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What is Benign Prostatic Hyperplasia (BPH)?
- Symptoms. When the prostate is enlarged, it can bother or block the bladder. Needing to pass urine often is a common symptom of BPH.
- Causes. The causes of BPH are not clear. It mainly occurs in older men. ...
- Diagnosis. See your doctor if you have symptoms that might be BPH. ...
- Treatment. There are many options for treating BPH. ...
Nutrition
When it comes to BPH, so yes, some medications and surgery are available to cure BPH. Men with enlarged prostate are often recommended to opt for surgery as the first-line option. Still, for a few men, these solutions never remain the favorable option because the complications are high in addition to the solution.
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Results: Data suggests that vitamin D has an inhibitory effect on the RhoA/ROCK pathway, along with cyclooxygenase-2 expression and prostaglandin E2 production in BPH stromal cells. Increasing intake of vitamin D from diet and supplements has shown a correlation with decreased BPH prevalence.
How to cure BPH?
What does BPH mean medically?
Can BPH be cured?
Do supplements help with BPH?
What is the procedure for BPH?
Two types of open prostatectomy for BPH — suprapubic and retropubic — employ an incision extending from below the umbilicus (navel) to the pubis. A suprapubic prostatectomy involves opening the bladder and removing the enlarged prostatic nodules through the bladder.
How does BPH affect men?
BPH produces symptoms by obstructing the flow of urine through the urethra. Symptoms related to BPH are present in about one in four men by age 55, and in half of 75-year-old men. However, treatment is only necessary if symptoms become bothersome.
How does a prostatic urethral lift work?
In contrast to the other therapies that ablate or resect prostate tissue, the prostatic urethral lift procedure involves placing UroLift implants into the prostate under direct visualization to compress the prostate lobes and unobstruct the prostatic urethra. The implants are placed using a needle that passes through the prostate to deliver a small metallic tab anchoring it to the prostate capsule. Once the capsular tab is placed, a suture connected to the capsular tab is tensioned and a second stainless steel tab is placed on the suture to lock it into place. The suture is severed.
What is the procedure to remove the prostate?
Prostatectomy is a very common operation. About 200,000 of these procedures are carried out annually in the U.S. A prostatectomy for benign disease (BPH) involves removal of only the inner portion of the prostate (simple prostatectomy). This operation differs from a radical prostatectomy for cancer, in which all prostate tissue is removed. Simple prostatectomy offers the best and fastest chance to improve BPH symptoms, but it may not totally alleviate discomfort. For example, surgery may relieve the obstruction, but symptoms may persist due to bladder abnormalities.
What conditions mimic BPH?
A medical history will give clues regarding conditions that can mimic BPH, such as urethral stricture, bladder cancer or stones, or abnormal bladder/pelvic floor function (problems with holding or emptying urine) due to a neurologic disorder ( neurogenic bladder) or pelvic floor muscle spasms.
How long does urethral obstruction last?
Symptoms, as well as objective measurements of urethral obstruction, can remain stable for many years and may even improve over time for as many as one-third of men, according to some studies. In a study from the Mayo Clinic, urinary symptoms did not worsen over a 3.5-year period in 73% of men with mild BPH.
Is BPH genetic?
Not long ago, a study found a possible genetic link for BPH in men younger than age 65 who have a very enlarged prostate: Their male relatives were four times more likely than other men to need BPH surgery at some point in their lives, and their brothers had a sixfold increase in risk.
What is BPH in men?
Benign prostatic hyperplasia (BPH) — also called prostate gland enlargement — is a common condition as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems. There are several effective treatments ...
Why do men have to have surgery for prostate?
Some men with an enlarged prostate need surgery to relieve urinary retention. Urinary tract infections (UTIs). Inability to fully empty the bladder can increase the risk of infection in your urinary tract. If UTIs occur frequently, you might need surgery to remove part of the prostate.
What happens when the prostate is enlarged?
When enlarged, the prostate may obstruct urine flow from the bladder and out the urethra. The prostate gland is located beneath your bladder. The tube that transports urine from the bladder out of your penis (urethra) passes through the center of the prostate. When the prostate enlarges, it begins to block urine flow.
Does diabetes increase BPH?
Diabetes and heart disease. Studies show that diabetes, as well as heart disease and use of beta blockers, might increase the risk of BPH. Lifestyle. Obesity increases the risk of BPH, while exercise can lower your risk.
What is the most common surgical procedure for BPH?
Transurethral resection of the prostate (TURP): This is the most frequently used surgical procedure, making up roughly 90 percent of all prostate surgeries for BPH. During TURP, an instrument called a resectoscope is inserted into the urethra and guided to the prostate.
Why is prostatectomy performed?
Simple prostatectomy: An open prostatectomy is often performed when a transurethral procedure is unable to be done because either the prostate is too large, or the bladder has been impaired or contains stones.
How is the prostate cut?
