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TREATMENTS FOR PROSTATOMEGALY

Prostatomegaly or prostate gland enlargement is popularly known as Benign Prostate Hyperplasia (BPL). Benign Prostate Hyperplasia is a common disorder among elder men. Almost 90 per cent of the men above 80 experience BPL.  It is said that if you do not have prostatomegaly you have not lived enough. Nowadays prostate enlargement affects people of younger age as well. There is no proper pattern or reason for the disease, so every one of us should have an idea about the condition. Early stage treatment helps you in reducing further complications. This article gives a brief description of the condition and the treatments.

What is a prostate gland?

The prostate gland is a muscular gland associated with the male reproductive system. The gland produces the fluid that nourishes sperm. The gland squeezes and semen is secreted during ejaculation. The smooth muscles of prostate help in the process of ejaculation. The gland is located near to the urinary bladder and the enlargement of the organ exerts pressure on the urinary bladder.

What is Benign Prostate Hyperplasia (BPL)?

BPL is a non-cancerous growth in the prostate tissue. Cells of the gland multiples abnormally and this leads to the swelling of the prostate gland. When the gland weighs more than 33grams the prostate is diagnosed with BPL.

Causes of Benign Prostate Hyperplasia

Causes behind the condition are unknown but it is directly related to the ageing process. The condition is associated with the change in hormone level. The disease has a pattern of running in a family tree.

Symptoms of prostatomegaly.

The common symptoms are due to the extra pressure on the urinary bladder. The main symptoms are as follows

  • Urine retention in the bladder
  • Loss of control in urination.
  • Dribbling of urine.
  • Frequent urge to urinate
  • Difficulty in starting urination
  • Slow urinary stream
  • Straining while urinating
  • Frequent urge to urinate while sleeping
  • Erectile dysfunction

 

What are the treatments for prostatomegaly?

There are different lifestyle changes, which can help in treating the symptoms, related to prostate enlargement. Since the causes are unknown, only probable way treat the condition is to reduce the symptoms to avoid the complications.  When the symptoms go, beyond the control, you can consult a doctor and minimally invasive surgeries are available to treat the disease. The main natural remedies are

Dos and don’ts

  • Do not drink alcohol or coffee before bedtime: these beverages can stimulate frequent urination and for someone with prostatomegaly the symptoms will worsen at a higher rate.
  • Do consume food with more fibre content: this will avoid constipation and reduce the complications related to the extra pressure on the urinary bladder.
  • Do pelvic strengthening exercises: this helps in strengthening the bladder muscles thereby reducing urinary incontinence.
  • Do not take antihistamine and decongestants
  • Do clean your external genitalia to avoid further complications like urinary tract infection.

 

 

Training to avoid urinary incontinence

  • Double voiding of the urinary bladder: Voiding urinary bladder just after regular urination can help frequent urge to urinate.
  • Bladder training: This involves several methods like creating a timetable for schedules urination.

There are many ways to control the symptoms and they are

  • Reduce stress since nervousness can increase the frequency of urination.
  • Keep your body warm
  • Reduce the level of water consumption at night
  • Use a napkin if you severe urinary incontinence.

 

When to consult the doctor?

You have to consult the doctor when the severity of the symptoms is high or when the patient is too young and if the size of prostate gland increases uncontrollably. The doctor may prescribe drugs to reduce the tension on urinary bladder, drugs to balance hormone to avoid the further enlarging of the prostate gland. If the person is diagnosed with erectile dysfunction medicines to treat erection problems are also prescribed.

 Surgical methods to cure BPL

  • Laser treatment melts the enlarged portion by selective melting of the prostate gland.
  • Transurethral needle ablation (TNA) burns a specific portion of prostate gland using high-frequency radio wave.
  • Microwave-mediated shrinking of the enlarged prostate gland.
  • Heating of prostate gland to reduce its pressure on the urethra.

 

January 12, 2019 Urology
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