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The prostate is a male reproductive organ located at the base of the bladder and surrounds the
urethra, which originates from the bladder and drains urine from the body
the Prostate goes through two main growth stages
as a man ages. The first occurs early in puberty when the prostate doubles in size
The second phase of growth begins around age 25.
Benign prostatic hyperplasia or BPH is a common condition that occurs later in the second growth,
around age 50. hyperplasia means an increase in the number of cells
BPH is a non-malignant process which means this enlargement is not cancer [Music]
foreign the prostate likely enlarges due to hormonal changes levels of estrogen and
testosterone in your body change as you get older this may cause your prostate to grow many men aged
50 or older have an enlarged prostate but they don't all get the symptoms [Music] as the prostate
gets enlarged it pushes on the bladder and presses on the outside of the urethra causing the urethra
to narrow it can cause difficulty initiating and maintaining the urinary stream [Music]
start to urinate it won't be easy to push urine through significant straining may be required
it might cause a little bit of irritation and a burning sensation
the urine stream will not flow easily and will be weak so it takes longer to urinate
the bladder itself has to work extra hard to empty over time it causes the
bladder muscles to thicken decreasing the ability to hold large amounts of urine
foreign [Music] s often need to awake at night several times with a sense of
urination called nocturia it can cause poor sleep
although they might not urinate that much each time
due to the residual urine volume within the bladder the patient always has a feeling
of needing to urinate again it's called urinary frequency it is sometimes with the
surface of the urge to urinate quickly also after completing urination dribbling may occur [Music]
over time the prostate gets more prominent which can cause urinary retention means
no urine can pass and stop all over the bladder can be complete with a lot of pain
the kidney keeps making urine even when the bladder is full so the urine will go back up
to the urethra and eventually get into the kidney it will cause damage to the kidney
if it is not treated it can lead to chronic kidney disease and Dialysis in some patients
BPH can be successfully treated when it does occur
treatment options depend on the patient's situation and include medications that
relax the muscle within the prostate and medications that shrink the size of the prostate
combination therapy uses different types of medications together or surgical treatment
a man with a small prostate and Mild with no bothersome symptoms often does
not necessitate medication or surgery regular monitoring programs and lifestyle changes can
help to improve symptoms [Music] about one in five men with BPH will worsen their symptoms
over five years if no treatment is taken and approximately 10 to 25 percent of patients
with moderate to severe symptoms will go on to require surgery within three to four years foreign
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