Cause of benign prostate enlargement 2004,prostate check up doctor ninh,prostate infection oregano oil 2014 - Good Point

28.02.2015
Enlarged prostate also known as benign prostatic hyperplasia (BPH) or benign prostatic hypertrophy is the increase in size of the prostate in middle-aged and elderly men. One of the most frequent reasons of appearance of this disease is an extremely high concentration of testosterone leading to metabolization of testosterone that is a critical mediator of prostatic growth. Modern medicine can effectively treat this problem in many ways that are surgery, different types of healing massages, drugs and natural remedies. The two main medications for management of enlarged prostate are alpha blockers and 5α-reductase inhibitors. However, you shouldn’t forget about natural herbal remedies that help men to treat this disease without any side effects that are typical of chemical medications.
In order to avoid enlarged prostate patients should decrease amount of fluid intake before bedtime, limit the consumption of alcohol and caffeine-containing products, and follow timed voiding schedules. Benign Prostatic Hyperplasia, commonly referred to as BPH, is a non-cancerous enlargement of the prostate gland due to an overgrowth of prostate cells. The incidence of BPH in American men is so high that nearly half of men at age 50 will have an enlarged prostate, and men at age 80 can expect an 80-90% chance of developing the condition. As the prostate enlarges it squeezes the urethra which runs through the center of the gland and, over time, restricts the flow of urine.
Though research is ongoing, the root cause of benign prostatic hyperplasia has yet to be established. For the majority of men with BPH the prostate will continue growing until it becomes necessary for medical intervention. For relatively mild symptoms with no signif-icant effect on a man's quality of life, for men with drug sensitivities, or when surgery presents undue risk, this can be a desirable strategy. Surgical options are labeled invasive or minimally invasive depending on whether or not tissue is cut.
Historically, BPH was surgically treated by an operation called Open Prostatectomy which is a major abdominal surgery. Less invasive than Open Prostatectomy is the more commonly performed TURP (Transurethral Resection of the Prostate). Minimally invasive procedures focus high energy on the overgrown tissue, with each therapy using a different type of energy or a unique way of administering it. Identifying a surgeon to perform any procedure is probably the most critical decision you can make in treating BPH. The prostate is a male reproductive gland that produces the fluid that carries sperm during ejaculation. For chronic bacterial prostatitis, Meares-Stamey 3-glass test is performed where in three sets of urine samples are obtained from the patient. You may be given antibiotics such as trimethoprim-sulfamethoxazole and fluoroquinolones for 4 to 6 weeks. Some PSA will leak between the cells of the glands in the prostate and enter blood vessels which leave the prostate gland and travel through the blood in the body. In the left (top) picture, the cells of the gland are tight together and only a small amount of PSA leaks into the blood vessel.
Prostate cancer, confined to the prostate gland, has no symptoms (apart occasionally for blood in the semen - haematospermia). The lower diagram shows the distribution of patients with no cancer and those with prostate cancer as the PSA level increases - please note that the numbers are not to scale; many patients with a PSA greater than 10 do not have cancer.
Prostate cancer is a very slow growing disease and therefore we wish to identify it in younger men sooner.
The study (results shown on the right) was carried out in the United States and started before the PSA test was available.
The bottom group (controls) had no urological conditions and had very low PSA levels, which remained low over the 20 years. The next group had benign enlargement of the prostate (see BPH) and had a gradual rise in PSA levels.
This process is characterized by hyperplasia of prostatic stromal and epithelial cells, causing the formation of big and fairly discrete nodules in the periurethral area of the prostate.
Enlarged prostate can be a progressive disease, especially if left untreated for a long time.
Alpha blockers used for enlarged prostate treatment include doxazosin, terazosin, alfuzosin, tamsulosin, and silodosin. Doing sport and avoiding of a confining lifestyle are also good preventative measures of enlarged prostate. The gland is a vital component of the male reproductive system, secreting a fluid into the urethra during ejaculation. BPH is the most common disease among men beyond age 55 with approximately 2 million men treated for it annually in the United States.
Having to excuse oneself frequently and being uncomfortable a great deal of the time can be annoying if not embarrassing in social environments.
With the help of a urologist each man will develop a treatment plan with which they are both comfortable.
