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BPH Benign prostatic hyperplasia to college students

Although BPH benign prostatic hyperplasia is a common disease in older men, it could occur in some college students in some rare cases. Moreover, a knowledge of BPH is important especially when you have a papa or grandpa beside you. BPH Benign prostatic hyperplasia can result in bothersome lower urinary tract symptoms that decrease the quality of life by interrupting sleep and daily activities. However, due to present pharmacological interventions such as α1-adrenergic receptor antagonists, 5α-reductase inhibitors and antimuscarinic agents in addition to surgical intervention, BPH Benign prostatic hyperplasia can be treated.

Prevalence and the beginning of benign prostatic hyperplasia

The prevalence of BPH benign prostatic hyperplasia is age dependent, with a prevalence of BPH benign prostatic hyperplasia 50% by 60 years of age and up to 90% by 85 years of age. Benign prostatic hyperplasia is one of the main cause of lower urinary tract symptoms. The BPH starts by growth and swelling of the outer cell components of the prostate gland and which can progress to obstruction of urine flow. Benign prostatic hyperplasia symptoms may be related to sexually transmitted diseases among college students, however, the aetiology is different and there is some different and specific symptom that differentiates sexually transmitted disease and Benign prostatic hyperplasia in college.

Diagnosis of benign prostatic hyperplasia

Lower urinary tract symptoms related to BPH include weak urine flow, hesitancy, straining and incomplete emptying as well as urine frequency, urgency, nocturia and incontinence. These symptoms may progress to urinary tract infection and renal disorder. Also, BPH as been linked to medications, patient history, other medical conditions and lifestyle.

Treatment of benign prostatic hyperplasia

Treatments include surgery,  medication such as α1-adrenergic receptor antagonists, 5α-reductase inhibitors and antimuscarinic agents or combination of two or more.

α1-Adrenergic receptor antagonists

The α1-adrenergic receptor antagonists are usually the first prescription in the medication approach and drugs include terazosin, tamsulosin, alfuzosin, and doxazosin. The α1-adrenergic receptor antagonists are expected to inhibit the contraction of smooth muscle cells of the prostate and urethra/bladder neck. The α1-adrenergic receptor antagonists inhibit smooth muscle tone and improve urinary flow. However, α1-adrenergic receptor antagonists need to be used with caution because it can lead to nasal congestion, postural hypotension, retrograde ejaculation, dizziness, headache, and drowsiness.

5α-Reductase inhibitors

The 5α-reductase inhibitors, for example, dutasteride and finasteride help inhibit  5α-reductase which is an enzyme. The 5α-reductase enzyme, help convert testosterone to dihydroxytestosterone which is the active form. It is recorded that the dihydroxytestosterone promote prostate growth, thus inhibition of 5α-reductase will reduce dihydroxytestosterone, thus help alleviate BPH.

Antimuscarinic agents

Antimuscarinic medications are believed to relieve or treat the lower urinary tract symptoms such as overactive bladder and incontinence. Thus antimuscarinic reduces the lower urinary tract symptoms by reducing bladder contraction. Antimuscarinic medications used include propiverine, tolterodine, oxybutynin and flavoxate. One of the side effects of the antimuscarinic is urinary retention.

Hope you have learnt about the benign prostatic hyperplasia, you can also read more stuff on health for example breast cancer awareness and Nutritional essential fatty acids.

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