Enlarged Prostate
Enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a common condition in aging men characterized by the non-cancerous enlargement of the prostate gland.
Here’s an overview of its symptoms, causes, and treatments:
The prostate gland, located beneath the bladder and surrounding the urethra, plays a role in the male reproductive system by producing fluid that nourishes and transports sperm. As men age, the prostate gland often enlarges, leading to compression of the urethra and causing urinary symptoms.
Symptoms of an enlarged prostate may include:
Urinary Frequency: Increased frequency of urination, especially at night (nocturia).
Urgency: Sudden, urgent need to urinate.
Weak Urine Stream: Decreased force or caliber of the urine stream.
Incomplete Emptying: Feeling of incomplete emptying of the bladder after urination.
Straining: Difficulty initiating urination or straining to urinate.
Urinary Retention: In severe cases, urinary retention may occur, leading to the inability to urinate.
The exact cause of BPH is not fully understood, but several factors may contribute to its development, including:
Hormonal Changes: Hormonal changes associated with aging, particularly an increase in dihydrotestosterone (DHT), may contribute to prostate enlargement.
Age: BPH is more common in older men, with prevalence increasing with age.
Family History: A family history of BPH may increase the risk of developing the condition.
Obesity: Obesity or excess weight may be associated with an increased risk of BPH.
Other Medical Conditions: Conditions such as diabetes or heart disease may increase the risk of developing BPH.
Treatment options for enlarged prostate depend on the severity of symptoms and their impact on quality of life, and may include:
Watchful Waiting: Monitoring the condition without immediate intervention, particularly for mild symptoms.
Medications: Alpha-blockers, 5-alpha reductase inhibitors, or combination medications may be prescribed to relax the muscles of the prostate gland and reduce its size or relieve urinary symptoms.
Minimally Invasive Procedures: Procedures such as transurethral resection of the prostate (TURP), laser therapy, or prostatic stents may be recommended for moderate to severe symptoms that do not respond to medication.
Surgery: Surgical removal of the prostate gland (prostatectomy) may be necessary for severe cases of BPH or complications such as urinary retention.