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Benign Prostatic Hyperplasia (BPH)

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Benign Prostatic Hyperplasia (BPH)

What is Benign Prostatic Hyperplasia (BPH)?

As men age, the prostate undergoes two growth cycles. The first occurs during early puberty, doubling the prostate’s size, and the second begins around age 25 and continues throughout life. Benign Prostatic Hyperplasia (BPH) typically develops during this second phase, where the prostate enlarges, pressing against the urethra and thickening the bladder wall. This leads to the narrowing of the urethra, urinary retention, and incomplete bladder emptying, causing symptoms such as urinary tract, bladder, and kidney problems.

The prostate, a small muscular gland surrounding the urethra, produces most of the fluid in semen and helps propel it during ejaculation. BPH occurs when prostate gland cells multiply, causing the gland to swell and obstruct urine flow. Although BPH is benign and does not cause cancer, it leads to uncomfortable symptoms and complications that can affect quality of life. BPH is common, affecting about 50% of men aged 51-60 and up to 90% of men over 80.

Symptoms

For most people, the Benign Prostatic Hyperplasia (BPH) symptoms are very mild at first. However, the symptoms worsen over time if not treated. Similar to other conditions, the severity of the symptoms varies from one person to the other. The common signs and symptoms of Benign Prostatic Hyperplasia (BPH) include;

  • An abrupt urinating urge
  • Leakage or incontinence of urine
  • Dribbling, especially when you are done urinating
  • Difficulty starting urination
  • Weak urine stream or a stream that stops and starts
  • Half-finished bladder emptying
  • Nocturia – This condition leads to increased frequency of urination at night
  • Incontinence or leakage of urine
  • A delayed or slow urinary stream
  • Straining when urinating
  • Painful urination

Although less common, a person suffering from Benign Prostatic Hyperplasia (BPH) can also have the following symptoms;

  • Inability to urinate
  • Urinary tract infection
  • Blood trace in the urine

Most often, your prostate size does not primarily determine the severity of the symptoms. Men with a slightly enlarged prostate can experience severe symptoms than men with significantly enlarged prostates. Sometimes, the symptoms stabilize with time. However, you experience one or more of these symptoms, you need to talk to your doctor. PBH is treatable, and often-early treatment helps to prevent complications.

Causes

For most men, prostate growth continues throughout life. As such, Benign Prostatic Hyperplasia (BPH) is considered a normal part of male aging. As stated, almost all men above the age of 80 experience Benign Prostatic Hyperplasia (BPH) symptoms. While it is not entirely clear what causes prostate enlargement, variations in male hormones that develop as we age might be a contributing factor. A family with prostate issues history or testicle abnormalities may put you at increased susceptibility to Benign Prostatic Hyperplasia (BPH). Some of the other common risk factors for prostate gland enlargement include:

01

Aging

Benign prostate hyperplasia (BPH) symptoms are rare in men under the age of 40 years. By the age of 60, about half of men may experience moderate to severe symptoms. On the other hand,90 percent of men aged above 80 experience BPH symptoms.

02

Lifestyle

Obesity is linked to an increased risk of benign prostate hyperplasia (BPH). Regular exercise and the proper diet can help lower the risk.

03

Diabetes and Heart Disease

Heart disease, diabetes, and beta-blockers are shown to increase the risk of developing the condition.

04

Complications

Most men suffering from benign prostate hyperplasia (BPH) do not develop complications. However, acute urinary retention can lead to severe complications. Below are the common enlarged prostate complications.

05

Sudden Inability to Urinate (Urinary Retention)

Inability to urinate is a severe condition that leads to various complications. Your doctor might need to insert a catheter into the bladder to drain the urine. Patients suffering from an enlarged prostate may also require surgery that helps relieve urinary retention.

06

Urinary Tract Infections (UTIs)

Difficulty in emptying the bladder fully increases the risk of infection of your urinary tract. If the patient suffers from frequent UTIs attacks, the doctor may perform surgery to remove part of the prostate.