With regular follow-ups, the physician monitors the progress of the disease and the man's symptoms. The procedures discussed below are the most invasive, but also the most efficient and effective of all treatment options. Performed in a hospital under general anesthesia, the surgeon opens the patient's abdomen and either removes the gland or cuts off the overgrowth.


This procedure is done in a hospital or out-patient setting using general anesthesia, or an epidural or spinal anesthesia with sedatives.
Lasers, microwaves, radio frequency waves, and ultrasound are energy forms which can be directed at the prostate by entering the urethra with a cystoscope or similar instrument. Samadi, MD is the Chairman of Urology, Chief of Robotic Surgery at Lenox Hill Hospital, and Professor of Urology at Hofstra North Shore-LIJ School of Medicine in New York City. It surrounds the urethra, the tube through which urine passes out of the body. An enlarged prostate means the gland has grown bigger. The gland is part of the reproductive system of men which surrounds the urethra located just below the bladder. The same strain of bacteria is the cause or the infected urine flowed to the prostate area causing it to recur. The doctor orders for urinalysis and urine culture to determine the type of bacteria involved. If the bacteria is still not detected in this test, PPMT or premassage and postmassage test is performed.
If you have fever, you are advised to admit yourself in the hospital and you will be given different medications such as cephalosporins like ampicillin and aminoglycosides like gentamycin and amikacin. It is a protein secreted by the prostate gland and was discovered by scientists in the 1970's. In the lower picture, there is damage to the cells in the glands of the prostate and more PSA leaks into the blood stream. However, infection (UTI) and inflammation (prostatitis) will also cause damage and lead to an elevated PSA reading. One of the goals of prostate cancer research is to identify a "cancer marker" that identifies all patients with and without prostate cancer. Those with a low PSA are unlikely to have cancer and similarly, those with a high PSA likely have cancer.
The reason why regular PSA testing is carried out is to ascertain how the PSA levels are changing over time. As you can see, all the groups start with a low PSA but those with cancer have more rapidly rising PSA. When sufficiently large, the nodules compress the urethral canal to cause partial or complete obstruction of the urethra that interferes with the normal flow of urine. All five are equally effective and successful but have slightly different side effect profiles, as any medications. Other herbal medicines are made with the help of the extract of African star grass, pygeum extracted from the bark of Prunus Africana, pumpkin seed and stinging nettle. While symptoms of BPH and prostate cancer can be similar, BPH has never been shown to be a precursor to developing prostate cancer.
At a certain point, it becomes necessary to see a urologist, a medical doctor specializing in diseases of the urinary and genital area. Two factors stand out as predictors of the condition: increasing age and a family history of BPH. This is often only a temporary option because the prostate will continue to grow and more advanced treatment will become necessary. Using a resectoscope, the surgeon enters the urethra through the penis and cuts away pieces of the overgrown gland using electricity. The effectiveness of using focused energy is positive for the short term with discharge on the same day, less discomfort urinating, and a quicker return to daily activities than with surgery. He is a board-certified urologist and a specialist in the diagnosis and treatment of urologic diseases, kidney cancer, bladder cancer, and prostate cancer. Urine samples are obtained for premassage and after postmassage and are sent to laboratory for microscopic exam. This particular protein was only isolated in prostate tissue and hence was called "prostate specific" antigen. If there is damage to the cells in the glands of the prostate, then more PSA will leak into the blood stream and patients will have a higher PSA level (see lower picture below). If the PSA reference range were raised, then fewer patients with no cancer would have unnecessary further tests but some patients with cancer would be missed.
Therefore if someone has a normal PSA test, it should be repeated to make sure if isn't rising.
The researchers identified 4 groups of patients and were able to look back to see how the PSA levels changed for each group over the 20 years before they were diagnosed. If the PSA rises by more than 0.75 in 12 months, it should be checked again 3 months later. Alpha blockers relax smooth muscle in the prostate and the bladder neck, thus decreasing the blockage of urine flow and decreasing pain during urination process. While an official cause of BPH is unknown at this time, it's believed to be due to the decrease in the hormone testosterone as a man ages and a predisposition through family history.
