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Prostate Enlargement

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Alpha-Blocker Therapy in the Management of Urological Disorders

Activation of Alpha adrenergic receptors for smooth muscles causes the smooth muscle to contract. Alpha blockers, therefore, produce smooth muscle relaxation by inhibiting contraction of this type of muscle. There are multiple types of alpha receptors resulting in different levels of selectivity of the alpha blockers.

Alpha blockers have been shown to improve urinary symptoms by virtue of relaxation of the smooth muscle of the prostate and the bladder neck. This results in an increase in urinary flow, decrease in urinary dribbling, decrease in residual volume, and can improve urinary frequency and urgency.

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Alternative Treatments For BPH

In some men, the growth of prostate is outward giving the gland increased overall size. This growth causes blockage by sheer increase in prostate size with impingement on the urinary channel or urethra. In others, the outward growth is minimal but the blockage is caused by increased muscle tone around the urinary channel or urethra. Many men develop both types of obstruction, gland growth and increased muscle tone.

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Diagnostic Evaluation of Urinary Symptoms in Men

Historically urinary tract symptoms (LUTS) in men over the age of 50 were almost always attributed to enlargement the prostate gland or benign prostatic hyperplasia (BPH), thereby causing bladder outlet obstruction (BOO). We now know quite clearly that many patients with LUTS have no BOO. We now know clearly that many patients with LUTS caused by BOO do not have BPH. These terms are complicated but our expanding research into the physiology of patients with urinary symptoms has clearly shown us that many men have other diagnoses for their symptoms and that treating the prostate for symptoms not caused by prostate enlargement has only a small chance of being successful.

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Minimally Invasive Therapies for Enlarged Prostate Glands

Benign enlargement of the prostate gland (BPH) is a common condition that affects nearly all men over the age of 50. The prostate is a walnut-sized gland located beneath the bladder which surrounds the urethra or the tube in the penis that allows urine to exit the body.

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New Options for Treating Enlarged Prostate Glands

Developing symptoms of an enlarged prostate gland is an inevitable aspect of aging for most men. With the aging of the baby boomers, more and more men will develop symptoms of prostate enlargement and will be looking to their physicians for relief of this common condition. Now there are new treatments for benign prostatic hyperplasia (BPH), the medical the term for nonmalignant enlargement of the prostate gland. Though not a deadly disease like prostate cancer, BPH is actually far more common, appearing in some men as young as 40, and affecting nearly 60% of men over 60 years of age. It is estimated that the condition affects nearly 14 million American men and more than 8 million men are receiving treatment.

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Prostatitits

Prostatitis is an inflammation of the prostate. How common is it? In the US, over one million patients visits per year are for prostatitis. The following information will answer some of your questions on prostatitis, as well as those about the prostate itself--where it is, what is does.

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Reprinted with permission from Neil Baum MD (neilbaum.com) and Dialog Medical, (dialogmedical.com).

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