When To Seek Medical Advice
While youre recovering, you should contact the hospital clinic or your GP if you develop:
- a high temperature of 38C or above
- severe pain while urinating
- an inability to urinate
- persistently severe or worsening blood in your urine
These symptoms can be a sign of a problem such as internal bleeding or a urinary infection that needs to be treated.
Page last reviewed: 31 May 2018 Next review due: 31 May 2021
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.
Enlarged Prostate Treatments In The Pipeline
Researchers continue to investigate new therapies for enlarged prostates. âAnother category of drugs is under development,â says Slawin. âWeâve come a long way in treating BPH. Itâs no longer the life-threatening disease it once was. Now, in treatment, weâre working on quality of life issuesÃÂ¢Ã¢Â¬ÃÂ¦ reducing side effects of treatment.â
Also being studied is a procedure called water-induced thermotherapy , an experimental procedure that involves destroying excess prostate tissue utilizing heated water and an air-filled balloon, which protects normal prostate tissue. The procedure is performed with only local anesthesia. Results may not be fully apparent for three to four months. However, preliminary studies examining WIT have shown positive results, with a near doubling in urine flow. However, the American Urological Association has not thus far endorsed WIT as a viable treatment option for symptoms of BPH.
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Why Prostate Bleeding Occurs
One thing that a medical doctor should do before rendering treatment options to a bleeding prostate is to know first the causes of the medical condition. Rough sex could cause intermittent bleeding prostate and infection. However, this disease is the number one sign of prostate cancer.
There is no obvious evidence that there is a reduction in the death rate caused by prostate cancer even if there are early detection and treatments available. Actually in several studies, men who undergo screening have not been revealed to have extended life span than men who do not subject themselves to screening. The majority of those who are affected with prostate cancer are men ages 65 years and above.
The choice to have PSA test starts at 40 years old. When a person is already 40 years old, he will be at greater risk of developing prostate cancer. Sadly, many men would disregard the presence of the condition and yet they donât even seek any medical attention. This could cause apprehension and unnecessary tests with pain, infection, and bleeding prostate. False-positives PSA tests are common results. According to several researches, one out of four patients are tested positive with prostate cancer.
When a person is already 40 years old, he will be at greater risk of developing prostate cancer.
Basic Demographics And Referrals
Within Group I the mean age of presentation was 71 years . This was comparable to the group with previous TURP where the mean age was 75 years . The degrees of hematuria were identified by type of hematuria, the associated pain and any additional clinical features. These are summarised in table table11 below. Patients referred with painless hematuria formed the largest subgroup within both cohorts. The vast majority had no prior urological diagnoses with 1 patient identified as having a solitary renal cyst.
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Is It Hard To Achieve A Prostate Orgasm
As Lehmiller notes, there is limited research on prostate orgasms, so personal experimentation is important.
That trial and error process can be time-consuming. Some prostate owners achieve the big O on the first go-around, while others have to have a bit of practice before finding what works, Saynt says. It also doesnt help that some prostate owners feel ashamed or less manly when partaking prostate play: The internalized shame and feelings of inadequacy could cause mental blocks which prevent the free release of the natural sex drugs our brains release when we are at our most heightened sense of pleasure, he says. This fear is a trauma which many men will never get past, making enjoyable and healthy practices like prostate orgasm impossible.
Thus, its important for partnersespecially vulva-ownersto be supportive. If youre helping your partner achieve a prostate orgasm for the first time, take it slow dont use toys or fingers until your partner is ready, and have frequent conversations with your partner about what they do and do not like. You can even ask them to demonstrate how they masturbate with their prostate.
Transurethral Electro Resection Of The Prostate
Removing the enlarged part of the prostate is usually the best long-term treatment for an enlarged prostate gland. The portion of the gland that is not squeezing the urethra stays in place. The outside capsule around the gland is also untouched.
Transurethral electro-resection of the prostate is the traditional way to remove prostate tissue using minimally invasive surgical techniques. No outside incision is needed. Thereâs less pain, fewer complications and faster healing.
With TURP, an instrument called a resectoscope is inserted through the penis. This device is about 12 inches long and half an inch around. It has a light, valves for controlling irrigating fluid and an electrical loop that cuts tissue and seals blood vessels. During the surgery, the surgeon uses the wire loop to remove the tissue one piece at a time. The pieces are carried by the fluid into the bladder and then flushed out at the end of the operation. The surgery lasts about 90 minutes.
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How Is The Cause Of Hematuria Diagnosed
If youre seeing your doctor for hematuria, theyll ask you about the amount of blood and when you see it during urination. Theyll want to know how often you urinate, any pain youre experiencing, if you see blood clots, and what medications youre taking.
