Aging is inevitable and so are certain changes in the human body. As men age, they may face prostate-related issues. One of these is benign prostatic hyperplasia (BPH), commonly known as enlarged prostate.
This article aims to shed light on the connection between aging and the development of BPH.
We aim to help you stay on top of your prostate health.
Understanding BPH
BPH is a condition in which the prostate increases in size. The prostate is a small, muscular gland that sits below the bladder and in front of the end part of the large intestine (rectum). It surrounds part of the urethra (the tube the urine goes through to exit the body). When the prostate gets bigger, it can press on the urethra, thereby blocking urine and semen.
BPH is a very common condition – so common that it has been said that all men will have it if they live long enough.
The Impact of Aging on the Prostate
The prostate undergoes two main growth phases as a man ages. The first one occurs early in puberty, when the gland grows twice its size. The second phase begins in the mid-20s and continues throughout life.
BPH often occurs during the second phase. The risk of developing the condition increases notably with age.
Hormonal Changes
Medical experts aren’t sure what exactly causes BPH. One theory is that, as a man gets older, testosterone levels decrease while estrogen levels remain the same. Such changes may cause prostate cells to grow.
Inflammatory Responses
Inflammation may be a contributing factor to the development of BPH. Aging increases inflammatory activity within the body. This inflammation can lead to pathological changes in the prostate.
Benign Prostatic Hyperplasia Symptoms
Enlarged prostate symptoms can significantly impact a man’s quality of life. They include:
- Urinary frequency
- Urinary urgency
- Nocturia (frequent nighttime urination)
- Weak urine stream
- Difficulty starting urination
BPH Diagnosis
Diagnosis of BPH involves a comprehensive evaluation, including:
- Patient history
- Physical examination
- Diagnostic tests such as the prostate-specific antigen (PSA) test and ultrasound
Management and Treatment of BPH
BPH management focuses on relieving symptoms and preventing complications. BPH treatment varies depending on the severity of symptoms. They can range from lifestyle adjustments and medication to minimally invasive therapies and surgery.
When to Visit a Urologist for BPH
Many enlarged prostate symptoms are common and mild. However, it is best to see your primary healthcare provider even if your symptoms don’t bother you. If your primary healthcare provider suspects BPH, they may refer you to a urologist – a doctor who specializes in the treatment of conditions that affect the urinary tract and male reproductive system. Your urologist will likely recommend a “watchful waiting” approach to make sure your condition doesn’t get worse and administer appropriate treatment when necessary.
Left untreated, BPH can cause further blockage in your urethra. Below are some of the signs to watch out for.
Incomplete Bladder Emptying (Urinary Retention)
Urinary retention is a condition in which you’re unable to completely empty your bladder. This can lead to frequent visits to the bathroom and increase the risk of urinary tract infections (UTIs).
Your urologist can assess bladder function and recommend appropriate intervention. In the case of acute urinary retention, which can be severe, you might need to go to the emergency room to have a tube called a catheter inserted into your bladder to drain the urine.
Frequent Nighttime Urination (Nocturia)
Men with BPH may find that they need to pass urine every one to two hours throughout the night. This can result in interrupted sleep.
Recurrent Urinary Tract Infections
An enlarged prostate can make you prone to UTI. If you experience recurrent UTIs, see your urologist, who can evaluate the role of BPH in these infections and suggest effective treatment strategies.
Blood in the Urine (Hematuria)
Bladder irritation and UTI can both cause hematuria, which always prompts a visit to your urologist to rule out prostate cancer.
BPH Treatment and Management in Phoenix, AZ
The link between aging and BPH is a complex interplay of hormonal and inflammatory factors. Understanding this connection is essential for the early detection and management of BPH. This ultimately improves the quality of life for those affected by the condition.
Do you need treatment for BPH? If so, come see Dr. Desiderio Avila, Jr. here at Ironwood Urology. Dr. Avila will ensure you receive the first-rate care you deserve. You may call us today at (480) 961-2323 for questions or submit an appointment request form to schedule a consultation.
We look forward to serving you!