07

Bladder Stones

Bladder stones are caused due to the inability to empty the bladder. The bladder stones can lead to bladder irritation, infection, obstruction of urine flow, and blood in the urine.

08

Bladder Damage

When the bladder does not empty, it tends to stretch and weaken gradually. The condition causes difficulty in contracting the bladder’s muscular walls, making it hard to empty the bladder.

09

Kidney Damage

The pressure in the bladder caused by urinary retention can damage the kidneys. In other scenarios, the infections in the bladder tend to affect the kidney.

How is Benign Prostatic Hyperplasia (BPH) Diagnosed?

The doctor will begin the diagnosis process by asking detailed questions about your symptoms and performing a physical examination. The first examination usually includes:

  • Digital Rectal Exam
  • Urine and/or Blood Tests
  • Urinary Flow, Dynamic and Pressure Tests
  • Transrectal Ultrasound
  • Cystoscopy
  • Prostate Biopsy
  • Postvoid Residual Volume Test

Treatments for Benign Prostatic Hyperplasia

Prostate Artery Embolization (PAE) is a relatively new and safer outpatient procedure performed by interventional radiologists to help treat benign prostatic hyperplasia (BPH), commonly known as enlarged prostate…

Prostate Artery Embolization (PAE)

Pedes Orange County is excited to do this new procedure for our clinic. Prostate Artery Embolization (PAE) is an innovative procedure that helps treat urinary symptoms caused by benign prostatic hyperplasia without sexual side effects. Although it is now common in the United States, the procedure was developed in Europe and South America. Patients who suffer from BPH encounter multiple urinary and sexual issues. Enlarged prostate makes urine flow very slow, leading to urinary infections that may affect your kidney. While various medications and surgical treatments are available for BPH, they often retrograde ejaculation, a severe sexual dysfunction. As mentioned earlier, PAE is an advanced treatment, which offers fast results without interfering with the patient’s sex life.

Our Vascular Disease Physicians

The physicians at Pedes Orange County devote their lives to saving limbs and minimizing pain. Our conveniently located, state-of-the-art facility is designed for your comfort and utilizes cutting-edge technology to provide minimally invasive treatments. Our vascular surgeons and vascular specialists are board-certified and some of the best in Southern California. Personable staff members make every visit a positive experience, with short wait times and an efficient, streamlined process that ensures you leave feeling educated and confident that you are in good hands.

J. Joseph Hewett, M.D.

Vascular Specialist

Neil K. Goldstein, M.D.

Vascular Specialist

Derrick Tran, MD

Vascular Specialist

Mohammad Jaber, M.D.

Vascular Surgeon

Why Pedes Orange County?

Our surgeons at Pedes Orange County are committed to offering multidisciplinary care that ensures that every patient gets the best treatment for his condition. With a dedicated team of experts with broad experience, we are one of the few medical facilities in the country that offers Prostate Artery Embolization (PAE) for our patients. We are also committed to ensuring that you stay healthy, happy, and productive. Our care does not end when you leave our clinic. We also schedule appointments that help us evaluate your progress. Moreover, we offer the information and support that you need to achieve better health.

What to Expect from Your Visit to Pedes

Ultrasound

Your treatment will begin with an ultrasound examination of your veins, arteries, or both, in your legs to diagnose the presence and extent of the disease. Your test results will be immediately available to review with the doctor.

Consult

Once we review the results of your diagnostic tests, our physicians will help you develop a plan to provide you with the best treatment for your disease.

Treatment

Your treatment will begin with an ultrasound examination of your veins, arteries, or both, in your legs to diagnose the presence and extent of the disease. Your test results will be immediately available to review with the doctor.

Follow up

Your treatment will begin with an ultrasound examination of your veins, arteries, or both, in your legs to diagnose the presence and extent of the disease. Your test results will be immediately available to review with the doctor.

Treatment Options

Learn more about our treatment options

What to Expect

Learn more about our what to expect

Vascular Disease

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