Benign Prostate Enlargement

Benign Prostate Enlargement
Definition of benign enlargement of the prostate

Benign prostate enlargement (BPH) is non-cancerous (and non-cancerous) prostate enlargement that can affect urination. This condition is common in men aged 50 years and over. The prostate is a gland in the urogenital system (urinary tract and genitals) in humans that works to produce fluid that feeds sperm into sperm.
Additional explanation
The symptoms


There are several symptoms of benign enlargement of the prostate, such as:

  • Low urine flow when urinating
  • Need to be encouraged when we urinate
  • Cannot empty the bladder completely
  • Urinate more than twice at night (nocturia)
  • Urge to urinate suddenly
  • There is blood in the urine
  • Urinary incontinence or inability to maintain or control urination, such as nocturnal enuresis
  • It hurts when you urinate

The cause

The cause of BPH is not yet known, but it is suspected that prostate enlargement may be caused by changes in the balance of male sex hormones as we age. Some risk factors associated with BPH include the aging process, family history, heart disease and diabetes, and obesity.
diagnosis

To diagnose BPH, the doctor will usually do a physical examination and other tests, including:

  • Digital rectal examination to check prostate enlargement
  • Urine examination to eliminate other diseases with the same symptoms
  • Blood tests to detect kidney problems that may appear as complications (complications) from BPH
  • Blood test with prostate specific antigen (PSA) to monitor the disease and determine the treatment given
  • Residual volume tests in urine (residual volume tests after cancellation) use ultrasonography to measure the amount of urine left in the bladder.
  • Urine flow tests to assess the condition of prostate hypertrophy is improving or worsening
  • Pay attention to the amount of urination at night
  • Transrectal ultrasound (USG) to measure the prostate
  • Prostate biopsy to help diagnose and get rid of prostate cancer
  • Cystoscopy to visualize the urethra and bladder

treatment

Treatment consists of treating BPH based on general health, age and severity of symptoms caused by prostate enlargement. Several ways can be used to reduce symptoms, including:

  • Reduce or stop drinking alcohol and caffeine, especially after dinner
  • Exercise regularly
  • Limit the use of drugs that make emptying the bladder difficult, such as decongestants or antihistamines
  • Reduce stress

The doctor can recommend the following treatments:

  • Medications such as alpha-1 blockers (alpha 1 blockers) to relax the muscles of the bladder
  • Medication to reduce testosterone levels
  • Antibiotics to treat infections due to prostate enlargement
  • Specific procedures such as transurethral resection of the prostate (TURP), transurethral needle ablation (TUNA) or open prostatectomy can be recommended if the drug fails.

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