Prostate Gland

WHAT IS BENIGN PROSTATIC HYPERPLASIA?

Benign Prostatic Hyperplasia (BHP) is a condition when a man’s prostate gland starts enlarging after reaching the age of 40 years. Basically BHP is a prostate gland found in men in between the blader, where urine is stored, and the urethra, the tube where the urine passes from. The prostate gland secretes a fluid that helps to nourish sperm. The gland itself surrounds the urethra, which is the tube that carries urine from the bladder out through the tip of the penis. As men reaches at the age of 40 years, the prostate grand starts getting bigger and this narrowing of the urethra troubles with urination. Prostate enlargement is the most common health problem in men older than 60 years.

What Causes an Enlarged Prostate Gland?

The prostate gland grows in size due to an increase in the number of hyperplasia cells. However, urologist in Janakpuri says that even today the precise reason for growing prostate gland is unknown. Thus, a variety of factors may be including androgens (male hormones), estrogens, growth factors and other signaling pathways cell.

In some cases, blockage from prostate enlargement may cause repeated urinary tract infections and gradually result in bladder or kidney damage.

WHAT ARE THE SYMPTOMS OF BPH?

  • Hesitancy and straining starting during a urine stream.
  • Weak flow or less strengthen urine stream.
  • Even after urine stream, feeling like the bladder is still not completely empty.
  • Constant urge to urinate again and again.
  • Pain during urination, called dysuria.
  • Difficulty in starting the urine flow and dribbling after urination ends.

These symptoms can also be a sign of bladder infection or bladder cancer other than BHP.

HOW WILL MY DOCTOR KNOW IF I HAVE BPH?
Urologist in Dwarka
are experts and have years of experience to treat prostate gland in men. Urologist examines the symptoms and prescribes some the following tests to the patient:

  • Digital rectal exam
  • Urine test
  • Blood test
  • Prostate-specific antigen (PSA) blood test.
  • Neurological exam.

Urologists also recommends for some additional tests to confirm enlarged prostate and other conditions:

  • Urinary flow test
  • Post void residual volume test
  • 24 hour voiding diary

In case of more complex conditions, urologists also recommend:

  • Transrectal ultrasound
  • Prostate Biopsy
  • Ultradynamic and pressure flow studies
  • Cystoscopy
  • Intravenous pyelogram or CT program

WHAT IS THE TREATMENT FOR ENLARGED PROSTATE GLAND?

There are the following treatments to cure enlarged prostate gland:

Lifestyle changes:

  • Not to take any liquid for one to two hours before going to bed
  • Experiment with the time you take prescribed medication
  • Avoid the consumption of alcohol and caffeine
  • Exercise regularly

Medication:

  • Finasteride or dutasteride-It block the effects of a hormone called dihydrotestosterone (DHT) on the prostate gland, which can reduce the size of the prostate and improve the associated symptoms.
  • Alpha Blockers- Alpha blockers help relax the muscles of your bladder, making it easier to pass urine.

Surgery:

  • Transurethral resection of the prostate (TURP)
  • Bladder neck incision (TUIP)
  • Holmium laser enucleation of the prostate (HoLEP)
  • Insertion of prostatic urethral lift implants
  • Transurethral vaporization of the prostate (TUVP)
  • Green light laser surgery (PVP)
  • Open prostatectomy

HOW IS ERECTILE DYSFUNCTION TREATED?
Erectile Dysfunction issues can happen at any age to any man, caused mainly because of

  • fatigue
  • stress
  • relationship issues
  • performance anxiety
  • alcohol consumption

Standard treatments for Erectile Dysfunction include pharmaceutical medications, vacuum pumps, penile implants, and blood vessel surgery.

A pump is used right before intercourse to pull blood into the penis. However, this method can cause bruising. Implants must be surgically inserted into the penis. They can then be inflated when necessary. Risks include those typically associated with surgery, such as infections.

IS IT NECESSARY FOR MY SEXUAL PARTNER TO BE INCLUDED IN DISCUSSIONS ON MY IMPOTENCE?

If your partner is having a better understanding with you then she should accompany you to consult the doctor as she can help the doctor to exactly understand the problem and must support you with treatment choices.

CAN ANY OF THESE TREATMENT OPTIONS REVERSE IMPOTENCE?

Most impotence is irreversible. While none of the three treatment options reverse a man’s impotence, they do offer a solution to the problem.

HOPE THROUGH RESEARCH
In the past last decades urologists have done a research for the treatment of ED and came out with advanced diagnoses for the treatment. Injectable medications, implants, and vacuum devices have explained the options for men seeking treatment for ED. The National Institute of Diabetes and Kidney Disease (NIDDK) sponsors programs aiming at understanding the causes of ED and focusing on treatments to reverse its effects. NIDDK’s Division of Kidney, Urologic, and Hematologic Diseases supported the researchers who developed Viagra and continue to support basic research into the mechanisms of erection and the diseases that impair normal function at the cellular and molecular levels, including diabetes and high blood pressure.

POINTS TO REMEMBER

  • Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse.
  • ED affects 15 to 30 million American men.
  • ED usually has a physical cause.
  • ED is treatable at all ages.
  • Treatments include psychotherapy, drug therapy, vacuum devices, and surgery.