Symptoms, risks, and treatments of Enlarged Prostates
Find out more about steps you can take for an enlarged prostate
Prostate enlargement eventually happens to all men as they get older. As the prostate gland grows, it can press
on the urethra and cause urination and bladder problems. The prostate is a male reproductive gland that produces
the fluid in sperm. Another name for an enlarged prostate is benign prostatic hyperplasia (BPH) or benign prostatic
hypertrophy. The condition is not cancer, and it does not raise your risk for prostate cancer. Although the actual
cause of prostate enlargement is unknown, experts believe that factors linked to aging and the testicles themselves
may play a role in the enlargement of the gland. It is a known fact that men who have had their testicles removed
at a young age do not develop BPH. Conversely, if the testicles are removed after a man develops BPH, the prostate
correspondingly shrinks in size.
The likelihood of developing an enlarged prostate will increase over time, and accordingly, a small amount of
prostate enlargement is present in many men over age 40 while it is present in more than 90% of men over age
80.
Symptoms of an enlarged prostate
Some of the symptoms of BPH include a slowed or delayed start of the urinary stream, weak urine stream,
straining to urinate, strong and sudden urge to urinate, incomplete emptying of your bladder, dribbling after
urinating, pain with urination or bloody urine (these may indicate infection), urinating repeatedly during the
night, urinary retention (complete inability to urinate), and incontinence. Keep in mind that half of all men who
have enlarged prostates don’t experience any symptoms at all.
Treatment
The severity of your symptoms, the extent to which they affect your daily life, and the presence of any other
medical conditions will determine your treatment. Treatment options include medication, lifestyle changes, or
surgery. You are more likely to have symptoms if you are over 60. However, many men with an enlarged prostate have
only minor symptoms, and steps taken at home are often enough to make you feel better.
You should have a yearly exam to monitor your symptoms if you have BPH.
Steps you can take at home
For mild symptoms, you can take some easy steps to minimize your symptoms. For example, urinate when you first
get the urge. Also, go to the bathroom when you have the chance, even if you don't feel a need to urinate. Remember
to avoid alcohol and caffeine, especially after dinner. Also, don't drink a lot of fluid all at once. Spread out
fluids throughout the day. Avoid drinking fluids within 2 hours of bedtime. Keep in mind that antihistamine
medications can exacerbate symptoms associated with enlarged prostates.
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