

There are clearly many different forms of minimally invasive surgery available for enlarged prostate gland treatment and individuals must discuss these with their doctor to decide which would be best in their own specific circumstances.

ProstateProblemCenter.com provides a wealth of information about prostate problems including enlarged prostate treatments

Transurethral Resection of the Prostate Surgery – Destination India

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India has been the most attractive destination for the visitors around the globe. But the recent trend in the tourism sector shows a propelling growth in the travel & tourism industry. This is not only due to the heritage attraction of the country but the medical tourism India that has depicted a steady southward movement, of late. Now the question arises, why should people rush India for treatment? The simple equation is that the medical treatment package price in India is 45% to 60% lesser than the treatment cost in USA or UK.

Training and experience of Indian doctors is widely acknowledged particularly in the US and UK where they have made significant contributions to the delivery of healthcare in the host countries. Many of these doctors after having specialized and practiced in the West have returned home to set up impressive state of the art facilities with the latest in equipment, technology and service levels particularly in Delhi, Mumbai and Bangalore and to a lesser extent in Ahmedabad, Pune, Hyderabad and Chennai.

What is Transurethral Resection of the Prostate (TURP)?

Transurethral Resection of the Prostate (TURP) is a surgical removal of part of the prostate gland. The prostate gland is part of a man’s reproductive system. It makes and stores seminal fluid, a milky fluid that nourishes sperm and forms part of semen. The prostate is about the size of a walnut. It is located below the bladder and in front of the rectum.

Who is an ideal candidate for Transurethral Resection of Prostate?

If a person have any of the urinary symptoms i.e. if a person is unable to completely empty his bladder or experiences pain, urgency for urination, has blood in the urine, has extremely slow stream of urine due to cancerous or non-cancerous (Benign Prostatic Hypertrophy) enlargement of the prostate gland, has stones in the urinary bladder; then he is an ideal candidate for Transurethral Resection of Prostate.

Preparations Prior to Procedure of Transurethral Resection of Prostate-

Doctor will likely do the following:

Physical exam

·Review of medications and supplements

·Blood tests including complete blood count, renal function, PSA (prostate-specific antigen)

·Urine tests including urine culture

·Ultrasound of kidney, bladder, prostate

·Urodynamics to assess degree of obstruction

·X-rays of kidneys and chest

How a Transurethral Resection of the Prostate (TURP)is performed:

A TURP is performed by passing a thin tube up the urethra via penis. The tube is a telescope, so the surgeon can see inside urethra. The blockage is removed using an instrument attached to the telescope that can cut away the abnormal areas. This operation usually means about 2 or 3 nights in hospital.

TURP is done under a general anaesthetic, but for some men, it is done with a spinal anaesthetic. This means patient is awake, but cannot feel anything below the level of the anaesthetic injection into spine.Doctor will suggest a spinal anaesthetic if there are reasons why Patient shouldn’t have a general anaesthetic, for example if patient’s lungs are not as healthy as they might be.

Postoperative Care for Transurethral Resection of the Prostate (TURP):

·There will be a catheter in the bladder to drain urine. The urine may be bloody, but do not be alarmed. This is normal. Water may be flushed through the catheter into bladder to wash out blood and clots.

·Always keep the catheter drainage bag below the level of the bladder.

·Do breathing and coughing exercises regularly.

·Rest in bed until the next morning and perhaps longer. The nurse can assist the first time you get out of bed.

·Clean the area where the catheter enters the urethra several times a day with soap, water, and a washcloth.

·Drink lots of fluids, especially during the day, to help flush the bladder.

·Avoid heavy lifting or exertion for three to four weeks.

·Avoid sexual activity for four to six weeks after surgery.

·Avoid consumption of alcohol, caffeine, and spicy foods that may over-stimulate the bladder.

