Swallowing That Dick Over and Over Again Till He Comes in Her Throat

On this page:

What is beneficial prostatic hyperplasia?
What is the prostate?
What causes benign prostatic hyperplasia?
How common is benign prostatic hyperplasia?
Who is more likely to develop benign prostatic hyperplasia?
What are the symptoms of benign prostatic hyperplasia?
What are the complications of benign prostatic hyperplasia?
When to Seek Medical Care
How is beneficial prostatic hyperplasia diagnosed?
How is benign prostatic hyperplasia treated?
What are the complications of benign prostatic hyperplasia treatment?
How can benign prostatic hyperplasia exist prevented?
Eating, Nutrition, and Nutrition
Clinical Trials

What is benign prostatic hyperplasia?

Beneficial prostatic hyperplasia—also called BPH—is a condition in men in which the prostate gland is enlarged and not cancerous. Benign prostatic hyperplasia is also called beneficial prostatic hypertrophy or benign prostatic obstruction.

The prostate goes through 2 main growth periods equally a human ages. The first occurs early on in puberty, when the prostate doubles in size. The second phase of growth begins around age 25 and continues during most of a man's life. Benign prostatic hyperplasia oft occurs with the 2nd growth stage.

As the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the float may weaken and lose the ability to empty completely, leaving some urine in the bladder. The narrowing of the urethra and urinary retentivity—the inability to empty the bladder completely—crusade many of the problems associated with benign prostatic hyperplasia.

What is the prostate?

The prostate is a walnut-shaped gland that is part of the male reproductive organization. The main function of the prostate is to brand a fluid that goes into semen. Prostate fluid is essential for a man's fertility. The gland surrounds the urethra at the neck of the float. The bladder neck is the surface area where the urethra joins the bladder. The bladder and urethra are parts of the lower urinary tract. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue, and it is in front of the rectum, but beneath the bladder. The urethra is the tube that carries urine from the float to the outside of the body. In men, the urethra likewise carries semen out through the penis.

Drawing of the side view of the male lower urinary tract, with labels pointing to the bladder, groin, penis, prostate, scrotum, and urethra. — The prostate is a walnut-shaped gland that is part of the male person reproductive system.

What causes benign prostatic hyperplasia?

The cause of benign prostatic hyperplasia is not well understood; however, information technology occurs mainly in older men. Beneficial prostatic hyperplasia does not develop in men whose testicles were removed earlier puberty. For this reason, some researchers believe factors related to aging and the testicles may cause benign prostatic hyperplasia.

Throughout their lives, men produce testosterone, a male hormone, and small-scale amounts of estrogen, a female hormone. As men age, the amount of active testosterone in their claret decreases, which leaves a college proportion of estrogen. Scientific studies have suggested that benign prostatic hyperplasia may occur because the higher proportion of estrogen inside the prostate increases the activity of substances that promote prostate cell growth.

Another theory focuses on dihydrotestosterone (DHT), a male person hormone that plays a office in prostate development and growth. Some inquiry has indicated that fifty-fifty with a drop in blood testosterone levels, older men proceed to produce and accumulate loftier levels of DHT in the prostate. This accumulation of DHT may encourage prostate cells to go on to grow. Scientists have noted that men who do not produce DHT do not develop beneficial prostatic hyperplasia.

How mutual is beneficial prostatic hyperplasia?

Beneficial prostatic hyperplasia is the well-nigh common prostate problem for men older than age 50. In 2010, equally many as xiv million men in the United States had lower urinary tract symptoms suggestive of benign prostatic hyperplasia.¹ Although beneficial prostatic hyperplasia rarely causes symptoms before age twoscore, the occurrence and symptoms increase with age. Benign prostatic hyperplasia affects about 50 percent of men between the ages of 51 and threescore and up to 90 percent of men older than 80.²

Who is more likely to develop benign prostatic hyperplasia?

Men with the following factors are more likely to develop benign prostatic hyperplasia:

age xl years and older
family history of benign prostatic hyperplasia
medical conditions such equally obesity, heart and circulatory disease, and type two diabetes
lack of physical exercise
erectile dysfunction

What are the symptoms of benign prostatic hyperplasia?

