Enlarged Prostate
 

Types Of Enlarged Prostate

An enlarged prostate can be divided into two types, one is a blockage type, and the other one is a hyperplastic type. With the blockage type of an enlarged prostate, prostate cells are enlarged, but the number of cells do not increase because of the actual blockage, prostate congestion and swelling. This causes various kinds of prostate diseases (such as prostatitis, prostate cysts, prostate nodules, prostate calcification, etc.) and various stimulant factors (like frequent sex and masturbation, chronic long-term drinking, too spicy food or too much stimulant food, etc.) which press on the posterior urethra and the surrounding blood vessels and nerves and cause urinary problems and sexual dysfunction. This can happen to any man at any age after puberty. A principle of treatment should be making an accurate diagnosis thus identifying all causes and clearing the prostate blockage.

The Hyperplastic type of an enlarged prostate means prostatic cells are enlarged and the number of cells increase mainly due to an age-related sex hormone imbalance, generally from 50 years of age, on. The use of alpha blockers and 5α-reductase inhibitors can improve the symptoms, but they cannot control the development of prostatic hyperplasia. In the end, patients will likely need surgical intervention which can lead to the debilitating consequences of an inability to ejaculate and/or incontinence.

How To Calculate The Volume and Weight of the Prostate

The volume of the prostate: the transverse diameter, the longitudinal diameter and the antero-posterior diameter of the prostate will be measured by ultrasound, the volume of the prostate is equal to 0.523 mutiplied by the product of the three diameters of the prostate. And the weight of the prostate equals the volume of the prostate mutiplied by 1.05.

How To Estimate The Degree Of Enlarged Prostate

Using Digital Rectal Examination (DRE) to evaluate the size of the prostate and estimate the weight: 

1) Degree I, Enlargement: the volume is 20 to 25ml and the estimated weight is 20 to 25 grams.

2) Degree II, Enlargement: the volume is 25 to 50ml and the estimated weight is 25 to 50 grams.

3) Degree III, Enlargement: the volume is 50 to 75ml and the estimated weight is 50 to 75 grams.

4) Degree IV, Enlargement: the volume of of the prostate is more than 75ml and the estimated weight is above 75 grams.

Causes Of An Enlarged Prostate

There are many reasons that can cause an enlarged prostate, and here are some of the most common:

1) Genitourinary infections, like prostatitis, seminal vesiculitis, urethritis, cystitis, verumontanitis can make the prostate tissue continuously congested,and result in prostate enlargement.

2) Excessive sexual activity and masturbation can cause the prostate tissue to congest repeatedly, with eventual prostate enlargement.

3) Chronic, long-term drinking and eating an excess of rich and spicy food will irritate the prostate, make it congested, and cause prostate enlargement.

4) Lack of exercise can lead to artery hardening and poor prostate blood circulation and can also result in prostate enlargement.

5) Long-term tension and pressure, and vegetative nerve dysfunction can also cause a microcirculation problem in the prostate, and result in prostate enlargement.

6) Retaining urine for too long makes urine highly concentrated with decreased frequency, leading to an ingress of toxins in the body, and urine reflux into the prostate during urination. Any pathogenic/toxic elements in the urine will affect the prostate and make it enlarged.

7) Lifestyle. Obesity is closely related to the volume of prostate. The fatter you are, the bigger the prostate volume is. The increased intake of total energy and proteins; fat, milk and milk products, red meat, also grain, poultry, starchy foods can potentially raise the risk of having an enlarged prostate and prostate cancer. Vegetables, fruit, polyunsaturated fatty acids, linoleic acid and vitamin D can potentially reduce the risk of having an enlarged prostate and developing prostate cancer .
8) Age-related enlarged prostates mostly result from a declining body function, imbalanced hormone levels from decreased production, decreased testicular and prostate secretion production, atrophying, degenerative changes of the gland and connective tissue hyperplasia in the prostate, all, can enlarge the prostate. An enlarged prostate presses on the urethra and the vas deferens thereby causing urination and ejaculation dysfunction. As the sexual hormones decrease further, functions of other areas of the body also gradually decline.