Outcome of Transurethral Resection of the Prostate (TURP):

Recovery from surgery should take about three weeks. Symptoms such as frequent or painful urination will continue for a while but should lessen during the first six weeks. If there is blood in your urine, lie down, relax, and drink a glass or two of fluid. The next time you urinate the bleeding should have stopped. If it doesn’t, call doctor.

Although sexual activity should be avoided for four to six weeks after surgery, the TURP procedure should not affect your sex drive or ability to have sex. The procedure may damage the muscle valve located at the bladder that directs semen into the urethra and out the penis. If this happens, most of your sperm will flow into your bladder and be expelled when you urinate (this is called retrograde ejaculation). This should not, however, be considered a method of birth control. Some sperm may make it into ejaculation. If you are hoping to conceive children in the future, talk to your doctor about the possibility of developing retrograde ejaculation after the TURP

Transurethral Resection of the Prostate in India:

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Prostate Bph Symptoms Relief

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Benign Prostate Hyperplasia, or BPH, more commonly referred as prostate enlargement, is a fairly common condition in men. Prostate enlargement has not been linked to prostate cancer, and the treatment is generally effective. However, some of the symptoms of prostate enlargement can become serious if ignored.

The prostate is a gland that sits directly below the bladder and surrounds the urethra in males. The prostate gland plays a role in sexual function, including secreting a fluid that makes up part of semen. As men age, the prostrate grows and may place pressure on the urethra, leading to uncomfortable symptoms. Doctors refer to this condition as prostate BPH. In very seldom occurs in younger men, but up to 90% of men in their seventies have some degree of this condition. The causes of prostate enlargement are not certain. Some postulate that the decrease in testosterone as a man ages may mean the small amounts of estrogen produced have a greater impact on the body, possibly encouraging cell growth in the prostate. Another possibility is that a substance called dihydrotestosterone (DHT) accumulates in the prostate, encouraging continued cell growth that result in prostate enlargement.

Since prostate BPH results in the obstruction of the urethra, most of the symptoms are related to urinary function. Frequent urination and urgency, leaking, or a weak or interrupted stream may all indicate the development of prostate BPH. The most intense symptom is complete urine retention, which occurs when the prostate gland completely blocks the urethra. This symptom causes stress on the bladder and kidneys and may result in damage. Bladder stones, incontinence, and frequent urinary tract infections are also more serious signs of prostate enlargement.

The FDA has approved six different drugs to treat the symptoms of prostate BPH. Terazosin, doxazosin, tamsulosin, and alfuzosin all function to relax the prostrate and the neck of the bladder to relieve some of the obstruction. Finasteride and dutasteride, on the other hand, block the production of DHT in order to prevent further enlargement the prostate. In some cases it can actually shrink some of the excess growth that has occurred, but that is not always the case.

There are also a few minimally invasive treatments for prostate BPH that may be effective, although they are not cures. Transurethral microwave thermotherapy uses a catheter in the urethra to focus heat on the prostate in order to kill some of the excess tissue. Transurethral needle ablation is a similar procedure, but it uses radio frequency rather than heat to destroy the tissue. Water induced thermotherapy works under the same principle, using heated water in a catheter to target the enlarged prostate gland.

Surgery is often the most effective remedy for prostate enlargement, and there are three different options. Each surgery removes part of the enlarged prostate tissue in order to eliminate the obstruction. Transurethral surgery is the most common and involves using an instrument called a resectoscope. The resectoscope is inserted through the urethra and used to remove pieces of the prostate that can be later flushed out by the bladder. If there is damage to the bladder open surgery is often used. Since an incision must be made in order to repair the bladder, that same incision is used to remove excess of prostate tissue. Open surgery may also be used if the prostate enlargement is especially significant. The third option is laser surgery, in which a fiber is inserted through the urethra and lasers are used to burn away excess tissue. Since all damage is immediately cauterized, there is very little bleeding. If surgery is ineffective, the doctor may insert a stent, a device that is placed in the urethra to keep the opening artificially widened.

