Prostate Restored
Photo: Marcus Aurelius
As men age, their prostates often enlarge. This puts pressure on their urethras. An enlarged prostate is also known as benign prostatic hyperplasia (BPH). The condition can contribute to an urge to urinate frequently, or the feeling that you may still have to go after you've finished urinating.
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Read More »What is an overactive bladder? Overactive bladder (OAB) is a relatively common condition. Typical symptoms include frequent urination, frequent nighttime urination, persistent urge to urinate, and urine leakage or incontinence. An estimated 33 million Americans have OAB, reports the Urology Care Foundation, and as many as 30 percent of men experience symptoms. It’s possible that even more men have the condition, but never seek help. If you suspect you have OAB, talk to your doctor. There are a variety of treatments options that may help. Symptoms of OAB Several symptoms are commonly associated with OAB. You may have just one symptom or all of them. OAB can cause an urgent need to urinate. You might need to urinate up to eight times a day. You might also experience nocturia, or the need to urinate at least twice overnight. Another common symptom of OAB is urge incontinence. This happens when the urge to urinate is so strong that you can’t control it, causing urine to leak before you make it to the bathroom. It may occur when you laugh, sneeze, cough, or exercise. OAB and your prostate Among men, many cases of OAB are caused by an enlarged prostate gland. Your prostate may get larger as you age. It can block your flow of urine, causing symptoms of OAB. According to the National Association for Continence, up to 50 percent of men experience symptoms of an enlarged prostate by the time they turn 60. A whopping 90 percent of men experience symptoms by age 85. Other causes of OAB in men An enlarged prostate is the cause of OAB in most men, but there are numerous other factors that can lead to symptoms. An infection in the bladder, bladder stones, or bladder cancer can all cause OAB. Neurological conditions, such as a stroke or Parkinson’s disease, can also lead to OAB because of nerve damage that results in sending incorrect signals to the bladder. It’s also possible for temporary factors to cause symptoms of OAB. If you drink a lot of fluids, especially those that are caffeinated or contain alcohol, if you take medications that increase urine output, or if you are constipated, you might experience an increased need to urinate. Diagnosis of OAB If you are experiencing symptoms of OAB, your doctor will want to give you a thorough physical exam. You will also likely need to have your urine tested to look for signs of infection or stones. Your doctor may also give you any of several available tests that evaluate the functioning of your bladder. These include measuring how much urine is left in your bladder after going to the bathroom, measuring the rate of flow when you urinate, and measuring the pressure in and around your bladder. Based on test results, your doctor can give you a considered diagnosis and discuss your treatment options.
Prostate artery embolization gaining popularity as a treatment for BPH. UCI Health is now offering a non-surgical treatment for men with prostate...
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5-alpha reductase inhibitors shrink the prostate gland if it's enlarged. Finasteride and dutasteride are the two 5-alpha reductase inhibitors...
Read More »Treating OAB with lifestyle changes If you’re diagnosed with OAB, your doctor will likely recommend lifestyle changes. For example, they may advise you to: keep a record of your bathroom habits
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