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Benign Prostate Hypertrophy

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21 Aug, 2018

When you suffer from urination difficulty, do not ignore it. Visit your doctor immediately to find out the reason.  It can be associated with prostate disorders such as Benign Prostate Hypertrophy (BPH). This article will help you understand more about BPH so that you can take proper measures to treat it.

BPH is a medical condition in men in which the prostate becomes enlarged and not cancerous. The prostate is a part of the male reproductive system, located in the pelvis, between the penis and bladder.


But how it is linked to problems with urination?

When the prostate becomes enlarged, it creates pressure on the bladder and urethra (the tube through which urine passes). Due to this, you may suffer from urination problems such as -

  • urgency of urinating
  • frequent urination
  • finding it difficult to start urinating and emptying completely
  • straining to urinate
  • urine incontinence
  • a weak flow of urine


Who is at risk?

The occurrence of BPH in men is most commonly associated with aging, especially in those above 50 years.  If you are becoming older, have a family history of BPH or any one of the medical condition such as obesity, heart disease, type 2 diabetes or have erectile dysfunction, you are most likely to suffer from BPH.


Why are older men the targets for BPH?

The exact cause is unknown. However, with age, there is a hormonal imbalance. This could trigger the prostate cell growth.


How will you diagnose your condition?

Diagnosis will be done based on your clinical symptoms, medical history, physical examination, laboratory and urodynamic tests. All this will help your doctor to find out the cause and severity of the condition. You may be asked to maintain a diary to record your urinary frequency. Few tests such as uroflowmetry, bladder pressure studies, and urinary tract imaging etc. are conducted. In physical examination, prostate gland enlargement is checked by performing digital rectum examination tests.


How will you be treated?

Treatment of BPH may vary depending on the severity of your symptoms. A treatment plan that will help you to overcome BPH includes

  1. lifestyle changes
  2. medication
  3. surgery


To get relief from your symptoms you might need to change your lifestyle. Lifestyle changes may include

  1. reducing the level of caffeine, aerated drinks, artificial sweeteners and alcohol from the diet
  2. reducing intake of drinks before going to bed
  3. checking your medicines with doctors like antidepressant or decongestants may make your urinary symptoms worse
  4. undergoing bladder training which will help the bladder to hold urine for a longer time

Your doctor will give you the following medications depending on your symptoms

  1. alpha blocker
  2. a 5-α reductase inhibitor
  3. Anticholinergics
  4. Diuretics

It is observed that a 5-α reductase inhibitor and terazosin (α-blocker), significantly improves the lower urinary tract symptoms and increases the urinary flow rates in men with BPH.

You may need a catheter in case you persistently have trouble urinating, a condition called chronic urine retention. This will allow drainage of your bladder. Most men do not need a surgery. However, in case no other treatment works well, surgery can be an option.