2017-06-07 / Health Care

5 things men should know about hyperplasia of the prostate

Call it an age thing. Benign prostatic hyperplasia (BPH) will be present in about one quarter of men by the time they reach the age of 55. This figure reaches 50% of all men age 75 and older. This gland that produces fluid in semen and which surrounds the urethra that carries urine from the bladder to the penis, can have a tendency to grow with age putting a squeeze on the flow of urine along with other symptoms. Here are 5 facts all men should know about their prostate and BPH:

1. What does “hyperplasia of the prostate” mean?

Sometimes a man may hear the term “hyperplasia of the prostate.” This simply means the same thing as BPH or an enlarged prostate. The word “hyperplasia” means an enlargement of an organ or tissue caused by an increase in the reproduction of its cells. Hyperplasia of the prostate indicates the walnut shaped gland has grown, possibly affecting the male urinary and reproductive systems.

The word benign means “not cancerous.” BPH is not linked to cancer of the prostate and does not increase a man’s risk of developing prostate cancer even though the symptoms of BPH and prostate cancer are similar.

2. Development and causes of BPH

The causes of BPH are not completely understood. Appearing to play a role in the enlargement of the prostate gland could be changes occurring with male sex hormones as part of the aging process. Androgens (male hormones) affect prostate growth. The most important androgen is testosterone which is produced in the testes throughout a man’s life.

The prostate coverts testosterone to another powerful androgen called dihydrotestosterone (DHT). DHT stimulates cell growth in the tissue that lines the prostate gland (the glandular epithelium) and is the major cause of the rapid prostate enlargement that occurs between puberty and young adulthood. DHT is a prime suspect in prostate enlargement in later adulthood.

3. Symptoms will get a man’s attention

Generally, BPH is considered a harmless condition unless a man is bothered by the symptoms. Symptoms can include an urgent or frequent need to urinate, slow flow, difficulty starting a urine stream, dribbling, or not being able to completely empty the bladder or having to get up frequently during the night to urinate. All men are unique, and therefore not all men with BPH will experience these symptoms. It depends on which area of the prostate enlarges that will determine if there is any urinary obstruction or not.

4. Simple steps a man can do at home to manage symptoms

There are some things a man can do that may help reduce how much BPH affects his quality of life:
• Men should take their time and relax when urinating.
• Practice “double voiding” by urinating as much as possible, relaxing for a few moments, and then
urinating again.
• Spread fluid intake throughout the day. Limit fluid intake in the evening if night time urination is
a problem.
• If possible, avoid medications that can make symptoms worse. These might include antihistamines, decongestants, allergy pills, antidepressants and pain medicines. Also testosterone including gels, implants or injections. A man should discuss with his doctor regarding these medications
and their effect on BPH.

5. Other treatments options are available

Fortunately, there are a range of treatment options available for BPH. A man’s doctor can help him develop a treatment plan to meet a man’s specific needs. If a man has no symptoms or if they are very mild, treatment may not be required. Treatment for BPH will depend if the prostate is continuing to enlarge and what symptoms are present. Options for treating BPH include:

• Active surveillance or watchful waiting. This is done of a man has few if any symptoms and the
prostate enlargement is stable.
• Medications used for controlling symptoms such as Avodart, Cardura, Uroxatral, Proscar, Cialis,
and Flomax.
• Transurethral resection of the prostate (TURP). This surgery is considered to be the optimum
treatment for BPH. It reduces symptoms in 80-90% of patients.
• Transurethral needle ablation (TUNA). This procedure involves passing a scope into the urethra
placing needles into the prostate gland. Radio waves pass through the needles heating and destroying excess prostate tissue blocking urine flow.

Patients newly diagnosed with enlarge prostate or prostate cancer can contact world renowned prostate cancer surgeon and urologic oncologist, Dr. David Samadi, for a free phone consultation and to learn more about prostate cancer risk, by calling 212-365-5000 or visiting prostatecancer911.com.

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