Benign prostatic hyperplasia BPH is an enlargement of the prostate caused by an overgrowth of cells called hyperplasia in the transition zone of the prostate the area around the urethra. BPH is a non-cancerous benign condition of the prostate. The following risk factors BPH anestetizzare your chance of developing BPH: getting older having extra fat on your abdomen called abdominal obesity not getting enough physical activity.
Men with BPH may not have any signs or symptoms. If signs and symptoms develop, they most often happen in men older than 50 years of age. Signs and symptoms of BPH start when BPH anestetizzare enlarged prostate puts pressure on the urethra and bladder. This can narrow constrict or block the urethra, which can cause changes in bladder habits and problems urinating.
BPH BPH anestetizzare cause the following, which are sometimes called lower urinary tract symptoms LUTS : difficulty passing urine more frequent urination called urinary frequencyespecially at night a strong or sudden urge to urinate called urinary urgency weak or slow urine stream being unable to empty the bladder BPH anestetizzare, which can lead to urinary tract infections and bladder stones difficulty starting the urine stream called straining having difficulty controlling the bladder called incontinencewhich can cause urine to leak and dribble blood in the urine.
If you have symptoms of BPH, your doctor will ask you how bad they are. You may also be asked BPH anestetizzare complete a questionnaire about your urinary symptoms and bladder habits. If your doctor thinks you might have BPH, you will be sent for tests to diagnose or rule out BPH anestetizzare as well as other problems, such as urinary tract infections or prostate cancer.
They include: a physical exam a digital rectal exam DRE urine tests, including urinalysis blood tests, including the prostate-specific antigen PSA test. Find out more about these tests and procedures.
You BPH anestetizzare your doctor will BPH anestetizzare which treatment is right for you. This decision is usually based on your symptoms, how bad your symptoms are called severityhow much BPH anestetizzare bother you, your test results and your preferences.
Treatment options for BPH include the following. Watchful waiting means using tests and exams to watch BPH to see if signs or symptoms are getting worse.
Other treatments will be started if BPH causes problems. Try BPH anestetizzare limit the fluids you drink, especially before bedtime. Also try to avoid fluids with caffeine such as coffee or soda and spicy foods. Some medicines can make the symptoms of BPH worse.
Talk to your doctor if you are taking the following medicines: drugs that increase the BPH anestetizzare of urine that the body makes called diuretics decongestants antihistamines antidepressants. You may want to try retraining your bladder. Instead of urinating every time you have the BPH anestetizzare, try urinating only at certain times of the day or after a certain amount of time such as every 3 hours. Talk to your healthcare team about learning pelvic floor exercises. They can strengthen the muscles in the pelvic floor to help control urination.
Constipation can BPH anestetizzare pressure on the bladder. If you have constipation, talk to your healthcare team about ways you can manage it. They may BPH anestetizzare lifestyle changes, such as getting more fibre and drinking more fluids or taking medicines to help relieve constipation.
Most doctors begin treating BPH with medicines before using other treatments such as surgery. The following drugs can be used to relieve symptoms. Talk to your doctor about these medicines and their side effects.
Alpha-blockers are drugs that relax the muscles near the prostate, which relieves pressure on the urethra and allows urine to flow more easily. Alpha-blockers usually start working within a week.
These drugs prevent the enzyme 5-alpha-reductase from changing testosterone into dihydrotestosterone, which makes the prostate grow. They work best in men with large prostates. BPH anestetizzare may take BPH anestetizzare months to a year before symptoms get better. Combination therapy may be an option for a man who has a large prostate and bothersome symptoms. It includes the alpha-blocker tamsulosin and the 5-alpha-reductase inhibitor dutasteride. These drugs are given together in one pill under the brand name Jalyn.
Phosphodiesterase-5 PDE5 inhibitors relax muscles in the bladder, urethra and prostate. It is also used to treat erectile dysfunction. Muscle relaxants can be used to help BPH anestetizzare bladder contractions, reduce leakage and reduce the BPH anestetizzare to urinate.
Doctors may give BPH anestetizzare muscle relaxant solifenacin Vesicare or mirabegron Myrbetriq with an alpha-blocker. It can also be used to relieve severe symptoms. TURP removes prostate BPH anestetizzare through the urethra. It is the surgery most commonly used to treat BPH. While TURP relieves urinary symptoms in most men, urinary problems can come back over time if the prostate starts BPH anestetizzare grow again.
This is why younger men may need to have this surgery more than once. This surgery is done in an operating room. The doctor passes a resectoscope through the urethra to reach the prostate. A resectoscope is a type of endoscope. It has a thin wire that carries an electric current.
