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Benign Prostatic Hyperplasia (Enlarged prostate)
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As men age, the prostate gland can become enlarged, which can cause problems with urination. This condition is called BPH. BPH is not cancerous and does not increase a man's risk of prostate cancer. However, it can be a nuisance and can cause a variety of symptoms, including:
Frequent urges to urinate, especially at night
Difficulty starting and stopping the flow of urine
Weak urine flow
Straining to urinate
Inability to fully empty the bladder
Blood in the urine
BPH is caused by an increase in the production of testosterone and other hormones in the prostate gland. It is more common in men over the age of 50 and is rare in men under 40. It is also more common in men who are overweight or obese and in men with a family history of BPH.
Treatment for BPH depends on the severity of the symptoms and how they are affecting a man's quality of life. In some cases, treatment may not be necessary if the symptoms are mild and do not interfere with daily activities. However, if the symptoms are severe or bothersome, there are several treatment options available.
Medications are often the first line of treatment for BPH. Alpha-blockers, which relax the muscles in the prostate and bladder, can help improve symptoms of BPH. 5-alpha-reductase inhibitors, which block the production of hormones that cause the prostate gland to grow, can also be effective in reducing the size of the prostate gland.
In more severe cases, surgery may be necessary to remove part of the prostate gland. The most common surgery for BPH is transurethral resection of the prostate (TURP), which involves removing excess prostate tissue through the urethra. Other surgical options include open prostatectomy, laser surgery, and minimally invasive procedures such as microwave or radiofrequency energy treatment.
It is important for men with BPH to discuss their treatment options with their healthcare provider to determine the best course of action. While BPH is not a serious health threat, it can be a nuisance and can significantly affect a man's quality of life. By seeking treatment and making lifestyle changes, such as maintaining a healthy weight and diet, men can manage their symptoms and improve their overall health and well-being
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