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Prostatic hypertrophy is the result of changes in the hormonal balance of a mature man. As a result, the prostate gland begins to grow and constrict the urethra. Thus, urination disorders occur.
Prostatic hypertrophy – causes
The increase in the volume of the prostate gland is the result of an increase in the number of its glandular cells and muscle. These are cells that physiologically build the prostate. Hence the term “benign” in the name of the disease – the hypertrophy is not caused by a neoplastic lesion or an infection.
The enlarging prostate gland puts pressure on the urethra, causing problems urinating (difficulty starting to urinate, weak urination). The gland may also burrow into the bladder itself, causing you to feel tense and not fully empty your bladder even after urinating (voiding).
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Symptoms of an enlarged prostate gland
You can suspect an enlarged prostate if:
- you have difficulty starting or stopping urination
- you urinate with a weak stream or in drops,
- you urinate often because of a sudden urge to urinate (pollakiuria)
- you urinate several times a night (nocturia).
Symptoms similar to the above also appear in prostate cancer and bladder cancer. In order to verify and make an accurate diagnosis, it is necessary to consult a doctor, preferably a urologist. You can find a receiving specialist in your area on the website clinics.pl.
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What does a prostate examination look like?
In the first stage of the examination, the doctor will conduct a detailed interview with you and based on the information obtained, he will be able to suspect or make an initial diagnosis of benign prostatic hyperplasia. The next step is the rectal examination of the prostate gland – rectal examination.
If the doctor has doubts about the nature of the hyperplasia (benign or malignant), he or she may recommend a transrectal (transrectal) ultrasound scan and determination of PSA levels in the blood, as well as a general urine test (urine retention in the bladder is conducive to infections) and determination of renal function parameters (creatinine, eGFR).
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In the case of abnormalities found in the ultrasound examination, it is recommended to perform a prostate biopsy (also transrectal, under ultrasound guidance).
The urologist may additionally want to perform a void flow strength test (otherwise known as tubular flow measurement or uroflowmetry).
Why is the gland enlarged?
Throughout his life, the male body produces testosterone and small amounts of the female hormone estrogen. As you age, the amount of testosterone produced diminishes, causing the hormone balance to tilt in favor of estrogen. Studies in animals suggest that increased levels of estrogen in the prostate gland increase the activity of substances that cause its cell proliferation.
Another theory on the etiology of BPH centers around dihydrotestosterone (DHT). It is a testosterone derivative formed in the prostate gland and controls its cell growth. Most animals lose the ability to produce DHT with age. Scientific research has shown, however, that despite the decline in peripheral blood testosterone levels, elderly men still produce and accumulate high levels of DHT within the prostate gland, stimulating its cells to grow.
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The researchers also observed that men who are not produced by DHT do not have benign prostatic hyperplasia.
Prostatic hypertrophy – treatment
In the initial stage of hypertrophy, when symptoms are mildly severe, medications are used. They cause the alleviation or complete elimination of the main ailments related to pressure on the urethra.
For mild prostate hyperplasia, herbal preparations and natural dietary supplements supporting the urinary system can be used. We recommend YANGO willowbaum for men, available in packages containing as much as 90 capsules, which is enough for 3 months of supplementation. We also recommend Prostata ProstamHerbs – a herbal infusion mixture and Bioherba Pumpkin Seed Oil for everyday use.
Pharmacotherapy of prostatic hyperplasia uses preparations from the group of alpha receptor antagonists (these drugs cause relaxation of the smooth muscle of the prostate, thus reducing pressure on the urethra), drugs that change the hormonal environment of the prostate (inhibit the formation of dihydrotestosterone and, as a result, reduce the volume of the gland) and substances plant origin.
If the attempt to eliminate the obstruction of the outflow of urine from the bladder does not respond to pharmacological treatment, the urologist may recommend surgical treatment: surgical enucleation of the prostate gland or the so-called TURP (transurethral resection of the prostate) – that is, transurethral electroresection. The latter method is less invasive and more commonly used.
Mild hypertrophy, if left untreated, can lead to recurrent bladder infections, the formation of stones in the urinary tract and even urinary incontinence. Most of all, however, it gradually but significantly impairs a man’s quality of life.
To prevent prostatic hypertrophy and help in treating the problem, use FOR SENIOR – willowherb herb tea. Or you can try Prostat, a herbal blend with anti-inflammatory properties. In turn, Wierzbownica with magnesium for the prostate and urinary tract is available in the form of easy-to-swallow capsules.