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Can a enlarged prostate make it hard to poop?

Can an enlarged prostate cause constipation? Prostate size is not related to constipation or other gastrointestinal problems.

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Men’s health topics are important to discuss with a doctor, but for many men it is difficult to have these conversations with their health care provider. Washington University urologic surgeons answer questions about enlarged prostate – also called benign prostatic hypertrophy (BPH) – below.

What is an enlarged prostate?

The medical term for an enlarged prostate is benign prostatic hyperplasia (BPH). An enlarged prostate is not a medical problem, it is a condition or a state of being.

What does an enlarged prostate mean?

An enlarged prostate means that your prostate is large in comparison to the average man’s prostate. The average prostate is 20 cc in size. Prostates over 30 cc are considered enlarged. Just like female breasts vary in size, men have prostates of varying size.

What causes an enlarged prostate?

Prostate development and growth is dependent on the presence of the androgen sex hormone dihydrotestosterone (DHT). DHT is catalyzed from testosterone, the primary male hormone.

What are the symptoms of an enlarged prostate?

Enlarged prostates can cause obstructive voiding symptoms. The urine flows from the bladder through the tube in the middle of the prostate, called the prostatic urethra, and then out through the penile urethra. As the prostatic urethra narrows with age, the urinary stream can be partially obstructed. Symptoms of an obstructed prostatic urethra include: Slow stream

Straining to urinate

Sense of incomplete emptying

Urinary frequency or nocturia (getting up at night to void)

Splayed urinary stream

Can you reduce prostate enlargement naturally?

There is no reason to treat the asymptomatic enlarged prostate. Treatment is intended to improve symptoms related to prostatic narrowing. Men with normal sized prostates can also be symptomatic.

How do you treat an enlarged prostate?

Obstructive voiding symptoms can be treated with medication, phytotherapy or surgery: Medications – Alpha Blockers Alpha blockers relax the prostate and improve voiding symptoms and flow rate These agents work within 1 – 2 weeks and have few side effects Common medications include Flomax, Rapaflo, Uroxatrol, Cardura, Hytrin Medications – 5 alpha reductase inhibitor These agents block the conversion of testosterone to DHT With a reduced DHT level, the prostatic glandular tissue shrinks and results in a wider prostatic urethra Medications include Finasteride and Avodart. In addition to medications, surgical options offered by Washington University urologists include laser treatments, such as GreenLight Laser Therapy, to open the prostate, allowing patients to have better bladder habits.

What does an enlarged prostate feel like?

A man with an enlarged prostate does not know that his prostate is large. The enlargement is detected by digital rectal examination or by imaging. Men with voiding problems might have a normal sized, tight prostate.

Can an enlarged prostate cause constipation?

Prostate size is not related to constipation or other gastrointestinal problems.

Where can I find a doctor to treat prostate enlargement?

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Do you lose length after prostate surgery?

By six months, the length returns to what it was before surgery. Prostate cancer (PCa) patients undergoing radical prostatectomy may experience a small early loss of penile length after surgery, but this recovers by six months post-operatively, according to new findings.

Prostate cancer (PCa) patients undergoing radical prostatectomy may experience a small early loss of penile length after surgery, but this recovers by six months post-operatively, according to new findings. Use of a phosphodiesterase-5 inhibitor (PDE5i) attenuated SFPL loss, with patients who used PDE5i’s regularly experiencing no loss in SFPL, researchers found. In a study that included 118 men at baseline, a single evaluator measured stretched flaccid penile length (SFPL) before RP and again at two and six months after RP. At two and six months, 76 and 63 men, respectively, were evaluated. At two months post-surgery, patients had a mean 2.4 mm decrease in SFPL, but at six months, they observed no significant difference in SFPL from baseline overall, researchers led by John P. Mulhall, MD, of Memorial Sloan-Kettering Cancer Center in New York, reported online ahead of print in BJU International. At six months, men who took a daily PDE5i had no SFPL loss, whereas those who did not take a PDE5i consistently had a significant mean 4.4 mm SFPL loss compared with baseline. “The present study is among the first to show preservation of SFPL in patients using daily PDE5i as compared with those patients not using regular PDE5i,” the authors wrote. Dr. Mulhall’s group noted that multiple theories have been proposed for why penile length changes in the post-RP population. One hypothesis, the authors explained, is that “cavernous nerve injury results in sympathetic overdrive, causing smooth muscle contraction and a hypertonic retracted penis during the early phase.”

From the January 01, 2014 Issue of Renal and Urology News

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