What Are The Manifestations Of Benign Prostatic Hyperplasia


What is benign prostatic hyperplasia characterized by?

Benign prostatic hyperplasia (BPH) is a common condition in older men. Histologically, it is characterized by the presence of discrete nodules in the periurethral zone of the prostate gland. 1 Clinical manifestations of BPH are caused by extrinsic compression of the prostatic urethra leading to impaired voiding.

What happens during benign prostatic hyperplasia?

Enlargement of the prostate is called benign prostatic hyperplasia (BPH). It occurs when the cells of the prostate gland begin to multiply. These additional cells cause your prostate gland to swell, which squeezes the urethra and limits the flow of urine.

Which clinical manifestation would the nurse associate with benign prostatic hyperplasia?

BPH Symptoms An urgent need to urinate and difficulty postponing urination. A hesitation before urine flow starts despite the urgency to urinate. Straining when urinating. Weak or intermittent urinary stream.

What are symptoms of enlarged prostate constipation?

Pain and/or pressure in the rectum. Painful defecation (painful bowel movements) Discomfort and/or pain in the genitals, groin, lower back and/or lower abdomen. Recurring urinary tract infections (UTIs)

What is the main cause of 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.

What is the goal of pharmacological treatment of benign prostatic hyperplasia BPH )?

The goals of pharmacotherapy for benign prostatic hypertrophy (BPH) are to reduce morbidity and to prevent complications. The agents used include the following, alone or in combination: Alpha-adrenergic blockers. 5-Alpha-reductase inhibitors.

How do you check your prostate?

Prostate screening tests might include: Digital rectal exam (DRE). During a DRE , your doctor inserts a gloved, lubricated finger into your rectum to examine your prostate, which is adjacent to the rectum. If your doctor finds any abnormalities in the texture, shape or size of the gland, you may need further tests.

What happens when a man has prostate problems?

The symptoms of a prostate problem may include problems with urinating and bladder control. If you have bacterial prostatitis, your symptoms may come on quickly, or they may come on slowly and last a long time. If you have BPH, you may need to wake up often to urinate when you sleep.

What is the difference between benign prostatic hypertrophy and hyperplasia?

Benign prostatic hyperplasia—also called BPH—is a condition in men in which the prostate gland is enlarged and not cancerous. Benign prostatic hyperplasia is also called benign prostatic hypertrophy or benign prostatic obstruction. The prostate goes through two main growth periods as a man ages.

Can benign prostatic hyperplasia cause hematuria?

Burning or pain during urination can occur if a bladder tumor, infection or stone is present. Blood in the urine (hematuria) may herald BPH, but most men with BPH do not have hematuria.

Where is prostate pain located?

The prostate gland is situated just below the bladder and surrounds the urethra. Prostatitis is a disease of the prostate that results in pain in the groin, painful urination, difficulty urinating and other symptoms. Acute bacterial prostatitis is often caused by common strains of bacteria.

Can benign prostatic hyperplasia cause constipation?

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

What is the best treatment for enlarged prostate?

There are several treatment options for an enlarged prostate. You can take alpha-blockers such as terazosin (Hytrin) or tamsulosin (Flomax) to help relax the prostate and bladder muscles. You can also take dutasteride (Avodart) or finasteride (Proscar), a different kind of medication for reducing BPH symptoms.

Can an enlarged prostate go back to normal?

Because BPH cannot be cured, the treatment focuses on reducing the symptoms. The treatment is based on how severe the symptoms are, how much they bother the patient and whether there are complications. The more irritating the symptoms are, the more aggressive treatment should be.

Which of the following agents is recommended for symptoms of benign prostatic hyperplasia?

MRAs: These agents (tolterodine, fesoterodine) are recommended for patients experiencing BPH with OAB symptoms. Symptoms may include irritative LUTS such as urinary urgency, with or without urge incontinence, often with frequency and nocturia.

Which two classes of drugs are used to manage symptoms of BPH?

The three classes of drugs for an enlarged prostate are: Alpha blockers, which relax muscles of the prostate and neck of the bladder to relieve symptoms. Examples of alpha blocker medications include: alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax), and terazosin (Hytrin).

What is the first line treatment for BPH?

Alpha blockers are recommended as first-line treatment for BPH, except for prazosin (Minipress) and phenoxybenzamine (Dibenzyline), which lack data to support their use and, therefore, are not recommended. The 5-alpha reductase inhibitors are only recommended in men with documented prostate enlargement.

How can you detect an enlarged prostate at home?

Besides an at-home PSA blood test, there is no easy way to test yourself for prostate cancer at home. It’s recommended to see a physician for a digital rectal exam, as they have experience feeling prostates for lumps or enlarged prostate.

What is the best thing to drink for your prostate?

Drink tea. Both green tea and hibiscus tea are among the top drinks for prostate health. Both types of tea contain potent antioxidants. Studies show that green tea can help prevent prostate cancer from forming and may also slow the growth of aggressive prostate cancer.

How does a urologist check your prostate?

The physician will perform a genital exam plus a digital rectal exam to assess the prostate. After the examination, the urologist will discuss a treatment plan for you to determine what is happening. This will usually involve additional tests, either during this visit or, more commonly, at a later visit.

How does a normal prostate feel like?

A normal prostate has a rubbery, soft feel and is symmetric with a smooth groove down the middle, separating the right side from the left. A firm or hard region in the prostate called a nodule can indicate that prostate cancer is present.

What is a normal prostate exam?

Definition. The normal adult prostate gland is heart shaped with a weight of approximately 20 to 25 g. Abnormal findings on rectal examination include areas of firmness, either localized (nodules) or generalized. Bogginess and asymmetry may also be noted.

What are common prostate problems?

The three most common forms of prostate disease are inflammation (prostatitis), non-cancerous enlargement (BPH), and prostate cancer. If you are a man in your 50s or 60s, discuss having your prostate gland checked with your doctor.

Which condition other than benign prostate hyperplasia BPH would you expect to cause a rise in the level of prostate specific antigen PSA )?

Besides cancer, other conditions that can raise PSA levels include an enlarged prostate (also known as benign prostatic hyperplasia or BPH ) and an inflamed or infected prostate (prostatitis). Also, PSA levels normally increase with age.

Why does BPH cause frequent urination?

The former includes urinary frequency, nocturia, urinary urgency, and incontinence. These are caused by detrusor enlargement and increased bladder sensation which occur in association with urethral resistance increased by urethral compression resulting from BPH.