How Can It Be Treated
Treatment will depend on the amount of discomfort, overall health, age, and the size of the prostate. Medications are available to moderate symptoms, such as alpha blockers , 5-alpha reductase inhibitors , or Tadalafil . Combination therapy is also sometimes used for alpha blockers and the inhibitors. There are also different types of minimally invasive surgeries available if other methods are effective.
An enlarged prostate is a frustrating condition, but it can be treated. If you have symptoms and need treatment, make an appointment with Drs. Herman, Kester and Urology Center of Florida today to get help.
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What Is Prostate Cancer
Prostate cancer is common among American men. Your chance of getting prostate cancer may be affected by your:
- Age. Men age 50 and older run a greater risk.
- Race. Prostate cancer is most common among African-American men.
- Family history. If your father or brother has had prostate cancer, you are more likely to have it, too.
- Diet. Eating high-fat food with few fruits and vegetables may raise your risk.
You Experience Weak Or Slow Urination
Because of the pressure that an enlarged prostate can put on the bladder and urethra, the flow of urine can be interrupted, leading to a weak flow of urine or requiring a longer amount of time on the toilet.
Because of the pressure that an enlarged prostate can put on the bladder and urethra, the flow of urine can be interrupted, leading to a weak flow of urine or requiring a longer amount of time on the toilet. This is perhaps the most common and obvious sign of an enlarged prostate, and youve probably heard plenty of jokes about the troubles that aging men have when urinating.
So if your urine isnt exiting normally and your stream is weak, it could be a sign that your prostate cells have excessively multiplied, resulting in an enlarged prostate gland.
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Florida Center For Prostate Care
According to Prostate Cancer Research one in eight men will develop prostate cancer during his lifetime. The risk is one in four for African American men. Most will be diagnosed after the age of 70. And because some prostate cancers grow slowly, they may never be detected in some men, or they may cause no symptoms.
The Good News: Prostate cancer is treatable and curable especially in the early stages.
If you are diagnosed with prostate cancer, call the experts at the CyberKnife Center of Miami. We treat prostate cancer with a non-invasive form of radiation called Stereotactic Body Radiation Therapy or SBRT. And weve treated hundreds of prostate cancer patients successfully.
According to a 2015 study, in prostate cancer patients treated with CyberKnife, erectile function preservation compared favorably to data following radical prostatectomy, a radiation therapy called brachytherapy or conventional radiation treatments.
CyberKnife has a 97% cure rate for prostate cancer. Its noninvasive and CyberKnife treatments can be done in five therapy sessions over 10 days instead of 42 over three months with other types of radiation treatments.
The CyberKnife radiation beams, which target and destroy the tumor, are so precise, there is a reduced risk of side effects including impotence and incontinence.
What Is The Prostate
The prostate is a small gland in men that helps make semen. Located just below the bladder in front of the rectum, it wraps around the tube that carries urine and semen out of the body. It tends to grow larger as you get older. If your prostate gets too large, it can cause a number of health issues.
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What Are The Symptoms Of Benign Prostatic Hyperplasia
Lower urinary tract symptoms suggestive of benign prostatic hyperplasia may include
- urinary frequencyurination eight or more times a day
- urinary urgencythe inability to delay urination
- trouble starting a urine stream
- a weak or an interrupted urine stream
- dribbling at the end of urination
- nocturiafrequent urination during periods of sleep
- urinary incontinencethe accidental loss of urine
- pain after ejaculation or during urination
- urine that has an unusual color or smell
Symptoms of benign prostatic hyperplasia most often come from
- a blocked urethra
- a bladder that is overworked from trying to pass urine through the blockage
The size of the prostate does not always determine the severity of the blockage or symptoms. Some men with greatly enlarged prostates have little blockage and few symptoms, while other men who have minimally enlarged prostates have greater blockage and more symptoms. Less than half of all men with benign prostatic hyperplasia have lower urinary tract symptoms.3
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Risk Factors For Prostate Cancer
Because prostate cancer tends to not show symptoms in its early stages, risk factors are another useful tool to identify candidates for screening. The Mayo Clinic notes that risk certainly increases as you grow older, and obese men may be more likely to have prostate cancer that is aggressive or difficult to treat.
For unknown reasons, black men are also at a greater risk of prostate cancer than men of other races. Not only are they more likely to get prostate cancer, but the risk of prostate cancer being aggressive or advanced is also higher.
Finally, your family history or genetics can also help determine your prostate cancer risk. For example, men with close relatives who had prostate cancer are more likely to get it. Also, a family history of breast cancer or the presence of the genes BRCA1 or BRCA2 within the family also raises the likelihood of a man developing prostate cancer.
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Behind An Enlarged Prostate
Before we jump into the signs of an enlarged prostate, lets quickly take a look at the location and role of this gland, which will help you better understand the side effects of BPH.
