Patient Guide To Enlarged Prostate - Dr Vivek Baliga Reviews
A PATIENT GUIDE TO AN
Dr Vivek Baliga B
Physician, Baliga Diagnostics
• An enlarged prostate gland is a common health problem among men.
• It is usually an age-related problem, and is common over the age of 50
• Having an enlarged prostate gland does not mean you have cancer.
• Mainly causes urinary problems that are quite troublesome
• Treatments include medications (mostly), though some need surgery.
WHAT WE WILL COVER
What is the
What is an
What are the
causes of an
What are the
symptoms of an
would I need?
Is an enlarged
What are the
Tips to relieve
WHAT IS THE PROSTATE GLAND?
• Walnut sized gland present at the base
of the bladder (in the groin), and in front
of the rectum.
• During ejaculation, the prostate
contracts and releases a fluid that
makes up a part of semen.
• The fluid helps the semen remain thin
after ejaculation, allowing the sperms to
swim up freely.
• Aids in reproduction.
WHAT IS AN ENLARGED PROSTATE GLAND?
• In simple terms, it is a larger than normal prostate.
• The normal prostate is around the size of a walnut, and weighs up to 20
• A prostate that measures and weighs more than this is called an enlarged
• The increase in size and weight can be dramatic.
• An enlarged prostate gland is sometimes called BPH, or benign prostatic
• However, the prostate can be enlarged from prostate cancer as well.
CAUSES OF AN ENLARGED PROSTATE
• The most common reason why the
prostate gland enlarges is advancing age.
• The prostate gland can also enlarge in
more serious conditions such as prostate
• Prostate cancer is the most common type
of cancer in men.
• Early treatment carries a good long term
SYMPTOMS OF AN ENLARGED PROSTATE
• Difficulty starting urination. ‘Starting trouble’, like I tell
• Thin stream of urine that seems to have a ‘weak’ flow
• Dribbling of urine
• Feeling of incomplete emptying. You feel like you still have
urine left to pass.
• Painful urination -This may be seen only in some patients.
• Waking up in the night to pass urine
• Difficulty controlling urination - You find that you have an
urge to pass urine that can be uncontrollable.
• Frequent urination – You may visit the bathroom every
hour or so (this may be seen in urinary infections as well)
WHAT TESTS WOULD I NEED?
• Urine Test
• To rule out a urinary infection
• Ultrasound Test
• Determine size of prostate
• How much urine is left in the bladder after voiding urine (called post void)
• Also looks at the rest of the urinary system (mainly kidneys)
• Prostate Specific Antigen (PSA)
• Blood test to help differentiate age related enlargement and prostate cancer.
• Normal levels / mildly elevated = age related
• Greatly elevated levels = could indicate prostate cancer.
• To confirm or rule out prostate cancer
SHOULD I WORRY ABOUT AN ENLARGED
• Not really
• It is more likely to be age related than due to cancer
• It is simple to rule out cancer through blood tests
• Urologists may perform a rectal examination to assess prostate
• Most cases of prostate cancer, if caught early, have a good long term
• A slightly enlarged prostate that is not causing any symptoms does not require any
• Even a very large prostate not causing symptoms does not need any treatment.
• If you are experiencing any if the symptoms mentioned earlier, then you will need medical
• Medicines are available that can help ease the pressure that the prostate puts on the
• Sometimes, the large prostate can block the flow of urine out of the bladder, leading to
urinary retention. This is a painful condition.
• If urinary obstruction occurs in patients with an enlarged prostate, then surgical removal
of the prostate is needed (TURP).
TIPS TO RELIEVE SYMPTOMS
• Stress can increase urinary frequency if you have a large prostate. Take up measures
such as yoga and meditation to reduce your stress.
• Take your time in the bathroom. Starting a urinary stream is hard, and often the
bladder does not empty completely. Take time to pass urine.
• Avoid drinking water late in the night. The more you drink, the more urine you
produce. This would only make you wake up a lot more frequently in the night.
• Some over the counter medicines may worsen your symptoms. Discuss these with your
doctor before you take them.
An enlarged prostate gland does not turn into cancer. It will not affect your
chances of fathering children either.
• An enlarged prostate is a common problem in men
• It can cause troublesome symptoms
• It is easy to find out if you have an enlarged prostate
• Treatment options are plenty and effective.
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