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5 Questions About Enlarged Prostate
By Mark L. Robertson
A very large proportion of men over the age of sixty suffer from BPH (enlarged prostate gland)-
about one in two. The figures for the over 50s is about 33%. Normally the gland is no larger than a
walnut and is situated at the neck of the bladder. When it enlarges, the pressure it puts on the urethra
(the tube which drains the urine from the bladder) is such that the tube is narrowed and urination
becomes difficult.
Because the enlarged prostate acts like a clamp on the urethra, difficulty in urinating is the main
symptom together with increased frequency, burning sensation and difficulty in emptying the bladder.
The condition is also known in medical circles as BPH which is an acronym for benign prostatic
hyperplasia.
The doctor will order a PSA test which is a blood test which reveals the presence of an antigen which
is a tumor marker - that tells us whether there are any cancerous cells around. A scan sometimes
needs to be done if the results from the PSA are borderline or a more sophisticated blood test (the free
PSA) can be carried out.
Secondly, the doctor may do a DRE which is a digital rectal examination. This is a test where the
doctor can feel the prostate gland through the rectal wall. He can then tell whether the gland has a
smooth surface (this is a positive sign) and can also ascertain how big the gland is.
Thirdly, men need to know about surgical procedures and the risks involved.