Benign Prostatic Hyperplasia (BPH)

What is BPH disease?

The benign prostatic hyperplasia or BPH is the enlargement of the prostate gland. It is more common in men as their age progresses. You can then check information described by urologist in East Delhi about its causes, symptoms and treatment.

Causes and symptoms of benign prostatic hyperplasia

What is Benign Prostatic Hyperplasia (BPH)?

BPH is the non-cancerous growth of the prostate gland due to an increase in the number of cells in the gland. The large prostate is exceptional before age 40, however the enlargement increases with age and between 50 and 60 years, 50% of men present it. Many men raise their concern infront of the best urologist in East Delhi that is it cancer. But, It is not cancer, nor does it increase the risk of suffering it and its development is associated with the natural aging of the cells.

What are the symptoms of inflamed prostate?

The prostatic hyperplasia is clinically manifested called lower urinary tract symptoms (LUTS). These symptoms are divided into three groups.

Emptying symptoms

• Weak, weak jetwith little torrent.
• Slow urination. Some patients begin to be aware of this when they urinate in public places. They notice that the bathroom light goes out when they have not finished urinating, or when they notice that other people enter, urinate and leave, they are still urinating there.
• Watering in the shower, the jet is not thin, it opens and inevitably stains the toilet lid.
• Distressed urination. The patient begins urination and stops, starting again and cutting once or several times.
• Delayed onset of urination. It takes to start urinating. Some patients describe it as if the urine came from far away.
• Voiding effort. The patient instinctively makes some force to shorten the time of urination but sometimes does not, paradoxically, make it slower.
• Increased terminal drip. The end of urination becomes a continuous drip, like a poorly closed tap.

Irritative filling symptoms

• Urgency. It goes from not wanting to urinate, to have a pressing desire in a short space of time (in the path of an elevator, in a garage or in the car, forcing to stop to evacuate).
• Increased urinary frequency. It starts to urinate often. There may come a time when the patient urinates before any action he is going to commit, however short it may be, a waiting line, a short drive, when entering a cinema, etc. so as not to be in a compromised situation later.
• Urinary incontinence. Sometimes because it does not arrive on time, sometimes due to overflow.
• Nocturia. He begins to get up at night to urinate, more and more times, losing quality of sleep and therefore of life.

Postmictional symptoms

• Feeling of incomplete emptying.
• Dripping postmiccional. Despite waiting a few seconds after finishing urinating and the patient has already dressed, there is a small and traitorous escape, which causes his underwear to get stained.

Urologist in Noida reminds that apart from benign prostatic hyperplasia, there are also other pathologies that give voiding symptoms and that can be confused with BPH such as the following:

• Potomania
• Ureteral lithiasis
• Bladder tumor
• Urethral stricture
• Prostatitis
• Foreign bodies in urethra and bladder
• Urinary tract infections
• Bladder neurogenic dysfunction
• Detrusor muscle hypoactivity
• Nocturnal polyuria
• Detrusor hyperactivity, etc.

Screening and testing in patients with BPH

There is a degree of recommendation in all guides by the best urologist in Noidaregarding what diagnostic tests should be performed to diagnose inflammation of the prostate.

Recommended tests

A detailed medical history, with a physical examination that also includes a rectal examination, as well as an ultrasound and blood tests with PSA termination and finally a urinary sediment

Optional tests

Flowmetry, daily voiding, sexual function.

Treatment of benign prostatic hyperplasia

Frequently, the increase in prostate volume causes some problems or discomforts. Depending on the size of the prostate of the symptoms it generates and also on the characteristics of the person suffering from it, one or the other treatment will be established by urologist in Ghaziabad.

The treatment of benign prostatic hyperplasia less invasive is to prescribe oral medication, medications known as alpha blockers are used.

On the other hand, sometimes it is recommended by the best urologist in Ghaziabad to perform a surgical treatment. The surgical technique varies according to the prostate size, the age of the patient, the concomitant diseases, although it must also be taken into account, if the growth is of the whole prostate or only of the middle lobe, in addition to the mastery of each of the techniques by part of the urologist is an important factor. In general, in very large prostates open surgery is very effective and effective. On the contrary, in the small ones, there are different forms of transurethral resection (bipolar, laser, etc.) that also offer very good results.

When benign prostatic hyperplasia should be operated?

1. If the patient perceives that the symptoms produced by prostate growth, whether it is the difficulty in urinating, the frequency with which he urinates etc., worsen his quality of life.
2. When signs appear on the bladder -prostate ultrasound such as the significant increase in bladder thickness, the appearance of diverticula in the bladder or stones.
3. If recurrent urine infections arise despite treatment with correct oral medication.
4. Acute urinary retention is more frequent in patients with BPH. If these occur in an accidental way for example, triggered by an anesthesia a surgical intervention, It is not considered a criterion to perform the surgical operation of BPH. However, when the patient has already presented a couple of episodes of urinary retention if a criterion to be intervened will be considered.

Affects the intervention of benign prostate hypertrophy to sexual life

The interventions of benign prostate hypertrophy do not affect the erection, since they do not touch the nerves and vessels that participate in the erection mechanism. It is the same as the surgical technique is performed through the urethra or through open surgery.

The intervention of benign prostatic hypertrophy does affect ejaculation and although the patient has an orgasm of intense note, however, semen does not come out of his urethra. The semen in the prostate surgery is then mixed with the urine.

Finally, according to sexologist in Vaishali, the intervention also affects fertility, since no semen in sexual intercourse does not produce a pregnancy. However, sperm can be obtained by centrifugation of postcoital urine.