l  Introduction

Ø  If you have benign prostatic hyperplasia or BPH, your prostate gland is enlarged. The prostate is a walnut-sized gland in men located just beneath your bladder. It surrounds your urethra, the tube through which urine and semen exit your body. The prostate, along with the seminal vesicles, produces fluid that combines with sperm cells to create semen.

 

l  What is Benign Prostatic Hyperplasia?

Ø  Benign prostatic hyperplasia, also known as BPH, occurs when the prostate gland grows in size. This enlargement can lead to the compression of the urethra, obstructing the flow of urine. The exact cause of BPH is unknown, but it is more common in older men.

 

l  Symptoms of Benign Prostatic Hyperplasia

Ø  The symptoms of BPH can vary but commonly include:

*   Frequent urination or urge to urinate, especially at night

*   A weak or interrupted urine stream

*   Straining to urinate

*   If left untreated, BPH can lead to complications such as inability to urinate, damage to the bladder and kidneys, urinary tract infections, bladder stones, and blood in the urine.

 

l  Diagnosis and Treatment


Ø  If you suspect you have BPH, it is important to see your doctor for an accurate diagnosis. Your doctor will evaluate your symptoms and may recommend the following:

 1. Watchful Waiting

à  If you have mild or no symptoms, your doctor may recommend watchful waiting. This involves regular prostate checks to monitor the progression of your symptoms and overall health.

2. Medications


à  If you have moderate symptoms that bother you, your doctor may prescribe medications. Alpha blockers and PDE5 inhibitors, commonly used to treat erectile dysfunction, can help relax muscle tissue in your bladder, urethra, and prostate, improving urine flow. Five Alpha reductase Inhibitors may also be prescribed to reduce the size of your prostate over time.

  3. Surgical Procedures

à  If medication does not provide relief, your doctor may recommend a surgical procedure called transurethral resection of the prostate (TURP). During this procedure, a receptoscope will be
inserted through your urethra to reach your prostate. The surgeon will then use a wire loop to shave off tissue, widening your urethra. Other minimally invasive variations using lasers, microwaves, radio waves, or electrical energy may also be utilized.

 

à  In cases where the prostate is very large, an open prostatectomy procedure may be recommended. This involves making an incision in the lower abdomen and removing the excess prostate tissue. The incision will be closed with sutures or staples.

 

l  Lifestyle Changes

*    While it is not possible to prevent BPH, there are lifestyle changes that can help manage the symptoms:


*   Avoid medications that can make it harder to urinate, such as antihistamines and decongestants.

*   Avoid drinking fluids for a few hours before bedtime.

*   Steer clear of alcohol and caffeine-containing beverages..

*   Try double voiding, which involves urinating, waiting a moment, and then attempting to urinate again, to empty your bladder more completely.

 

l  Conclusion

Ø  If you are experiencing symptoms of BPH, it is important to consult with your healthcare practitioner for an accurate diagnosis and appropriate treatment. While BPH can cause discomfort and complications, there are options available to manage and alleviate the symptoms.