chapter five
produce and accumulate high levels of DHT, encouraging the growth of prostate cells. Scientific research indicates that those who do not produce DHT will not develop BPH.
Prevention Currently, there is no proven way of definitively preventing BPH. Excess body fat could impact hormone levels and cell growth. Diet may also play a significant role. Staying as active as possible will aid weight and hormone levels and eating a healthier diet with plenty of fruit and vegetables is recommended. Studies indicate that obesity or diabetes may increase the potential for an enlarged prostate.
When seeking medical advice, there is a BPH score index which ascertains the regularity of urinary symptoms; this rates the symptoms from mild to severe. This, along with discussion regarding medical history and a physical exam such as a digital rectal exam( DRE) will provide an accurate diagnosis.
In addition, the following tests may be required to confirm BPH or other conditions:
• Urinalysis
• PSA blood test – to determine prostate cancer
• Urinary blood test – to determine bladder cancer
• Uroflowmetry – to identify the speed in which urine flows
• Post-void residual volume( PVR) to determine urine present in the bladder after urination
• Cystoscopy – to view the urethra or bladder
• Urodynamic pressure – determines pressure within the bladder during urination
• Ultrasound of the prostate gland
PSA test The PSA test( prostate specific antigen) blood test determines the level of PSA in the blood. This is important because PSA is a protein only made by the prostate gland. Ejaculation should not occur for two days prior to the test as this can raise the levels of PSA for 24-48 hours. Where little PSA is found, this indicates a good sign of prostate health. A rapid increase in PSA could indicate problems that are benign( non-cancerous) or an enlargement of the prostate known as prostatitis.
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