Benign Prostatic Hyperplasia - Prostate and Incontinence How it diagnosed
The benign prostatic hyperplasia is an enlargement of the prostate that obstructs the flow of urine. It is often common after fifty years and produces various changes in urination. At 55, 25% of men usually have obstructive voiding symptoms, a percentage that rises to 50% at 75 years. It is not a cancer and no increased the risk of cancer.
The prostate and incontinence
Benign prostatic hyperplasia suffer, prostatitis or prostate cancer are reason enough to suffer also from urinary incontinence.
When a benign prostatic hyperplasia is customary for the man need to do more straining to urinate, Have difficulty initiating urination, decreased force and caliber of the jet, intermittent or prolonged urination, dribbling, incomplete emptying and urinary retention this may require a catheter.
The Incontinence in hyperplasia can take many forms -urgency and Overflow especially, and is manifested by an increased frequency and sometimes pain in the bladder.
And there is generally incontinence when there prostatitis -A urinary tract infection, and when developing a prostate tumor, the second cause of death by cancer in males more than 50 years. In the first case, incontinence disappears after treatment with antibiotics and other drugs and in the case of cancer are desirable exercises of the pelvic floor muscles.
Less than half of men with Prostatic hyperplasia have symptoms of the disease. The most common are difficulty starting urination, weak urine flow, post void dribbling, sharp and sudden urinary urgency, incomplete bladder emptying, incontinence, and painful urination or urge to urinate several times a night.
How is it diagnosed?
The disease is detected by a DRE to feel the prostate gland. Also, you can perform urine flow rate, residual urine after emptying pressure flow studies, X-rays, urinalysis, urine culture and cystoscopy.
Depending on the severity, there are various treatments available. Usually, when symptoms are mild, is enough to apply some changes in lifestyle. For example, urinate when the need arise, avoiding alcohol and caffeine, drink lots of fluids at one time, exercise, etc…
In more troublesome, it is necessary to go to drugs. And only in cases in which produces incontinence, recurrent blood in the urine, urinary retention, frequent urinary tract infections or renal insufficiency may be necessary to resort to surgery.