Benign Prostate Hyperplasia or BPH is a condition of Prostate where it becomes increasingly enlarged. It often begins in men during their middle ages but is most often seen in older men.

The prostate becomes so enlarged that urination becomes difficult. The enlargement is considered as hyperplasia rather then hypertrophy A Prostate Antigen – PSA is often elevated due to size of this organ. This can been monitored on a blood test.

BPH is not caused by cancer and is not considered a premalignant condition and therefore will not become Prostate Cancer

STATS

1.)  50% of men have some prostate growth by age 50
2.)  75% of men have prostate growth by age 80
3.)  But only 40% have symptoms and need treatment.

Symptoms:

–  Painful urination
–  Burning to urinate
–  Urinary frequency
–  Frequency of urination at night
–  Hesitation – taking awhile to start urination
–  Intermittency
–  Difficulty to urinate
–  Urinary retention
–  Increase risk for Urinary Tract infections

Diagnosis

1.)  Rectal exam

2.)  Blood work are essential in diagnosis

3.)  Ultrasound

4.)  CT or MRI

5.)  Goal is to first rule out Prostate Cancer.

Treatment:

1.) Medications

Alpha-Blockers  (Alpha-adrenergic receptor antagonists)
.     Doxazosin  (Cardura)
  .    Terazosin  (Hytrin)
  .    Trimazosin  (Minipress)
  .    Alfuzosin  (Uroxatral)
  .    Tamsulosin  (Flomax)

5-Alpha-Reductase Inhibitors
.    Finasteride  (Proscar)
.    Dutasteride  (Avodart)

Other Herbs/Medications

–   Saw Palmentto

2.)  Transurethral microwave thermotherapy

3.)  TransUrethral Needle Ablation

4.)  Transurethral resection of prostate (TURP)

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