Symptoms Of An Enlarged Prostate

The urethra goes through the prostate gland. Therefore, when the prostate is enlarged, urination must be negatively affected. The enlarged prostate will compress the urethra and the bladder neck, meaning the bladder cannot be emptied completely. In order to overcome any obstruction from the bladder neck, the bladder wall muscle will attempt to overcome the problem and over-contract becoming thicker as a trabecular-like protrusion, forming a diverticulum. As the bladder neck obstruction get worse, the bladder cannot be emptied completely, and there will be some residual urine in the bladder after urination. That residual urine is the basis for developing urinary tract infection and stones. Without proper treatment, the enlarged prostate will develop further, and compression of the urethra will gradually increase, the residual urine in the bladder will increase, the pressure in the bladder will increase causing the urine to go to the ureters and kidneys, result in bilateral hydronephrosis and renal insufficiency.

The clinical symptoms of an enlarged prostate is mainly a urination disorder. The signs are as follows:

1) Frequent and/or urgent urination: Patients will have frequent urination in the early stages, especially at night. The patient cannot empty their bladder leaving residual urine. When there is inflammation or secondary stones, the patient will have urgent and painful urination.

2) Urination difficulty: The bladder muscle is exhausted, urination is weaker, and the residual urine volume increases, this makes the prostate more congested and swollen, and the urine flow is very small or split. Sometimes, there is no urine flow, just dribbling, sometimes two urine streams, or the patient may need wait for half or one minute before they start to urinate.

3) Incontinence: When the residual urine equals the volume of a normal bladder and when there is a water sound or other stimulation causes reflection, urine will flow automatically. Dribbling happens quite often, and the patient may saturate their underwear and feel miserable.

4) Acute urinary retention: With all the above urination problems, acute urinary retention can happen at any time. If the patient cannot urinate, they will have a lot of pain, and have to go immediately to the hospital Emergency Room. Acute urinary retention can be induced by a change of climate, catching a cold, fatigue, drinking of alcohol, etc.

5) Other: Bloody urine does not happen often. But for patients who have stones or a tumor, blood will be seen in the urine. There are some complications because the patient may have tried too hard to urinate, it may come from a hernia, hemorrhoids, anal prolapse, varicocele in the lower extremity, emphysema and so on.

6) Late stage Symptoms: Azotemia caused by renal insufficiency, acidosis, high blood pressure, poor appetite, anemia and weight loss, heart failure, and cerebrovascular disease may occur.

Examination Of An Enlarged Prostate

At our 3D Prostate Clinic, we use a full set of laboratory tests for the diagnosis of an enlarged prostate.

1) Ultrasound: We use ultrasound to check the shape, structure, and size of the prostate arriving at volume and weight values using the formulas described early in this article. TransRectal Ultrasound (TRUS) is not only used to diagnose whether the prostate is enlarged or not, but also to observe intuitional pathological changes in the prostate, such as infection, hyperplasia, nodules, cysts, calcification, stones, etc.

2) Digital Rectal Examination (DRE): DRE will be done after the bladder is emptied. The aim is to check the tension of the anal sphincter (which is different with a neurogenic bladder) and the condition of the prostate, including shape, size, and texture, also to see if there are nodules or tenderness/pain from the massage. When the prostate is enlarged, the gland can increase in length and/or width attaining a smooth surface, distinct edge, medium hardness and elasticity, the central sulcus lessening or disappearing entirely. The size of a normal prostate is similar to a chestnut. A Degree I enlarged prostate is like an egg, and a Degree II enlarged prostate is like a duck egg, and a Degree III enlarged prostate is like a goose egg.

3) Laboratory testing: The high white blood cell urine count in a routine test shows urinary tract infection. High white blood cell counts in prostate fluid and semen routine examinations indicates prostatitis and vesiculitis. High urea nitrogen and creatinine levels indicate impaired renal function.

4) A full set of lab. testing to identify causative pathogens:

The doctors at our Clinic take a number of samples for causative pathogen testing, which includes urethral secretions, prostate fluid, semen, and blood, etc. This sampling process combined with our extensive testing allows us to accurately identify the causative pathogens. The most common urogenital infections include: Staphylococcus aureus, Hemolytic streptococcus, Gonococcus, Bacterium aeruginosum, Corynebacterium, Escherichia coli, Proteus, Enterococcus, Klebsiella, Tubercle Bacillus, Chlamydia, Mycoplasma, Virus, Fungus, and Trichomonas, etc.