Your prostate gland surrounds your urethra, and its main responsibility is to produce semen. With BPH, the cells of your prostate begin to multiply, enlarging your prostate and placing pressure on your urethra, which is what accounts for the symptoms we discuss below.
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Tips For Coping With An Enlarged Prostate
When a man reaches about age 25, his prostate begins to grow. This natural growth is called benign prostatic hyperplasia and it is the most common cause of prostate enlargement. BPH is a benign condition that does not lead to prostate cancer, though the two problems can coexist.
Although 50% to 60% of men with BPH may never develop any symptoms, others find that BPH can make life miserable. The symptoms of BPH include:
- a hesitant, interrupted, weak urine stream
- urgency, leaking, or dribbling
- a sense of incomplete emptying
- more frequent urination, especially at night.
As a result, many men seek treatment. The good news is that treatments are constantly being improved. Patients and their physicians now have more medications to choose from, so if one doesn’t do the trick, another can be prescribed. And thanks to some refinements, surgical treatments are more effective and have fewer side effects than ever before.
But there are some things men dealing with BPH can do on their own. When symptoms are not particularly bothersome, watchful waiting may be the best way to proceed. This involves regular monitoring to make sure complications aren’t developing, but no treatment. For more troubling symptoms, most doctors begin by recommending a combination of lifestyle changes and medication. Often this will be enough to relieve the worst symptoms and prevent the need for surgery
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Warning Signs Of Prostate Cancer
One of the challenges of prostate cancer is that it often doesnt present symptoms that alert men to its presence, particularly in the early stages. But the Urology Care Foundation notes that there may be some warning signs that you have problems related to your prostate, including the following:
If you get screened for prostate cancer, there are additional warning signs based on how the prostate gland cells look under a microscope, notes the American Cancer Society. Cells that may be concerning will exhibit some level of what is known as prostatic intraepithelial neoplasia . These cells may exhibit low-grade PIN, in which something is slightly off with the cells, or high-grade PIN, when they show clear abnormalities.
Under a microscope, prostate gland cells may also exhibit what is known as proliferative inflammatory atrophy . PIA indicates cells that are smaller than normal and show some signs of inflammation. These cells may be worth additional monitoring because they could develop high-grade PIN and ultimately prostate cancer.
Symptoms Of Enlarged Prostate
Benign Prostatic Hyperplasia, or BPH, is the enlargement of the prostate gland. About half of men over age 75 will experience symptoms of BPH. BPH is a very minor condition and is not related to prostate cancer. However, symptoms can cause discomfort and be inconvenient.
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What Are The First Signs Of Prostate Problems
The first signs and symptoms of prostate disorder usually include problems with urination. These problems can cause you to:
- Have the urge to rush to the washroom to pass urine
- Have urine that dribbles in drops
- Have a weak urine stream
- Have the urge to pass urine more often during the night
- Have difficulty or pain while passing urine
- Feel that the bladder has not been emptied properly even after urinating
- Get frequent pain or discomfort in your lower abdomen
- Erectile dysfunction
Depending on the underlying prostate problems, you may have other symptoms.
- If you have prostatitis, your symptoms may cause long-lasting pain or discomfort in your penis or scrotum, your belly, or your lower back.
- If you have bacterial prostatitis, you may not be able to evacuate your bladder completely. Signs of infection, such as fever, chills, or body aches, may be present.
- If you have Benign prostatic hyperplasia , you may feel the urge to urinate often during your nights sleep. You may have urine with an abnormal color or odor. Urination or ejaculation may be painful.
Please consult your doctor if you experience any of the signs and symptoms to avoid the worsening of the prostate problems.
Signs Your Prostate May Be Enlarged
Age changes everything hair thins and grays, skin dries and wrinkles, and gravity does a number on once-firm flesh. But changes happen on the inside, too, and you may not realize it until you experience clear symptoms. In many men, one of these changes is a growing prostate gland.
Although an enlarged prostate doesnt necessarily mean cancer, it can mean youll suffer from some pretty uncomfortable symptoms until you get it treated.
Dr. James Lee at Woodstock Family Practice & Urgent Care in Woodstock, Georgia, specializes in mens health issues and can diagnose and treat your enlarged prostate to relieve your symptoms. Heres what you need to know.
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Frequent Urinary Tract Infections
When the bladder doesnt fully void, there runs a risk of developing chronic urinary tract infections. While more common in women, UTIs are do occur in men with enlarged prostate thats because bacteria can build up over time if it is not carried away through urination. Any sort of burning sensation, chills, or cloudy urine may be signs of a urinary tract infection and, thus, an enlarged prostate.
