eSA6n2oOX19a2kMsg9xDKSlbP2ZH08/7zydY3WTcc6vtwSzRVG7brQ== When to see a Urologist: SYMPTOMS OF ENLARGED PROSTATE | PROSTATE CANCER

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Tuesday, October 12, 2021

SYMPTOMS OF ENLARGED PROSTATE | PROSTATE CANCER

 

Symptoms of an enlarged prostate or symptoms of the lower urinary tract are unfortunately normal events for men of sixty or more. These symptoms fall into various categories like low storage of urine or experiencing issues keeping pee in the bladder; bladder pressure or rushing to the toilet when it feels to urinate; going to pee more often than usual; urinary incontinence that is not able to hold pee and wet one’s pants. The issues concerning draining the bladder are known as voiding dysfunction. That means having a slow, discontinuous, or irregular urine stream, straining to pee to void the bladder completely, and terminal dribble. It likewise includes waking up at night two or three times to pee. Whenever someone gets up at night more than once to urinate it is viewed as unusual. It may be due to various reasons like hyperactive bladder and BPH or prostate enlargement.

Amongst others, the following two are the most usually seen causes of these symptoms. A malignant prostate may be a reason for these symptoms that we evaluate first when screening out a patient with symptoms of the lower urinary tract. There are both advantages and disadvantages of the blood examination of the prostate called the PSA test which stands for Prostate Specific Antigen test. This test determines a specific antigen level in the blood and helps evaluate the chances of prostate cancer. In case of a high level of PSA, a biopsy of the prostate is suggested. However, it isn’t the case with a large number of patients. Most of the patients have just hyperactive bladder which is harmless. After getting treated for prostate cancer the most usual side effects are urinary incontinence and erectile dysfunction. Not each patient has to face these side effects since that is subject to how much cancer had spread, how it has been treated, and in case there was a medical procedure, the size of the organ that could have been saved. (@ chhanno blogspot com 12102021)

Diagram of a Normal and  an Enlarged Prostate gland

Sadly, urinary incontinence makes many people incapacitated. For example, it makes them remain indoors needing constantly a washroom close by; it makes them avoid cinemas; it makes them avoid journey by bus or car for a long time or if they are traveling by plane or train they avoid leaving it somewhere for the frequent need of a washroom, etc. That’s only one aspect of this situation and sadly a countless number of individuals need to overcome such a situation. Fortunately, we do have medicines and surgeries that can help. So in case, anyone is having these symptoms and if it's not too much trouble, kindly consult your specialist doctor.

There are many bladder irritant foods like coffee, liquor, fiery food varieties, sour food varieties, and artificial sugars. They make the bladder highly sensitive but can be controlled to restrict bladder dysfunction. Some people may believe to be the one in particular who gets the desire to go to pee urgently the time they hear the sound of water or reach the entrance of the washroom. However, it's termed a keyhole urgency and is quite normal. This term is used because whenever someone does proceed to place the key in the entryway door he or she instantly feels the desire to reach the toilet to pee. A similar situation arises when you hear trickling water or running water in the washroom.

After the passage of time and reaching a specific age the prostate cells turn bigger due to which nodules are created in the prostate. It becomes a hindrance for the urine to pass through the urethra to void the bladder which makes it difficult to pass urine. This is an illness called Benign Prostatic Hyperplasia or BPH. This obstacle can cause capacity indications for instance high frequency of passing urine, waking up at night to pee, and urinary incontinence. Amongst others, slow or irregular urine streams are likewise caused by this obstacle. Benign Prostatic Hyperplasia is quite an ordinary symptom nowadays. Seventy to eighty percent of men above the age of sixty years have to face BPH in their life. However, they do not have to face all the bladder symptoms. As soon as you notice a BPH symptom and go to your specialist doctor he takes many medical examinations which include urine examination with the purpose to preclude infection or UTI. Then there is the digital rectal test which is done to determine the prostate dimensions and presence of nodules and other defects concerning possible malignant growth in the prostate. The next possible test is the PSA test that’s a blood examination that determines prostate malignancy. Similarly, there can be a uroflow test in which the patient pees on a dish-like apparatus that evaluates the speed of the pee stream. Your bladder might also be scanned to assess the draining ability of the bladder. This scan determines the quantity of urine that might have remained in the bladder after you have completed urinating. The data collected through these large numbers of tests assist your physician to conclude what is the reason for the bladder dysfunction that you face. (@ chhanno blogspot com 12102021) 

The drugs that are used for BPH include alpha-blockers, for example, Tamsulosin or Flomax. These drugs assist loosen up urethral muscles and permit pee to pass somewhat easily. Another drug namely Finasteride can also be taken which shrinks the prostate size. Anyway, nearly 6 to 9 months are required for the above-mentioned drugs to produce results. In case the above-mentioned medicines do not suit you and you are not ready to take them due to certain arguments like these are not producing results or due to recurring UTI or there are some kidney issues then the next option to consider is surgical choices. The choices are numerous. Some of these can be done in your doctor’s room while others need complete sedation and somewhat greater intervention for say Resection of the Prostate through the urethra. In this procedure, a camera instrument called Resectoscope is inserted through the urethra while the patient is snoozing under anesthesia and then excess prostate tissues blocking the urethra are cut to improve urine flow. The patient remains unaware of what happens to him during the procedure. The patient can go home within one or two days of surgery. A catheter is also used for a day or so to ensure the healing of the cuts and avoid abnormal bleeding. It’s a well-known most popular surgery performed presently for enlarged prostate. A number of other choices are there for prostate enlargement treatment like a Prostatic Urethral Lift treatment which is an innovative approach to treating BPH. The UroLift device delivers tiny stainless-steel implants that lift or hold the enlarged prostate tissue out of the way and it no longer blocks the urethra. Then there is Water Vapor Treatment.  It is performed by going up through the urethra and using an instrument that turns water into steam. The steam delivery lasts for just 9 seconds. This procedure may be done in a doctor’s office under local anesthesia. Similarly, there is Aquablation Laser Vaporization of the Prostate and Holmium Laser Enucleation of the Prostate or Prostate Laser Surgery. Thus, anyone who goes to see a specialist for his treatment can discuss every choice like what are the advantages or disadvantages explicitly in respect of his treatment results.

There is a multiplicity of various sorts of malignant growth with different growth rates like slower or faster growth yet a biopsy is done basically to search for a thing that's known as a Gleason grade which lets us know how forceful the disease is or how safe, halfway dangerous or very dangerous kind of malignant growth is? So characterizing the malignant growth into classes according to these grades is quite helpful. Evaluating prostate cancer is, however, somewhat more concerning in the light of the fact that the screening itself has both advantages and disadvantages as every once in a while we encounter incorrect negative or positive results of screening tests which conclude and get finalized in biopsies. Biopsy of the prostate again is a matter of high concern because it affects plenty of your prospects of life. To proceed with a prostate biopsy is somewhat a conversation of greater elaboration than this article. So check your PSA however, notwithstanding it is something that we suggest to everyone, particularly if you have any kind of urinary symptoms

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Diagram showing position of a normal Prostate Gland and an enlarged prostate gland inside a male body

(Updated on 29-12-2022)

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