Why does my prostate keep getting enlarged?

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.

nhs.uk - Benign prostate enlargement - NHS

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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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What do I need to do before a cystoscopy?

Preparation for Cystoscopy There is no need to come in with a full bladder. We will ask you to empty the bladder prior to the procedure. You may eat before your visit. Please take your regularly scheduled medications for the day, with the exception of aspirin or aspirin-based medications.

brighamandwomens.org - Cystoscopy Patient Instructions - Brigham and Women's Hospital

Cystoscopy Instructions (pdf)

What is Cystoscopy?

Your doctor has recommended that you have a cystoscopy. This is a procedure that involves using an instrument called a cystoscope to look at the lining of the bladder (the area where the urine is stored), the opening of the ureters (the tubes that connect the kidney to the bladder), and the urethra (the tube that runs from the bladder to the outside of the body). The cystoscope is a thin instrument about the thickness of a pencil and is similar to a catheter. It has a lens at the end so the inside of the bladder can be seen. It is usually attached to a television screen, so both you and your doctor will be able to see the inside of the bladder. The procedure is usually performed in the office. It does not require any anesthesia and lasts for approximately 5 minutes. While the cystoscope is being inserted you may feel mild discomfort for a few seconds. Once the cystoscope is in the bladder most of the discomfort should subside.

Why is Cystoscopy Necessary?

The cystoscopy procedure is ordered for a variety of reasons. These can include blood in the urine, frequent urinary tract infections, recurrent urinary incontinence, urinary frequency, painful urination, urinary retention (unable to empty completely), or problems from previous urinary tract surgery.

Preparation for Cystoscopy

There is no “prep” required. There is no need to come in with a full bladder. We will ask you to empty the bladder prior to the procedure. You may eat before your visit. Please take your regularly scheduled medications for the day, with the exception of aspirin or aspirin-based medications.

If you have any questions, please call the office at (617) 732-4838.

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