Enlarged Prostate - Overview
Prostatitis is inflammation of the prostate gland. There are three types of prostatitis:
Prostatitis is not contagious to your sexual partner. The symptoms of prostatitis are similar to those of benign prostatic hyperplasia (enlargement of the prostate) or urethritis (inflammation of urethra). It is important to see your physician for a prostate examination so that the proper treatment may be initiated.
Benign enlargement of the prostate gland, also known as Benign Prostatic Hyperplasia (BPH), is a common but incompletely understood consequence of aging. The clinical symptoms of frequency, urgency and decreased force of urinary stream, also known as lower urinary tract symptoms (LUTS) are also associated with advancing age.
That an enlarging prostate and the development of LUTS are both age dependent is indisputable. Autopsy studies have demonstrated that up to 80% of 80-year-old men will have historic evidence of BPH. Approximately 40% of those same men will demonstrate an enlarged prostate on physical examination; however, only 25-30% of 80 year old men will have symptomatic BPH and pursue treatment.
Bladder Outlet Obstruction
The static component of bladder outlet obstruction may be attributed to the physical enlargement of the prostate as it encroaches on the prostatic urethra and bladder outlet. The dynamic portion of the obstruction is more likely related to the relative tension of prostatic and bladder neck smooth muscle. It is particularly useful when formulating a strategy for the treatment of bladder outlet obstruction to consider whether the detrusor itself is intact. A variety of conditions, most notably diabetes mellitus, may result in a detrusor muscle that is ineffective in generating pressures high enough to overcome even normal resistance at the bladder outlet.
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