Enlarged Prostate (BPH)
What is Enlarged Prostate (BPH)
There are many things you can do to look for yourself and nourish your body. But, as you age, your body changes in unpredictable ways. The prostate typically enlarges as a result of these alterations in men.
Although it’s a normal aspect of becoming older, BPH, or benign prostatic hyperplasia, can develop as a result at some point.
The portion of your urethra that exits your penis carrying pee and semen is encircled by your prostate. The urethra is constricted when you have BPH because your prostate is larger than it should be. Your pee stream may become weak as a result, waking you up frequently at night to use the restroom. It could also result in other unwelcome urinary symptoms.
Why Does BPH Occur?
Physicians are unsure of the precise cause of this. It’s unclear, but some speculate that it may be related to the typical hormonal changes that occur with ageing.
Your prostate actually doubles in size during early puberty. Later in life, at age 25, it starts to develop again. The majority of males continue to grow throughout their entire lives. It causes BPH in some people.
The urethra begins to feel pinched as the prostate gets bigger. Your urine flow may be affected by these symptoms, which include:
stumbling after you’ve finished
having trouble starting
You either pee in stops and starts or a feeble stream
Your bladder must work harder to force urine out when your urethra is pinched. The bladder’s muscles weaken over time, making it more difficult for it to empty. This may result in:
- Feeling the need to urinate despite having recently done so
- Excessive frequency of urination—eight or more times each day
- Incontinence (the inability to regulate when you urinate)
- I suddenly felt the need to urinate urgently.
- Many times each night, you must get up to pee.
- Bladder stones, bladder injury, bleeding, and urinary tract infections
It can, and a few of them are significant, although it seldom does, progress to other conditions. For instance, BPH may cause kidney damage or, in the worst case scenario, the inability to urinate at all.
Not having more or worse symptoms is not a result of having a bigger prostate. It varies depending on the individual. In fact, some men with extremely big prostates experience little to no discomfort.
Tests and Diagnosis
Your personal and family medical history will be the first topic of conversation with your doctor. You might also respond to questions on a survey about your symptoms and how they impact your daily life.
Your doctor will then perform a physical examination. A digital rectal exam might be part of this. To check the size and shape of your prostate, they put on a glove and gently insert one finger into your rectum.
Simple tests: One or more of these may be where your doctor starts:
Blood tests to check for kidney problems
tests on your urine to check for infections or other issues that could be the source of your symptoms
blood test for PSA (prostate-specific antigen). Increased PSA levels could indicate a larger-than-normal prostate. It can also be prescribed by a doctor as a prostate cancer screening.
Specialised exams: Your doctor may order additional tests based on the findings of those tests to rule out other issues or to provide a clearer picture of what’s going on. These could consist of:
various ultrasound techniques to assess the health of your prostate.
an ultrasound of the bladder to check how well you empty it.
to rule out cancer, a biopsy.
Test your urine flow to determine how much and how strongly you urinate.
testing your urodynamics to determine how well your bladder works.
A procedure called a “cystourethroscopy” uses a camera to look inside the prostate, urethra, and bladder.