Enlarged Prostate

Overview

The prostate is a small organ- about the size of a walnut, which is responsible for the production of fluid for the semen. The prostate has a significant role in the male reproductive system. The prostate gland surrounds the urethra and the bladder neck. The prostate usually grows in two stages in the entire lifespan of a man.  The first growth stage occurs when a boy reaches puberty. The second growth stage happens when a man reaches 25 years and continuously grows as a man becomes older. Enlarged prostate happens when there is excessive production of cells causing the growth of the prostate gland. Even a person takes good care of his body; there are circumstances that one cannot control inside the body.

Benign prostate hyperplasia or BPH occurs when there is an abnormal proliferation of cells in the prostate gland causing it to swell and then compressing the bladder outlet and urethra. As the urethra is compressed, the passageway for urine and semen is limited. Also, when the bladder opening is compressed, this can hinder the complete emptying of the bladder. This is very disturbing especially at night because you will have more bathroom trips in order to pass out the remaining urine in the bladder. In addition, one can experience more urinary-associated problems due to the blockage or limited passage of urine.

Benign prostate hyperplasia is benign, which means it is not a form of cancer. It does not cause cancer to the body. However, benign prostate hyperplasia and prostate cancer can occur at the same time.

Signs & Symptoms

Erectile Dysfunction

Signs and symptoms of benign prostate hyperplasia are more often involving the passing out of urine through the lower urinary tract- bladder and urethra. The signs and symptoms of benign prostate hyperplasia includes: inability to empty the bladder completely, frequent trips to the bathroom at night-nocturia, inability to postpone urination, difficulty in starting to pass out urine, dribbling at the end of urination, the need to push or strain in order to urinate, and an obvious slow flow of urine. If benign prostate hyperplasia is left untreated, it can cause gross hematuria, urinary tract infection, not able to urinate at all or further complications can happen in the entire urinary system.

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Complications

Erectile Dysfunction

Benign prostate hyperplasia treatments are tested and proven, however, for some instances complications can also occur to some. There are a variety of complications that a man can experience but it also depends on what treatment he is into. For men taking medications for the treatment of enlarged prostate, take note of the following complications: hives, rashes, itchiness, irregular heartbeat, painful erection, swelling anywhere in the face and extremities, dizziness or fainting. If ever you experience any of those, you have to immediately inform your health care provider.

You can also expect complications from minimally invasive surgery but these subside over time. You may experience one or more of the following complications: urinary tract infection, dysuria, urinary frequency, urinary urgency, urinary retention, blood-tinged urine for the first few days, sexual problems, and chronic prostatitis.

For post-surgical patients, complications include urinary tract infection due to Foley catheter use or surgical site infection but these can be prevented because you will be prescribed with antibiotics to prevent infection. Home discharge instructions are also given on when to visit the clinic for removal or replacement of the Foley catheter. Discharge instructions also include when and how you can change the dressing on the post-surgical site at home. A man can also experience dysuria, urinary frequency, urinary urgency, or urinary retention after surgery but these gradually subside after more or less a couple of months. Blood-tinged urine for the first few days is expected after surgery. But if the urine contains bright red blood and large clots, you have to contact your urologist as soon as possible. Scarring could also occur in the urethra or bladder neck after several months post-surgery, it can result in obstruction of the passageway of urine. Erectile function is rarely affected after surgery and generally, surgery cannot bring back erection if it is not present prior to the surgery.

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Urology Treatments

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