The prostate is a walnut-shaped gland that wraps around the urethra, the tube that urine flows out of.
The prostate is part of the male reproductive system. One of its main jobs is to add fluid to semen. This is the fluid that carries sperm.
The muscles of the prostate also play an important role in reproduction, ensuring that the semen is forcefully pressed into the urethra and expelled outward during ejaculation.
Another very important function of the prostate is hormone metabolism. It’s in the prostate that the male sex hormone testosterone is transformed into a biologically active form called dihydrotestosterone (DHT). DHT is an androgen hormone that plays a role in puberty and helps men develop their adult male characteristics.
Prostate growth is not the same for every man; for some, it grows a lot more than in others. It doubles in size during the teenage years, then continues to grow again after age 25 throughout the rest of a man’s life.
It’s perfectly normal for a man’s prostate to grow throughout his adult life.
For some men, this doesn’t bring about any serious symptoms, but for others, an enlarged prostate can lead to issues that affect not just prostate health, but their quality of life.
An enlarged prostate affects one in five men between the ages of 50 and 60, and it’s even more common in older men.
For some men, the symptoms subside over time, while for others they remain the same or deteriorate over time, which may require surgical treatment.
The medical term for an enlarged prostate is benign prostatic hyperplasia (BPH).
The word benign means that the growth is not cancerous, and the word hyperplasia means enlargement, or the abnormal increase in cells. BPH is the most common noncancerous form of cell growth in men, and it does not lead to prostate cancer.
BPH is said to affect 90 percent of men at the age of 70. This condition becomes more common as men age. As the prostate enlarges, it squeezes and blocks the urethra, making it hard to empty the bladder completely.
Possible Symptoms of BPH
A slightly enlarged prostate can sometimes cause more severe symptoms than a very enlarged one.
The symptoms of BPH may include:
- A frequent need to urinate, especially at night
- An urgent need to urinate
- Trouble starting a urine stream (hesitancy)
- A weak or dribbling urine stream
- Unintentional loss of urine, also known as incontinence
- An inability to urinate
- Pain during urination
Symptoms – An enlarged prostate can clamp down on the urethra and restrict the flow of urine from the bladder. This leads to problems such as:
- Urinary tract infections
- Frequent urination, especially at night
- Difficulty postponing urination
- Straining when urinating
- Weaker urine flow and taking longer to finish urinating
- Dripping and leaking after urination
- Feeling like the bladder is not empty after urinating
Causes & Risk Factors
- Hormonal changes – The excess oestrogen level in men may play a role in prostate enlargement. As men age and testosterone levels drop, the proportion of oestrogen increases and may trigger prostate growth.
- Age is another major risk factor.
- A family history
- Deteriorating blood vessels
- Zinc deficiency
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