Frequent Urination. About Urinary incontinence, Nocturnal urination and Overactive Bladder. Gotta go all the time?

Inability to Urinate (Urinary retention). When you cannot empty your bladder completely, or at all, despite an urge to urinate, you have urinary retention. Fx Nocturnal urination is a symptom that occurs frequently with increasing age in men. One in three men over 50 have symptoms of enlarged prostate. Every tenth of 60 years to undergo surgery. Prostate is the Latin word for the prostate gland that sits around the top portion of the urethra just below the male bladder. The symptoms occur because the enlarged prostate presses the urethra together, thereby preventing normal passage of urine from the urinary bladder and urethra. The symptoms most commonly seen are:

  • Frequent urination, let urine flow, after dripping and nocturnal urination, and feeling that the bladder is not emptied.

Many men with these symptoms do not need surgery but can be treated either with advice or with medication. Showing Operation is required, this can often be performed with laser or keyhole surgery so that you can leave the hospital within a day. Figure: Bronze statue "Manneken Pis"

Frequent Nocturnal urination (polyuria)

Many men and women urinating at least once every night. The frequency of nocturnal urination increases with age, where at least half of all 50-year-old and older should get up to urinate at least once every night. The question is whether frequent nighttime urination is a condition one must accept and old. Many men suspect an enlarged prostate as a cause, but capable of nocturnal urination due to other factors such as an overactive bladder. The most common cause is polyuria, ie an increased nocturnal urine production. Nocturnal urine production (polyuria) is not a disease in itself but can cause discomfort such as sleep disturbance, fatigue and other quality of life issues. In order to exclude serious disease should talk to your doctor urination problems that can both check the cause and provide assistance so you can again sleep undisturbed, with both children and adults can often be treated with a drug that reduces urine production at night.

Are you bothered by nocturnal urination? Then contact the doctor for examination and advice. The treatment will depend on the cause. Is the primary cause of large nocturnal urine output may be given diuretic medications 4-6 hours before bedtime or a synthetic antidiuretic hormone, which normalizes the nocturnal urine output. Are there signs of a very active bladder and hence frequent urination day and night, can use a bladder relaxant preparation.

Sampling of the prostate

The symptoms of prostate enlargement can be assessed by completing a questionnaire on symptoms. Furthermore examined prostate, which is done by the doctor feels the prostate through the rectum (rectal). Further blood tests to assess anemia (hemoglobin) and renal function (creatinine), and assess whether the genes due to benign enlargement of the prostate, or suspected cancer. Further examination of blood to rule out other diseases as the cause of the symptoms. If you are generated to such an extent that the operation should be considered, should be examined more closely by urination a urodynamic study.

Most men with enlarged prostate experience, however, symptoms are so small that there is no need for treatment. In others, however, the symptoms become by now so large, or they affect your way of living so much that you want to be treated. Finally, there are few who have such severe symptoms that treatment is recommended. This is the case with recurrent urinary stop, risk of injury to the kidneys, recurrent or persistent cystitis, recurrent bleeding from the prostate and bladder stones. - Click more about prostate enlargement >>

Medical treatment of Frequent urination

The simple explanation of the prostatic effects of urination is that prostate presses on the urethra, causing urine can not drain freely and without hindrance from the bladder. Prostate can come to press on the urethra, where it grows. It is the male hormone, testosterone, which stimulates the prostate to grow. Developed drugs that can block the stimulatory effect of testosterone on the prostate. It may in some cases prostate to shrink and thus provide better passage through the urethra. The medicine works best if the prostate has a size of more than 40 grams, but it may take up to 6 months before the medicine is working. The prostate can squeeze the urethra, because some muscles in the prostate is not relaxing in connection with urination.

There is currently used two types of medications, alpha blockers, which leads to the small muscle cells in the prostate to relax, and 5-alpha reductase inhibitors, which inhibit the growth of the prostate gland, thereby reducing and creating more space in the urethra. The medicine may make your blood pressure to fall slightly, which may mean that you become dizzy when standing up too quickly from the bed or chair. Not everyone experiences this side effect, which, incidentally, are often transient. Furthermore, there is a natural number of medicinal preparations for the treatment of prostate problems. Several of them have a documented effect and containing substances that are similar to the medication that causes the prostate to relax or to shrink.

Surgical treatment of urinary disorders (PVP)

Among the latest surgical treatment for men with difficulty urinating due to enlarged prostate is the "Greenlight laser surgery" (PVP). Surgery is performed under general anesthesia and lasts about one hour. At surgery, a laser fiber that emits a bright light, hence the name "green light laser." A keyhole surgery, where the excess prostate tissue is vaporized away with great accuracy and without bleeding. During the operation, brought to a catheter which is removed after a short time. PVP method is more gentle than the peeling of the prostate, which for years has been the dominant mode of operation. Among the benefits of "Green light laser surgery" is simultaneously avoiding both the bleeding risk of impotence. And then you can print in one day with a subsequent short sick leave of 1-2 weeks, and complications has proved limited.

Operation of benign enlargement of the prostate (TURP)

The most common operation is a telescope operation through the urethra (transurethral prostate, TURP), wherein a portion of the web is peeled away. TURP requires admission to hospital a few days. The result of the operation are generally satisfactory, but as with all conventional operations, there is a risk of bleeding and infection. There may rarely cause damage to the sphincter of incontinence as a result. In accordance with the process may result in narrowing of the urethra due to scar formation, and the operation can in some cases probably result in impotence. Everyone will experience the lack of ejaculation during intercourse.

If the prostate is only slightly enlarged, it can sometimes be enough to put a cut down through the prostate gland without removing any tissue, thereby creating more space in the urethra. Is prostate gland very large, it may be necessary to open surgery through the abdomen. This mode of operation is rare in the day.

A less stressful, but also slightly less effective option is to heat treat prostate. This treatment takes place in local anesthesia where the doctor transfer a catheter into the bladder via the urethra. From the catheter, the physician may heat-treating the prostate with microwave energy, while the temperature is measured at the prostate and rectum. The heat treatment given the prostate to shrink. In elderly and debilitated men who badly tolerate surgery, treatment may be that it places the catheter into the bladder. Alternatively, there may be a spiral in the prostate to keep the urethra open.

Herbal supplements for benign enlarged prostate

Smaller studies show that supplementation with pollen can relieve the symptoms of enlarged prostate. For example empties the bladder better so you do not have to get up so many times at night. Supposedly is better bladder to empty itself, while the sphincter of the urethra relaxes. Herbal: Medicines Agency has approved several herbal remedies to treat benign prostate enlargement. For example, Nettle root and pumpkin kernels and bioactive Pollen Granules see less study and help alleviate the symptoms of unwanted urination at night. Best documented, however, extract from berries of saw palmetto for example Prostasan that can be used by difficulty urinating upon benign slightly enlarged prostate, the doctor has ruled out another cause of the disease. Dosage: 1 capsule daily. Studies find that bladder emptying improved the nocturnal micturitions are fewer and urinary flow increased.


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