1/14/2021 Benign prostatic enlargement (BPH) & Lower urinary tract symptoms

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What is Benign prostatic enlargement?

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1/14/2021 Benign prostatic enlargement (BPH) & Lower urinary tract symptoms

MARCH 17, 2020

Benign prostatic enlargement/Hypertrophy(BPE/BPH) and Lower urinary

tract symptoms(LUTS)

What is Benign prostatic enlargement?

The prostate is a gland located in the lower urinary tract under the bladder and
around the urethra. Only men have a prostate. A healthy prostate is about the
size of a large walnut and has a volume of 15-25 millilitres. The prostate slowly
grows as men grow older.They can cause bothersome symptoms in the lower
urinary tract in men over the age of 50. These symptoms may be caused by an
enlargement ofthe prostate, a condition which is known as benign prostatic
enlargement/Hypertrophy(BPE/BPH). Other conditions can also cause these
symptoms and a urologist will take this into account.

What are lower urinary tract symptoms?

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1/14/2021 Benign prostatic enlargement (BPH) & Lower urinary tract symptoms

Benign prostatic enlargement (BPE) can affect the way you normally urinate. This happens because the enlarged prostate
(https://drrahulyadav.com/bph/) compresses the urethra at the outlet of the bladder. Sometimes the symptoms are mild.
For example, you may need to urinate more often or it is more difficult to empty your bladder completely. These mild
symptoms can be a normal part of the ageing process just like decline in mobility, memory, or flexibility. It is possible that
your doctor will not recommend treatment for mild symptoms.
Sometimes the symptoms are very bothersome and can have a negative effect on your quality of life. In this case you may
benefit from treatment.
These symptoms which are called as lower urinary tract symptoms (LUTS) may be caused by BPE and may be due to other
conditions which affect the urinary system.

Types of lower urinary tract symptoms

In men with BPE, the symptoms can affect urination in different ways:

The way you hold the urine in the bladder (Storage Symptoms)

 The need to urinate more often than usual

 The need to wake up at night to urinate

 The sudden need to urinate and having trouble postponing it

 Any involuntary loss of urine

The way you urinate (Voiding symptoms)

 A weak stream of urine

 Splitting or spraying of the urine stream

 The flow of urine starts and stops

 Straining when urinating

 It takes a while before the urinary flow starts

 It takes longer to finish urinating

 In rare cases,acute or chronic urinary retention

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1/14/2021 Benign prostatic enlargement (BPH) & Lower urinary tract symptoms

How you feel after you urinate (Post-micturition)

 The feeling that the bladder is not completely empty

 Involuntary loss or dribbling of urine into your underwear shortly after leaving the toilet

How to diagnose symptoms are due to benign prostatic enlargement?

Urologist do a series of tests to understand what causes your symptoms after taking proper medical history. The symptoms
listed previously can point to many diseases and not only BPE. This is why you may need to take several tests before the
urologist can make a diagnosis. Tests include physical examination of abdomen and genitals, rectal examination with a
finger to feel the size, shape, and consistency of the prostate(known as digital rectal examination), urine tests, blood tests
(Kidney function tests, Prostate specific antigen), bladder diary( i.ehow much you drink, how often you urinate, and how
much urine you produce), Uroflowmetry (electronic recording of flow of urine), Imaging of urinary tract(ultrasound) or/and
urodynamics( test to know more information about your urination cycle and how your bladder muscles work) according to
the need in diagnosis.

What the way ahead after diagnosis?

Depending upon your test results urologist will decide either medical(in the form of oral drugs) or surgical management for
your lower urinary tract symptoms due to benign prostatic enlargement. It’s the time to consult the urologist
(https://drrahulyadav.com/contact-us/) if you are experiencing lower urinary tract symptom as described before.

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