Prostate BPH is a common result of aging, but it can become serious if left untreated. Anyone experiencing symptoms of BPH should seek the advice of a doctor. Some vitamins and nutritional supplements based on  Saw Palmetto and Beta Sitosterol may also help the relief of the symptoms of prostate enlargement. They are much cheaper than drugs and may work well depending on the case. In all cases, it may worth very well to try provides the vitamin or nutritional supplement is made by a reputable company.

ome vitamins and nutritional supplements based on Saw Palmetto and Beta Sitosterol may also help the relief of the symptoms of prostate enlargement. In all cases, it may worth very well to try provides the vitamin or nutritional supplement is made by a reputable company.

Link Between High Fat Diet And Risk Of Prostate Cancer And Disorders

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Prostate cancer is the second leading cause of cancer-related deaths in men with an estimated 192,280 new cases diagnosed in the US in 2009 (Jemal 2009). Diet is considered one of the most important controllable risk factors for inflammation and prostate diseases including benign prostatic hyperplsia (BPH), prostatitis, and prostate cancer…

View full post on Prostate / Prostate Cancer News From Medical News Today

Prostate Cancer Risk Variant Found To Be In A Functional DNA Sequence Linked With Disease

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Recent genetic association studies have uncovered a number of DNA variants associated with prostate cancer. However, some of these risk variants lie outside of genes, posing a challenge to researchers working to understand the biology of cancer…

View full post on Prostate / Prostate Cancer News From Medical News Today

Become Aware of Enlarged Prostate

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The prostate is part of a man’s sex organs. It is the size of a walnut and surrounds the urethra. As the prostate grows larger it can press on the urethra. This narrows the urethra and can cause some men with prostate enlargement to have problems urinating. Prostate enlargement is said to be the most common health problem in men older than 60 years of age. The prostate usually starts to enlarge at about the age of 40.

Early in prostate enlargement the bladder muscle become thicker to force the urine through the urethra. It does so by contracting more powerfully. This can make the bladder more sensitive. As the prostate is getting larger and the urethra is squeezed tighter, the bladder may not be able to keep up and cause problems fully emptying the bladder. If too much blockage happens from the prostate enlarging it may cause repeated urinary tract infections which can cause kidney damage.

Sometimes men with enlarged prostate don’t get any symptoms at all. But common symptoms of enlarged prostate are a weak urine stream, difficulty starting to urinate, dribbling after urinating, feelings of not fully emptying the bladder, leaking urine, more frequent urination, bloody urine, and loss of sexual desire or functions.

Getting a physical exam every year is recommended to be sure there are no signs of enlarged prostate. If there are signs there will be another physical exam to determine exact causes of symptoms. A digital rectum exam is normally done to examine the prostate gland. The doctor can then determine the size and condition of the prostate or feel for lumps. Urine tests are done too to make sure there are no signs of infection.

There are both medical and surgical treatments for enlarged prostate. A common operation for resection of prostate is TURP. The doctor will scrape away the inner core of the prost ate through a small instrument inserted through the urethra. This is done to give relief from symptoms. TUIP is an operation that instead of removing prostate tissue the doctor makes cuts in the prostate; the cuts reduce pressure on the urethra making it easier to urinate. There are also other surgeries out there to treat enlarged prostate.

Often times after having TURP done men find that they have the side effect of semen not going through the penis during orgasm. Since it is not going through the penis it is going backward into the bladder. It can be treated with a drug to keep the bladder closed. This can cause problems with fertility. Erection problems and loss of bladder control are also common side effects of prostate surgeries.

Saw palmetto has a long history of relieving inflammation of the prostate and reducing the hormones that cause prostate enlargement. Pygeum africanum is another herb that can reduce enlargement of the prostate and inflammation. Zinc is very important in cell growth and differentiation in regulating normal cell death. It is great for building the immune system as well.Zinc is very helpful with enlarged prostates and inflammation of the prostate.

