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Sep 12, 2024 · Resources. Summary. Prostate removal surgery can lead to multiple side effects. Some, such as incontinence and erectile dysfunction, can be temporary. Others, such as infertility, may be permanent ...
- Overview
- Effects of an enlarged prostate
- BPH and ED
- When to see a doctor
- Treatment
- Surgical options
- Frequently asked questions
- Outlook
Older men tend to have larger prostates than younger men because the prostate continues to grow as a man ages. Enlargement of the prostate that is not the result of cancer is called benign prostatic hyperplasia (BPH).
BPH can cause problems with urination, and some treatments can lead to sexual problems and other side effects.
An enlarged prostate directly affects a man’s ability to urinate. These effects include:
•a frequent need to urinate
•a feeling of not emptying the bladder
•intense urges to urinate
•a weak urine stream
•problems starting or stopping urination
BPH and ED are separate conditions that are connected. ED usually means that a man is not able to achieve or maintain an erection.
Although ED may be caused by a variety of health problems, such as heart disease, diabetes, low testosterone levels, or psychological issues, it can also be made worse by BPH.
Some medications used to treat an enlarged prostate can cause ED. However, some medications used to treat ED can help improve symptoms of BPH.
Although no medication prescribed for ED has been approved to treat an enlarged prostate, early studies suggest that men who take ED medications may experience some relief from their prostate symptoms.
Several ED medications have shown some success in treating enlarged prostates. These include:
•vardenafil (Levitra)
The American Cancer Society recommend that the following men get their prostates screened regularly, after discussing the risks and benefits with their doctors:
•those over 50 with an average risk of developing prostate cancer
•those over 45 with a moderate risk
•those over 40 with a high risk
A prostate screening can help rule out cancer as the cause of a person’s symptoms.
In general, a man should seek medical attention if he experiences any symptom of an enlarged prostate.
Several treatment options may help reduce the severity of enlarged prostate symptoms. A man experiencing symptoms should explore the choices available with his doctor. Treatments may include medications, surgical options, and home remedies or lifestyle changes.
Some medications available to treat an enlarged prostate include:
•doxazosin
•terazosin finasteride
•dutasteride
•dutasteride-tamsulosin
If medication does not alleviate the symptoms, a doctor may recommend surgery. Surgical options include:
•TURP (transurethral resection of the prostate), where some prostate tissue is removed
•TUIP (transurethral incision of the prostate), where grooves are made in the prostate
•TUMT (transurethral microwave thermotherapy), where microwaves destroy excess prostate tissue
•prostatic urethral lift, where prostate tissue is moved away from the urethra
The TURP procedure is a well-established treatment for an enlarged prostate, but it is the most invasive option. Compared with the other procedures, TURP also results in more sexual side effects, such as ED and ejaculation problems.
Why do you pee more at night with an enlarged prostate?
When the prostate is very enlarged, it pushes against the bladder and urethra (the tube that urine leaves your body through). As a result of this pressure, the urge to urinate occurs more frequently – which is more noticeable to a person at night time when they are trying to rest.
Does prostatitis get worse at night?
Yes, symptoms of prostatitis include the need to urinate more frequently – especially at night time.
What should a person do before bed for an enlarged prostate?
According to Prostate Cancer UK, certain lifestyle changes, some of which can be done before bedtime, can alleviate symptoms of an enlarged prostate. These include: •reducing the intake of alcohol, sweeteners, and fizzy soda •avoiding drinking in the evening and before bed •checking whether medicines are contributing to symptoms •maintaining a healthy weight •exercising regularly, specifically Kegel exercises which can improve symptoms associated with an enlarged prostate
Many men will develop an enlarged prostate as they age, because the gland does not stop growing throughout their lifetime. As men age they should get regular prostate screenings to check for prostate cancer.
Several medications, lifestyle changes, and surgical options are available to help reduce the effects of living with an enlarged prostate. With proper treatment, men can usually maintain a regular sex life.
- It grows, and grows, on you. The prostate gland, located in the reproductive system below the bladder and surrounding the urethra, goes through two growth periods.
- It tends to stall things. The most common symptoms of enlarged prostate involve changes and problems with urination. These include higher frequency of urination (especially at night), difficulty starting to pee and an interrupted or weak stream, leakage and an inability to completely empty the bladder.
- Its manliness is unclear. The male hormones testosterone and dihydrotestosterone (DHT) may contribute to an enlarged prostate, in that DHT promotes the growth of prostate cells and some experts believe DHT levels rise as men age.
- Detection can be, but isn’t always, behind you. Yes, the most common test for detecting an enlarged prostate is a digital exam (when the physician inserts a finger into the rectum and feels the prostate).
Regarding surgical therapies, trans-urethral resection of the prostate (TURP) and incision of the prostate (TUIP) are associated with 50–70% and 21–35% of RE. The RE rate is important after open simple prostatectomy but can be reduced with robotic approaches and urethral sparing techniques (19%).
May 13, 2024 · An enlarged prostate may also be incidentally found on imaging of the pelvis or digital rectal exam. The international prostate symptom score (IPSS) is an 8-question (7 symptom questions + 1 quality of life question) scoring system used in assessing clinical severity, tracking symptoms, and aiding the management of benign prostatic hyperplasia.
This procedure uses imaging tests and robotic tools to guide a device into the urethra. The device releases tiny, powerful jets of water to remove extra prostate tissue. This can ease symptoms of an enlarged prostate. Robotic waterjet treatment can cause some of the same side effects that TURP can cause.
People also ask
Does benign prostatic hyperplasia cause enlarged prostates?
What is benign prostatic enlargement?
Can a digital test detect an enlarged prostate?
Jan 30, 2023 · Introduction. Benign prostatic hyperplasia (BPH) or benign prostatic enlargement refers to the benign enlargement of the prostate gland and is a common condition in men as they age. Bladder outlet obstruction (BOO) and BPH are interchangeable terms which can lead to lower urinary tract symptoms (LUTS) by causing compression or narrowing of the ...
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