Prostatic hypertrophy usually appears in a natural way, when it starts to grow in men in their forties. This condition is called benign prostatic hyperplasia.
The prostate gland secretes a fluid that provides food sperm. The prostate surrounds the urethra that extends from the bladder and along the penis. When the prostate begins to grow excessively, it may press on the urethra. As a result of urethral stricture may appear associated with hypertrophy of the prostate, the problem with urination. An enlarged prostate is the most common health problem of men over the age of sixty.
The causes of prostatic hypertrophy
Prostate – prostate gland, is usually the size of a walnut and surrounds the urethra between the pubic bone and rectum. In the early stage of prostate enlargement, the bladder muscle becomes thicker and increases the strength of the urine, due to the narrowing of the coil, it also becomes more sensitive – it is more frequent and sudden urination.
Prostatic hypertrophy is caused by the increase in the number of cells, but the reason for this state of affairs is not entirely understood. Connection with this may have different factors, including androgens (male hormones), estrogens, factors associated with growth and other problems in intercellular communication.
Prostatic hypertrophy is often associated with recurrent urinary tract infections and progressive damaging of the bladder and kidneys. It can also cause a sudden, the so-called acute inability to urinate.
Many cases of prostate enlargement do not show any symptoms. However, if symptoms occur, they include:
- weak urinary stream;
- difficulty in starting urination;
- dribbling of urine;
- the sensation of incomplete emptying of the bladder;
- trouble maintaining urine;
- more frequent urination, as well as a strong and sudden urge to urinate (especially at night);
- the appearance of blood in urine.
Diagnosis and treatment of prostatic hyperplasia
At a time when there are fever, chills, and nausea or vomiting, as well as when the deteriorating condition of the prostate gland and appear any of the symptoms, you should immediately consult a doctor.
Particularly dangerous are acute symptoms like urinary retention (when it is impossible to urinate). Men, after fifty years of age, should be checked regularly for prostate hypertrophy, even if there were no symptoms.
Diagnosis, besides the evaluation of the history of the symptoms, is associated with the examination of the prostate gland (done through the anus). There are also tests of urine and blood and shall verify the symptoms of infection. It is important also to exclude other possible causes of the magnification of the prostate, such as cancer.
The treatment of prostatic hypertrophy depends on its severity. In a situation when the hypertrophy is mild, are used only to more frequent tests, which allow monitoring the possible development of the disease. In severe cases, surgical procedures are necessary.
Is also used the pharmaceutical treatment, mainly alpha-blockers, which help relax the muscles of the prostate, and thus alleviate the symptoms. Some medicines, known as inhibitors of 5-alpha reductase, can cause shrinkage of the prostate, and therefore are useful in the treatment of moderate excesses of the prostate.
To prevent hypertrophy of the prostate or to restrict its development should be:
- avoid drinking liquids after 18, which will reduce the need for frequent urination at night;
- drink larger quantities of fluids during the day (up to eight glasses of water a day), which will prevent infections – but in some cases, excess fluid can exacerbate the symptoms;
- drink cranberry juice – there is evidence that it can prevent urinary tract infections;
- urinating whenever is necessary – excessive detention of urine may worsen the problem with the prostate.