Prostate enlargement

Prof. Dr. Cemil Uygur, Director of Urooncology Center, Anadolu Medical Center

Some men stay silent to prostate enlargement and avoid consulting to a doctor. However, recognizing the problem and receiving treatment provides early detection of risks such as cancer.

What are the normal dimensions of the prostate?

The prostate gland is an organ that resembles a balloon and surrounds the mouth of the bladder as a fist. It is 12-15 grams at the age of 18-20 and it can reach 60-100 grams with aging. Rarely, its weight can reach 200 grams.

Why does the prostate enlarge?

In adolescence, the growth of the prostate gland also accelerates with the effect of increased male hormone. The prostate continues to grow as long as testosterone is present in the blood. This situation only ends if the man loses his testicles for any reason.

Why doesn't every man with prostate enlargement consult a doctor?

Because every man have a unique prostate structure, depending on the body structure and the balance of the male hormone circulating in the blood. Size of prostate is not important, it is important that it does not squeeze the bag when it wraps the bladder like a fist. If it constricts bladder too much, difficulty in urination occurs.

How to treat prostate enlargement?

In determining the treatment of prostate enlargement, the severity of the problems caused by this enlargement, the size of the prostate, age, general health and other underlying health problems are taken into consideration. Medical treatment options include alpha blockers and 5 alpha reductase inhibitors, low-dose phosphodiesterase 5 inhibitors (PDE5i), and combinations of these drugs. Urological treatments are recommended for patients who do not benefit from drug treatment. Surgical treatments include greenlight laser, TUR-Prostatectomy, Robotic Transvezical Prostatectomy, minimally invasive endoscopic surgeries. Open surgical procedures can be performed for large prostates.

Will every prostate enlargement turn into cancer?

No but cancer should be investigated in every prostate enlargement cases. Enlargement of prostate is seen especially after the 40s. Patients mostly complain about the weakening of the urine flow, need to go to toilet more often, incomplete urination, wakes at night with urinary compression.  In the examination of men over the age of 40 who apply to the urology policlinic for whatever reason, the patient is first investigated for possible prostate cancer.

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