Benign Hyperplasia (BPH)

Benign Hyperplasia (BPH)

Benign prostatic hyperplasia (BPH) is defined as a non-cancerous enlargement of the prostate. The prostate is a chestnut shaped body surrounding the urethra (a canal which leads to the bladder) and consist of two lobes lying close to the ejaculatory ducts. The function of the prostate is (1) to secrete fluids that make up a portion (20%-40%) of the ejaculate volume and (2) provide secretions with antibacterial effect. BPH is uncommon in men under 50 but is more prevalent in men over 60. The man is usually in no acute distress, but for a man with moderate to severe disease there will be more pronounce symptoms or complications. There are two different types or categories of the symptoms. They may be obstructive symptoms where there is a reduction of bladder emptying or irritative voiding symptoms which occurs late in the and where there has been a long standing obstruction at the bladder neck. The symptoms of BPH can vary over time. The symptoms may improve, remain stable or can worsen. This is a disease that can progress or regress.

Obstructive symptoms

  • Force of urinary stream is diminished
  • Urinary flow rate is decreased
  • Bladder emptying is incomplete and slow
  • Urinary hesitancy
  • Urinary straining and a weak urine flow
  • Urine dribbles out of the penis and the bladder always feels full
  • Need to press on bladder to force out urine
  • Urinary retention-bladder emptying not possible

Irritative Voiding Symptoms (Occurs in 50-80% of men)

  • Occurs late in the disease
  • Urinary frequency (urinate frequently)
  • Urinary Urgency (cannot hold urine)
  • Bedwetting or clothes wetting
  • Waking up every 1-2 hours to urinate (Nocturia)

COMPLICATIONS (from a progressive state)

  • Painful urinary retention which can lead to acute renal failure
  • Blood in the urine (large amount)
  • Over flow urinary incontinence
  • Recurrent urinary tract infections
  • Bladder stones
  • Chronic renal failure from long standing bladder outlet obstruction.

https://www.healthline.com/human-body-maps/prostate

 

Disclaimer

This article is for informational purposes ONLY. It is not to suggest nor diagnose any disease state. ALWAYS seek professional help from a medically licensed professional.

WordPress › Error

There has been a critical error on this website.

Learn more about troubleshooting WordPress.