Benign Prostatic Hypertrophy (Bph) (also known as Enlarging Prostate, or Ep) is a thickening of the prostate tissue surrounding the urethra in older men that is linked with problems with urination. It is a part of normal aging, and with time some men are affected more than others.
After age 50 most men begin to caress some prostate problems. Fifty percent of men over 50 and 90% of men older than 80 have Bph. 6.4 million men visit a doctor for Bph every year. Half of those consider medication or surgical operation for treatment. The probability of eventually requiring surgical operation is 39%. The worst outcomes are a loss of sexual function with surgery, acute urinary retention (the sudden inability to urinate caused by untreated Bph) or damage to the kidneys and bladder. In half of cases Bph reduces quality of life for men. Thirty six percent of spouses of Bph men surveyed reported that Bph caused a lack of corporal intimacy in their relationships.
Testicular Cancer
The prostate gland is a walnut sized organ in males that is located just below the bladder. The prostate helps to originate semen. Fluid created by the prostate is secreted into the urethra (the tube in the penis that is both the conduit for urine as well as semen) where it combines with and protects sperm from the testicles. Semen protects sperm and plays an important role in male fertility.
Fertility isn't usually a major priority for most men over 50 unless they are in a relationship with a younger woman still in her childbearing years who wants to have children. A more odious condition is Bph. The prostate wraps colse to the urethra where it exits from the bladder. As the prostate enlarges it squeezes off the urethra, resulted in problems urinating, creating the need to urinate oftentimes day and night, feelings of accident to urinate, not allowing the bladder to empty completely, and creating weak urine flows that start and stop. Bph is diagnosed by a rectal exam by your doctor.
Bph is not cancer, or a precursor to cancer -- and it does not raise your risk for prostate cancer. The actual cause of prostate enlargement is unknown. Aside from some link to aging, the testicles may play a role in the increase of the gland. Men who have had their testicles removed at a young age as a corollary of testicular cancer or for other medical surmise do not construct Bph, probably as a corollary of the removal of dihydrotestosterone, which has a stimulatory corollary on prostate tissue. Similarly, if after developing Bph, a man has his testicles removed, the prostate begins to shrink in size.
Less than half of all men with Bph have symptoms of the disease, which comprise frequent excretion and urgency, urinating at night, weak urine stream, straining to void, dribbling after urination, and incomplete urination. Frequency is caused by mechanical obstruction of the urethra, combined with a thickening of the level muscle in the bladder wall secondary to the increased resistance from the urethra. This causes the size of the bladder cavity to become smaller, shortening the times between urination, important to numerous visits to the restroom.
Treatment is not critical in the early stages of Bph. Once you usually (several times a week) start urinating less then two hours after the last time you went, have a feeling like your bladder is not empty after urinating, stopped and started while urinating, had to push or strain, or had a weak stream, can't postpone urinating, and have to get up at night, it is time to do something about it. If you have these problems only once and a while, you won't necessarily advantage from treatment.
Enlarged Prostate - When Do I Need To Do Something About It?
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