Forever Pro 6 is a blend of 6 vitamins, minerals, and herbs for prostate health. By tapping into the power of these ingredients and putting them into an easy to take tablet, it is one of the strongest nutritional supplements for prostate health. It has saw palmetto, pygeum extract, vitamin E, selenium, and lycopene in it. They are great antioxidants to help maintain proper prostate function by stopping the damaging effects of free radicals.

Steven Johnson is interested in maintaining a vital and healthy lifestyle. For more information on various health products and other life-enhancing nutrients please visit his website Alternative Health Supplements

Revolix Bladder Tumor using the Revolix Laser. Also used for BPH, Strictures, and Stones

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Vaporization of a bladder tumor using the RevoLix Laser. For more information go to www.lisalaserusa.com. This 2 micron laser can also be used for BPH (Benign Prostatic Hyperplasia) in Urology cases, Vaporization of the prostate, Vaporesection of the prostate and Strictures. The RevoLix Duo is the only laser that has a 2 micron wavelength and a holmium laser built into the same machine.

Finding Reliable BPH Treatments

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Finding the right options for treating an enlarged prostate gland, or Benign Prostatic Hyperplasia (BPH), can be a challenging undertaking for any man who is dealing with this disease. This is partly because there are so many BPH treatments available, ranging from medical and surgical interventions, to over-the-counter remedies designed specifically for this medical problem. The symptoms of BPH can adversely affect a patient’s lifestyle, so choosing the best BPH treatments is of paramount importance.

 

It is important for men to analyze the details of each type of BPH treatment and also to discuss them with their primary care physician or urologist. In this way, it is possible to determine the best course of therapeutic action for BPH and related symptoms.

 

There are a number of over-the-counter therapies that can be effective in many cases against BPH. These include such herbal and/or natural substances as saw palmetto, golden seal, and bee pollen extracts. They are sometimes especially good treatment options because they lack many of the side effects of pharmaceutical therapies, while still being effective.

 

However, many cases of BPH may require more aggressive treatments, such as one of the number of drugs (mainly alpha blockers and alpha reductase inhibitors) prescribed for BPH treatment. In order to manage the symptoms of BPH, drugs such as Flomax, Hytrin, Proscar and Avodart may be prescribed by the physician. These drugs can help to free the patient from frequent and incomplete urination, and some have also been shown to significantly lower the risk of cancer in the prostate gland.

 

Finally, surgical treatment may be necessary in some cases. These interventions may range from minimally-invasive, outpatient procedures – which often utilize lasers, microwave treatments, or stents – to more extensive operations in a hospital, depending on the situation. Personal research, along with discussing options and plans with a physician, will help each patient make the best decision for them.

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American Cancer Society Got It Wrong, Study Confirms Prostate Cancer Test Saves Lives

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With a new study showing the PSA test reduces the prostate cancer death rate by 44 percent, ZERO The Project to End Prostate Cancer demands an apology for all at risk of the disease from the American Cancer Society, which has long discounted the importance of prostate cancer testing. “It’s time to ‘Man Up’ and admit they were wrong,” said ZERO CEO Skip Lockwood…

View full post on Prostate / Prostate Cancer News From Medical News Today

Prostate Surgery In India At Affordable Cost

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Prostate Surgery In India 

 

The Division of Urology at We Care India partner hospital is committed to delivering state-of-the-art care to all patients with problems involving the kidneys, ureters, bladder, prostate and sexual organs…..

We Care India partner hospitals are leader in translating knowledge gained from urology research into effective care for urology patients and their families……

We offer the latest in minimally invasive surgical technique including laser surgery, seed implantation for prostate cancer, shock-wave lithotripsy and percutaneous procedure for urinary stone disease. Female incontinence procedures are often performed as an outpatient procedure. Nerve sparing techniques are routinely used when radical prostatectomy is performed to treat prostate cancer…..

India has been the most attractive destination for the visitors around the globe. But the recent trend in the tourism sector shows a propelling growth in the travel & tourism industry……

 

Why transurethral resection of the prostate is done?