5) Determination of residual urine: The normal bladder volume is 350 to 500 ml. Residual urine after urination should be less than 10ml. When the residual urine is over 30ml, this indicates a pathological condition. The simplest and most atraumatic testing method is abdominal ultrasound.

6) Urodynamics: Urodynamics can be utilized to objectively evaluate urinary function. During the examination, 250 to 400 ml is the optimal urine volume, 150 to 200 ml is the minimum urine volume. The fastest uroflow rate is 15ml/s.

7) Cystoscopy: The normal distance from the seminal hillock to the bladder neck is 2cm. When the prostate is enlarged, the posterior urethra will be extended, the urethra will be compressed and cracks will form. The bottom of the bladder will sink and trabecula, cella or diverticulum abnormalities will form in the bladder wall.

8) Prostate Specific Antogen (PSA): Prostatitis, prostate enlargement and prostate cancer can all make the PSA value increase. Normally a PSA>4 ug/L result is the critical value that is used to screen prostate cancer. When the PSA result is between 4 to 10ug/L, it is called the grey area, it can indicate prostate cancer or prostate enlargement. When the PSA result is over 10ug/L, the possibility of prostate cancer is almost certain. When checked by digital rectal examination (DRE) and transrectal ultrasound, and prostate nodules are detected, and PSA is over 10ug/L, a prostate biopsy is required to diagnose or exclude prostate cancer.

3D Enlarged Prostate Targeted Therapy Effectively Treats Various Enlarged Prostate

3D Enlarged Prostate Targeted Therapy is an advanced non-surgical method to effectively treat various types of enlarged prostate without any side effects. Most therapeutic medicines are natural targeted extracts with no side effects and no drug resistance. Natural targeted extracts can target specific diseased areas and allow effective ingredients to accumulate in the targeted diseased areas and form a higher therapeutic concentration. 3D Enlarged Prostate Targeted Therapy treats the root factors of prostatitis. Once cured, the patient’s disease will not easily relapse.

Enlarged Prostate can be divided into two types:

·   The first type is the swelling of the prostate caused by inflammation and blockage of the prostate. The volume of the prostate is usually less than 50ml, and the age of the patient is usually less than 50 years old. This type of patients can obtain good treatment results through 3D Prostatitis Targeted Therapy.

·    The second type is benign prostatic hyperplasia (BPH). BPH is a complex aging disease, it may be the result of multiple pathogenic factors such as endocrine hormone disorder, chronic inflammation, blockage and microcirculation disorder. The prostate volume is usually greater than 50ml, and the age of the patient Usually older than 50 years old. This type of patients need to use multiple drugs and methods for comprehensive treatment to get good treatment results.

Both types of enlarged prostate have prostate inflammation, so the treatment of enlarged prostate should include the treatment of prostate inflammation.

3D Enlarged Prostate Targeted Therapy medicines include a anti-prostatic hyperplasia natural targeted extracts formula, and a powerful anti-inflammatory natural targeted extracts formula combined with a proprietary unblocking formula. Particularly complex conditions need to be combined with other drugs.

The anti-prostatic hyperplasia natural targeted extracts are composed of over ten natural Chinese herbal medicines by using modern biotechnology to extract effective anti-hypertrophy ingredients. The anti-hypertrophy natural targeted extracts contain a variety of anti-prostatic hyperplasia active ingredients, including Alpha-linolenic acid, beta-sitosterol, curcumin, flavonoid glycosides, diterpenoids, triterpenoids, and the like. It is a herbal extracted 5a-reductase inhibitor of natural origin without any side effects.

The anti-prostatic hyperplasia natural targeted extracts are suitable for the treatment of various degrees of enlarged prostate. The natural targeted extracts have neither side effects nor drug resistance. When complex benign prostatic hyperplasia (BPH) patients need to be treated with severe side effects such as surgery, chemicals, and hormones, their bodies will become weak. If the patients also take oral anti-prostatic hyperplasia natural targeted extracts, it can greatly Reduce and eliminate the side effects of these therapies, making your body weak and recover quickly.

