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Prostate Enlargement and its Management

Dr. Poonam.V. Khiraya

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In some cases, however as prostate enlargement progresses and the urethra is squeezed more tightly the bladder cannot overcome the problem created by the narrow urethra. If this happens, the bladder cannot empty completely.

In a small percentage of men, blockage from BHP may lead to repeated urinary tract infections, sudden inability to urinate (acute urinary retention) or gradual bladder or kidney damage.

  • Difficulty in starting the flow of urine-you may have to push or strain
  • A weak urinary stream that may start and stop several times
  • A feeling of incomplete bladder emptying
  • Interruption of the stream (stopping and starting)
  • Urge to urinate again in less than two hours
  • A sense of urgency with difficulty in postponing urination
  • Increased frequency of urinating at night
How is BHP Diagnosed?
Your doctor will first ask you questions about your medical history and about any symptoms you have, particularly problems with urination. Your description of your symptoms is one of the most important parts of the evaluation for BHP.

Next comes the physical examination. The prostate is an internal organ so the physician cannot look at it directly. Because the prostate lies in front of the rectus, however, the doctor can feel it by inserting a gloved, lubricated finger into the rectum. This procedure is called the digital rectal examination.

This examination allows the physician to estimate whether the prostate is enlarged or has lumps. While this examination may produce momentary discomfort, it causes neither damage nor significant pain. Because only the central core of the prostate tissue may be enlarged in BHP, patients can be affected by BHP symptoms. On the other hand many men with enlarged prostate have no symptoms.

The digital rectal examination can detect not only BHP but also prostate cancer. Doctors usually recommend that men be checked once a year after the age of 50.

Is there anything I can do to ease the problem?
Yes, of course. There are many precautions that you can take for yourself to alleviate the symptoms.

The way you drink
  • Try drinking less fluid during the time when you are not near a bathroom, keeping in mind that you still need atleast 8 glasses of water every day. Compensate accordingly.
  • Do not drink too much liquids at one time or before going to bed.
  • Cut down on your intake of coffee, tea or other beverages containing caffeine and alcohol as these increase urine volume.

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