Using general or spinal anesthesia, a cut is made through the abdomen or the area behind the scrotum, and only the inner portion of the prostate gland is extracted, while the outer segment is left intact. Laser surgery: This surgical technique uses a high-energy laser to vaporize and destroy prostate tissue.
Does self care help with BPH?
Although self-care measures e ase BPH symptoms , they do not reduce the size of the prostate or prevent it from swelling further, meaning other treatments are often required. Medication can improves urinary flow and reduce the prostate size, but it may not be a long-term solution.
Can BPH cause urination?
Benign prostatic hyperplasia (BPH) treatment varies depending on the seriousness of the enlarged prostate symptoms, how much those symptoms impact daily life, and the presence of other medical conditions. Having an enlarged prostate can cause changes in urinary function —from urinating too frequently to not urinating at all.
What is a BPH?
BPH is an enlarged prostate. The prostate goes through two main growth cycles during a man’s life. The first occurs early in puberty, when the prostate doubles in size. The second phase of growth starts around age 25 and goes on for most of the rest of a man's life. BPH most often occurs during this second growth phase.
What is the best way to prevent BPH?
Your health care provider will look for worse or new issues before suggesting anything else. Diet and exercise are often recommended as a way to prevent or manage your symptoms. Active surveillance is best for men with mild to moderate symptoms. It is also an option for men who are not bothered by the effects of BPH.
What is the best treatment for prostate cancer?
Alpha Blockers. Alpha blockers relax the muscles of the prostate and bladder. They improve urine flow, reduce blockage of the urethra and reduce BPH symptoms. They do not reduce the size of the prostate. Men with moderate to severe BPH and men who are bothered by their symptoms are good candidates.
How long does a catheter stay in the bladder after prostate surgery?
This reduces the pressure of the prostate on the urethra and makes urination easier. A catheter is left in your bladder for one to three days after surgery.
Why is BPH not developed?
This is because BPH does not develop in men whose testicles were removed before puberty.
Where is the prostate located?
The prostate is found below the bladder and in front of the rectum. It goes all the way around a tube called the urethra, which carries urine from the bladder out through the penis. The prostate’s main job is to make fluid for semen. During ejaculation, sperm made in the testicles moves to the urethra.
How does water vapor work on prostate?
This treatment uses water vapor (steam) to destroy prostate cells squeezing the urethra. Inside a handheld device, sterile water is heated to just above the boiling point, when it turns into steam. A precise dose of thermal energy from the steam is then injected into the prostate with a small needle.
How to treat enlarged prostate?
The AUA recommends the following treatment for an enlarged prostate based on the severity of symptoms: 1 Mild symptoms that don't bother you (AUA score 0 to 7): If you are not bothered by your symptoms, and they don't affect your daily life, watchful waiting is the best option for you. You should get regular checkups to make sure that you are not developing complications. 2 Moderate to severe symptoms (AUA score of 8 or more): If you are not bothered by your symptoms, you may choose watchful waiting. However, if your symptoms do start to interfere, you may choose medication, a minimally invasive procedure, or surgery. 3 Moderate to severe symptoms (AUA score of 8 or more) with complications: If symptoms are bothersome and you have developed complications such as inability to urinate, you may need a catheter, surgery, or other treatment.
What is a 0 to 7 prostate?
A score of 0 to 7 is considered a mild symptom score; 8 or over is considered moderate to severe. The AUA recommends the following treatment for an enlarged prostate based on the severity of symptoms: Mild symptoms that don't bother you (AUA score 0 to 7): If you are not bothered by your symptoms, and they don't affect your daily life, ...
Can BPH cause erection problems?
Side effects of treatments: Some BPH treatments cause erection problems, although that risk is low. Men who have normal erections before surgery will not likely have trouble afterward.
Can you treat enlarged prostate without treatment?
If your enlarged prostate symptoms are mild and not bothersome, there's likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment. They may just watch and wait.
How to get rid of a BPH?
Lower the amount of fluids you drink, especially before you go out or go to bed. Drink less caffeine and alcohol. Medicine: For mild to moderate BPH, your doctor might suggest medicine.
What is the best way to check if your prostate is healthy?
Different types of ultrasound to measure your prostate and see if it looks healthy. A bladder ultrasound to see how well you empty your bladder. Biopsy to rule out cancer. Urine flow test to measure how strong your stream is and how much pee you make. Urodynamics testing to evaluate your bladder function.
What happens to the prostate as you get older?
Still, as you get older, your body changes in ways you can’t always control. For most men, one of those changes is that the prostate gets bigger. It’s a natural part of aging, but at some point, it can lead to a condition called BPH, or benign prostatic hyperplasia. Your prostate surrounds part of your urethra, ...
What does high PSA mean in urine?
Urine tests to look for infection or other problems that could be causing your symptoms. PSA (prostate-specific antigen) blood test. High PSA levels may be a sign of a larger-than-usual prostate. A doctor can also order it as screening for prostate cancer.
What test is done to check prostate size?
