Dr. Perlow
Our Services
Patient Resources
For Referring Physicians
Today is Saturday, December 16, 2017
Today's date:
Saturday
December 16, 2017
Saturday, December 16, 2017
12/16/2017
Saturday
12/16/2017
December 16, 2017
December 16
16-Dec-2017
Patient Log In


Areas of Expertise
Areas of Expertise
Enlarged Prostate
Enlarged prostate, occurs in 50 percent of men age 51 to 60, 69 percent of men age 61 to 70, and in 90 percent of men age 80 or older.
Basic Facts

  • An enlarged prostate, also called benign prostatic hyperplasia, is the non-cancerous growth of the prostate that often occurs as men age.
  • The male hormone, testosterone, is related to the tissue overgrowth.
  • About half of men with an enlarged prostate will need treatment.
The prostate is a walnut-sized organ that surrounds the lower part of a man's bladder in front of the rectum. The prostate makes the fluids in semen that feed and transport sperm. As men age, it is common for the prostate to enlarge.

What are the symptoms?

The common symptoms of an enlarged prostate include:
  • Difficulty urinating or a weak urinary stream;
  • Stopping and starting during urination or significant dribbling after urination;
  • Incomplete emptying of the bladder;
  • Having to urinate again shortly after urination;
  • Frequent urination, especially at night;
  • Urgent need to urinate; and
  • Blood in the urine.
Causes and risk factors

It isn't known what causes prostate enlargement. Risk factors include:
  • Age;
  • Race;
  • Family history; and
  • Marital status (married men have higher rates of enlarged prostate than unmarried men).
Diagnosis

Physicians typically use a quick test to diagnose and assess the severity of an enlarged prostate. The test, known as the International Prostate Symptom Score, asks the patient to assess the frequency of urinary symptoms in the past month. A urine flow study, which measures the strength of the urinary stream, may also be ordered.

Physicians will also perform a digital rectal exam and a prostate specific antigen (PSA) blood test to screen for prostate cancer. An elevated level of PSA in the blood stream indicates a higher risk for prostate cancer.

Treatment Approaches

Treatment for enlarged prostate depends on the severity of symptoms.

If symptoms are mild, many physicians recommend watchful waiting, which means scheduling regular examinations to evaluate the prostate rather than actually treating it.

Moderate symptoms may require drug treatment. Alpha blockers relax the muscles around the urethra, allowing full urine flow. Finasteride can reduce the size of the prostate. According to research, an extract of saw palmetto berry (an herb that is available over the counter) also treats prostate enlargement and improves urinary symptoms.

Bothersome symptoms may prompt surgery, such as the following procedures:
  • Photo Selective Vaporization of the prostate PVP (Green Light Laser)
  • Transurethral needle ablation, or TUNA.
  • Transurethral resection of the prostate, or TURP;
Lifestyle

Adopting certain habits can reduce the symptoms of enlarged prostate. Physicians may recommend limiting the consumption of beverages in the evening; reducing the consumption of alcohol, which stimulates urination and irritates the bladder; and exercising regularly.

*If you would like to read this article in its entirety, please call our office and ask to meet with one of our specialists to receive a Prescription Pad form.
If you already have a Prescription Pad form, click here and follow the instructions listed on the form. If you experience any issues during the registration process, please call member services at 1-800-603-1420 for assistance.


Copyright © NorthPoint Domain, Inc. All rights reserved.
This material cannot be reproduced in digital or printed form without the express consent of NorthPoint Domain, Inc. Unauthorized copying or distribution of NorthPoint Domain's Content is an infringement of the copyright holder's rights.






Terms and Conditions | Feedback | Privacy Statement
Developed and hosted by Urology Domain.
© Copyright 2000-2017. NorthPoint Domain Inc. All rights reserved.
ICS-PR-WEB01