The cause of prostate enlargement is unknown, but it's believed to be linked to hormonal changes as a man gets older. The balance of hormones in your body changes as you get older and this may cause your prostate gland to grow.
Benign prostate enlargement (BPE) is the medical term to describe an enlarged prostate, a condition that can affect how you pee (urinate). BPE is common in men aged over 50. It's not a cancer and it's not usually a serious threat to health. Many men worry that having an enlarged prostate means they have an increased risk of developing prostate cancer. This is not the case. The risk of prostate cancer is no greater for men with an enlarged prostate than it is for men without an enlarged prostate.
Symptoms of benign prostate enlargement The prostate is a small gland, located in the pelvis, between the penis and bladder. If the prostate becomes enlarged, it can place pressure on the bladder and the urethra, which is the tube that urine passes through. This can affect how you pee and may cause: difficulty starting to pee
a frequent need to pee
difficulty fully emptying your bladder Credit: Alila Medical Images / Alamy Stock Photo https://www.alamy.com/stock-photo-benign-prostatic-hyperplasia-bph-51363636.html?pv=1&stamp=2&imageid=9A5F67B1-8902-4AA1-BB74-DAEF427C2E74&p=178046&n=102&orientation=0&pn=1&searchtype=11&IsFromSearch=1&srch=foo%3Dbar%26st%3D11%26sortby%3D2%26qt%3DCYFPRG%26qt_raw%3DCYFPRG%26qn%3D%26lic%3D3%26edrf%3D0%26mr%3D0%26pr%3D0%26aoa%3D1%26creative%3D%26videos%3D%26nu%3D%26ccc%3D%26bespoke%3D%26apalib%3D%26ag%3D0%26hc%3D0%26et%3D0x000000000000000000000%26vp%3D0%26loc%3D0%26ot%3D0%26imgt%3D0%26dtfr%3D%26dtto%3D%26size%3D0xFF%26blackwhite%3D%26cutout%3D%26archive%3D1%26name%3DAlila%2520Medical%2520Images%26groupid%3D%26pseudoid%3D%7BA883FDE5-7F3D-4472-81F5-B61111916852%7D%26userid%3D%26id%3D%26a%3D%26xstx%3D0%26cbstore%3D0%26resultview%3DsortbyPopular%26lightbox%3D%26gname%3D%26gtype%3D%26apalic%3D%26tbar%3D0%26pc%3D%26simid%3D%26cap%3D1%26customgeoip%3D%26vd%3D0%26cid%3D%26pe%3D%26so%3D%26lb%3D%26pl%3D0%26plno%3D%26fi%3D0%26langcode%3Den%26upl%3D0%26cufr%3D%26cuto%3D%26howler%3D%26cvrem%3D0%26cvtype%3D0%26cvloc%3D0%26cl%3D0%26upfr%3D%26upto%3D%26primcat%3D%26seccat%3D%26cvcategory%3D*%26restriction%3D%26random%3D%26ispremium%3D1%26flip%3D0%26contributorqt%3D%26plgalleryno%3D%26plpublic%3D0%26viewaspublic%3D0%26isplcurate%3D0%26imageurl%3D%26saveQry%3D%26editorial%3D1%26t%3D0%26edoptin%3D In some men, the symptoms are mild and do not need treatment. In others, they can be very troublesome.
Causes of benign prostate enlargement The cause of prostate enlargement is unknown, but it's believed to be linked to hormonal changes as a man gets older. The balance of hormones in your body changes as you get older and this may cause your prostate gland to grow.
Video: prostate enlargement This animation explains the possible causes of prostate enlargement or benign prostatic hyperplasia.
Diagnosing benign prostate enlargement You might have several different tests to find out if you have an enlarged prostate. A GP may do some of these tests, such as a urine test, but others might need to be done at a hospital. Some tests may be needed to rule out other conditions that cause similar symptoms to BPE, such as prostate cancer. Find out more about diagnosing benign prostate enlargement
Treating benign prostate enlargement Treatment for an enlarged prostate will depend on how severe your symptoms are. If you have mild symptoms, you do not usually need immediate treatment. Your doctor will agree with you if and when you need more check-ups. You'll probably be advised to make lifestyle changes, such as: drinking less alcohol, caffeine and fizzy drinks
limiting your intake of artificial sweeteners
exercising regularly
drinking less in the evening Medicine to reduce the size of the prostate and relax your bladder may be recommended to treat moderate to severe symptoms of an enlarged prostate. Surgery is usually only recommended for moderate to severe symptoms that have not responded to medicine.
Complications of benign prostate enlargement Benign prostate enlargement can sometimes lead to complications, such as: a urinary tract infection (UTI)
acute urinary retention Acute urinary retention (AUR) is the sudden inability to pass any urine. Symptoms of AUR include: suddenly not being able to pee at all
severe lower tummy pain
swelling of the bladder that you can feel with your hands Go immediately to your nearest A&E if you experience the symptoms of AUR.
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Nonsteroidal anti-inflammatory drugs (NSAIDs) are popular pain relievers that have a conflicting relationship with BPH symptoms. On the one hand, some studies have found they shrink the prostate and improve urinary symptoms.
Overview For many men, benign prostatic hyperplasia (BPH) is a normal part of growing older. Prostate enlargement is so common that about half of men have it by age 60, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) . By their 80s, the vast majority of men will have prostate growth and its associated symptoms. Men with BPH need to follow the treatment plan their doctor prescribes. They also need to watch what medications they take, what beverages they drink, and what foods they eat. Certain drugs, foods, and drinks can worsen BPH symptoms. Here’s a guide to the medications, foods, and drinks to watch out for if you have BPH.
Prescription medications and BPH If you take one of these drugs, check with your doctor. All of these medicines can worsen BPH symptoms. You may need to switch to another medication if your urinary symptoms become too problematic. Diuretics Diuretics help remove extra fluid in your body by pulling more water out of your bloodstream into the urine. These drugs are used to treat conditions such as: high blood pressure
heart failure
liver disease
glaucoma Because diuretics make you urinate more often, they can worsen existing BPH symptoms. Antidepressants An older generation of antidepressant drugs called tricyclic antidepressants reduces bladder muscle contractions. That can aggravate BPH symptoms and increase the risk for urinary retention. Tricyclic antidepressant drugs include: amitriptyline
amoxapine (Asendin)
doxepin (Sinequan)
imipramine (Tofranil)
nortriptyline (Pamelor)
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