After age 40, for reasons that may be hormonal, the prostate gland begins to enlarge. From 20 grams it may grow to almost 100 grams. As it enlarges, it squeezes the urethra and the man begins to notice changes in the way he urinates.
His urine stream is weak, cannot travel a long distance and sometimes may come straight down on his legs.
The man begins to notice that after urinating urine still drops on his pants.
At this point you wait longer for the urine flow to start. There are 2 valves that must open for you to urinate – the internal and external sphincters. Both open but because of obstructions in the urethra, you wait longer for the flow to start.
You have this feeling immediately after urinating that there is still something left.
As all these things happen, the bladder begins to work harder to compensate for the obstruction in the urethra. The frequency of urination goes up. Urgency sets in. Sometimes you have to practically run into the toilet. Nocturia also becomes common. You wake up more than 2 times at night to urinate.
Stored urine gets infected and there may be burning sensation when urinating.
Stored urine forms crystals. Crystals come together to form stone either in the bladder or in the kidney. Stones may block the urethra.
Chronic urinary retention sets in. The bladder stores more and more urine. The size of the bladder is 40 – 60cl. A bottle of coke is 50cl. As the bladder stores more urine it can enlarge up to 300cl. An overfilled bladder may leak and this leads to wetting / urinary incontinence. Also the volume may put pressure on the kidney and may lead to kidney damage.
What may likely bring the man to hospital is acute urinary retention. He wakes up one day and he is not able to pass urine.
Everything I have described above is associated with prostate enlargement, technically called benign prostate hyperplasia.
There are other diseases of the prostate like:
1. Prostatitis – inflammation of the prostate
2. Prostate cancer – cancer of the prostate.
This discussion is on prostate enlargement.
I have bad news and good news.
The good news is that there are life style changes that can help the man after 40 to maintain optimum prostate health.
Look at what you eat. 33% of all cancers, according to the US National Cancer Institute is related to what we eat.
Red meat everyday triples your chances of prostate disease. Milk everyday doubles your risk. Not taking fruits / vegetables daily quadruples your risk.
Tomatoes are very good for men. If that is the only thing your wife can present in the evening, eat it with joy. It has loads of lycopene. Lycopene is the most potent natural antioxidant.
Foods that are rich in zinc are also good for men. We recommend pumpkin seeds (ugbogulu).
Zinc is about the most essential element for male sexuality and fertility.
Men need more zinc than women. Every time a man ejaculates he loses 15mg of zinc. Zinc is also important for alcohol metabolism. Your liver needs zinc to metabolize alcohol.
As men begin to have urinary symptoms associated with prostate enlargement, it is important they look at alcohol consumption. More fluid in means more fluid.
Exercise helps build the muscle tone. Every man should exercise. Men over 40 should avoid high impact exercise like jogging. It puts pressure on the knees. Cycling is bad news for the prostate. We recommend brisk walking.
When we sit, two-third of our weight rests on the pelvic bones. Men who sit longer are more prone to prostate symptoms. Do not sit for long hours. Walk around as often as you can. Sit on comfortable chairs. We recommend a divided saddle chair if you must sit long hours.
Men should avoid tight underwear. It impacts circulation around the groin and heats it up a bit. While the physiological temperature is 37 degrees, the groin has an optimal temperature of about 33 degrees. Pant is a no – no for men. Wear boxers. Wear breathable clothing.
Avoid smoking. It affects blood vessels and impact circulation around the groin.
Regular sex is good for the prostate.
Celibates are more pronenn to prostate illness. While celibacy is a moral decision, it is not a biological adaptation. Your prostate gland is designed to empty its contents regularly.