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Bladder Prostate

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The prostate gland is a gland found in men only. A walnut-sized gland forms a major part of the male reproductive system. It sits below the neck of the bladder and surrounds the urethra. The prostate makes a milky fluid that forms a part of semen; it feeds and protects the sperm. Many men experience many urinary changes as they start aging; these changes may be caused by inflammation or the enlargement of the prostate gland. However, the enlargement of the prostate does not always cause urinary problems. The troublesome urinary problem is rarely a symptom of prostate cancer. The prostate gets bigger gradually after the age of about 50. By the age of 90, about 9 in 10 men have an enlarged prostate gland.

Symptoms of Benign Prostate Hyperplasia (BPH):

The most common symptoms of BPH are as follows:

  • inability to urinate
  • incomplete emptying of the bladder
  • dribbling at the end of urinating
  • incontinence
  • pain with urination or bloody urine (may indicate infection)
  • slowed or delayed the start of the urinary stream
  • straining to urinate
  • need to go to urinate again soon after urinating
  • weak urine stream

However, these indications are not deadly, yet the doctor must be consulted if you find any difficulty.

The possible complications:  

  • Sometimes the urine may be retained in the bladder, causing urinary retention. It can be very uncomfortable and may be due to a urinary infection. This situation is called chronic retention
  • Contrary to the belief, men with a benign prostate enlargement are no more or less likely to develop prostate cancer than those without benign prostate enlargement. Cancer of the prostate is a separate condition.

Prevention:  

Having a vitamin and mineral-rich diet can prevent enlarged prostate gland problems; you can include the following in your daily diet:

  1. Zinc found in oysters, pumpkin seeds, almonds and adzuki beans
  2. Salmon, rich in omega-3 fatty acids. You can get omega-three fatty acids from walnuts, canola oil, kidney beans and ground flax seeds.
  3. Vitamin c that is obtainable from vegetables like kale, Brussels, sprouts, broccoli, etc.
  4. Tomato and tomato products
  5. Avocados, abundant in beta sitosterol
  6. Green leafy vegetables etc.

Myths and Facts:

  • Myth- kegel exercises are for women only
  • Fact- kegel exercises are urinary muscle strengthening exercises and can be performed by both males and females along with bladder prostate medicines; these exercises are helpful in the treatment of BPH etc.
  • Myth- prostate cancer is an older man’s disease
  • Fact- Although it is more common in males over 65 years, prostate cancer can be found in males below 50 and 40 years of age

Common medicines used:

The common medicines used for the treatment of bladder prostate problems etc. Are available on www.alldaychemist.com. You can buy these bladder prostate products online, from alldaychemist.com:

Prazopress - 2mg

Terol - 1mg

Alfusin - 10mg

Urimax - 0.4 mg

Veltam f - 0.4 mg + 5 mg

Calutide - 50mg

Diagnosis of Bladder Prostate:

The test for bladder prostate varies from patient to patient, but the common are:

  1. Digital rectal examination (DRE): In this test that is done, first of all, the doctor inserts a gloved finger in the rectum to get a feel of the prostate. This helps the doctor to get an idea about the size and shape of the prostate gland
  2. Prostate-specific antigen (PSA) blood test: PSA is a protein produced by the prostate gland, and the antigen test is done to rule out any chances of prostate cancer
  3. Rectal ultrasound and prostate biopsy: It is done to check whether the pain and discomfort are due to cancer or tumor
  4. Urine flow study: This is perform to estimate the rate at which urine is passed
  5. Cystoscopy: This test allows the doctor to determine the size of the gland and identify the location and degree of the obstruction.

 

Treatment:

Some researchers force the treatment to be done early when the gland is enlarged mildly. If the condition begins to pose a danger to the patient's health or causes a major inconvenience to him, treatment is usually recommended.   

A. Drug Treatment:

The FDA has approved six drugs to relieve the symptoms of an enlarged prostate, namely:

  • finasteride (1992) – An alpha reductase inhibitor
  • Bicalutamide-An androgen receptor inhibitor
  • tamusulosin (1997)-An alpha-blocker
  • dutasteride (2001)- an inhibitor of alpha-reductase enzymes
  • alfuzosin (2003)- alpha adrenergic receptor antagonist

 

     1. Alpha-blockers:

These medicines work by relaxing the smooth muscle of the prostate and bladder neck. It can improve urine flow. The most common side effects of these medicines are slight drowsiness, headaches, and dizziness. 

     2. 5-alpha reductase inhibitor medicines:

This medicine work by blocking hormone testosterone conversion to dihydrotestosterone in the prostate. These are alternatives to alpha-blockers. There are two drugs: finasteride and dutasteride.

   Combinations of medicines:

In some cases, a combination of an alpha-blocker plus a 5-alpha reductase inhibitor is used. This may give quicker and better relief of symptoms than either alone. An example is tamusulosin + finasteride (Veltam F), Tamsulosin + dutasteride (Veltam Plus); these bladder prostate medicines are available online. Also, you can buy bladder prostate medicines online from alldaychemist.com. 