There does appear to be agreement that BPH results from the normal decrease in the hormone testosterone as men age.
Furthermore, advanced treatment may become advisable despite the level of the man's discomfort because of the potential for harming the urogenital area. At the end of the procedure, a urinary catheter is put in the patient and is removed either in recovery or the next day.
Longer term success needs further study before a comparison can be made between non-surgical and surgical treatment options.


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.
A person is diagnosed of having chronic bacterial prostatitis if both bacteria are present in the blood and in the urine. Also in men with benign enlargement (see BPH), the larger prostate produces more PSA, which results in increased levels of PSA leaking into the blood stream. If the PSA is between 4 and 10, then approximately 20% of men will have cancer on further testing. Similarly, if one has a high PSA test, one option is to repeat the test as it may also fall. There is no cure for this condition so finding relief from the symptoms is the goal of the treatment. The higher concentration of another hormone, estrogen, may influence the increase in cell growth. Over time, the wall of the bladder thickens and the muscles weaken to the point that it can not completely empty itself.
The downside is their side-effects, some of which are sexual functioning issues, making this option unacceptable to some men.
Today, a prostatectomy is performed when the patient's prostate has grown too large, there are bladder stones, or when the bladder needs to be repaired at the same time. This procedure takes about 90 minutes and the patient may be discharged on the day of or day after.
Samadi is trained in oncology, open, laparoscopic, and robotic surgery and has performed over 7,000+ robotic laparoscopic prostate surgeries.
It is not cancer, and it does not raise your risk for prostate cancer. Causes The actual cause of prostate enlargement is unknown. In another theory, researchers believe they have identified a route by which a testosterone by-product called DHT (dihydrotestosterone) reenters the prostate gland encouraging the gland to grow just as testosterone did during puberty. This can result in urinary tract infections, retention of urine, bladder stones, damage to the urinary and reproductive organs, and, if these conditions persist, urine may back up to the kidney, eventually causing kidney stones and possibly renal disease. The initial recovery period allows for a return to daily activities in about a month, delaying strenuous activity until considerably later. He is actively involved in training and proctoring urologists throughout the United States and internationally. Factors linked to aging and the testicles themselves may play a role in the growth of the gland. Due to the vast population of men who suffer from this condition, much research is conducted to identify its cause and more effective, less invasive methods of treatment.
The benefit of this procedure is its safety and effectiveness in opening the urinary route.
Possible side-effects directly after the procedure include uncomfortable and occasional difficulty urinating and blood in the urine. There is a possibility of long-term recovery issues, including impotence and retrograde ejaculation. Your score may be compared to past records to determine if the condition is getting worse. Treatment 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.
Avoid drinking fluids within 2 hours of bedtime. Try NOT to take over-the-counter cold and sinus medications that contain decongestants or antihistamines. Nervousness and tension can lead to more frequent urination. MEDICATIONS Alpha 1-blockers (doxazosin, prazosin, tamsulosin, terazosin, and alfuzosin) are a class of medications also used to treat high blood pressure. Most people treated with alpha 1-blocker medication find that it helps their symptoms. Finasteride and dutasteride lower levels of hormones produced by the prostate, reduce the size of the prostate gland, increase urine flow rate, and decrease symptoms of BPH. Potential side effects related to the use of finasteride and dutasteride include decreased sex drive and impotence. Antibiotics may be prescribed to treat chronic prostatitis (inflammation of the prostate), which may accompany BPH. Some men note relief of their BPH symptoms after a course of antibiotics. SAW PALMETTO Many herbs have been tried for treating an enlarged prostate. Saw palmetto has been used by millions of men to ease BPH symptoms and is often recommended as an alternative to medication.
Some studies have shown that it helps with symptoms, but there is evidence that this popular herb is no better than a dummy pill in relieving the signs and symptoms of BPH. This is a lengthy procedure, and it usually requires a hospital stay of 5 to 10 days. Most men who have prostate surgery have improvement in urine flow rates and symptoms. See prostate removal for a description of complications. Other, less-invasive procedures are available. Patients who receive these less-invasive procedures are more likely to need surgery again after 5 or 10 years. However, the technology is not widely available, and surgeon experience should be taken into consideration.



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