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All Enlarged Prostate Alerts

Overactive Bladder Concerns

In this Grand Rounds column from a recent Prostate Bulletin, a reader writes: Early this year I had the TURP surgery (transurethral prostatectomy) for BPH (benign prostatic hyperplasia). Before the surgery, I would take one 5 mg tablet of Ditropan XL or oxybutynin each evening and I did not have to get up to urinate during the night. Now, after the TURP procedure, I am back to getting up to go to the bathroom. I tried taking Ditropan XL and oxybutynin, but they no longer worked. I tried taking one pill in the morning and another at night, and that didn't work either. In addition, I am careful not to drink anything after 6 P.M. ...  More...

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Complaining About Prostatitis

Prostatitis is a condition found in adult men, with no respect to age, race, or nationality. It's estimated that as many as 14% of adult American men will at some point go to their doctor complaining of one or more of the symptoms that doctors now believe constitute a diagnosis of prostatitis. What does prostatitis feel like? Dr. Richard B. Alexander explains.  More...

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Should You Try Botox for Nocturia?

In this excerpt from a recent Prostate Bulletin, a reader asks: “What are your thoughts on the use of Botox injections of the prostate and bladder base as a treatment for chronic frequent nocturia? I have tried a variety drugs for this urination problem but they cause insomnia and daytime sleepiness. I was hoping that Botox might work for me. “ Dr. Jacek L. Mostwin answers …   More...

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Options for Treating Chronic Prostatitis

The formal term for chronic prostatitis is chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). The condition is generally defined as chronic pelvic pain lasting more than three months, with no signs of bacterial infection.  More...

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When the Chronic Pelvic Pain of Prostatitis Takes a Toll on a Man's Sex Life

If you have chronic prostatitis, the pain in your pelvic area can be excruciating. In the most severe cases, it's the kind of agonizing pain that can affect every aspect of your life, including your ability to urinate, sleep, even sit -- not to mention the toll it can take on your sex life. Now a study published in the Journal of Sexual Medicine (Volume 5, page 657) takes a closer look at the impact of chronic prostatitis on sexual function.  More...

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Primer on Prostatitis

Chronic prostatitis usually affects men in their early 40s, and it is one of the leading reasons why men visit a urologist. According to one study, men with prostatitis have a diminished quality of life that is on par with those who have recently suffered a heart attack.  More...

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Alternative Treatment for Chronic Prostatitis May Help

Should you try acupuncture to relieve the pain of chronic prostatitis? Results from a recent study provide the answer.  More...

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What Causes BPH?

If you experience a frequent urge to urinate, urinary incontinence, or intermittent urine flow, you may have an enlarged prostate or BPH – a common, non-cancerous condition affecting one in four men by age 55. What is BPH? Here is an explanation, in brief.   More...

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Should You Try Combination Treatment for Your BPH?

If your benign prostatic hyperplasia (BPH) symptoms have not been relieved by treatment with a single medication, combination therapy is worth a try, according to data reported in The Journal or Urology (Volume 179, page 616).  More...

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The Importance of a BPH-Friendly Diet

What can you do to prevent benign prostatic hyperplasia or BPH? A recent study published in the American Journal of Epidemiology (Volume 167, page 925) suggests that diet, not dietary supplements, has the greatest impact on the development of BPH.   More...

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A Lexicon of BPH Surgical Techniques

Known as simple prostatectomy, surgery for benign prostatic hyperplasia (BPH) typically involves removing only the prostate tissue that is surrounding and pressing on the urethra. The procedure is performed either transurethrally (through the urethra) or by making an incision in the lower abdomen. Here are the most commonly-performed surgeries, in brief.  More...

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When Should You Treat Your BPH?

How do you know if your BPH is serious enough to require treatment? The International Prostate Symptoms Score was developed to help men evaluate the severity of their BPH symptoms. Johns Hopkins encourages you to take this self-administered test and then read this Health Alert before talking with your urologist about your BPH treatment options.  More...

