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Understanding Enlarged Prostate Glands - Dr Vivek Baliga Patient Presentation

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Link to article - http://heartsense.in/what-enlarged-prostate-gland/

Dr Vivek Baliga discusses why the prostate gland enlarges, what it means and how it can be managed. Patient presentation.

For academic articles, visit http://drvivekbaliga.net

Published in: Health & Medicine
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Understanding Enlarged Prostate Glands - Dr Vivek Baliga Patient Presentation

  1. 1. FREQUENTLY ASKED QUESTIONS ENLARGED PROSTATE GLAND Dr. VIVEK BALIGA, CONSULTANT INTERNAL MEDICINE
  2. 2. WHAT IS A PROSTATE GLAND? The prostate gland is a small gland that is located in the groin area. It is the size of a walnut. To be more accurate, the prostate gland is located just below the bladder, as is seen in the picture below. It lies just in front of the rectum. The urethra lies within the prostate gland. If the prostate is enlarged, it can compress this urethra, making it difficult to pass urine
  3. 3. What Is The Function Of Prostate Gland? The prostate gland is responsible for the production of a sticky liquid substance. This liquid forms a part of the sperms that are ejaculated during sexual intercourse. The liquid helps keep the sperms healthy and nourished. The prostate gland has an important role during our younger years. However, once the age to have children has passed, the prostate gland becomes useless. Taking out the prostate gland will have no effect on the individual or on sexual activity.
  4. 4. 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 grams. A prostate that measures and weighs more than this is called an enlarged prostate. The increase in size and weight can be dramatic.
  5. 5. Causes Of An Enlarged Prostate? The most common reason why the prostate gland enlarges is advancing age. As men get older, the prostate gland begins to grow slowly. This growth of the gland with age is completely normal. It is sometimes called benign prostatic hypertrophy, or BPH. The prostate gland can also enlarge in more serious conditions such as prostate cancer. Prostate cancer is the most common type of cancer in men. Early treatment carries a good long term prognosis.
  6. 6. SYMPTOMS OF AN ENLARGED PROSTATE GLAND o Difficulty starting urination. o Thin stream of urine that seems to have a ‘weak’ flow o Dribbling of urine o Feeling of incomplete emptying. o Painful urination - seen only in some patients. o Waking up in the night to pass urine o Difficulty controlling urination.. o Frequent urination – You may visit the bathroom every hour or so
  7. 7. Why Does The Prostate Enlarge? It is believed that there may be some hormonal factors that play a part in the enlargement of the prostate. The prostate may also enlarge if cancer is present. It is important for every person who has an enlarged prostate to make sure they do not have cancer.
  8. 8. Investigating Enlarged Prostate Glands  URINE TEST  The first test would be a simple urine test. This test will help the doctor differentiate whether you have symptoms from prostate enlargement or from a urinary infection.  The sample can be taken at any time of the day. It does not require an overnight fast.
  9. 9. Investigating Enlarged Prostate Glands  ULTRASOUND SCAN - This will help determine the size of the prostate, whether the surface is smooth and whether it is blocking the flow of urine. The scan is done in 2 phases  In the first phase, the prostate gland is measured and the quantity of urine in the bladder is determined.  In the second phase, the patient is asked to pass urine and the quantity remaining is assessed. If the prostate is causing problem, there will be a large amount of urine still left in the bladder after voiding.
  10. 10. Investigating Enlarged Prostate Glands  Prostate Specific Antigen (PSA) - This test is a blood test that looks at the levels of a compound released by the prostate gland. If the prostate is enlarged due to age, the PSA may be normal or mildly elevated. In patients with suspected cancer, the PSA is markedly elevated. Your doctor will let you know if the PSA elevation is significant or not.
  11. 11. Investigating Enlarged Prostate Glands  BIOPSY - A prostate biopsy is reserved for patients in whom prostate cancer is suspected or needs to be ruled out. The biopsy helps yield cells that can be seen under a microscope. A biopsy is not really necessary if the prostate is simply enlarged. However, if the test is done, it can confirm age related enlargement and effectively rule out cancer.
  12. 12. How Is An Enlarged Prostate Treated? An enlarged prostate that is not causing any symptoms does not require any treatment. If experiencing any of the symptoms mentioned before, then you will need medical treatment. Medicines are available that can help ease the pressure that the prostate puts on the urethra. This can help you pass urine a lot more freely. However, if the medicines do not work, then additional treatments may be needed.
  13. 13. How Is An Enlarged Prostate Treated? Enlarged prostate can cause urinary retention where the patient is unable to pass urine, and the bladder becomes enlarged and painful in the process. Catheter insertion is needed to drain the urine. If urinary obstruction occurs in patients with an enlarged prostate, then surgical removal of the prostate is needed. This is now done through a procedure called TURP. Here, the prostate gland is removed with a laser with good results.
  14. 14. OTHER QUESTIONS?  Can an enlarged prostate turn into cancer?  No. Benign prostate enlargement does not turn into cancer.  Will I have problems having children?  An enlarged prostate gland does not affect your ability to father children.  Does an enlarged prostate affect erection?  Fortunately, it does not!
  15. 15. THANK YOU!

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