The most common reason for benign prostate enlargement are hormonal changes due to aging.
50% of men older than 50 have an enlarged prostate. Of that number, 30% of them have problems with urination, says Neven Kapun, a doctor and specialist in urology.
Irritative and obstructive symptoms:
Symptoms occur because the benign enlargement of the prostate is divided into irritative and obstructive.
Under irritative symptoms are included urinary frequency at night and day, and urine discharge intervention.
Obstructive symptoms include:
- – weak urinary stream
- – waiting to start urinating
- – interruption of the leak
- – feeling of incomplete emptying
- – drops after urination
“The first signs appear in the early 40’s. After 60, almost every second man has symptoms that are caused by this condition. So, with aging, the symptoms become more pronounced” – said Dr. Kapun.
The irritative symptoms are the main reason why men often visit the urologist.
Many fear of prostate cancer, as well as complete stop of the urine, but rarely do symptoms advance so quickly so that they come to a chronic halt or stones in the bladder.
With chronic halt, bleeding also occurs in the urine, and the possibility of renal failure.
“Patients who have symptoms must make urological examination, which must contain palpation of the prostate. It requires a detailed examination of urine, and it can be done with ultrasound of the bladder before and after urination. With people older than 45 years, blood tests need to be done as well” – explains Kapun.
Treatment of enlarged prostate
Treatment begins with a change of lifestyle and dietary changes. Dr. Neven advises to avoid spicy foods, carbonated drinks, alcohol, coffee and sitting out on the cold.
With younger patients who experience this problem, treatment begins naturally with herbal remedies, like willow tea or nettle.
“Herbal preparations are recommended to patients with minor complaints. The basis of treatment consists of alpha blockers, which relax the muscles of the bladder and prostate and therefore provide better urinary stream, and 5-alpha dehydrogenase inhibitors that allow better wetting. The combination of these two drugs works best” – says the urologist.