Your doctor will then give you a physical examination and collect a sample of your urine for testing. The analysis of your urine can confirm the presence of blood and detect bacteria if an infection is the cause.
Your doctor may order imaging tests such as a CT scan, which uses radiation to create an image of your body.
Another possible test your doctor may want to do is a cystoscopy. This involves using a small tube to send a camera up your urethra and into your bladder. With the camera, your doctor can examine the interior of your bladder and urethra to determine the cause of your hematuria.
How Do You Find It
Youll need to head south along the back road to find it in a magical place called the anal region.
Although entering through the anus is the most direct way, you can also stimulate the prostate indirectly through the perineum, or taint.
This is the skin that runs underneath the scrotum to the anus.
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Who Should I See If I Have A Prostate Problem
You should first see your regular doctor for this problem. Your doctor may refer you to a special doctor called a urologist for further evaluation and treatment. Urologists have additional training in treating problems of the urinary tract. Prostate gland problems are the most common disorders treated by urologists.
If you would like more information, please contact us.
Your Urologist In Milford
If you have any of the above symptoms of an enlarged prostate or are experiencing any other urological concerns, contact the Urology Specialists of Milford by calling , or request an appointment online. Dont suffer in silence, an enlarged prostate is extremely common and fairly simple to treat, as long as you are willing to get checked. Trust your prostate health to the best call us today.
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Possible Cancer Protection From Prostate Drugs
Early research suggested that 5-alpha-reductase inhibitors , a class of drugs used to treat prostate enlargement, might increase the risk of developing more aggressive prostate cancer. However, newer studies have found that not only do the drugs appear to pose no extra risk, they may even protect against prostate cancer.
For instance, research from the Prostate Cancer Prevention Trial study in 2013 showed that taking the 5-ARI finasteride for seven years could lower the chance of getting low-grade prostate cancer by 25% among men ages 55 and older. A follow-up study of almost 9,500 men, published in the Nov. 1, 2018, issue of the Journal of the National Cancer Institute, also showed that finasteride lowered the risk by a similar amount , and found the protective effect lasted for at least 16 years.
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So You Have Some Blood In Your Urine
Seeing blood in your urine can be an extremely dramatic and frightening experience that, unfortunately, many people will experience in their lifetime. Blood in the urine, or hematuria, is one of the most common reasons someone will seek the care of a urologist. While it can be scary and seem like youre losing a lot of blood, its important to remember that just a little drop of blood can make a lot of urine look red, just like a small drop of food coloring will turn an entire glass of water any color you like.
In general, there are two ways to classify hematuria, microscopic and gross. Microscopic hematuria means that the blood cant be seen with your own eyes. Oftentimes, your primary care doctor will mention to you that blood was seen on your urine sample. That is called microscopic hematuria. Gross hematuria is more obvious and is when your urine is red in color or you can see blood clots. Both types of hematuria should be evaluated by a trained professional and should not be ignored, even if the bleeding goes away.
In this blog, we will talk about a few of the common causes of hematuria, how your doctor will determine why this is happening, and some treatment options for the various causes.
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Medications For Enlarged Prostate
There are two main classes of pharmaceuticals that work to alleviate enlarged prostate symptoms: alpha blockers and alpha reductase inhibitors
Alpha Blockers. Alpha blockers relax the smooth muscle around the bladder neck and within the urethra.
Inhibitors. Inhibitors stop the conversion of the male hormone testosterone to DHT to reduce the prostate’s size, eliminating blockage.
Dont be surprised if your physician prescribes a combination of the two medications, as they have been shown to work more effectively together than alone. The downside is that combination therapy may increase the likelihood of experiencing side effects from the medications. Be sure to work with your doctor to assess the benefits and costs before starting on combination therapy.
How Do I Know If My Prostate Is Enlarged
If your prostate is enlarged, it may not be a sign of cancer, but it is something that you should discuss with your doctor. Many of the symptoms of an enlarged prostate tend to relate to urination. If you are concerned about an enlarged prostate, here are 7 symptoms to look for:
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How Is Benign Prostatic Hyperplasia Treated
Treatment options for benign prostatic hyperplasia may include
- lifestyle changes
- minimally invasive procedures
A health care provider treats benign prostatic hyperplasia based on the severity of symptoms, how much the symptoms affect a mans daily life, and a mans preferences.
Men may not need treatment for a mildly enlarged prostate unless their symptoms are bothersome and affecting their quality of life. In these cases, instead of treatment, a urologist may recommend regular checkups. If benign prostatic hyperplasia symptoms become bothersome or present a health risk, a urologist most often recommends treatment.
