An important part of the male reproductive system is the prostate gland.
The prostate surrounds the urethra, the canal through which urine passes out of the body. One of its main roles, though, is to squeeze fluid into the urethra as sperm move through during sexual climax.
The urethra (tube that passes urine from the body) runs through the center of the prostate. The main purpose of the prostate is to release fluid that both nourishes and protects the sperm.
During ejaculation, fluid is squeezed into the urethra and released with sperm. The fluid, which is part of semen, helps to alkalinize the vaginal canal and aids in the travels of the sperm. As a normal aspect of aging, the prostate gland may enlarge.
Our doctors at “Urologist” can diagnose BPH by asking questions about your symptoms and past health and by doing a physical exam.
Signs and symptoms involve issues in both storage and emptying of the bladder. Storage symptoms may include frequent urination, feeling a strong need to urinate while not being able to empty, the inability to hold your urine, and the frequent need to urinate during the night otherwise known as nocturia. Your doctor will ask questions about your typical routines. If you experience any of the following, you may be dealing with BPH:
1. Issues with your bladder – both storage and emptying
2. Frequent urination
3. Experiencing a strong need to urinate but unable to do so
4. Inability to hold your urine – leaking
5. Having to urinate frequently during the night.
Issues with voiding one’s bladder may show up like waiting for long periods of time for the urine stream to start, or starting and stopping, straining to urinate or urine that just dribbles out.
There are many different medications and surgical treatments available to treat an enlarged prostate. Drugs like Cialis and Alpha blockers can treat up to moderate symptoms of prostate enlargement.
The use of surgical intervention is recommended to relieve or eliminate symptoms and when symptoms are severe or other options haven’t worked. Procedures include:
* TURP - Transurethral resection of the prostate
* Minimally Invasive Treatments like:
• Laser Therapy
• Urethral Stent
Surgeries like transurethral resection of the prostate (TURP) and transurethral incision of the prostate (TUIP or TIP) go directly through the urethra and modify the prostate for better flow. There are several other minimally invasive surgeries available to relieve an enlarged prostate.
In some instances, it is necessary to perform a prostatectomy which is when a large prostate – more than 100 cc’s – is removed. Usually, a small incision is performed just below the navel, followed by a short hospital stay and approximately 30 days to recuperate.