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Village administrative officers taking part in a training programme on birth and death registration procedures in the city on Thursday. Altogether, about 30% of men in the United States have enough problems from BPH to require some treatment in their lifetimes. Though the prostate continues to grow during most of a man’s life, the enlargement doesn’t usually cause problems until later in life. As the prostate enlarges, the layer of tissue surrounding it stops it from expanding causing the gland to press against the urethra like a clamp on a garden hose. Eventually the bladder weakens and loses the ability to empty itself, so some of the urine remains in the bladder. When the prostate gland enlarges, it may begin to obstruct the flow of urine through the urethra. Although these symptoms are most commonly due to BPH, several other problems can cause identical symptoms, even though they are not BPH.
Prostatitis, which is an infection in the prostate gland, and will cause the prostate to swell.

Prostate cancer is the most commonly diagnosed cancer in American men and the second leading cause of cancer death in American men.
After age 40 these glands begin to multiply and increase in size, a process called benign prostatic hyperplasia, or BPH.
The male hormone testosterone must be present for BPH to occur, but we still do not know exactly what causes the prostate to enlarge or why it is worse in some men than in others. The narrowing of the urethra and partial emptying of the bladder cause many of the problems associated with BPH. In the early stages for instance, men will have hesitancy and a slow, interrupted stream at night, but after being up for a few minutes in the morning, they will urinate perfectly fine the rest of the day. In serious cases the obstruction may lead to the inability to urinate at all, called urinary retention, which creates enough back-pressure to obstruct the ureters which drain urine from the kidneys to the bladder.
Both BPH and prostate cancer can cause the same symptoms and both are common in the same age group. Almost all men develop some degree of BPH and the amount of enlargement increases with age.

The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination.
So it appears that testosterone is required for BPH to occur but does not directly cause it. Since we do not understand the causes of BPH very well, we cannot give good advice on how to prevent it.
Kareem said that police personnel have an important role in death registration when dealing with cases such as suicides, murders, and road accidents. Senthilkumar, Deputy Director of Health Services, Madurai district, has been monitoring the registration of births and deaths and the 2013-manual of guidelines about the Act will create more awareness,” he said.

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