Old Age, Prostate Gland Enlargement And Its Remedies.
                     Old Age, Prostate Gland 
Enlargement And Its 
Remedies.
https://www.instituteofurology.in/
 As men get older, prostate gland enlargement becomes a common 
accompaniment. And it may cause bothersome urinary symptoms — often the 
condition is known as benign prostatic hyperplasia (BPH) or benign enlargement 
of prostate (BEP). Untreated it often causes damage to the bladder & kidneys. 
But one should not forget that enlargement sometimes may be because of 
cancer.
 Modern day medicines offer you variety of effective treatments for your problem. 
Your urologist will hear your symptoms, examine & investigate you and after 
taking into consideration your other health parameters will advise you what 
treatments you need. Your choices may also depend on what treatments are 
available in the area you live. Treatment usually include:
 MEDICATIONS.
 LIFESTYLE CHANGES.
 SURGERY
 SYMPTOMS: Just an enlargement of gland doesn’t necessarily mean you will have 
worsening symptoms. Small prostate may cause very serious symptoms & on the 
other hand a large prostate may not give you much trouble at all. In some men 
symptoms may stabilize & may even improve over time.
CONSULT YOUR UROLOGIST WHEN YOU EXPERIENCE THE 
FOLLOWING SYMPTOMS:
 Weak stream.
 Hesitancy i.e. difficulty in starting urination.
 Sense of not able to empty the bladder completely.
 Taking longer time to empty your bladder.
 Straining while passing urine.
 Frequent urination especially at night.
 Urgent need to urinate, leaking before you reach toilet.
 Passing blood in urine.
 You may experience fever & burning sensation during urination (Urinary Tract Infection).
 Bladder stone formation causing interrupted stream or burning sensation.
 Sometimes kidneys get swollen up due to backpressure leading to kidney failure and which can be the only symptom.
 At times you may not be able to pass urine at all, what we call as urinary retention.
YOU MAY NOT NEED TREATMENT IF YOUR SYMPTOMS 
ARE NOT TROUBLESOME BUT STILL YOU HAVE TO SEEK UROLOGIST’S OPINION SO THAT YOUR 
SYMPTOMS ARE NOT CAUSED BY ANOTHER GRAVE CONDITION CALLED “PROSTATE CANCER”.
SOME FACTS ABOUT PROSTATE GLAND
 Prostate gland is a walnut shaped gland that sits just below the bladder. Urethra i.e. the tube 
that transports urine from the bladder out of your penis, passes through the center of the 
prostate. When prostate enlarges, it constricts the tube from all around & causes obstruction 
to urine flow & subsequently all the symptoms mentioned above start appearing. It is not 
known why in old age prostate starts enlarging. As men grow older, changes in the balance 
of sex hormones may be the predisposing cause. However, there are certain risk factors:
 (RISK FACTORS FOR PROSTATE ENLARGEMENT)
 Age: Aging is a significant risk factor. It is rare before 40. About 50% of men in 60s & 80% in 
90s have signs & symptoms of enlarged.
 Family history: A blood relative having prostate problems means you are more likely to 
suffer from enlarged prostate.
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5.
(HOW TO CONSULT AN 
UROLOGIST?)
• Are my symptoms due to 
2. prostate enlargement or 
something else?
Acute urinary • What tests do I need?
retention: Sudden painful You will have to see a • What are my treatment 
Symptoms of prostate inability to pass urine. urologist for your symptoms. options?
enlargement if untreated Doctor/ Nurse may have to Tell him all about your • What are the alternatives to the 
Bladder damage: Continued 
may lead to serious pass a catheter through the problems and its duration, primary approach that you are 
penis into your bladder to 3. untreated obstruction & Kidney failure: Too much of complications. However, 4.
suggesting?
bring list of all medications. 
give you relief. Urinary retained urine may cause the retained urine in bladder due • I have other health conditions 1. most men with enlarged Bladder stones: Again Inform him about any 
retention may be seriously muscle layer of bladder to to obstruction often causes 
SO, GOLDEN RULE IS TO like diabetes, hypertension, 
Ethnic background: More (COMPLICATIONS OF prostate don’t develop these happens due to retained medical illness you had prior heart problem, and pace I take 
troublesome if happens in a become very weak & thin. both kidneys to swollen up 
TAKE TREATMENT EITHER 
common in white & black ENLARGED PROSTATE) complications. Any of the urine, causes burning or any surgery that you have blood thinning drugs.
flight or journey or when you Bladder becomes flabby & thus resulting in kidney 
MEDICAL OR SURGICAL 
men. complications that are micturition, blood in urine or undergone in the past. You 
• How can I best manage them 
are in a remote area where doesn’t contract properly. If failure which may be of grave 
BEFORE COMPLICATIONS 
mentioned below often obstructed urine flow. SET IN should be prepared to ask 
together?
medical facilities are not too late this never recovers concern. •cause serious health hazards your doctor following Are there any restrictions that I 
available. even after need to follow?& most of them do need questions so that you can 
surgeries. Frequent urinary tract 
• Is there any alternative to 
have an overview about your allopathy medicines?
infections: Due to retained condition. • If I need surgery, what surgical 
urine, repeated infections method is the best option & 
are common which often how much it will cost?
necessitates surgery.
(HOW UROLOGIST WILL EVALUATE YOU OR RUN TESTS & 
DIAGNOSIS?)
 After a detailed questioning about your symptoms, most important tests that doctor will carry out next is DIGITAL RECTAL 
EXAMINATION/ DRE. Here doctor checks your prostate by inserting a finger into your rectum. This way doctor assesses whether 
prostate is enlarged or how much it is enlarged & checks for signs of prostate cancer. After DRE, doctor will carry out a brief 
neurological examination.
 This may help identify other causes of urinary problem, other than enlarged prostate. After this, urologist will carry out certain tests 
that are listed below to confirm the diagnosis & to rule out other problems.
 ABDOMINAL/ TRANSRECTAL ULTRASOUND: This helps us to know about size of the prostate, how much urine is retained in the 
bladder after urination, if any stone has formed or whether the kidneys are bearing the brunt of prostate obstruction. Transrectal 
ultrasound is a procedure where a probe like a large cigar is inserted to your rectum to visualize the prostate from close proximity & 
thus gives more detailed picture of prostate than ultrasound done through This is especially helpful if prostate cancer is suspected.
 UROFLOWMETRY: Urine flow test measures the strength & amount of your urine flow. You urinate into a receptacle attached into a 
special machine. The result of this test over time helps determine if your condition is getting better or
 URINE ANALYSIS: Urine test rules out any associated infection.
Conclusion
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