Lower urinary tract symptoms suggestive of benign prostatic hyperplasia may include

urinary frequency—urination 8 or more times a day
urinary urgency—the disability to delay urination
trouble starting a urine stream
a weak or an interrupted urine stream
dribbling at the end of urination
nocturia—frequent urination during periods of sleep
urinary retention
urinary incontinence—the accidental loss of urine
pain after ejaculation or during urination
urine that has an unusual color or smell

Symptoms of benign prostatic hyperplasia nigh often come from

a blocked urethra
a bladder that is overworked from trying to pass urine through the blockage

The size of the prostate does non ever determine the severity of the blockage or symptoms. Some men with profoundly enlarged prostates have little blockage and few symptoms, while other men who take minimally enlarged prostates have greater blockage and more than symptoms. Less than half of all men with benign prostatic hyperplasia have lower urinary tract symptoms.³

Sometimes men may not know they have a blockage until they cannot urinate. This condition, called acute urinary retention, can consequence from taking over-the-counter common cold or allergy medications that comprise decongestants, such as pseudoephedrine and oxymetazoline. A potential side effect of these medications may forbid the bladder neck from relaxing and releasing urine. Medications that contain antihistamines, such as diphenhydramine, tin weaken the contraction of float muscles and cause urinary memory, difficulty urinating, and painful urination. When men accept partial urethra blockage, urinary retention also can occur as a result of alcohol consumption, cold temperatures, or a long menses of inactivity.

What are the complications of benign prostatic hyperplasia?

The complications of beneficial prostatic hyperplasia may include

acute urinary retentivity
chronic, or long lasting, urinary memory
claret in the urine
urinary tract infections (UTIs)
float damage
kidney impairment
float stones

Most men with beneficial prostatic hyperplasia do not develop these complications. However, kidney damage in item can be a serious wellness threat when it occurs.

How is benign prostatic hyperplasia diagnosed?

A health intendance provider diagnoses benign prostatic hyperplasia based on

a personal and family medical history
a physical exam
medical tests

Personal and Family Medical History

Taking a personal and family medical history is ane of the commencement things a health care provider may do to aid diagnose benign prostatic hyperplasia. A health intendance provider may ask a man

what symptoms are present
when the symptoms began and how ofttimes they occur
whether he has a history of recurrent UTIs
what medications he takes, both prescription and over the counter
how much liquid he typically drinks each day
whether he consumes caffeine and alcohol
near his general medical history, including any pregnant illnesses or surgeries

Physical Exam

A physical exam may assistance diagnose benign prostatic hyperplasia. During a physical exam, a health care provider most often

examines a patient's body, which can include checking for
- discharge from the urethra
- enlarged or tender lymph nodes in the groin
- a swollen or tender scrotum
taps on specific areas of the patient'south torso
performs a digital rectal test

A digital rectal exam, or rectal exam, is a physical exam of the prostate. To perform the test, the health intendance provider asks the man to bend over a table or lie on his side while holding his knees close to his chest. The wellness intendance provider slides a gloved, lubricated finger into the rectum and feels the part of the prostate that lies next to the rectum. The man may feel slight, cursory discomfort during the rectal exam. A wellness care provider most oftentimes performs a rectal exam during an office visit, and men do not require anesthesia. The exam helps the health intendance provider see if the prostate is enlarged or tender or has any abnormalities that require more than testing.

Many health care providers perform a rectal examination as part of a routine physical examination for men age xl or older, whether or non they have urinary problems.

Cross-section of a digital rectal exam. A health care provider's gloved index finger is inserted into the rectum to feel the size and shape of the prostate. — Digital rectal exam

Medical Tests

A wellness care provider may refer men to a urologist—a md who specializes in urinary problems and the male reproductive system—though the health care provider virtually often diagnoses benign prostatic hyperplasia on the footing of symptoms and a digital rectal exam. A urologist uses medical tests to help diagnose lower urinary tract problems related to benign prostatic hyperplasia and recommend handling. Medical tests may include

urinalysis
a prostate-specific antigen (PSA) blood test
urodynamic tests
cystoscopy
transrectal ultrasound
biopsy

Urinalysis. Urinalysis involves testing a urine sample. The patient collects a urine sample in a special container in a health care provider'due south office or a commercial facility. A health care provider tests the sample during an office visit or sends it to a lab for assay. For the test, a nurse or technician places a strip of chemically treated newspaper, called a dipstick, into the urine. Patches on the dipstick alter color to indicate signs of infection in urine.