Sometimes surgery is needed to remove the part of a prostate cancer that is pressing on the tube that carries urine from your bladder (the urethra). If anything presses on the urethra this can make it difficult for you to empty your bladder properly. Your doctor may suggest an operation to take away some of the cancer so that you can pass urine more easily again. This operation is not done to cure your cancer. But it can relieve symptoms caused by the cancer pressing on your urethra…..

This operation is also often used for men who have a non cancerous (benign) swelling of the prostate gland called benign prostatic hypertrophy (BPH). In this section of CancerHelp we are just describing its use as a treatment for prostate cancer. This type of surgery is called a TUR or TURP, which stands for ‘transurethral resection of the prostate’……

 

What is a TURP ?

Transurethral Resection of the Prostate (TURP) is a surgical removal of part of the prostate gland. The prostate gland is part of a man’s reproductive system. It makes and stores seminal fluid, a milky fluid that nourishes sperm and forms part of semen. The prostate is about the size of a walnut. It is located below the bladder and in front of the rectum.

 

How a TURP is done ?

A TURP is carried out by passing a thin tube up the urethra through your penis. The tube has a tiny camera and an eyepiece, so that the surgeon can see inside your urethra. They remove the blockage using an instrument attached to the tube that can cut away the abnormal areas. Afterwards you usually need to stay in hospital for about 2 or 3 nights…..

 

After a TURP

It’s best if you can start moving around as soon as possible. You’ll probably be up and about within 24 hours. You may have a drip (intravenous infusion) to replace your body fluids. It will be taken out as soon as you are drinking normally again. It is important to drink plenty of fluids.

You may also have a tube (catheter) into your bladder to drain your urine into a collecting bag. After this surgery, it is quite normal to have blood clots forming in your urine. To prevent the blood clots blocking this catheter, fluid is passed into your bladder and drained out through the catheter (bladder irrigation)……

 

 

 

 

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A Brief Overview of Benign Prostatic Hyperplasia (bph)

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Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate gland due to increases in the number of cells of the prostate tissue. Although the enlarging effects of BHP cannot be reversed, it is nonmalignant (non-cancerous), and does not always progress to a cancerous state. In fact, about 80% of men will experience some degree of BPH by the age of 80.1 Enlargement typically starts around 40 to 45 years of age and continues throughout life. Men who are diagnosed with BHP are encouraged to go in for regular screenings (once a year) to monitor the growth of the prostate gland; nevertheless, many men will go years with out experiencing any symptoms.

Signs/Symptoms

When the prostate becomes enlarged it presses down on the urethra and causes urinary dysfunction. Depending on the degree of enlargement, men may experience any of the following symptoms:

Screening/Diagnosis

Screening and diagnostic procedures for BPH are similar to those used for Prostate Cancer.

* Weak urinary stream

* Prolonged emptying of the bladder

* Abdominal straining

* Hesitancy

* Irregular need to urinate

* incomplete bladder emptying

* Post-urination dribble

* Irritation during urination

* Frequent urination

* Nocturia– need to urinate during the night

* Urgency

* Incontinence-involuntary leakage of urine.

* Bladder pain

* Dysuria– painful urination

Treatment

As mentioned previously, BPH cannot be reversed, however there are medications available that help to relax the muscles of the bladder and prostate to ease urination. If medication treatments fail, more invasive procedures, such as transurethral resection, are used to relieve symptoms. Transurethral resection is the most common surgical procedure used to treat BPH and involves removal of part of the prostate through the urethra. This reduces the pressure on the urethra and normalizes urination. More recent technologies have been developed which use lasers and microwave thermotherapy (see p. 20). to vaporize or remove excess prostatic tissue, which accomplishes the same result as transurethral resection.

Craitlyn has written many other articles like this one at http://www.PreventProstateCancer.info. You can also find Craitlyn’s inexpensive guide on how to prevent prostate cancer at the same site.