B. Minimally Invasive Therapy:

The common prostate problems and its causes:

  • Prostate enlargement or benign prostate hyperplasia: This problem starts with aging in men from about 40 years of age, and one in four men needs surgery for the problem; however, this problem does not lead to cancer
  • Prostatitis: it occurs in young men. It’s the swelling in the prostate gland; it may occur due to bladder infection
  • Prostate cancer: It occurs without any warning signs. The doctor may find it with the help of a blood test called PSA, along with a check-up of your prostate. It is the most common cancer in men, and you are more likely to get it as you age.

Because the medicine is not effective all the time to treat this problem, there are various other non-invasive therapies also like:

  • Transurethral microwave procedures
  • Transurethral needle ablation
  • Water-induced thermotherapy
  • High-intensity focused ultrasound

The first two above-given treatments have FDA approval also.

C. Surgical Methods:

This method is applied when the symptoms are very troublesome, and the medicines are of no help. There are various surgical methods available to remove the prostate gland. Some of the common ones are:

  • Transurethral resection of the prostate
  • Transurethral incision of the prostate
  • Open prostatectomy
  • Laser prostatectomy

Steps to improve life:

Making some lifestyle changes can surely help to control the symptoms of an enlarged prostate:

  • Limited tea and coffee in the evening and no beverage for an hour or two before bedtime should be maintained.
  • Limit the decongestants and antihistamines.
  • Don’t try to retain the urine and go whenever you feel.
  • Stay active throughout the day.
  • Stay warm as the colder condition causes urine retention and increase your urgency to urinate again.
  • Tell your doctor if you are taking a diuretic; don’t stop without telling the doctor about the same.
  • Do not do any heavy lifting.
  • Eat a healthy balanced diet to avoid constipation

Important things to know:

  • Consume lots of pumpkin and watermelon seeds
  • Cornsilk is known to have proven beneficial against BPH
  • Include fish in diet like tuna and salmon containing beneficial omega three fatty acids
  • Drink eight glasses of water per day

Why do you need a full bladder for prostate radiation?

Prostate cancer patients treated with radiation therapy are instructed to present daily with a full bladder to decrease small bowel and bladder toxicity and increase therapy's reproducibility. However, elderly patients may have problems presenting full bladders, and the variation of bladder volume with therapy is unknown.

What is a good pill for the prostate?

Oral medication is now the most common way to treat men with mild to moderate benign prostatic hyperplasia (BPH). Alpha-blockers work to relax muscles in your bladder and prostate, which makes it easier for a man to pass urine. These medicines include doxazosin, Alfuzosin, Tamsulosin, silodosin, prazosin, and Terazosin. It is important to consult a doctor to find the best prostate treatment.

What is the best tablet for enlarged prostate?

Alpha-blockers, including tamsulosin and terazosin, usually work quickly in men with an enlarged prostate. 5 alpha-reductase inhibitors, such as finasteride and dutasteride, shrink the prostate size. When used long-term, combining the two may help provide symptomatic relief more than any medicine alone. Your doctor will decide the best tablet to treat your enlarged prostate.

Are prostate pills effective?

The main form of enlarged prostate involves prescription medications from two categories, namely alpha-blockers and 5 alpha-reductase inhibitors. Alpha-blockers are extremely effective at reducing symptoms by relaxing the muscles in the prostate. Another drug class called 5 alpha-reductase inhibitors work by blocking the hormone that increases prostate size. Find the best treatment with the help of your doctor.

What do prostate tablets do?

Alpha-blockers cause the prostate muscles to relax, relieving symptoms. While 5 alpha-reductase inhibitors block the action of certain hormones in the body that increase the prostate's size. Prostate pills prevent growth and, in some cases, even shrink it. This can improve your urine flow and ease benign prostatic hyperplasia (BPH) symptoms.

How can I shrink my enlarged prostate without surgery?

Oral therapy shrink your prostate by preventing hormonal changes that brings prostate growth. These medications, including finasteride and dutasteride, belong to the medications known as 5-alpha reductase inhibitors. These might take up to six months to be effective. By using these medications under the supervision of a doctor, you can shrink your enlarged prostate without surgery.

Can an enlarged prostate go back to normal?

An enlarged prostate or benign prostatic hyperplasia (BPH) can be cured for most patients. Some may see a significant reduction in BPH symptoms with medication alone. If medicines are not effective enough or your prostate is too large, surgery will often remove enough of the prostate gland to provide symptomatic relief.  

What side effects can bladder prostate medication cause?

Side effective alpha-blockers include fatigue, dizziness, lightheadedness, and difficulty ejaculating. Side effects of using 5 alpha-reductase inhibitors include erectile dysfunction (ED) and reduced sex drive. You must keep taking medicine to prevent symptoms from coming back. Remember- Bladder prostate medication may take many months to become fully effective.

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