What Are the Treatments for Benign Prostatic Hyperplasia?
Benign prostatic hyperplasia (BPH) is the medical term that refers to an abnormal increase in the size of the prostate in men.
First of all, it’s very important to determine if it’s benign prostatic hyperplasia or malignant prostate hyperplasia. After all, malignant prostate hyperplasia involves the growth of carcinogenic cells.
Also, the age of the patient is a key factor to consider. This is because the size of the prostate is not always the same. It’s said that as of the age of 40, the gland increases in size.
For this reason, any man above this age who has symptoms of prostatic compression should go to the doctor to determine if it’s hyperplasia and study it thoroughly.
The Signs and Symptoms of Benign Prostatic Hyperplasia?
There are a number of common signs and symptoms to every prostatic hyperplasia. However, when it comes to a malignant pathology, like prostate cancer, there are some peculiarities that make it possible to accelerate its diagnosis.
Keep reading to find out more.
At the clinic, it’s not possible to determine whether the disease is benign or malign based on the patient’s history and a physical examination. Additional tests are always required to confirm the nature of the hyperplasia.
However, the most common symptoms are the following:
- Pain when urinatin
- Inability to urinate
- Presence of blood in urine: this sign is known as hematuria
- Need to urinate frequently and in small amounts (most common in the evening)
- A sensation of not completely emptying the bladder after urinating
- Irregular urine flow during urination with interruptions or drips.
However, these signs and symptoms may be confused with a urinary infection. That’s why it’s so important to go to the doctor’s office for a consultation, no matter what the problem may be.
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What are the Symptoms of BPH?
First, it’s necessary to consider the patient’s symptoms and medical history. As mentioned before, in the case of a middle-aged man, a screening of prostate cancer must be performed.
This is especially relevant if there is a personal or family history of prostate cancer or any other type of cancer. Then, a complete physical examination should be conducted that includes a rectal exam. While touching the area, the different abnormalities can be assessed in the size of the prostate.
There is a simple test to establish the diagnosis: a prostate-specific antigen (also known as the acronym PSA). This substance is a marker that can be obtained in a blood test. In this manner, you can prevent having the patient be subjected to other uncomfortable or expensive tests.
In addition, doctors may also run an imaging test. As a first option, an ultrasound scan should always be used. Other imaging tests may offer a better resolution. However, in the case of the genital area, applying radiation can affect the fertility of men. That’s why an ultrasound scan is often the best option.
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Benign Prostatic Hyperplasia Treatment
The treatment for this condition depends on the nature of the hyperplasia. When it comes to a benign process, the compression that the prostate exerts on other structures must be corrected, because the symptoms often have an impact on the patient’s psychological state.
Urinary incontinence in middle-aged men is one of the most frequent reasons for consultation within the scope of urology. This can be corrected by using drugs in the earlier stages.
On the other hand, if the size of the gland is considerable, a resection surgery might be necessary to remove the extra tissue. Another option is to widen the urethra to facilitate urination or laser surgery. However, resection surgery is the most common option because it’s easy to conduct and has good results.
In the case of malignant hyperplasia, the patient must be thoroughly studied in order to take biopsies, see what kind of cancer it is, the stage, and search for metastases in other areas (usually beginning with affectation of bones), among other things. It’s often necessary to refer the patient to an oncologist.It might interest you...