What is Benign Prostatic Hyperplasia?
It is a condition characterised by enlargement of prostate gland in men. Even today the pathogenesis of this disease is not completely clear and research is still ongoing.
There might be a relationship between metabolic syndrome and benign prostatic hyperplasia that cause a predisposition in the penis, resulting in a higher risk of benign prostatic hyperplasia.
Lower urinary tract symptoms include
- obesity and
- insulin resistance
Increase in insulin resistive ATI autonomic activity and impaired nitrogen innovation, the proinflammatory status and a lot of changes in sex hormones may occur. The exact underlying mechanisms responsible for regulating the relationship between metabolic syndrome and benign prostatic hyperplasia requires a clear clarification even today.
Dietary strategies and increased physical activity may help in decreasing the symptoms of metabolic syndrome, its impact on benign prostatic hyperplasia along with lower urinary tract symptoms.
Treatment Options Available
For those who suffer from enlarged prostate symptoms, one single treatment does not fit in 10 people suffering. Each person reacts in his own way to the symptoms of benign prostatic hyperplasia.
One of the most common diseases that takes place when a man ages, is BPH. It is best to talk about the symptoms with your doctor so that you can decide on the treatment options. Your options may also include surgery, medications, or supplements and also a watchful waiting on the lifestyle changes that you make.
Watchful waiting is advised when the symptoms of benign prostatic hyperplasia do not bother you much and do not result in CBR complications. In such cases, the doctor may just keep a regular check on you and also advise changes in the sedentary lifestyle that you may be living.
This can result in seeing your doctor quarterly, or half-yearly. The watchful lifestyle includes:
- Urine leakage trouble while starting to urine
- Stream of dribbling at the end
- Sensation at the bladder
- Need to pee a lot
- Having to stop and start urinating several times
The reasons required for observing enlarged prostate symptoms include finding a better way without surgery, medication or any supplemental treatment. A watchful lifestyle is a cost-effective way to just reduce the chances naturally.
You can choose to make the following changes in your lifestyle:
- Try to avoid over the counter medications that you might have been taking for a long time
- Try to make simple habit changes such as drinking fluid for the day especially during bed
- Avoid caffeine and alcohol.
Diagnosing A Benign Prostatic Hyperplasia
- A doctor may start diagnosing the symptoms with a physical exam and include a digital rectal exam where a finger is inserted into the rectum to check the prostate enlargement.
- Urine test may be given to analyze the sample of foreign infection or other conditions that may cause similar symptoms of benign prostatic hyperplasia
- specific antigen blood test in which is a substance produced in the prostate. If the levels increase it shows an enlarged prostate. Elevated levels are due to recent medicinal procedure or an infection
- surgery or prostate cancer can also be identified with this examination
Additional test include confirming an enlarged prostate to rule out the other conditions and may include
- Urinary flow test where you may need to urinate in a receptacle attached to a machine which is capable of measuring the strength and amount of the urine flow
- Post void residual volume test is done to measure the amount of urine left in the bladder after you are done urinating. This is usually done with ultrasound or by inserting a capacitor in the bladder directly to measure the amount left.
- 24 hour voiding diary is done to record the frequency of urinating and is considered helpful if more than one-third of usual unit output occurs at night time
For those patients who are in the stage of benign prostatic hyperplasia, the doctor recommends the following tests along with the above
- Transrectal ultrasound where an ultrasound probe will be inserted into the rectum to measure and evaluate the size and enlargement of the prostate
- A prostate biopsy where transrectal ultrasound-guided needles are used to take the biopsy sample from the prostate.
For an enlarged prostate, a wide variety of treatments are available that include supplementation and also medication, minimally invasive therapies and finally surgery. The treatment choice for you may depend on several factors that include
- The overall health
- The amount of discomfort or botheration that you are experiencing because of an enlarged prostate
- The size of your current prostate and your age
- If the symptoms are bearable
The following medications are usually prescribed in case of benign prostatic hyperplasia inclusive of metabolic syndrome:
- Tadalafil this is used to treat erectile dysfunction and prostate enlargement together
- Alpha-blockers relax the bladder neck muscles and muscle fibers in the prostate. Once the bladder muscles are relaxed, urination becomes easy.
- Alpha-blockers may include alfuzosin, doxazosin, and tamsulosin, that work quickly and relatively in small prostate. Alpha-blockers usually come with side effects and cause dizziness and harmless condition in which the semen goes back into the door instead of out of the penis.
- Combination drug therapy where the doctor recommends Alpha-blocker and 5 Alpha reductase inhibitor at the same time.
- 5 Alpha reductase inhibitors are medications advised to shrink the prostate by preventing hormonal changes and enhance prostate growth. Alpha reductase inhibitors also have side effects that include retrograde ejaculation
Minimally invasive surgical therapies may also be advised if the symptoms are moderate to severe. It is also advised in those, whose medication does not relieve the symptoms completely and causes urinary tract obstruction, bladder stones, and kidney problems.
For those who suffer from urinary tract infection, urethral stricture disease or a history of prostate radiation therapy, the minimally invasive or surgical therapies usually not advised.