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Enlarged Prostate - An Overview
By Lucy Nicholas
It is interesting to note that the aging dog (like his master) is also prone to prostatic enlargement, but (unlike his master) does not often develop retention of urine. However, due to the bulging upwards of the enlarged prostate the dog’s rectum is compressed. This engenders a feeling of continuous fullness in the rectum and induces straining. The prostates of eunuchs are small and underdeveloped, and enlargement of the prostate is unknown. Benign prostatic hyperplasia (BPH) is one of the most common diseases to affect men beyond the middle age. The prevalence goes up with age, and thus the total number of patients is increasing as a result of aging population. A majority of these people suffer gradual progression of symptoms and the concomitant ...
{PS prostate - The function of the prostate is to store and secrete a slightly alkaline (pH 7.29) fluid, milky or white in appearance that usually constitutes 25-30% of the volume of the semen along with spermatozoa and seminal vesicle fluid. The alkalinity of semen helps neutralize the acidity of the vaginal tract, prolonging the lifespan of sperm. The alkalinization of semen is primarily accomplished through secretion from the seminal vesicles. The prostatic fluid is expelled in the first ejaculate fractions together with most of the spermatozoa. In comparison with the few spermatozoa expelled together with mainly seminal vesicular fluid those expelled in prostatic fluid have better motility, longer survival and better protection of the genetic material (DNA). The prostate also contains some smooth muscles that help expel semen during ejaculation.
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... discomfort, and require either medical or surgical treatment. The growth and development of the prostate is under the influence of male hormone “testosterone”. Rather surprisingly, there is no close correlation between the size of the prostate and the extent of outflow obstruction. However, the larger the prostate, the greater is the risk of BPH complications such as acute urinary retention and the need for surgery. BPH is usually a slowly progressive condition. An average increase in the prostate is 1-2 cm per year. BPH is the most common condition affecting the prostate accounting for over 80 per cent of prostate disease. The defined risk factor for BPH is age. Clinical BPH seems to run in families.
In the early stages of the disease, the patient complains of hesitancy, a reduced stream and incomplete bladder emptying and then frequency, urgency and nocturia. Later on, prolonged micturition, acute urinary retention, urge incontinence, etc, can have a negative effect on the quality of life and may be associated with sexual dysfunction like erectile dysfunction and disorders of ejaculation. The treatment of BPH can be with the help of drugs or by going in for surgery. Some of the drugs used are Finasteride, Duatasteride, Terazosin, Alfuzosin and Tamsulosin. Adverse side- effects of these drugs can be erectile dysfunction, decreased libido, reduced ejaculation, drowsiness, headache, dizziness, postural hypotention, etc. Lucy Nicholas also writes on Acne. More information http://www.natural-acne-treatments-reviews.com/
Note - To work properly, the prostate needs male hormones (androgens), which are responsible for male sex characteristics. The main male hormone is testosterone, which is produced mainly by the testicles. Some male hormones are produced in small amounts by the adrenal glands. However, it is dihydrotestosterone that regulates the prostate.
What is an Enlarging Prostate?
As one of the primary organs in the male reproductive system, the prostate produces fluids in semen that help to sustain and protect sperm against natural vaginal acids. The prostate doubles by the time a man reaches 25 and continues to grow again when many men are in their 50’s and through the remainder of their life.
As the prostate grows it can put excess pressure on the urethra (the small tube that carries urine and semen). As this pressure increases the urethra can become pinched which can lead to painful and embarrassing symptoms such as urinary hesitancy, painful urination, and erectile dysfunction. If left untreated these conditions may eventually require surgery. This enlarging of the prostate is clinically known as Benign Prostatic Hyperplasia or BPH.
The Stages of Prostate Growth
At birth the prostate weights around 1.5 grams During puberty the prostate grows to around 11 grams In the early to middle 20’s the prostate grows to around 18 grams In the early 50’s there is a new growth phase which continues until around age 70 where the prostate usually reaches around 31 grams. This phase of growth is what doctors call benign prostatic hyperplasia (BPH).
About BPH (Benign Prostatic Hyperplasia)
The prostate gland is different than most of the other organs because it grows in size during several stages of a man’s life. Doctors refer to this condition as benign prostatic hyperplasia (BPH), or benign prostatic hypertrophy. This non-cancerous enlargement is part of the normal maturation process in all males. It first occurs during puberty (when it nearly doubles in size) and again around the age of 25. The prostate will continue to grow through the remainder of life, usually causing significant complications beginning at the age of 40. In fact, some 90% of all men in their sixties and seventies complain of prostate issues. BPH is often a condition of concern for most men, as its symptoms can often mimic those found in prostate cancer. However, BPH is not indicative of prostate cancer.
Why Does the Prostate Grow?
There are conflicting theories as to why the prostate glands growth goes through these phases. The two theories are based on changes hormonal levels.
DHT - There is mounting evidence to suggest that the growth in the prostate requires conversion of testosterone into DHT (dihydrotestosterone), along with the presence of the 5-alpha reductase enzyme which synthesizes testosterone into DHT. When DHT binds to prostate cells it can trigger the release of growth factors that cause the prostate to grow.
Change in Sexual Hormones
As a man ages the relative levels of the testosterone and estrogen change, with estrogen levels increasing in relation to testosterone. There is evidence to suggest that the increase in relative estrogen promotes cell growth in the prostate gland, particularly when in the presence of elevated DHT levels.
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