Prostate is a small, firm gland the size of a walnut that is placed in the bottom of the bladder. The front of the prostate is located around the urethra, the tube that transports urine and sperm out of the body. Changes in the prostate can make the urethra tighter, making it difficult to pee. The back of the prostate is against the rectum. This is how the doctor can check the prostate gland through the rectum.
In the case of benign enlarged prostate, you often have two types of urinary tract disorders: storage symptoms and emptying symptoms. Typical storage symptoms are sudden and severe urge for urination, frequent urination with small volumes, nightly urination and urine leakage. Typical drainage symptoms are difficult to get started with water drainage, slight radiation, feeling of incomplete drainage, pressing / pressing and afterdropping needs. Drainage problems can lead to overfilling of bladder with progressively increasing pressure and pain across the bladder.
The occurrence of the condition increases with age. 25% of all men between the ages of 50 and 60, and more than 50% of all men over 60 years of age have symptoms of BPH.
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Causes of enlarged prostate
The prostate gland is still growing with increasing age. The urethra goes from the urinary bladder through the prostate and opens onto the penis head. As the gland grows, the part of the urethra that stretches through the prosthesis squeezes together, and it may become a drainage drain. This gives drainage symptoms as mentioned above. The incomplete drainage causes urine to be left in the bladder after urination. This in turn causes the bladder to quickly get full and the need for frequent drains occurs.
Others say they do not know why the prostate grows. The male sex hormone dihydrotestosterone probably contributes to the enlargement of the prostate. 1
Symptoms of prostate
The urine tract becomes relaxed and you get difficulty starting water drainage and emptying the bladder completely. Many also have frequent urination, both during the day and at night. You may have difficulty rushing the toilet so you peel your pants. In rare cases the urination may stop completely, so the doctor must empty the bladder with a catheter.
You may experience any of these symptoms if you have LUTS:
- Wait before starting urination
- Stop and start watering
- Press or exert themselves to urinate
- Have a weak urine radius
- Feel like the bladder is never completely empty
- Urinate more often than before
- Seems it is difficult to delay urination
- Get up at night to pretend the water
- Drypping towards the end of urination
- Know strong urination
Having an enlarged prostate can also affect you in other ways. You may feel tired because you never sleep continuously through the night. Or you may feel unwell during the day if you are not near a toilet. This anxiety can interfere with your daily life. For example, you can stop doing sports or stop going to the movies or public events.
It is important to have these symptoms checked by a doctor. Some LUTS symptoms are the same symptoms of more severe conditions, such as prostate cancer. Your doctor may also provide you with some simple tips that can help your symptoms without treatment.
Treatment for prostate
The purpose of the treatment is to eliminate ailments that reduce the quality of life and to prevent complications. There are also things you can do yourself to improve the situation.
Self-treatment
Before you go, you should reduce the amount of drink. This is because you should not get up at night to go to sleep and nightly watering. You can do the following:
1. Beat the water in the usual way.
2. Wait a few minutes before attempting to drain water again
3. If urine comes, it will be done once more.
There are also other things you can do:
- Avoid drinking large amounts of liquid at any time
- Avoid drinking just before going to bed
- Reduce the amount of alcohol you drink (alcohol can stimulate the bladder)
- Cut down on coffee, tea, coke or other beverages containing caffeine
- Discuss your medicine using a doctor. Some antihistamines (medicines used to treat allergies) and some medicines used to treat depression can make your problems with urination worse
Medical treatment
There are two main types of drugs – alpha blockers and 5-alpha reductase inhibitors. Patients with symptomatic, benign prostate enlargement and IPSS score values of 8-19 may benefit from drug treatment. 2
Alpha-blockers
This works by opening the bladder neck so that the urine flows more easily from the urinary bladder to the urethra. The effect comes after a few weeks of treatment, but unfortunately not all of them help. Side effects of this drug occur at about 10% and include dizziness, fatigue and low blood pressure. In these side effects, the dose should be reduced. Alpha blockers are the first drug choice in most situations. If the product does not affect the symptoms within eight weeks, consult a physician.
5-alpha-reductase
This helps reduce the size of the prostate and improves drainage in this way. The effect is slow, it can take up to 6 months before one has full effect. Then the size of the prostate is reduced by 20-30%. This treatment reduces the risk of experiencing a full stop in water drainage, reducing the need for surgery. This drug group is considered second choice for alpha blockers. The preparations only help if the prostate is noticeably enlarged.
Surgery
It is appropriate for surgery when there are annoying symptoms that can not be treated well enough with medicines. There are several different methods. The most common (over 90%) is the so-called transurethral resection (TUR-P) where the surgeon enters a urethral shovel and peels off those parts of the prostate that form a drainage drain.
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