Learn All About Enlarged Prostate: Causes, Diagnosis, and Recommended Treatments

Balão inflável representa inchaço da próstata aumentada

Learn All About Enlarged Prostate: Causes, Diagnosis, and Recommended Treatments

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Enlarged prostate can be caused by factors such as age, hormones, or genetics in some cases. Diagnosis includes exams such as digital rectal exam and PSA. Treatments vary from medications to surgeries, depending on the severity of the symptoms. Learn all about the topic in today’s text!

The prostate is a small gland in the male reproductive system located below the bladder and in front of the rectum, which is extremely important for reproduction, mainly. It surrounds the urethra (the channel that carries urine from the bladder out of the body) and is subject to adverse conditions, mainly due to its location and function.

Its main function is to produce seminal fluid, essential for the transport and nutrition of sperm during ejaculation.

Due to aging, it is common for the prostate to increase in size. This condition is known as benign prostatic hyperplasia (BPH). Often, this enlargement causes concern and discomfort due to symptoms such as difficulty urinating or frequent urination.

However, it is important to say that prostatic hyperplasia is a benign and non-cancerous condition.

In today’s text, learn all about the condition, its main causes, diagnosis, and recommended treatments.

What is enlarged prostate?

In general, an enlarged prostate is caused by excessive growth of the prostate gland. This condition is known as benign prostatic hyperplasia (BPH).

This is not a malignant condition, like prostate cancer, but it can be serious if not treated properly. It usually occurs in older men and can cause urinary discomfort.

On the other hand, prostate enlargement can also be caused by prostatitis or prostate cancer, although BPH is the most common diagnosis in this situation.

Is enlarged prostate cancer?

Prostate hyperplasia is not cancer, and there is no concern regarding this. If treated early, it will not cause concerns.

Treatment can help control symptoms, improving the patient’s quality of life.

However, prostate cancer can also increase the size of the gland. In general, it is always important to consult a urologist to get the correct diagnosis and prompt treatment.

What causes enlarged prostate?

Benign prostatic hyperplasia (BPH) is mainly influenced by changes in hormone levels caused by advanced age. There is also the possibility of individual genetic predisposition.

As men age, there is a natural tendency for benign prostate growth, a process that accelerates after age 40 and affects approximately half of men by age 50.

Zoomed-in walnut representing swollen enlarged prostate

Additionally, some habits such as smoking, obesity, lack of physical activity, and poor diet can also contribute to prostate enlargement.

Does enlarged prostate cause impotence?

By itself, an enlarged prostate does not cause sexual impotence. BPH affects urinary flow but is not related to sexual function.

Although both conditions can affect older men, they are different and are generally not directly related.

What are the symptoms of an enlarged prostate?

The main symptoms of benign prostatic hyperplasia (BPH) or enlarged prostate are related to the urinary system. Check them out:

  • Difficulty starting urinary flow
  • Weak or interrupted urinary flow
  • Overactive bladder
  • Sensation of straining to urinate
  • Dribbling after urination
  • Blood in the urine, in rare cases

In addition to BPH symptoms, be aware of other symptoms that may indicate conditions such as prostate cancer or prostatitis:

  • Persistent pain in the lower back, hips, or back
  • Erectile dysfunction
  • Pain or discomfort in the pelvic, genital, or rectal area
  • Fever and chills
  • Pain when urinating

If you experience any of these symptoms, it is essential to see a urologist for a detailed evaluation and accurate diagnosis.

Is there a cure for an enlarged prostate?

An enlarged prostate can indeed be cured, but this depends on the severity of the symptoms. However, there are good treatment options that can help relieve symptoms and improve the patient’s quality of life.

The main goal of these treatments recommended by the doctor is to control the symptoms and minimize the impact of BPH on the patient’s daily life.

When to seek help

If you notice urinary symptoms, it may be benign prostatic hyperplasia. In this case, it is advisable to see a urologist for proper evaluation and diagnosis.

Early consultation can help identify prostate health issues and initiate necessary treatment as soon as possible.

doctor evaluates exam for enlarged prostate diagnosis

Diagnosis

Regular consultation with a urologist is the main way to get an early diagnosis, especially as you age.

When there is a suspicion of BPH or other conditions involving the prostate, usually the way is to perform some exams. Check out what they are:

  • Digital rectal exam;
  • PSA (Prostate-Specific Antigen) test;
  • Ultrasound;
  • Uroflowmetry;
  • Cystoscopy.

Treatment

pills in blister packs

The main treatments for an enlarged prostate are:

  • Medications, such as alpha-blockers and 5-alpha-reductase inhibitors;
  • Minimally invasive surgical procedures;
  • In some cases, penile prosthesis may be used in the treatment of erectile dysfunction, a complication that may result from prostate diseases. This is an option for men who do not respond to more conservative treatments, such as oral medications or penile injections;
  • Surgery, in more severe cases or when other treatments are not effective.

It is important to reinforce that the penile prosthesis is not used as a treatment for an enlarged prostate itself, but for erectile dysfunction that prostate-related diseases, such as BPH, can trigger. Anyway, consultation with a urologist is essential to discuss the best treatment option for your case.

Is it possible to prevent prostate enlargement?

Although it is not possible to completely prevent prostate enlargement, there are measures that can help reduce the risk and minimize symptoms:

  • Maintain a balanced diet, reducing the intake of saturated fats and red meats;
  • Exercise regularly and maintain a healthy weight, with medical supervision;
  • Avoid smoking and limit alcohol and caffeine consumption;
  • Drink plenty of water throughout the day to avoid urinary and prostate problems;
  • Have regular check-ups with a urologist to detect any prostate issues early.

Although it is not possible to completely prevent prostate enlargement, adopting healthy habits and regular consultations with a urologist can help detect and treat BPH or other prostate diseases early, minimizing symptoms and potential complications.

Taking care of prostate health is essential for maintaining a good quality of life, especially as you age. Do not forget to have your regular check-ups.

Did you identify with the topic? Do not wait for the symptoms to worsen. Schedule a pre-analysis with Dr. Paulo Egydio today.

Read More:

Paulo Egydio, M.D.

PhD in Urology from USP, CRM 67482-SP, RQE 19514, Author of Geometric Principles (known as “Egydio Technique”), as well as other articles and scientific books in the area. Guest professor to teach classes and live surgeries at conferences in Brazil and abroad.

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