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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Article Home Men's Health Enlarged prostate or BPH

Enlarged prostate or BPH

It is also called benign prostate hypertrophy. The prostate gland is the male organ situated beneath the bladder. It produces semen, a milky colored fluid which nourishes and transports sperm during ejaculation.

The prostate gland squeezes in to the urethra during the ejaculation and this mixes with fluid from the seminal vesicles and sperm from the testes to become ejaculate.


Enlarged prostate may be of a size of an apple or orange.

Enlarged prostate can cause

  • Compression of the urethra and block the urine flow partially or completely.
  • It can cause muscles of urethra to contract making the urethra difficult to relax and to allow the urine flow.

Symptoms

  • Difficulty in starting urination.
  • Weak urine stream.
  • Stopping and starting while urinating.
  • Dribbling at the end of urination.
  • Increased frequency of urination.
  • Increased frequency of urination at night.
  • Unable to complete the bladder completely.
  • Hematuria.
  • Repeated urinary tract infections.

Complications of BPH

  • Acute urinary retention.
  • Urinary tract infections.
  • Bladder stones.
  • Bladder damage.
  • Kidney damage.

Diagnosis of BPH

  • Physical examination.
  • Rectal examination.
  • Urine test.
  • Tran rectal ultrasound
  • Cystosopy.
  • CT urogram.
  • Urinary flow test.
  • Prostate-specific antigen blood test.

Treatment

  • Surgical removal of prostate gland.
  • TURP: Trans urethral resection of prostate.

Prevention

  • Reduce intake of beverages in the evening and night.
  • Limit intake of caffeine or alcohol.
  • Limit diuretics.
  • Limit decongestants and antihistamines.