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The prostate is a small gland nestled around the duct that drains the bladder (the urethra). In many men over 45 years of age, the gland tends to gradually grow larger, a condition known medically as ""benign prostatic hyperplasia,'' or BPH. If the gland grows too large, it can begin to squeeze the urethra, making urination increasingly difficult.
Causes
The cause is unknown. The condition may be a natural result of the aging process.
Signs/Symptoms
Men with BPH typically feel a frequent urge to urinate but are able to pass little or no urine. There may be dribbling or leaking during the day and while you're asleep, and you may need to urinate frequently during the night. You may find it difficult to begin urinating without pushing; the stream may seem weak; and you may notice flecks of blood in the urine. After urination, your bladder may not feel empty. The condition can also affect sex.
Treatment
The doctor will have your urine tested to rule out an infection and may order a series of additional tests. If you are having severe difficulties, the doctor may thread a soft tube called a catheter (KATH-uh-ter) into the urethra to drain the bladder. For many men, a drug called Proscar will shrink the prostate and relieve symptoms, though it sometimes takes 6 months or longer for the drug to take effect. Surgery to cut incisions in the prostate can also relieve the pressure, allowing urine to flow.
WHAT YOU SHOULD DO
Don't let your bladder get too full. Urinate as much as you can whenever you feel the urge.
Sit on hard chairs instead of soft ones whenever possible.
Avoid exposure to cold temperatures or dampness.
Do not eat spicy foods: they often irritate the urinary tract.
Frequent sex reduces the risk of a urinary blockage. However, you should avoid becoming sexually aroused without ejaculating.
Call Your Doctor If...
Your symptoms don't clear up or they become more troublesome.
You develop a high temperature. This may be a sign of an infection in your bladder or kidneys.
Seek Care Immediately If...
You cannot urinate at all and your bladder is full and painful. If this happens, your bladder must be emptied with a catheter.
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