PSA blood test. A wellness intendance provider may draw blood for a PSA exam during an function visit or in a commercial facility and send the sample to a lab for analysis. Prostate cells create a protein called PSA. Men who accept prostate cancer may have a higher amount of PSA in their claret. However, a loftier PSA level does not necessarily indicate prostate cancer. In fact, benign prostatic hyperplasia, prostate infections, inflammation, aging, and normal fluctuations often crusade loftier PSA levels. Much remains unknown well-nigh how to interpret a PSA blood examination, the test'south power to discriminate between cancer and prostate conditions such as beneficial prostatic hyperplasia, and the best class of action to have if the PSA level is high.

Urodynamic tests. Urodynamic tests include a diversity of procedures that look at how well the float and urethra store and release urine. A health care provider performs urodynamic tests during an function visit or in an outpatient center or a infirmary. Some urodynamic tests exercise non require anesthesia; others may crave local anesthesia. Virtually urodynamic tests focus on the float's ability to concur urine and empty steadily and completely and may include the following:

uroflowmetry, which measures how rapidly the bladder releases urine
postvoid remainder measurement, which evaluates how much urine remains in the bladder afterwards urination
reduced urine menstruum or rest urine in the bladder, which often suggests urine blockage due to benign prostatic hyperplasia

Cystoscopy. Cystoscopy is a procedure that uses a tubelike instrument, called a cystoscope, to look inside the urethra and float. A urologist inserts the cystoscope through the opening at the tip of the penis and into the lower urinary tract. A urologist performs cystoscopy during an office visit or in an outpatient middle or a infirmary. The urologist will give the patient local anesthesia; still, in some cases, the patient may require sedation and regional or general anesthesia. A urologist may use cystoscopy to expect for blockage or stones in the urinary tract.

Transrectal ultrasound. Transrectal ultrasound uses a device, called a transducer, that bounces condom, painless sound waves off organs to create an paradigm of their structure. The wellness intendance provider tin move the transducer to different angles to make it possible to examine dissimilar organs. A specially trained technician performs the procedure in a health care provider's office, an outpatient center, or a hospital, and a radiologist—a doctor who specializes in medical imaging—interprets the images; the patient does not crave anesthesia. Urologists most often use transrectal ultrasound to examine the prostate. In a transrectal ultrasound, the technician inserts a transducer slightly larger than a pen into the human being'south rectum, next to the prostate. The ultrasound image shows the size of the prostate and any abnormalities, such every bit tumors. Transrectal ultrasound cannot reliably diagnose prostate cancer.

Biopsy. Biopsy is a procedure that involves taking a pocket-size piece of prostate tissue for test with a microscope. A urologist performs the biopsy in an outpatient center or a infirmary. The urologist volition give the patient light sedation and local coldhearted; still, in some cases, the patient will require general anesthesia. The urologist uses imaging techniques such as ultrasound, a computerized tomography scan, or magnetic resonance imaging to guide the biopsy needle into the prostate. A pathologist—a doctor who specializes in examining tissues to diagnose diseases—examines the prostate tissue in a lab. The test tin prove whether prostate cancer is nowadays.

How is beneficial prostatic hyperplasia treated?

Treatment options for beneficial prostatic hyperplasia may include

lifestyle changes
medications
minimally invasive procedures
surgery

A health care provider treats beneficial prostatic hyperplasia based on the severity of symptoms, how much the symptoms affect a man's daily life, and a human's preferences.

Men may non need treatment for a mildly enlarged prostate unless their symptoms are bothersome and affecting their quality of life. In these cases, instead of treatment, a urologist may recommend regular checkups. If benign prostatic hyperplasia symptoms become bothersome or nowadays a health risk, a urologist near often recommends treatment.

Lifestyle Changes

A health care provider may recommend lifestyle changes for men whose symptoms are mild or slightly bothersome. Lifestyle changes can include

reducing intake of liquids, specially before going out in public or before periods of sleep
fugitive or reducing intake of caffeinated beverages and alcohol
fugitive or monitoring the use of medications such every bit decongestants, antihistamines, antidepressants, and diuretics
training the bladder to agree more urine for longer periods
exercising pelvic floor muscles
preventing or treating constipation

Medications

A health care provider or urologist may prescribe medications that stop the growth of or shrink the prostate or reduce symptoms associated with benign prostatic hyperplasia:

blastoff blockers
phosphodiesterase-5 inhibitors
5-blastoff reductase inhibitors
combination medications

Alpha blockers. These medications relax the smooth muscles of the prostate and bladder neck to improve urine flow and reduce bladder blockage:

terazosin (Hytrin)
doxazosin (Cardura)
tamsulosin (Flomax)
alfuzosin (Uroxatral)
silodosin (Rapaflo)

Phosphodiesterase-v inhibitors. Urologists prescribe these medications mainly for erectile dysfunction. Tadalafil (Cialis) belongs to this class of medications and can reduce lower urinary tract symptoms by relaxing polish muscles in the lower urinary tract. Researchers are working to decide the office of erectile dysfunction drugs in the long-term treatment of benign prostatic hyperplasia.

