Benign Prostatic Hypertrophy With Outflow Obstruction | All About Benign Prostatic Hypertrophy

You always take care of your body, but after some age, body changes is a natural process, and we can not control it.

For men, one of those body changes is the prostate gland gets bigger.

This gland becomes large as it becomes difficult to urinate. This problem is usually found only after 60 years, i.e., in older men.

Benign Prostatic Hypertrophy With Outflow Obstruction 

The size of the prostate gland progress as the age of the men increases. It has happened for a long time, and it can cause bladder problems for some men.

Health problems can also cause bladder control. Men with poor bladder control can be upset and confused by this problem.

If you have a change in your bladder control or are more concerned about your prostate gland, talk to your doctor or Continence advisor.

I had earlier shared this post: All About Prostate Cancer

Table of Contents

Causes of benign prostatic hypertrophy

The prostate size in men is likely to increase due to the following reasons, such as:

  • The cause of this problem is unknown; there is a decrease in age-related hormones.
  • Any prostate problem in the family or any testicular abnormality also increases the risk of prostate enlargement. Men who pass tests at an early age do not have this problem.
  • People 40 years of age or older.
  • Even if someone has had such a problem before, such as heart disease, circulatory diseases, obesity, diabetes, it can still happen.
  • Do not exercise
  • Erectile dysfunction

signs and symptoms

  • Go to frequent urination at night.
  • Slowing and thinning of urine.
  • A slight delay in the onset of urination.
  • Intermittent urination.
  • There is a strong desire to leave early when urinating, but no control over it and sometimes urinating in clothes.
  • Even after urination, there is a drop of urine.
  • Not having complete urination and not having the satisfaction of urinating altogether.
  • Severe If left untreated, it can cause severe problems after a while.

 Diagnostic evaluation

  • Blood test
  • USG
  • prostate-specific antigen test
  • rectal examination

Complications

If symptoms are easy to ignore., Early treatment can save you from potentially dangerous complications. Consult your doctor if you notice any symptoms

People with BPH for a long time may experience the following difficulties.

  • Stasis of bacteria in the bladder residue
  • An increased risk of urinary tract infection.
  • Urinary bladder stones.
  • Urinary retention,
  • Obstructive uropathy.
  • Hydronephrosis.
  • Bladder damage

Usually, urinary incontinence from BPH is so severe that no urine can leave the bladder alone. It’s called bladder break obstruction.

It can be risky because urine trapped in the bladder can infect the urinary tract and damage your kidneys.

Management

Lifestyle

  • Patients should decrease fluid intake before bedtime, moderate alcohol consumption, and caffeine-containing products, and follow timed voiding schedules.

Drug Therapy

  • There two main medications for the management of BPH are alpha-blockers and 5α-reductase inhibitors.
  • Alpha-blockers (technically α1-adrenergic receptor antagonists) are the most common choice for initial therapy in the USA and Europe. Alpha-blockers used for BPH include doxazosin,terazosin, alfuzosin, tamsulosin, and silodosin.
  • The 5α-reductase inhibitorsvfinasterideand dutasteride are another treatment option. These medications inhibit 5a-reductase, which in turn inhibits the production of DHT, a hormone responsible for enlarging the prostate

Surgical treatment

TURP(Transurethral resection of the prostate )

It is a surgical procedure involving the removal of prostate tissue using a resectoscope inserted through the urethra.

Transurethral Microwave Therapy: It is an outpatient procedure consisting of microwaves directly to the prostate through a transurethral probe to raise the prostate tissue’s temperature to about 115.F(45.C).

The heat causes the death of tissue, thus relieving the obstruction.

Laser Prostatectomy: The use of laser therapy through visual or ultrasound guidance is an effective alternative to TURP in treating BPH.

Conclusion

Benign prostatic hypertrophy is one of the common conditions in aging men. The prostate gland becomes more significant in size.  Symptoms are frequent urination at night, difficulty in urination, the repeated urge of urination, etc.  Medical and surgical treatment can cure this condition. If it is not cured, it can cause serious problems.

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