The doctor uses the electric current to cut away prostate BPH anestetizzare around the urethra. The doctor BPH anestetizzare removes this tissue through the resectoscope. The most common side BPH anestetizzare of TURP include: bleeding infection semen flowing into the bladder instead of out the end of the penis called retrograde ejaculation. In rare cases, men may develop erectile dysfunction or incontinence after TURP.
But this surgery has a lower risk of these side effects than surgery to remove the prostate called prostatectomy. Laser prostatectomy uses a laser to destroy prostate tissue.
Doctors do BPH anestetizzare procedure with a laser that is passed through a cystoscope a lighted magnifying instrument that is BPH anestetizzare to look at and treat areas inside the urethra and bladder. A laser prostatectomy can be done by holmium laser enucleation or photoselective vaporization PVP.
Transurethral incision of the prostate TUIP uses BPH anestetizzare special tool on a cystoscope to make small incisions surgical cuts in the prostate. TUIP is mostly used in men with smaller prostates. The electrode delivers electricity to heat prostate tissue until it is destroyed. Prostatic urethral lifts are implants that the doctor places in the prostate to help pull it away from the urethra.
Prostatectomy is surgery to remove the prostate. It BPH anestetizzare also be used if the urethra is completely blocked or if the prostate is very large. The muscles that make up the lower part of the pelvis.
These muscles support the BPH anestetizzare inside the pelvis. A male sex hormone that causes male sex characteristics BPH anestetizzare develop such as deep voice and facial hair and stimulates the development of the male reproductive system and sexual activity. Testosterone is made BPH anestetizzare by the testicles. Small amounts of testosterone are also made in the adrenal glands. It may also be produced in the lab to treat certain conditions.
A thin, tube-like instrument with a light and lens BPH anestetizzare to examine or treat organs or structures in the body. An endoscope can be flexible or rigid. It may have a tool to remove tissue for examination. Specialized endoscopes may have tools designed to examine or treat specific organs or structures in the body.
Call us toll-free at Or write us. We will reply by email or phone if you leave us your details. If we are not able to reach you by phone, we will leave a voicemail message. Learn more. Select the text below and copy the link. Benign prostatic hyperplasia BPH Benign prostatic hyperplasia BPH is an enlargement of the prostate BPH anestetizzare by an overgrowth of cells BPH anestetizzare hyperplasia in the transition zone of the prostate the area around the urethra.
By 70 years of age, almost all men will have some prostate enlargement. Risk factors The following risk factors increase your chance of developing BPH: getting older having extra fat on your abdomen called abdominal obesity not getting enough physical activity Symptoms Men with BPH may not have any BPH anestetizzare or symptoms.
BPH can cause the following, which are sometimes called BPH anestetizzare urinary tract symptoms LUTS : difficulty passing urine more frequent urination called urinary frequencyespecially at night a BPH anestetizzare or sudden urge to urinate called urinary urgency weak or slow urine stream being unable to empty the BPH anestetizzare completely, which BPH anestetizzare lead to urinary tract infections and bladder stones difficulty starting the urine stream called straining having difficulty controlling the bladder called incontinencewhich can cause urine to leak and dribble blood in the urine Diagnosis If you have symptoms of BPH, your doctor will ask you how bad they are.
Treatments You and your doctor will discuss which treatment is right for you. Watchful waiting Watchful waiting means using tests and exams to watch BPH to see if signs or symptoms are getting worse.
Lifestyle changes If you BPH anestetizzare mild symptoms, you may want to make some lifestyle changes to help manage BPH anestetizzare. Talk to your doctor if you are taking the following medicines: drugs that increase the amount of urine that the body makes called diuretics decongestants antihistamines antidepressants You may want to try retraining your bladder.
Drug therapy Most doctors begin treating BPH with medicines before using other treatments such as surgery. The most common alpha-blockers used for BPH are: terazosin Hytrin doxazosin Cardura BPH anestetizzare Flomax silodosin Rapaflo alfuzosin Xatral 5-alpha-reductase inhibitors help shrink the prostate to relieve symptoms.
The most common BPH anestetizzare effects of TURP include: bleeding infection semen flowing into the bladder instead of out the BPH anestetizzare of the penis called retrograde ejaculation In rare cases, men may develop erectile dysfunction or incontinence after TURP. Other BPH anestetizzare and procedures The following may also be used to BPH anestetizzare urinary symptoms caused by BPH. Specialized endoscopes are named for the organ or structure they are used to examine or treat.
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