This may include a digital rectal exam. During this, they put on a glove and gently insert one finger into your rectum to check the size and shape of your prostate. Basic tests: Your doctor may start with one or more of these: Blood tests to check for kidney problems.
Is BPH a cancer?
BPH isn’t prostate cancer and doesn’t make you more likely to get it. It’s a common condition, especially in older men, and there are a lot of treatments for it, from lifestyle changes to medication to surgery. Your doctor can help you choose the best care based on your age, health, and how the condition affects you.
Can BPH cause a weak urine stream?
When you have BPH, your prostate is larger than usual, which squeezes the urethra. This can cause your pee stream to be weak, waking you up a lot at night to go to the bathroom along. it also could lead to other bothersome urinary symptoms. BPH isn’t prostate cancer and doesn’t make you more likely to get it. ...
What is it called when a man has minimal symptoms of BPH?
Men experiencing minimal symptoms of BPH may choose to practice what is called active surveillance. This means to simply monitor your condition and continue to meet with his physician regularly until changes warrant intervention.
What is the best treatment for prostate cancer?
Alpha Blockers. Alpha blockers relax the smooth muscle around the bladder neck and within the urethra. Inhibitors. Inhibitors stop the conversion of the male hormone testosterone to DHT to reduce the prostate's size, eliminating blockage.
Why does my prostate grow again?
There is not a consensus among physicians on exactly why the prostate begins to grow again, though it is widely speculated that an excess of certain hormones may be the catalyst. One study has shown a high correlation between DHT levels (dihydrotestosterone) in the blood and enlarged prostates.
What is the difference between prostate surgery and laser surgery?
Laser surgery - Laser surgery uses laser energy to destroy prostate tissue and shrink the prostate. Transurethral incision of the prostate (TUIP). This surgery does not involve removing prostate tissue.
What does low flow and high pressure mean?
A low flow and high pressure usually indicate obstruction to the urinary outlet. Cystoscopy. During cystoscopy, a small flexible fiberoptic camera is inserted into the urethra and bladder to evaluate the anatomy of the urethra, prostate, and bladder.
How big is a prostate?
In a post-pubescent male, the prostate is about the size of a walnut and stays that way until age 40. For a still unknown reason, the prostate experiences a second growth spurt and can grow to the size of an apricot or even a lemon.
Why is a healthy prostate important?
To begin with, a healthy prostate is important in supporting sperm nourishment and transport. When a man ejaculates, the prostate produces the semen that propels the sperm. In a post-pubescent male, the prostate is about the size of a walnut and stays that way until age 40.
What happens when you have a BPH?
When a person has BPH, the enlarged prostate can press on the urethra, resulting in a blockage and urination problems. BPH occurs when the cells in the prostate multiply, and the gland becomes enlarged. It is a common occurrence. BPH is a benign condition, which means that it is not cancerous.
What are the most common causes of BPH?
Medical conditions: Individuals with obesity, cardiovascular problems, type 2 diabetes, and erectile dysfunction are more likely to have BPH. Lack of exercise: People who do not exercise regularly may have a higher risk of BPH. It is not possible to control all of these factors.
What is benign prostatic hyperplasia?
Tips. Outlook. Benign prostatic hyperplasia is a condition in which the prostate gland grows larger. The enlarged prostate may block or slow the passage of urine from the urethra. Benign prostatic hyperplasia (BPH) usually appears after the age of 40 years. The person may notice that they urinate more often, especially at night.
What age is the most at risk for BPH?
People over 40 years of age are more at risk of developing BPH. The prostate is a small gland that is part of the male reproductive system. It sits under the bladder and surrounds the urethra. The urethra is a thin tube-like structure through which semen and urine leave the body.
How to detect prostate cancer?
eating a healthful diet that contains plenty of fresh fruits and vegetables. avoiding alcohol or drinking it in moderation. Screening for prostate cancer aims to detect cancer in the early stages, but it can also show if BPH is present. This detection can enable early treatment, if necessary.
How much does the prostate gland weigh?
Studies suggest that the average prostate gland weighs. Trusted Source. : 25–30 grams (g) for men between the ages of 40 and 49 years. 30–40 g when they are 50 to 59 years of age. 35–45 g when they reach 60 years of age. BPH is a benign condition, which means that it is not cancerous.
What is the procedure to remove prostate tissue?
A prostatic urethral lift: The surgeon uses a needle to insert implants that raise the prostate so that it does not block the urethra. Convective water vapor ablation : This procedure uses steam to kill unwanted prostate tissue. A surgeon will inject thermal energy from the steam into the prostate with a needle.

Overview
Symptoms
Causes
Risk Factors
Complications
- Your doctor will start by asking detailed questions about your symptoms and doing a physical exam. This initial exam is likely to include: 1. Digital rectal exam.The doctor inserts a finger into the rectum to check your prostate for enlargement. 2. Urine test.Analyzing a sample of your urin…
Mayo Clinic Men's Health Center