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Prostatomegaly

Medical Questions » Prostatomegaly
Name: Prostatomegaly
Also known as: Prostate Enlargement
Up to 20% of all men over 60 have benign enlargement of the prostate gland, which is usually associated with a drop in sexual activity.
Causes of Prostatomegaly
Absolute cause unknown, but as the gland enlarges, it squeezes the urethra (urine-carrying tube) which passes through it, making it steadily harder to urinate.
Symptoms of Prostatomegaly
Difficulty in passing urine, and eventually the urethra becomes completely blocked, causing extreme distress as the pressure of urine in the bladder increases.
Tests for Prostatomegaly
Diagnosed by feeling the prostate gland through the anus, ultrasound scans and blood tests.
Treatment for Prostatomegaly
In the acute situation, a flexible tube is passed up the urethra through the penis into the bladder to release urine, but if this is unsuccessful a large needle must be pushed through the lower wall of the abdomen into the bladder. In some cases drugs (eg. finasteride, prazosin, terazosin) can be used to shrink the enlarged prostate slightly. Most cases require surgery once symptoms develop. The operation can vary from simply dilating the urethra, to scraping away the part of the prostate constricting the urethra by passing a specially shaped knife up it (transurethral resection of prostate (TURP)), or completely removing the gland.
Complications of Prostatomegaly of its treatment
If back pressure of urine in the bladder becomes persistent, kidney damage can occur.
Likely Outcome of Prostatomegaly
Treatment almost invariably successful, with no subsequent effect on the sexual or general health of the patient.
       
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