BHP Medications Diagnosis and Treatment


( Benign Prostatic Hyperplasia ) BPH medications or benign prostate enlargement is a condition when the prostate gland is inflamed, but not cancerous. The prostate gland is a gland a small-sized, located in the pelvis between the bladder and the pen!s.

The prostate gland produces a fluid that functions to nourish and protect sperm cells. At the time of ejaculation, prostate will contract so that the liquid will be excreted together with sperm, to produce a liquid cement.

Because the prostate gland is only owned by men, then of course the whole of BPH patients are men. Generally men affected by this condition are over the age of 50 years. A lot of people who think that suffering from BPH means it has a higher risk to suffer from prostate cancer. It turns out that this assumption is not true, because up to now still not found the relationship between BPH to increase the risk of prostate cancer.

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The symptoms of BPH

The following symptoms are usually felt by patients with benign prostate enlargement (BPH):



  • Always want to urinate, especially at night.
  • Pain during urination.
  • Incontinence of urine or incontinence.
  • It is difficult to get urine.
  • Straining on the time of micturition.
  • The flow of urine is intermittent.
  • Removing the urine accompanied by blood.
  • Feel incomplete after micturition.
The emergence of such symptoms caused by pressure on the bladder and the urethra when the prostate gland undergoes enlargement. Consult your doctor recommended if a person to feel the symptoms of BPH, although lightweight. Examination is necessary considering there are several other conditions whose symptoms are similar to BPH, among which:
  • Prostatitis or inflammation of the prostate.
  • A urinary tract infection.
  • Narrowing of the urethra.
  • Disease kidney stones and bladder stones.
  • Surgery scars on the neck of the bladder.
  • Bladder cancer
  • Cancer of the prostate.
  • Disorders in the nerves which regulate the activity of the bladder.
The cause of BPH

The actual cause exactly benign prostate enlargement (BPH) is still unknown. However this condition is thought to occur due to changes in the levels of sexual hormones due to the aging process. In general, the prostate will continue to grow for a lifetime.

In some cases, the prostate will continue to grow and reach a size large enough so that it will gradually choke the urethra. The urethra is pinched it causes the urine hard to get out, so it came to pass symptoms of BPH as has been mentioned above.

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Some of the factors that can increase one's risk of developing BPH are:
  • Lack of exercise and obesity.
  • Factors aging.
  • Suffer from heart disease or diabetes.
  • Side effects of drugs a beta blocker (beta blockers).
  • Ancestry.
The Diagnosis of BPH

In diagnosing swelling of the prostate benign (BPH), your doctor will ask the symptoms experienced by the patient in advance, for example:
  • If the urine flow is often weak or lagging?
  • How often the patient feels urination is not fully completed?
  • How often the patient wakes up at night to urinate?
  • How often the patient is straining to start urination?
  • If the patient is often difficult to resist the urge to urinate?
  • If the patient is voiding more than one time within a period of two hours?
In order to determine the size of the prostate gland physically, the doctor will perform a digital rectal examination.

Therapy withstand the urinary



This therapy is performed under medical guidance. In this therapy the patient will be taught how to resist the urge of urination at least in time lag of two hours between each micturition, including taught how to regulate breathing, and divert the mind wants to urinate, and muscle relaxation.

Test more

There are several types of advanced tests that can be done to diagnose BPH, among others:
  • Urine test
  • This test is performed if the doctor suspects the symptoms felt by the patient is not caused by BPH, but rather by other conditions, such as urinary tract infections or kidney stones. 
  • A biopsy of the prostate
  • The doctor will take a tissue sample of the patient's prostate to be examined carefully in the laboratory. 
  • A blood test
  • The components examined in this test is a protein of the prostate specific antigen (PSA), a protein that is produced If the levels of PSA patients is high, then the possibility of the patient suffering from BPH will also be large. If such increase occurs significantly, then the patient's risk for prostate cancer also exist. 
  • Test the smoothness of the flow of urine
  • In this examination, the doctor will insert a catheter which is equipped with a camera into the urinary tract of the patient. Through the monitor, the doctor will be able to see the magnitude of the pressure in the bladder and how well the performance of these organs while the patient is voiding. 
  • Test neurology
  • The doctor will examine briefly the mental health as well as the nervous system of the patient to help diagnose the presence of urination disorders due to causes other than enlargement of the prostate. 
  • CT urogram
  • The method of this examination aims to determine the state of the urinary tract of the patient, for example whether there is damage to the channel or whether there is a blockage caused conditions other than BPH, such as stone disease of the urinary bladder or kidney stones. 
  • Pielografi intravenous
  • In this procedure, the doctor injects contrast material through blood vessels and then take a picture of the kidney with x-rays, to check the function of the kidneys and the flow of urine from the kidney towards the bladder. 
  • ULTRASOUND transrectal ULTRASOUND through the rectum
  • Through the examination by using sound waves, the doctor will obtain images of the prostate gland and parts around it in more detail to determine whether the patient is suffering from BPH or other conditions such as cancer. 
  • A cystoscopy
  • The doctor will insert a sistoskop to examine the state of the urethra and bladder from the inside.
In addition to ensuring that the symptoms experienced by the patient is due to BPH and not caused by other conditions, further tests can also help doctors provide appropriate treatment.

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Drugs

BPH drug that is often used is dutasteride and finasteride. Drugs that are able to decrease prostate size and relieve symptoms of BPH it works by inhibiting the effects of the hormone dihydrotestosterone. However, the use of both of these drugs should not be indiscriminate and should through the instructions of the doctor because it has serious side effects.

Some of the side effects of dutasteride and finasteride is the fall of the quantity sperm, impotence, and the risk of defects to the baby if the sufferer impregnate the women when undergoing treatment with these drugs.

In addition to dutasteride and finasteride, BPH drug that is often used is group alpha inhibitors, such as alfuzosin and tamsulosin. Drug alpha inhibitors these are usually combined with finasteride. This drug is able to accelerate the rate of urine by way of relaxes the muscles of the bladder.

Side effects that may occur after taking alfuzosin and tamsulosin are weakness, headache, and decreased quantity of sperm. While more serious side effects of both these drugs is a risk of occurrence of hypotension (low blood pressure) or even fainting.

In addition to the above medicines, your doctor also can prescribe erectile dysfunction medications, like tadalafil, to handle the case of an enlarged prostate which causes the sufferer to experience erectile dysfunction.

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