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Talking About Prostatitis With Dr. Alexander

How do you treat prostatitis and will it recur? In a recent issue of The Johns Hopkins Prostate Bulletin, Dr. Richard B. Alexander, an internationally recognized expert on chronic prostatitis, answered these common questions about prostatitis.   More...

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Should You Avoid Alcohol If You Have BPH?

Many men believe that they should not drink alcohol because they have an enlarged prostate (BPH). In this article from our Prostate Bulletin, medical editor Dr. Jacek L. Mostwin reviews the evidence and his conclusions may surprise you.  More...

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Can You Prevent BPH With NSAIDs?

If you take a daily aspirin for your heart, you may be doing your prostate a favor as well. Emerging research suggests that daily use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, or naproxen, reduces the risk of developing benign prostatic hyperplasia (BPH). But the benefits of NSAIDs to the prostate may not be worth the risk. Read what Johns Hopkins recommends …  More...

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Weight Gain Triggers BPH

Benign prostatic hyperplasia (BPH) is the most common benign (noncancerous) growth process in men. About one in four men experiences BPH-related symptoms by age 55; by age 75, half of men have BPH symptoms.  More...

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Get Moving to Protect Your Prostate

It's well known that regular exercise is good for your heart. But increasing evidence indicates that being physically active also protects your prostate. A study in The Journal of Urology suggests that regular aerobic exercise can improve symptoms of chronic prostatitis. Here's what the researchers found …  More...

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More Good News About Vegetables

Now there's another good reason to eat your vegetables. A recent study suggests that a high intake of vegetables such as spinach, peas, and Brussels sprouts can reduce your risk of prostate enlargement (BPH).   More...

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Dialogue With Dr. A: Will Prostatitis Affect My Quality of Life?

Chronic prostatitis can be a devastating ailment that seriously impairs a man's quality of life. In this excerpt from an in-depth report on chronic prostatitis from the Johns Hopkins Prostate Bulletin, Dr. Richard Alexander provides insights. Prostatitis is a condition found in adult men, with no respect to age, race, or nationality. It's estimated that as many as 14% of adult American men will at some point go to their doctor complaining of one or more…  More...

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Dialogue With Doctor M: Are my Urinary Problems Caused by LUTS, BPH, or LOO?

How can you tell if your urinary frequency problems are caused by a condition in the bladder or the prostate – and what should you do about it? In this excerpt from a recent Johns Hopkins Prostate Bulletin, Dr. Jacek Mostwin explains how to differentiate LUTS, BPH, and LOO. …  More...

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Prostatitis--Nailing Down the Diagnosis

According to one study, men with prostatitis have a quality of life so diminished that it is comparable to that of men who have recently suffered a heart attack. If you experience symptoms of prostatitis, the first step is getting a correct diagnosis. Johns Hopkins provides advice. Prostatitis is a broad term for an infection or inflammation of the prostate. Over the past decade, urologists have identified four types of prostatitis: …  More...

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Do You Have BPH?

Approximately 50% of all men experience symptoms of enlarged prostate, BPH, by age 75. If you're one of them, you'll want to take this easy, self-scoring questionnaire to calculate the severity of your symptoms. The International Prostate Symptom Score questionnaire, also called the American Urological Association Symptom Index, was developed by the American Urological Association to help men evaluate the severity of their symptoms from benign prostatic hyperplasia (BPH) -- enlarged prostate. This self-administered BPH…  More...

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What Causes Prostatitis?

If you have prostatitis, you're not alone. Prostatitis usually affects men in their early 40s, and it is one of the leading reasons why men visit a urologist. In this Health Alert, Johns Hopkins explains why chronic prostatitis is so difficult to treat. There are two kinds of prostatitis -- bacterial and nonbacterial. Nearly 95% of patients are thought to develop prostatitis from nonbacterial causes, which have yet to be identified. …  More...

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Should You Consider Watchful Waiting?

Benign prostatic hyperplasia (BPH) is the most common benign (noncancerous) growth process in men. About one in four men experiences BPH-related symptoms by age 55; by age 75 half of men have BPH symptoms. If you are diagnosed with BPH, you and your doctor will decide together if watchful waiting is an option for you. …  More...

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