Sasha Wainstein MD Urology discusses what is Benign Prostatic Hyperplasia Maimonides Medical Center
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Male Speaker 1: Sometimes men get up in the middle of the night and they're peeing in a lot and they come to urologist and do an examination and it's like this thing called the prostate is enlarged, what's that all about? Male Speaker 2: Every man over the age of 30 starts getting an enlarged prostate. It depends on the age, its normal and we're not going to escape developing an enlarged prostate. As we get older its part of the aging, we lose the hair, we get a little bit fatter and we get a large prostate and we pee slower. Men hate to hear the word that it's a process of aging. However, this is what happens as we get older, the prostate gets larger, as the prostate gets larger, you figure the prostate is like a doughnut and it's around the urethra which is the tube that goes between the blood and the outside of the penis. Male Speaker 1: If it gets enlarged and interferes with the flow? Male Speaker 2: It gets enlarged and it chokes the urethra, it's like having the doughnut and the hole gets smaller every time. So the prostate can be very large, the meat of the doughnut, the dough could be very much enlarged without choking the whole but most of the time when the dough gets bigger its like choking the hole and as it chokes the hole it gives you something which is called the bladder outlet obstruction because the roof of the prostate is the floor of the blood. Male Speaker 1: So in other words its interfering with the flow when it gets to certain size, is that correct? Male Speaker 2: It interferes with the flow. Male Speaker 1: So you start - Male Speaker 2: So it gives you - Male Speaker 1: So you give a lot of pressure, you give lot of pressure to let a little flow pass through. Male Speaker 2: Right, it gives you two types of symptoms, one is going to be the irritative symptoms that is going to be urinating a lot, frequency, you get urgency, you are getting up in the middle of night which you didn't get up before. However, getting up in the middle night is not only due to the prostate, it also has to do with the aging process. And one of the things that we try to tell our patients is if you don't want to get up in the middle night, the first thing you try to do is don't drink any fluids for four hours before you go to bed. That's usually is going to cut down on the nycturia which in other words means getting up at night. Male Speaker 1: Is there any foods in the diet you should avoid? Male Speaker 2: Anything that has the sweet foods anyone of the foods that has tremendous amount of water will usually give you more fluids and it will give you much more urine volume and you're going to have get up at night but however if you don't eat or drink for four hours before you go to bed you should usually cut down about 50% of the getting up at night.