5-alpha reductase inhibitors. These medications block the product of DHT, which accumulates in the prostate and may cause prostate growth:

finasteride (Proscar)
dutasteride (Avodart)

These medications tin prevent progression of prostate growth or really shrink the prostate in some men. Finasteride and dutasteride act more than slowly than alpha blockers and are useful for only moderately enlarged prostates.

Combination medications. Several studies, such every bit the Medical Therapy of Prostatic Symptoms (MTOPS) study, take shown that combining two classes of medications, instead of using just one, can more effectively improve symptoms, urinary menstruum, and quality of life. The combinations include

finasteride and doxazosin
dutasteride and tamsulosin (Jalyn), a combination of both medications that is bachelor in a single tablet
blastoff blockers and antimuscarinics

A urologist may prescribe a combination of blastoff blockers and antimuscarinics for patients with overactive bladder symptoms. Overactive bladder is a condition in which the bladder muscles contract uncontrollably and cause urinary frequency, urinary urgency, and urinary incontinence. Antimuscarinics are a course of medications that relax the bladder muscles.

Minimally Invasive Procedures

Researchers have developed a number of minimally invasive procedures that relieve beneficial prostatic hyperplasia symptoms when medications evidence ineffective. These procedures include

transurethral needle ablation
transurethral microwave thermotherapy
high-intensity focused ultrasound
transurethral electrovaporization
water-induced thermotherapy
prostatic stent insertion

Minimally invasive procedures can destroy enlarged prostate tissue or widen the urethra, which can help salve blockage and urinary retentivity acquired by benign prostatic hyperplasia.

Urologists perform minimally invasive procedures using the transurethral method, which involves inserting a catheter—a thin, flexible tube—or cystoscope through the urethra to reach the prostate. These procedures may crave local, regional, or general anesthesia. Although destroying troublesome prostate tissue relieves many benign prostatic hyperplasia symptoms, tissue devastation does not cure beneficial prostatic hyperplasia. A urologist will make up one's mind which procedure to perform based on the human's symptoms and overall health.

Transurethral needle ablation. This procedure uses heat generated by radiofrequency energy to destroy prostate tissue. A urologist inserts a cystoscope through the urethra to the prostate. A urologist and then inserts small needles through the end of the cystoscope into the prostate. The needles send radiofrequency energy that heats and destroys selected portions of prostate tissue. Shields protect the urethra from heat damage.

Transurethral microwave thermotherapy. This process uses microwaves to destroy prostate tissue. A urologist inserts a catheter through the urethra to the prostate, and a device called an antenna sends microwaves through the catheter to rut selected portions of the prostate. The temperature becomes high enough inside the prostate to destroy enlarged tissue. A cooling system protects the urinary tract from heat damage during the procedure.

Cross-section of the prostate, bladder, and urethra. A transurethral microwave thermotherapy catheter extends from the urethra into the bladder. An antenna sends microwaves through the catheter to the prostate. — Transurethral microwave thermotherapy

Loftier-intensity focused ultrasound. For this process, a urologist inserts a special ultrasound probe into the rectum, near the prostate. Ultrasound waves from the probe heat and destroy enlarged prostate tissue.

Transurethral electrovaporization. For this procedure, a urologist inserts a tubelike instrument called a resectoscope through the urethra to reach the prostate. An electrode attached to the resectoscope moves across the surface of the prostate and transmits an electrical current that vaporizes prostate tissue. The vaporizing effect penetrates below the surface area being treated and seals blood vessels, which reduces the risk of bleeding.

Water-induced thermotherapy. This process uses heated water to destroy prostate tissue. A urologist inserts a catheter into the urethra so that a handling balloon rests in the heart of the prostate. Heated water flows through the catheter into the treatment balloon, which heats and destroys the surrounding prostate tissue. The handling balloon tin target a specific region of the prostate, while surrounding tissues in the urethra and bladder remain protected.

Prostatic stent insertion. This process involves a urologist inserting a small device chosen a prostatic stent through the urethra to the expanse narrowed by the enlarged prostate. Once in place, the stent expands like a spring, and information technology pushes back the prostate tissue, widening the urethra. Prostatic stents may be temporary or permanent. Urologists generally use prostatic stents in men who may not tolerate or be suitable for other procedures.

