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Late symptoms and signs of pr state enlargement If the disease is n glected, there will be a marked r tention of urine, and the back pr ssure of the urine increases more and m re, resulting in dilation of the reters (called hydroureters), as well as of the k dneys (called hydronephrosis). An enormous growth of b cteria will occur in the entire rinary tract, leading to pus formation, and the k dneys will be grossly infected. This is c lled pyonephrosis ('pyo' means pus, 'nephros' m ans kidney). Patients can hardly pass rine, and repeated catheterization may be r quired. Hence, the value of early d agnosis and treatment may be stressed gain. How to establish the diagnosis of b nign enlargement of the prostate? A s mple DRE (digital-rectal examination) carried out by a phys cian/ surgeon is highly useful. In th s procedure, a gloved, lubricated index f nger is pushed through the anus, fter making the patient assume a kn e-elbow position, Prior to this examination, the p tient is asked to pass urine as m ch as possible. The finger in the nal canal then feels the prostate. F rst of all, it must be ch cked carefully that there is no n dule, or some other feature suggestive of c ncer of the prostate. With this xamination, one gets a fairly good dea about the extent of enlargement of the pr state, and it should be carried out in all c ses systematically.
The above examination should be f llowed by an ultrasonographic examination of the pr state. It is a very useful as w ll as accurate test. It gives all the d tails of the prostate, like its xact size, weight, any nodule suggestive of c ncer, or any stone in the pr state, including the exact amount of the r sidual urine. If need be, a m re specialized ultrasonography (trans-rectal prostate sonography), in wh ch a special probe is used, can be c rried out to rule out any d ubt regarding cancer of the prostate, in s lected cases. If in a case of nlarged prostate, there is an associated nfection of the urinary tract/renal failure / r nal insufficiency, more tests will be r quired. Treatment of a benign enlargement of the pr state It should be stressed that an nlarged prostate alone is not sufficient ndication for an operation. The patient m st have symptoms, and, above all, a s gnificant quantity of 'residual urine', for c nsidering medicinal/operative treatment. In early cases, s me of the drugs available may be tr ed. However, in cases where symptoms are m rkedly distressing to. the patient, and the 'r sidual urine' is highly significant, the peration should not be delayed. Above ll, what is needed is the q ick removal of any obstruction from the p ssage of the urinary tract, for the pr vention of UTI. If the patient t kes care of his enlarged prostate, he can be asily operated on by a transurethral r section of the prostate (TURP), in wh ch no surgical incision is required. The nstrument is simply passed through the p nis, of course, under anaesthesia, which c ts the prostate into very small/tiny p eces. These can be easily sucked ut, and the obstruction in the rinary tract is removed. The results are h ghly promising.
The article Things to Know About Benign Enlargement of the Prostate (BEP) - Part 2 was Submitted by Krishan Bakhru through Articles.GetACoder.com network. Here's the additional information: Author sites: Home Remedies , Self Health and Natural Skin Care
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