MIUI Minute: BPH vs. Prostate Cancer
Benign Prostatic Hyperplasia BPH is enlargement of the prostate, a CT BPH condition among men over 45 years of age. The degree to which the prostate grows varies from man to man as they age and may constrict the urethra and cause difficulty with urination. Left untreated, BPH may lead to urinary tract infections, bladder or kidney damage, bladder stones or incontinence.
Your doctor may evaluate your condition by CT BPH you questions about the severity and type of symptoms you have and how much of an impact CT BPH have on your daily routine. Other tests such as urine flow study, digital rectal exam, prostate-specific antigen PSA blood test, cystoscopy, ultrasound or prostate MRI may be used to confirm the diagnosis. Treatment for BPH may depend on the severity of the symptoms and range from no treatment to medication or surgery.
Benign prostatic hyperplasia BPHor benign prostatic hypertrophy, is an enlargement of the prostate, a walnut-sized gland that forms part of the male reproductive system. During ejaculation, the prostate secretes fluid into the urethrathe narrow tube that runs through the center of the prostate. When a man urinates, the bladder squeezes urine out through the urethra. As a man ages, the prostate can become enlarged. Because it surrounds CT BPH urethra right at the bladder exit, the prostate may CT BPH or pinch the urethra as it gets larger over time.
This may cause difficulty with urination such as a slow stream, the need to strain, increased frequency, urgency to urinate, incomplete emptying of the bladder, and intermittent flow or dribbling. BPH is the most common disorder of the prostate gland and the most common diagnosis by urologists for males between the CT BPH of 45 and More than half of men in their sixties and as many as 90 percent in their seventies and eighties have some symptoms of BPH.
Although research has yet to pinpoint a specific cause for BPH, theories focus on hormones and related substances like dihydrotestosterone DHTa testosterone derivative in the prostate that may encourage the growth of cells. Early diagnosis of BPH is important because if left untreated it can lead to urinary tract infections, bladder or kidney damage, bladder stones and incontinence. Distinguishing BPH from more serious diseases like prostate cancer is important.
In some cases, in particular where symptoms are mild, BPH requires CT BPH treatment. When treatment is necessary, many men will simply require daily medication s. If this fails to completely treat the symptoms, or if there are signs of damage from BPH, the doctor may recommend minimally invasive endoscopic surgery no "cuts" into the abdomen.
Or, in some cases, traditional surgery may be recommended. For surgery, there are many procedures to choose CT BPH, and the CT BPH depends largely on your specific prostate anatomy, and surgeon preference and training.
These procedures all have a common CT BPH of widening the urethral channel as it passes through the prostate. Procedures include the following:. Please type your comment or suggestion into the text box below. Note: we are unable to answer specific questions or offer individual medical advice or opinions.
Please contact your CT BPH with specific medical questions or for a referral to a radiologist or other physician. To locate a medical imaging or radiation oncology provider in your community, you can search the ACR-accredited facilities database. This website does not provide cost information.
The costs for specific medical imaging tests, treatments and procedures may vary by geographic region. Web page review process: This Web page is reviewed regularly by a physician with expertise in the medical area presented and is further reviewed by committees from the Radiological Society of North America RSNA and the American College of CT BPH ACRcomprising CT BPH with expertise in several radiologic areas. Outside links: For the convenience of our users, RadiologyInfo.
Toggle navigation. What is benign prostatic hyperplasia? How is benign prostatic hyperplasia diagnosed and evaluated?
How is benign prostatic hyperplasia treated? How is BPH diagnosed and evaluated? Tests vary from patient to patient, but the following are the most common: Filling out a questionnaire: Your doctor is most interested in the severity and type of CT BPH you have, and how much they bother you or impact your life. A simple questionnaire is a common starting point. Urine flow study: During this test, the patient voluntarily empties his bladder and the amount of flow is measured.
A special device can help physicians detect reduced urine flow associated with BPH. Digital CT BPH examination DRE : CT BPH physician inserts a gloved finger into the rectum located next to the prostate and feels the back of the prostate.
Prostate cancers can sometimes be detected as lumps or bumps on the CT BPH here. Cystoscopy: In this examination, the physician inserts a thin tube with a tiny camera on the end called a cystoscope through the opening of the urethra at CT BPH tip of the penis. The camera allows the physician to inspect the inside of the prostate, urethra channel and bladder. Transrectal ultrasound and Prostate Biopsy: There are two potential reasons for this exam: 1 If there is suspicion CT BPH prostate cancer, this test may be recommended.
The physician uses an ultrasound probe to CT BPH images of the prostate and guides a biopsy needle into the prostate to remove CT BPH slivers of tissue for examination under a microscope. In this case, only an ultrasound image will be obtained; no needles will be used. Transabdominal ultrasound : This exam may be performed to measure the size of the prostate and the amount of urine left in the bladder after urination.
Prostate magnetic resonance imaging MRI : MRI provides views CT BPH the entire prostate with excellent soft tissue contrast. How is BPH treated? Drug treatment: The FDA has approved several drugs to relieve common symptoms associated with an enlarged prostate, including drugs that inhibit the production of the CT BPH DHT and drugs that relax the smooth muscle of the prostate and bladder neck to improve urine flow. Procedures include the following: Transurethral resection of the prostate TURP : The most common or "gold standard" surgical treatment for BPH, TURP involves the insertion of an instrument called a resectoscope through the urethra to remove the obstructing tissue, almost like removing the core from an apple, thus widening the channel.
Laser surgery: When a TURP procedure is done with a laser instead of traditional scraping, CT BPH procedures are similar although differently named, depending on the type of laser used. The physician passes the laser fiber through the urethra CT BPH the prostate and then delivers bursts of energy to vaporize obstructing prostate tissue. Transurethral CT BPH of the prostate TUIP : In this procedure, the surgeon widens the urethra by making a few small incisions in the prostate gland and the neck of CT BPH bladder where it joins the urethra.
Transurethral needle CT BPH TUNA : This minimally invasive approach delivers low-level radiofrequency energy through twin needles to destroy prostate tissue and widen the urinary channel, which may improve urine flow. UroLift system treatment: This minimally invasive procedure widens the urethra by placing tiny implants that hold CT BPH enlarged prostate tissue out of the CT BPH, thus improving urine flow. High-intensity focused ultrasound: The use of ultrasound waves to destroy prostate tissue is a promising new area of treatment that is still undergoing clinical trials in the United States.
In open surgery, the surgeon makes an external incision and removes the enlarged tissue from inside the gland. The entire prostate is not removed, but rather the outer "shell" or capsule of the prostate remains. No incision is made. This is a specialized type of procedure currently performed only by select centers in the United States.
The procedure duplicates open surgery, with a shorter time requiring a urinary catheter. Prostate artery embolization: For this procedure, an interventional radiologist inserts a hollow wire into the artery in the leg and maneuvers it to the arteries that only supply the prostate. The radiologist will then inject material to slow or stop blood flow to the prostate, which can cause it to shrink or soften.
This is a relatively new procedure and may not be widely available; it may require enrolling in a clinical trial to be eligible for this treatment. Send us your feedback Did you find the information you were looking for? Area code:. Phone no:.
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