The prostate is a small gland nestled around the duct
that drains the bladder (the urethra). In many men over 45
years of age, the gland tends to gradually grow larger, a
condition known medically as ""benign prostatic hyperplasia,''
or BPH. If the gland grows too large, it can begin to squeeze
the urethra, making urination increasingly
difficult.
Causes
The cause is unknown. The
condition may be a natural result of the aging
process.
Signs/Symptoms
Men with BPH typically feel a
frequent urge to urinate but are able to pass little or no
urine. There may be dribbling or leaking during the day and
while you're asleep, and you may need to urinate frequently
during the night. You may find it difficult to begin urinating
without pushing; the stream may seem weak; and you may notice
flecks of blood in the urine. After urination, your bladder may
not feel empty. The condition can also affect
sex.
Treatment
The doctor will have your urine
tested to rule out an infection and may order a series of
additional tests. If you are having severe difficulties, the
doctor may thread a soft tube called a catheter (KATH-uh-ter)
into the urethra to drain the bladder. For many men, a drug
called Proscar will shrink the prostate and relieve symptoms,
though it sometimes takes 6 months or longer for the drug to
take effect. Surgery to cut incisions in the prostate can also
relieve the pressure, allowing urine to flow.
WHAT YOU SHOULD DO
Don't let your bladder get too full. Urinate as much
as you can whenever you feel the urge.
Sit on hard chairs instead of soft ones whenever
possible.
Avoid exposure to cold temperatures or
dampness.
Do not eat spicy foods: they often irritate the
urinary tract.
Frequent sex reduces the risk of a urinary blockage.
However, you should avoid becoming sexually aroused without
ejaculating.
Call Your Doctor If...
Your symptoms don't clear up or they become more
troublesome.
You develop a high temperature. This may be a sign of
an infection in your bladder or
kidneys.
Seek Care Immediately If...
You cannot urinate at all and your bladder is full
and painful. If this happens, your bladder must be emptied
with a catheter.
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