4 Signs for benign prostatic hyperplasia

4 Signs for benign prostatic hyperplasia

Prostate gland is located below the urinary bladder; at the junction between neck of the urinary bladder and the urethra. It secretes some constituents of seminal fluid which is responsible for sperms nutrition.

The functional role of prostate gland tends to decrease gradually with age; due to drop in the levels of male hormones (androgen & testosterone). These hormonal changes lead to enlargement of prostate, which is medically known as benign prostatic hyperplasia.

The clinical picture of benign prostatic hyperplasia usually includes the following signs:

  1. Compressive pain in the perineum (the area between testicles & anus) where the prostate is located.
  2. Dysuria which is usually accompanied with burning pain during urination and frequency of urination.
  3. Urinary retention is very common clinical sign in benign prostatic hyperplasia; but sometimes the patient may complain of urinary incontinence.
  4. Recurrent urinary tract infection due to retention of urine inside the bladder for long time.

Diagnosis of benign prostatic hyperplasia is usually established by P/R (rectal) approach for prostate examination. Also complete urine analysis and pelvi-abdominal ultrasound will be helpful in diagnosis.

Management of benign prostatic hyperplasia includes the following options:

  • Hormonal treatment; it aims to shrink the enlarged prostate, but it usually reduces the libido and sex drive.
  • Avoiding precipitating factors that could worsen the case such as; constipation, spicy food and sitting for long period.
  • In resistant cases, surgical choice will be the only available option; in the form of partial or complete removal of the prostate (prostatectomy).

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