Personal And Family Medical History
Taking a personal and family medical history is one of the first things a health care provider may do to help diagnose benign prostatic hyperplasia. A health care provider may ask a man
- what symptoms are present
- when the symptoms began and how often they occur
- whether he has a history of recurrent UTIs
- what medications he takes, both prescription and over the counter
- how much liquid he typically drinks each day
- whether he consumes caffeine and alcohol
- about his general medical history, including any significant illnesses or surgeries
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Health Tip: Warning Signs Of Enlarged Prostate
The U.S. National Library of Medicine says more than half of men with an enlarged prostate dont have any symptoms. But if symptoms are present, they may include:
- Urination that starts slowly and continues in a weak stream.
- Urination that becomes difficult, if not nearly impossible.
- The need to urinate suddenly, urgently and frequently at least twice nightly.
- Feeling like your bladder has not been completely emptied.
- The inability to control the flow of urine, or dribbling after urinating.
- Pain or bleeding during urination.
What Are The Signs Of An Enlarged Prostate
In many cases, that tubular opening of your prostate becomes tight and constricted when your gland enlarges. This leads to a restricted flow of urine. So, difficulty peeing is the most common sign of prostate problems, Dr. Ramin says.
In 2017, the American Urological Association created a seven-question symptom index for severity benign prostatic hyperplasia. How you answer themoptions include not at all,less than 1 time in 5,less than half the time,about half the time,more than half the time, and almost alwayscan help your doctor evaluate you.
The full questionnaire from the AUA is available here, but the symptoms include the following:
1. The sensation of not emptying your bladder when youre finished peeing
2. The need to pee again less than two hours after you finished urinating
3. Stopping and starting again several times when you urinated
4. The difficulty to postpone urination
5. Having a weak stream of urine
6. The need to push or strain to start to pee
7. Waking up often at night to pee
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What Medications Are Used To In The Treatment Of Bph
Several types of medications have been approved for treatment of urinary symptoms secondary to prostate enlargement. Men with severe symptoms may require treatment with a combination of these medications. Your doctor will determine the optimal combination for your condition:
Alpha-blockers, such as terazosin , prazosin , or doxazosin , relax the muscles in the prostate and thus may relieve symptoms. Newer alpha-blockers, such as tamsulosin , alfuzosin , and silodosin, are more commonly prescribed because they may have fewer side effects.
Finasteride or dutasteride can cause the prostate to shrink. As a result, the urinary symptoms may improve. These drugs are most helpful in men who have at least moderate enlargement of the prostate.
Tadalafil has recently been approved for the treatment of BPH.
Bladder calming medications that help with the symptoms related to bladder irritability from prostate blockage: oxybutynin , solifenacin , darifenacin , trospium , and mirabegron .
Once your doctor has given you a medical plan, you should stick to it and follow up as recommended. Sometimes men need follow-up with a urologist.
What Are The Risk Factors For Prostate Cancer
Some of the greatest risk factors for prostate cancer include:
- Age. Prostate cancer is very rare in men younger than 40 years of age. In contrast, approximately 60% of prostate cancer cases occur in men that are older than 65.
- Race. African-American men tend to be at greater risk for prostate cancer compared to non-Hispanic whites, whereas Asian-Americans and Hispanic/Latino men are less susceptible to this disease.
- Location. Prostate cancer is most common in North America, Europe, Australia, and the Caribbean. It is rarer in Asia, Africa, and Central and South America. This may be because of more intensive screening procedures for the disease in certain countries, although lifestyle factors such as diet could also play a key role in the difference.
- Family history. In many cases, there is a strong hereditary factor associated with the emergence of prostate cancer. In fact, men who have a father or brother with prostate cancer have a much higher risk of developing it themselves.
Other possible risk factors could include a dairy-rich diet, obesity, smoking, and exposure to harmful chemicals.
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What Is The Prostate Gland
The prostate is a gland about the size of a walnut. It is part of the male reproductive system and wraps around the tube that carries urine out of the bladder. It grows larger as you get older. If your prostate gets too large, it can cause health issues. Having prostate problems does not always mean you have cancer.
Sometimes a doctor may find a problem during a routine checkup or by doing a rectal exam. If you think there is something wrong with your prostate, see your doctor right away.
How Is Benign Prostatic Hyperplasia Treated
Patients who have mild symptoms may not require treatment other than continued observation to make sure their condition doesn’t get worse. This approach is sometimes called “watchful waiting” or surveillance. There are a number of treatment options available if your symptoms are severe.
Finasteride and dutasteride work by decreasing the production of the hormone dihydrotestosterone , which affects the growth of the prostate gland. These appear to be most beneficial for men with larger prostates.
Drugs that relax the muscle in the prostate are more commonly used. These include terazosin , doxazosin , tamsulosin , alfuzosin , and silodosin . The most common side effects are lightheadedness, weakness and retrograde ejaculation.
Medications are sometimes combined to help treat symptoms and improve the flow of urine. One such medication is dutasteride and tamsulosin .
Several different types of surgery can be used to remove the prostate tissue that blocks the flow of urine, including:
Minimally invasive treatments
Minimally invasive treatments include:
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