The prostate is a chestnut-sized and walnut-shaped gland, a part of the human male reproductive system. The main function of this gland is to produce seminal fluid, which helps transport sperm during ejaculation.
While the prostate is essential, it can sometimes grow larger than normal. This condition is typically referred to as an oversized prostate or benign prostatic hyperplasia (BPH).
While BPH is not cancerous, its symptoms can disrupt daily life and sometimes impact overall health. If left untreated, an oversized prostate can lead to complications.
Let us explore the symptoms of an oversized prostate, available BPH treatment options, and when it is time to consult a BPH professional.
What Is Benign Prostatic Hyperplasia (BPH)
Benign prostatic hyperplasia (BPH) or oversized prostate refers to the non-cancerous enlargement of the prostate gland. This enlargement occurs as men age due to hormonal changes, including a shift in testosterone and estrogen levels.
When the prostate grows too large, it can press against the urethra (the tube that carries urine out of the body) and partially block the bladder. This can lead to noticeable symptoms, affecting both urination and quality of life.
Recognizing the oversized prostate symptoms early can help in managing and treating this condition effectively.
Common Signs and Symptoms of an Oversized Prostate
Studies show that about 50% of men age 60 and 90% of men age 85 experience symptoms related to oversized prostate.
Here are the most common oversized prostate symptoms you may notice.
Frequent Urination
You may feel the need to use the bathroom more often than usual, including waking up multiple times during the night to urinate. This nighttime urination is known as nocturia and can disrupt your sleep.
It happens because the bladder might not fully empty during the day, causing it to fill up again quickly.
Weak Urinary Stream
The flow of urine may become slower or weaker than normal. This can make urinating take longer and might feel frustrating.
In some cases, you may find it difficult to maintain a steady stream of urine or notice that it does not come out as strongly as it used to.
The feeling of Incomplete Bladder Emptying
After finishing urination, you might still feel like your bladder is not fully empty. This sensation occurs when some urine remains trapped in the bladder, preventing the feeling of full relief.
Difficulty Starting Urination
It might take more effort to begin urinating. You could find yourself needing to push or strain to get the urine flow started, which can feel uncomfortable or take longer than expected.
Stopping and Starting During Urination
While urinating, the flow of urine might not be smooth and continuous. Instead, it may stop and start multiple times, which can be inconvenient and might make it hard to finish properly.
Dribbling After Urination
Even after you think you have finished urinating, a small amount of urine may still leak out. This is called post-void dribbling and can sometimes cause embarrassment or discomfort if it happens frequently.
When to See a Urologist
While some men may dismiss these symptoms as minor inconveniences, it is important to take action if they persist or worsen. Seek help immediately if you experience the following.
- Complete inability to urinate, which is a medical emergency.
- Pain or blood during urination, which may indicate an infection.
- Noticeable impact on your daily life, such as interrupted sleep due to frequent nighttime urination.
A urologist can evaluate your symptoms and perform diagnostic tests, including a digital rectal exam, urine tests, and PSA (prostate-specific antigen) blood tests.
Elevated PSA levels could indicate additional concerns, including BPH or prostate cancer. Addressing these issues early prevents complications and provides clarity about your health status.
Treatment Options for BPH
Fortunately, several BPH treatment options are available depending on the severity of your oversized prostate symptoms and your overall health.
Lifestyle Modifications
For mild symptoms, lifestyle changes such as limiting fluids before bedtime, avoiding caffeine, and practicing pelvic floor exercises can alleviate discomfort.
Medications
Prescription medications can help relieve symptoms by either shrinking the prostate or relaxing the bladder muscles. Common drugs include alpha-blockers such as tamsulosin (Flomax) and 5-alpha-reductase inhibitors such as finasteride (Proscar).
Discuss with your urologist to determine the most suitable option.
Minimally Invasive Procedures
If medications are not effective, minimally invasive treatments, such as transurethral microwave therapy (TUMT) or transurethral needle ablation (TUNA), might be considered. These procedures target excess prostate tissue to alleviate symptoms.
Surgical Interventions
For severe cases, surgery may be required. Procedures like transurethral resection of the prostate (TURP) or laser surgery can effectively remove excess prostate tissue to restore normal function.
Treatment for High PSA Levels
Elevated PSA levels can indicate inflammation or other serious conditions. Your urologist can suggest treatment options tailored to address specific causes.
Treatment for Oversized Prostate Symptoms in Phoenix, AZ
Ignoring oversized prostate symptoms can lead to complications and unnecessary discomfort. By recognizing the symptoms early, consulting with a urologist, and exploring BPH treatment options, you can regain control of your health and daily life.
If you are experiencing symptoms or simply want a check-up, our team at Ironwood Urology is here to help. Led by our board-certified Dr. Desiderio Avila, we specialize in diagnosing and treating prostate conditions with precision and care.
For more information or to schedule a consultation with our urologist, call us today at (480) 961-2323 or use our appointment request form. We look forward to serving you!