3D Targeted Treatment methods are topical therapy combined with systemic therapy. Topical therapy include local injection therapy, and rectal administration therapy, systemic therapy includes oral administration therapy, and intravenous drip therapy . Local injection therapy needs to come to the 3D Urology Clinic. Generally speaking, oral administration therapy requires the longest treatment time, but it is also the most convenient and cheapest option. The local injection therapy in the 3D Urology Clinic requires the shortest treatment time, but it is also the most inconvenient and most expensive option. Currently we recommend the most cost-effective option is self-managed oral administration therapy combined with rectal administration therapy. The treatment course and method of 3D Targeted Therapy will be based on your condition and doctor’s treatment plan.

3D Targeted Therapy is divided into two modes: 3D Targeted Therapy at the clinic, and 3D Targeted Therapy at home. Currently we can only provide 3D Targeted Therapy in the patient's home under the guidance of a 3D treatment doctor. The main treatment method of 3D Targeted Therapy at home is self-managed oral administration therapy combined with rectal administration therapy.

3D Enlarged ProstateTargeted Therapy and/or combination therapy indications include:

1) Suitable for various types of enlarged prostate, benign prostatic hyperplasia (BPH), enlarged prostate combined with prostatitis, prostate cancer.

2) BPH patients with the position of prostate hyperplasia protrudes into the bladder, and can not urinate autonomously or use catheter for a long time. It is recommended that these patients receive transurethral reservation of prostate (TURP) or holmium laser enucleation of the prostate (HoLEP), together with oral natural targeted extracts.

We have a effective rate of more than 90% for treating enlarged prostate. The treatment course and methods will be based on your condition and doctor’s treatment plan. The course of treatment of natural targeted extracts for oral therapy is generally 6 months. The course of local injection therapy is generally 6 weeks.

Our clinic's recommended plan for self-managed 3D Enlarged Prostate Targeted Treatment at home include:

1) Oral the natural targeted extracts for 3-6 months. The natural targeted extracts include anti-prostatic hyperplasia natural targeted extracts, and anti-inflammatory natural targeted extracts combined with a proprietary unblocking formula.

2) Rectal infusion of the natural targeted extracts and/or other medicines for 3-6 months. The natural targeted extracts include anti-prostatic hyperplasia natural targeted extracts, and anti-inflammatory natural targeted extracts combined with a proprietary unblocking formula.

3) BPH patients with the position of prostate hyperplasia protrudes into the bladder, and can not urinate autonomously or use catheter for a long time. It is recommended that these patients receive transurethral reservation of prostate (TURP) or holmium laser enucleation of the prostate (HoLEP), together with oral the anti-inflammatory natural targeted extracts for 3 months.

3D Enlarged Prostate Targeted Treatment Program At Home

Currently we can only provide 3D Targeted Therapy in the patient's home under the guidance of a 3D treatment doctor. The 3D Targeted Treatment at home program is as follows:

1) First, the patient needs to fill out the following medical history questionnaire. Please answer the questionnaire questions as best as possible and sent it via email to prostatecure3d@gmail.com  ,and all your information will remain confidential.

www.prostatitiscure.com/appointment.html

2) When we receive your completed questionnaire, our doctor will study your condition and make a treatment plan. We will send you the treatment plan provided by our clinic, medical services modes and prices options, and other informations that can help you.

3)  Please confirm your treatment plan, medical service mode and price option with our clinic, and start paying the necessary medical expenses.

4) Our 3D treatment doctor is responsible for your 3D targeted treatment at home for the entire course of treatment. This includes doctor consultation; medical history investigation; arranging laboratory test items; assessing your condition; making treatment plans and methods; formulating a natural targeted extracts formula suitable for your condition; and providing therapeutic medicines including a powerful natural targeted extracts formula combined with a proprietary unblocking formula. In addition, our practicing physician and translators will provide you with consulting services and online guidance at any time, manage your treatment plan throughout the process, and regularly evaluate your condition and treatment effects.

Routine Treatment Of An Enlarged Prostate

The most common treatment of an enlarged prostate includes watchful waiting, 5α-reductase inhibitors, alpha blockers, surgery, or a comprehensive use of the above-mentioned treatments. How to choose the most suitable treatment depends on the degree of prostate enlargement, and the patient's age, physical fitness, and their wishes which must be taken into account. These treatments may have serious side effects, such as erectile dysfunction and incontinence so the patient needs to find a balance between efficacy and life quality when they choose a treatment.