What is benign
prostatic hyperplasia?
Most men experience prostate gland enlargement as they age.
This is a condition called benign prostatic hyperplasia (BPH).
The prostate gland is underneath the bladder. When it gets
bigger, it can block the flow of urine through the urethra, which is the tube
that carries urine from the bladder out through the penis. This can cause
problems with urination. Experts theorize that the prostate gland grows as
men age as a result of changes in hormonal balance. If you don’t get treatment
for it, BPH can cause bladder, urinary tract, or kidney problems.
The complications of BPH can be serious, but BPH isn’t
prostate cancer. Having BPH doesn’t mean you have an increased risk of prostate
cancer. The prostate tissue growth associated with BPH begins around the inner
prostate, which is a ring of tissue around the urethra, and continues growing
inward. Prostate cancer begins growing on the outer part of the prostate and grows
outward.
1. A frequent or urgent need to urinate
Many men with BPH will feel the need to urinate frequently,
especially at night. This is a condition called nocturia. Frequent urination is
defined by the National Institutes of Health as having to urinate eight or more
times per day. Sometimes, this need to urinate may be urgent. An enlarged
prostate gland puts increased pressure on the urethra and bladder, which
results in an inability to hold in your urine
2.
Difficulty
urinating
BPH can make the act of urinating difficult. Increased
pressure on the urethra can block the flow of urine from the bladder out
through the penis. This can make it hard to start a urine stream, and it can
cause a weak or interrupted urine stream, especially at the end of urination.
This is sometimes referred to as urine dribbling.
3. Pain during urination or ejaculation
The pressure on your reproductive system and urinary tract
from BPH can result in pain during urination or ejaculation. Some men feel the
need to push urine out during urination, which can also cause pain. Pain during
urination or ejaculation may also occur due to infection, which is a relatively
common complication of BPH.
4. Urine with blood or an unusual color or smell
Urinary retention can cause urine to take on a darker color
and unusual smell. Foul-smelling urine is typically a sign of a urinary tract
infection (UTI). Blood in the urine, or hematuria, can occur as a result of the
dilated veins on the surface of an enlarged prostate gland. Visible blood in
the urine is called gross hematuria. If you see blood in your urine, you need
urgent attention right away.
If you cannot pass any urine, it’s important to seek
immediate medical care. Your doctor will have to insert a tube known as a catheter
into your bladder to drain the urine. Depending on the severity of your BPH,
your doctor may recommend surgery to remove some of your enlarged prostate
tissue or to make cuts in your prostate to widen the urethra and as you know
surgery comes with consequences.
6. Urinary tract infections
The inability to fully empty urine out of the bladder can
cause bacteria to grow in the bladder. This can lead to UTIs. These infections
may cause the urine to darken or result in foul-smelling or bloody urine. Your
doctor may recommend surgery to remove part of the prostate if you have
frequent UTIs
Bladder stones, like UTIs, usually occur due to an inability
to empty the bladder completely, which is one of the main symptoms of BPH.
Bladder stones are hard lumps of minerals in the bladder that form when urine
in the bladder becomes highly concentrated. This causes the minerals in urine
to crystallize. These stones can cause:
- severe infections
- blood in the urine
- bladder irritation
- a blockage of urine flow
8. Bladder and kidney damage
The bladder may stretch and weaken if it cannot empty
completely. This can cause the muscular wall of the bladder to lose its ability
to contract normally, making it more difficult to empty the bladder completely.
Urinary retention due to BPH can also put pressure on the bladder, damaging the
kidneys. Additionally, infections that start in the bladder may spread to your
kidneys, causing damage
Outlook for men with
BPH
If you’re experiencing any of the symptoms or complications
of BPH, check in with a wellness consultant right away. They may recommend you
directly to a doctor who specializes in urinary problems called a “urologist.”
Or recommend some supplements that can help you overcome the situation. Before
your appointment, make a list of your symptoms and medical information, such as
existing medical conditions and medications you’re taking, keep track of your
urinary habits, and write down any questions you have for your wellness
consultant.
Most men find that common treatments for BPH, such as
surgery, medication, and natural remedies, help alleviate their symptoms. BPH
can be uncomfortable and may lead to complications, but you can avoid or
minimize the symptoms and damage to your bladder and kidneys if you get attention
and treatment early.
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