National Guidelines for the Diagnosis, ... Symptoms and signs of uncomplicated malaria in pregnant women ... ///// National Guidelines for the Diagnosis, ...
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2 Enlarged prostate A guide to diagnosis and treatment. About this booklet, This booklet is for men who want to know more about a non. cancerous enlargement of the prostate gland called benign. prostatic enlargement BPE You may also hear this condition. called benign prostatic hyperplasia BPH We describe. the causes symptoms diagnosis and treatment of an,enlarged prostate. Your partner or family might also find this booklet useful to. help them understand the condition, Each GP practice or hospital may do things slightly differently. so use this booklet as a general guide to what to expect and. ask your GP for more information, he following symbols appear throughout the booklet to guide. you to sources of further information,Prostate Cancer UK Specialist Nurse. Prostate Cancer UK publications,Sections for you to fill in. See men tell their own stories in our online videos. prostatecanceruk org, Specialist Nurses 0800 074 8383 prostatecanceruk org 3. About this booklet 2,What is the prostate gland 5,What is benign prostatic enlargement BPE 6. Enlarged prostate an overview 8,What causes an enlarged prostate 8. What are the symptoms 9,Am I more likely to get prostate cancer if I have. an enlarged prostate 9,How might an enlarged prostate affect my life 10. Possible complications of an enlarged prostate 10,Summary 11. Diagnosing an enlarged prostate 12,How is an enlarged prostate diagnosed 12. What tests might I have at the GP surgery 12,What tests might I have at the hospital 16. Summary 18, 4 Enlarged prostate A guide to diagnosis and treatment. Treating an enlarged prostate 19,What are my treatment options 19. Lifestyle changes 19,Medicines 22,Surgery 29,What if I am not able to have surgery 41. Summary 42, Questions to ask your doctor or specialist nurse 44. Medical terms used in this booklet 45,More information from us 46. Other useful organisations 47,About Prostate Cancer UK 49. Specialist Nurses 0800 074 8383 prostatecanceruk org 5. What is the prostate gland, Only men have a prostate gland The prostate is usually the shape. and size of a walnut It lies underneath the bladder and surrounds. the tube which men pass urine and semen through urethra The. prostate gland s main job is to make some of the fluid that carries. sperm called semen,penis prostate, 6 Enlarged prostate A guide to diagnosis and treatment. What is benign prostatic,enlargement BPE, Benign prostatic enlargement BPE is the medical term used. to describe an enlarged prostate It means a non cancerous. enlargement of the prostate gland,Benign non cancerous. Prostatic to do with the prostate gland, Enlargement an increase in the size of the prostate gland. You might also hear it called benign prostatic hyperplasia BPH. Hyperplasia means an increase in the number of cells It s this. increase in cells that causes the prostate to grow see diagram. below BPH and BPE are the same condition, In this booklet we use the term enlarged prostate to describe. BPE and BPH, An enlarged prostate is common in men after the age of about 50. In some cases it causes the urethra to narrow which can slow down. or stop the flow of urine About 4 out of every 10 men over the age. of 50 40 per cent and 3 out of 4 men in their 70s 75 per cent. have urinary symptoms that are caused by an enlarged prostate. Specialist Nurses 0800 074 8383 prostatecanceruk org 7. A normal prostate gland An enlarged prostate gland. urethra in number,prostate urethra, Having an enlarged prostate is not the same as having cancer. 8 Enlarged prostate A guide to diagnosis and treatment. Enlarged prostate an overview, This section explains the causes symptoms and possible. complications of an enlarged prostate We also describe. how an enlarged prostate might affect your life,What causes an enlarged prostate. We don t yet fully understand what causes the prostate gland to. grow However there are two risk factors that we do know about. Your risk of developing an enlarged prostate increases as you get. older Many men over the age of 50 will have an enlarged prostate. gland but not all will get symptoms,Hormone levels. The balance of hormones in your body changes as you get older. and this may cause your prostate gland to grow,Other factors. Some studies have shown that obese men and men who have. diabetes may be more at risk of developing an enlarged prostate. You may be able to reduce your risk by doing more exercise. However we still need more studies into the causes of enlarged. prostate to know for certain if and how we can prevent it. There is also some research that suggests you may be more at risk. of developing an enlarged prostate if your father or brother have. the condition Again further studies are needed to confirm this. Specialist Nurses 0800 074 8383 prostatecanceruk org 9. What are the symptoms, An enlarged prostate is the most common cause of urinary. symptoms in men as they get older It can cause your urethra to. narrow causing symptoms such as,a weak urine flow,needing to urinate more often especially at night. a feeling that your bladder has not emptied properly. difficulty starting to urinate,dribbling urine, needing to rush to the toilet you may occasionally leak. urine before you get there,blood in your urine, You may have only a few of these symptoms or you may not have. any symptoms at all Without treatment some men find that the. symptoms of an enlarged prostate slowly get worse, These symptoms can be caused by other medical problems. lifestyle factors or certain medicines They may be nothing to do. with the prostate If you have any of the symptoms above you. should visit your GP to find out what is causing them. Am I more likely to get prostate cancer if I have an. enlarged prostate, No having an enlarged prostate does not put you at greater risk of. getting prostate cancer The two conditions begin in different parts of. the prostate gland But it is possible to have both an enlarged prostate. and prostate cancer at the same time In most cases early prostate. cancer does not cause any urinary symptoms Visit your GP if you. are concerned about prostate cancer You can also call our Specialist. Nurses on our confidential helpline, 10 Enlarged prostate A guide to diagnosis and treatment. How might an enlarged prostate affect my life, Having an enlarged prostate affects men in different ways Some. men are able to cope with their symptoms well and do not need. treatment Other men find that they need to stay near a toilet. which can make it difficult to work drive be outdoors and attend. social events If you are getting up a lot during the night to go to. the toilet you may find you feel