Non neoplastic tumor like enlargement of the prostate termed as benign nodular hyperplasia or benign enlargement of the prostate is a very common condition in men. Symptomatic BPH produce urinary tract obstruction.
After 40, prostate began to increase in volume by 2.4cm yearly on average. 50 % of men after 80 develop lower urinary tract infection.
Etiology
Cause of BPH is not fully established. Few etiological factors such as endocrinologic, racial, inflammation and arteriosclerosis have been more fully investigated and considered as a strong possibility.
Clinical features
The basic symptoms are due to the obstruction to the urethra by prostate. Frequency, hesitancy and urgency are the main triad of symptoms. Narrow and prolonged stream, sensation of incomplete emptying are also associated with BPH. But urge incontinence is not specific.
Sometime patient develops sudden retention of urine, so cannot urinate, which result in painful distended bladder. Excessive intake of alcohol, constipation, and prostatic infection may precipitate this.
In long standing cases, the bladder gradually distends and becomes a pain-free distended bladder which in the long run cause's hydroureter, hydronephrosis, and renal failure.
Symptomatic cases develop due to complications such as urethral affection, secondary effects upon the bladder, ureters and kidneys. The other presenting features include frequency, nocturia, difficulty in micturition, pain, haematuria and sometimes the patients present with acute, retention of urine requiring immediate catheterization.
Investigations
Determination of prostate volume by rectal examinations.
Flow rate of urine by flow meter.
U S G also to determine prostate volume.
Estimation of PSA-Prostate-specific antigen is a good tumor marker to rule out prostate cancer.
Treatment-effective homeopathic treatment for grade one and grade two types.
But grade in three type enlargement only temporary relief for the symptoms will be there.
But if homeopathic treatment is started from the beginning further enlargement of the prostate, and the following worsening of symptoms can be definitely prevented. Moreover, the PSA level if increased can also bring back to normal.
Medicines- Sabel serr Q, Solidago Q, Thuja, Conium Mac,
