Benign Enlargement Oaf Prostate (BPH): Tests & Treatment

The prostate is a male reproductive gland that produces the fluid that carries sperm during ejaculation. It surrounds the urethra, the tube through which urine passes out of the body.

An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men as they get older. As the gland grows, it can press on the urethra and cause urination and bladder problems.

An enlarged prostate is often called benign prostatic hyperplasia (BPH) or benign prostatic hypertrophy. It is not cancer, and it does not raise your risk for prostate cancer.

Tests & Diagnostics

After taking a complete medical history, your doctor will perform a digital rectal exam to feel the prostate gland. The following tests may also be performed:
Urine flow rate
Post-void residual urine test to see how much urine is left in your bladder after urination
Pressure flow studies to measure the pressure in the bladder as you urinate
Urinalysis to check for blood or infection
Urine culture to check for infection
Prostate-specific antigen (PSA) blood test to screen for prostate cancer
Cystoscopy

Treatments
The choice of a treatment is based on the severity of your symptoms, the extent to which they affect your daily life, and the presence of any other medical conditions. Treatment options include “watchful waiting,” lifestyle changes, medication, or surgery.

If you are over 60, you are more likely to have symptoms. But many men with an enlarged prostate have only minor symptoms. Self-care steps are often enough to make you feel better.

If you have BPH, you should have a yearly exam to monitor the progression of your symptoms and determine if any changes in treatment are necessary.
Self Care
For mild symptoms:

  1. Urinate when you first get the urge. Also, go to the bathroom when you have the chance, even if you don’t feel a need to urinate.
  2. Avoid alcohol and caffeine, especially after dinner.
  3. Don’t drink a lot of fluid all at once. Spread out fluids throughout the day. Avoid drinking fluids within 2 hours of bedtime.
  4. Try NOT to take over-the-counter cold and sinus medications that contain decongestants or antihistamines. These medications can increase BPH symptoms.
  5. Keep warm and exercise regularly. Cold weather and lack of physical activity may worsen symptoms.
  6. Learn and perform Kegel exercises (pelvic strengthening exercises).
  7. Reduce stress. Nervousness and tension can lead to more frequent urination.

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