more tired during the day. For a few men the symptoms of an enlarged prostate improve. over time without treatment But for most the symptoms will stay. the same or get worse A small number of men develop problems. with urine retention see below This is more likely if you are aged. over 70 have a large prostate have a raised prostate specific. antigen PSA level or have severe urinary symptoms, If you are diagnosed with an enlarged prostate the doctor will look. at your test results to see if you are at risk of these complications. Possible complications of an enlarged prostate,Acute urine retention. This is when you are suddenly unable to pass urine It is painful. and needs treating straight away usually at a hospital The doctor. or nurse will pass a thin flexible tube catheter through your penis. into the bladder to drain the urine Before the catheter is removed. you may be offered a drug called an alpha blocker see page 23 This. can help lower your chance of getting acute urine retention again. Chronic urine retention, This develops more slowly than acute retention The first signs. might include leaking urine at night wetting the bed or the feeling. that your lower belly is swollen You may feel that you are not. emptying your bladder fully, Specialist Nurses 0800 074 8383 prostatecanceruk org 11. Chronic retention is usually painless but it does mean that you. are not passing all of the urine in your bladder This causes your. bladder to stretch slowly which can weaken the bladder muscle. The urine left in your bladder may cause an infection or bladder. stones which can cause pain and bleeding Without treatment. the build up of urine over time can damage your kidneys. If you develop chronic urine retention you may need a catheter to. drain your bladder This will either be a temporary catheter which. you insert through your penis and into your bladder several times a. day or a catheter that stays in your bladder for a longer period of. time Some men are offered surgery to treat chronic urine retention. An enlarged prostate is common for men over the age of. We don t fully understand what causes an enlarged prostate. but we know that your risk increases as you get older. Having an enlarged prostate does not put you at greater risk. of getting prostate cancer, An enlarged prostate may cause urinary symptoms such as. a weak flow and needing to pass urine more often The effect. of symptoms on daily life varies from man to man, A small number of men with an enlarged prostate develop. complications called acute or chronic urine retention. 12 Enlarged prostate A guide to diagnosis and treatment. Diagnosing an enlarged prostate, This section describes the tests you might have at the GP surgery. or at hospital to find out if you have an enlarged prostate. How is an enlarged prostate diagnosed, You might have several different tests to find out if you have an. enlarged prostate Your GP may do some of these tests but. you might also need to visit a doctor who specialises in urinary. problems a urologist or a specialist nurse at the hospital Ask your. GP for more details about which tests you will have where you. will have them and what they will involve You can also call our. Specialist Nurses on our confidential helpline, You may not have all of the following tests But if you are diagnosed. with an enlarged prostate you may have some of these tests again. after treatment to find out how well your treatment is working. What tests might I have at the GP surgery,Symptom check. Your GP will ask you about your symptoms how long you have. had them whether they are getting worse over time and how they. are affecting your life, To help you explain your symptoms you might like to think about. how often you have experienced each of the following symptoms. over the last month There is space on the next page for you to. write notes by each symptom, Specialist Nurses 0800 074 8383 prostatecanceruk org 13. A feeling of not having emptied your bladder after you have. finished urinating,Needing to go again within two hours of urinating. Stopping and starting while urinating,Finding it difficult to wait before passing urine. Having a weak stream of urine compared to when you were younger. Needing to push or strain to start urinating,Getting up during the night to pass urine. 14 Enlarged prostate A guide to diagnosis and treatment. Your GP will check whether your symptoms could be caused by. another health problem such as diabetes or by any medicines. you are taking such as anti depressants or herbal medicines They. will also check whether your symptoms could be caused by your. lifestyle for example if you often drink a large amount of fluid or if. you drink a lot of alcohol or drinks containing caffeine such as tea. coffee or cola, Your GP may ask you to keep a diary for a few days to measure. how much fluid you are drinking what type of drinks you are. having how much urine you pass and how often The diary may. highlight what could be causing your symptoms and may help your. doctor find the best treatment for you,Urine test, Your GP may ask you for a urine sample to check for blood or for. any infection that could be causing your symptoms You may need. to give more than one sample If you have an infection your GP will. give you a course of antibiotics,Blood tests, You will be offered a blood test to check that your kidneys are. working properly You may also be offered a prostate specific. antigen PSA blood test PSA is a protein produced by cells in the. prostate gland An enlarged prostate can cause the PSA level in. your blood to rise Age infection and prostate cancer may also. affect your PSA level You can find out more about the PSA test by. reading our booklet Understanding the PSA test A guide for. men concerned about prostate cancer, Specialist Nurses 0800 074 8383 prostatecanceruk org 15. Physical examination, Your GP will perform a physical examination They may examine. your stomach area abdomen and penis They may also feel your. prostate gland through the wall of the back passage rectum This. is called a digital rectal examination DRE, If you have a DRE the doctor will ask you to lie on your side on an. examination table with your knees brought up towards your chest. If you find it easier you can stand and lean over the back of a chair. or across the examination table instead The doctor will slide their. finger into your back passage They will wear gloves and put some. gel onto their finger to make it more comfortable They will feel. your prostate for any hard or irregular areas and to see whether the. prostate is larger than expected for your age Some men find this. uncomfortable or embarrassing but it should not be painful. The digital rectal examination DRE,the doctor,prostate or nurse.
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