Problems With Enlarged Prostate Gland
Benign enlargement of the prostate gland is more common as men get older. It can cause troublesome symptoms, although it doesnt always.
The urethra passes through the prostate gland, so men may have problems urinating if the enlarged gland restricts the flow of urine. If the flow stops completely, a catheter is required to empty the bladder. It is rare for this form of acute urinary retention to cause kidney damage.
An enlarged prostate doesn’t always cause urinary problems. Studies indicate that the size of a man’s prostate gland has little influence on the type or severity of his urination problems. BPH is just one possible cause of urinary symptoms.
Another cause of urinary symptoms can be changes to the muscular wall of the bladder, which may cause spasms of the bladder or weaken the bladder, causing problems passing urine.
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When Should I Seek Medical Attention
Since some of the causes of blood in the urine are serious, you should seek medical attention the first time you see it. You shouldnt ignore even a small amount of blood in your urine.
Also see your healthcare provider if you dont see blood in your urine but experience frequent, difficult, or painful urination, abdominal pain, or kidney pain. These may all be indications of microscopic hematuria.
Seek emergency help if you cant urinate, see blood clots when you urinate, or have blood in your urine along with one or more of the following:
How Do I Use A Leg Bag
If you are up and about, youâll want to use a leg bag to drain your urine. The bag is attached to the end of your catheter and is strapped to youre your lower leg. Use the leg bag straps to hold the catheter tubing to your thigh and the bag to your lower leg. This will prevent the catheter from tugging and possibly being pulled out.
You should empty your leg bag every three to four hours or sooner if it is half full. To empty the leg bag:
- Wash your hands with soap and water.
- Stand or sit near a toilet or sink.
- Loosen the strap closest to your knee so that the bag hangs over the toilet.
- Remove the cap and open the clamp. Do not touch the drain port with your fingers or let the drain port touch the toilet seat.
- Drain the urine out of the leg bag.
- After the urine has drained out, wipe the drain port and cap with a cotton ball or gauze soaked with rubbing alcohol.
- Close the clamp and put the cap back on.
- Wash your hands with soap and water
To changing the leg bag to the night drainage bag:
- Wash your hands with soap and water
- Pinch the catheter tubing closed with your fingers.
- Remove the leg bag.
- Clean the tip of the night bag with a cotton ball or gauze soaked with rubbing alcohol. Connect the night bag to your catheter.
- Clean the leg bag following the directions in the section, How do I clean my urine collection bags?
- Wash your hands with soap and water.
Plan For Cleaning Your Urinary Catheter
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What Natural Or Home Remedies Relieve Pain Symptoms And Treat Prostatitis
In addition to medical treatment, natural home remedies for prostatitis include:
- Warm sitz baths
- Avoid alcohol, caffeine, and spicy foods.
- Prostate massage: In a few studies, prostate massage has been shown to decrease symptoms in some patients with chronic nonbacterial prostatitis.
- Lifestyle changes: If you cycle or ride horses, it is recommended to suspend this activity until you improve.
- Although there are many herbal preparations available, there is no current evidence that herbal remedies are definitely helpful with prostatitis.
- Acupuncture has shown a decrease in symptoms for some people who suffer from prostatitis.
Why Do Some Men Find It Hard To Pee An Enlarged Prostate Could Be The Problem
There could be an obstruction in the plumbing, no thanks to a condition called benign prostatic hyperplasia. Urologists explain what it is and what help is available.
When it comes to relieving yourself in the washroom, there’s nothing to it, right? You simply undo the necessary garment, relax your muscles and in a few seconds, sweet relief is yours. But for some men, the ability to empty their bladder may not come at all no matter how many trips they make to the urinal.
Despite feeling as though their bladders may burst, they may find it difficult to start urinating. When they do manage to, its more of a trickle than a satisfying release the urine stream may even stop and start several times. And theres always the feeling that theres something left in the tank no matter how hard they force it.
If youre one of these men, you might feel that those symptoms seem to point to an obstruction in your plumbing. And you might be right on that count if you have been diagnosed with something that has to do with your prostate, called benign prostatic hyperplasia .
WHAT IS THE PROSTATE GLAND IN THE FIRST PLACE?
The term benign prostatic hyperplasia refers to the enlarged and non-cancerous state of the prostate gland . And nope, this gland doesnt reside in either of the testicles. The chestnut-sized organ sits within the body, directly below the bladder and surrounds the urethra, the tube that urine passes out from.
WHAT ARE THE TREATMENT OPTIONS?
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