Surgery

For long-term handling of beneficial prostatic hyperplasia, a urologist may recommend removing enlarged prostate tissue or making cuts in the prostate to widen the urethra. Urologists recommend surgery when

medications and minimally invasive procedures are ineffective
symptoms are specially bothersome or severe
complications arise

Although removing troublesome prostate tissue relieves many benign prostatic hyperplasia symptoms, tissue removal does not cure benign prostatic hyperplasia.

Surgery to remove enlarged prostate tissue includes

transurethral resection of the prostate (TURP)
laser surgery
open prostatectomy
transurethral incision of the prostate (TUIP)

A urologist performs these surgeries, except for open prostatectomy, using the transurethral method. Men who have these surgical procedures require local, regional, or general anesthesia and may need to stay in the infirmary.

The urologist may prescribe antibiotics before or soon afterwards surgery to foreclose infection. Some urologists prescribe antibiotics only when an infection occurs.

Immediately afterward benign prostatic hyperplasia surgery, a urologist may insert a special catheter, called a Foley catheter, through the opening of the penis to bleed urine from the float into a drainage pouch.

TURP. With TURP, a urologist inserts a resectoscope through the urethra to achieve the prostate and cuts pieces of enlarged prostate tissue with a wire loop. Special fluid carries the tissue pieces into the float, and the urologist flushes them out at the terminate of the process. TURP is the well-nigh common surgery for benign prostatic hyperplasia and considered the gold standard for treating blockage of the urethra due to benign prostatic hyperplasia.

Cross-section of the penis, prostate, and bladder. A resectoscope is inserted through the urethra to the prostate. A wire loop at the end of the resectoscope cuts tissue from the prostate. — Transurethral resection of the prostate

Laser surgery. With this surgery, a urologist uses a loftier-energy light amplification by stimulated emission of radiation to destroy prostate tissue. The urologist uses a cystoscope to laissez passer a laser cobweb through the urethra into the prostate. The laser destroys the enlarged tissue. The risk of haemorrhage is lower than in TURP and TUIP considering the laser seals blood vessels as it cuts through the prostate tissue. However, laser surgery may not finer treat greatly enlarged prostates.

Open up prostatectomy. In an open prostatectomy, a urologist makes an incision, or cutting, through the skin to accomplish the prostate. The urologist can remove all or part of the prostate through the incision. This surgery is used virtually oftentimes when the prostate is greatly enlarged, complications occur, or the float is damaged and needs repair. Open up prostatectomy requires general anesthesia, a longer infirmary stay than other surgical procedures for benign prostatic hyperplasia, and a longer rehabilitation flow. The iii open up prostatectomy procedures are retropubic prostatectomy, suprapubic prostatectomy, and perineal prostatectomy. The recovery period for open up prostatectomy is different for each homo who undergoes the process.

TUIP. A TUIP is a surgical procedure to widen the urethra. During a TUIP, the urologist inserts a cystoscope and an musical instrument that uses an electrical current or a laser beam through the urethra to reach the prostate. The urologist widens the urethra past making a few minor cuts in the prostate and in the float neck. Some urologists believe that TUIP gives the aforementioned relief as TURP except with less risk of side effects.

After surgery, the prostate, urethra, and surrounding tissues may exist irritated and bloated, causing urinary retention. To prevent urinary retentivity, a urologist inserts a Foley catheter and then urine can drain freely out of the float. A Foley catheter has a airship on the end that the urologist inserts into the bladder. Once the balloon is inside the bladder, the urologist fills it with sterile h2o to keep the catheter in identify. Men who undergo minimally invasive procedures may not demand a Foley catheter.

Outline of a male body showing the bladder, penis, drainage pouch strapped to one leg, and the inserted Foley catheter. Inset of the bladder, prostate, and urethra, showing urine flow from the bladder through the catheter. — Foley catheter

The Foley catheter most ofttimes remains in place for several days. Sometimes, the Foley catheter causes recurring, painful, hard-to-control float spasms the mean solar day later on surgery. However, these spasms volition eventually terminate. A urologist may prescribe medications to relax bladder muscles and preclude bladder spasms. These medications include

oxybutynin chloride (Ditropan)
solifenacin (VESIcare)
darifenacin (Enablex)
tolterodine (Detrol)
hyoscyamine (Levsin)
propantheline bromide (Pro-Banthine)