Prostate Inflammation: Symptoms, Treatments, and Tests Explained - Urology

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Hello, doctor...
I really appreciate your previous response...
However, today I went for an examination...
(I mentioned that I experience split urine stream, residual urine, and difficulty urinating when someone is nearby, etc.) The doctor said I might have prostatitis (it seems an ultrasound was performed)...
He also asked me to do a urinalysis...
prescribed me medication (Question 1), and mentioned that during my next follow-up, I would need to undergo a uroflowmetry test...
(Question 2)
Question 1: The medication is called Harnalidge 0.2 mg (Tamsulosin capsules), which is used for overactive bladder.
What is the mechanism of action of this medication? What is overactive bladder, and how is it related to prostatitis?
Question 2: What specific issues does the uroflowmetry test primarily assess?
Question 3: He mentioned that my prostate is larger than average...
Is this a concern? Does it make me more susceptible to benign prostatic hyperplasia (BPH)?
I would greatly appreciate your answers! Thank you very much...

b b, 20~29 year old female. Ask Date: 2006/07/19

Dr. Xu Weikai reply Urology


Hello, regarding overactive bladder, it typically responds to minor stimuli such as urine or cold, which can trigger bladder contractions.
Medications for this condition are often used to treat prostatitis and reduce resistance in the prostate.
Urine flow rate is measured to assess the amount of urine expelled per second during urination, serving as one of the evaluations for urethral obstruction in clinical practice.
An enlarged prostate may be slightly larger compared to peers of the same age, or it could be due to inflammation causing localized congestion and enlargement.
After treatment, it generally returns to normal size.
This is a response from Dr.
Hsu Wei-kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2006/07/19

More Info


Understanding prostate inflammation, particularly in the context of symptoms, treatments, and diagnostic tests, is crucial for managing conditions like prostatitis and benign prostatic hyperplasia (BPH). Your concerns about the medications prescribed, the implications of your prostate size, and the tests recommended are valid and important to address.


Question 1: Understanding Harnalidge (Tamsulosin) and Overactive Bladder
Harnalidge, which contains the active ingredient tamsulosin, is primarily used to treat symptoms associated with benign prostatic hyperplasia (BPH) and can also help with overactive bladder symptoms. Tamsulosin works by relaxing the muscles in the prostate and bladder neck, making it easier to urinate. This can alleviate symptoms such as urinary urgency, frequency, and difficulty starting urination.

Overactive bladder (OAB) is characterized by a sudden, uncontrollable urge to urinate, which can lead to frequent urination and, in some cases, incontinence. While OAB and prostatitis can present similar symptoms, they are distinct conditions. Prostatitis refers specifically to inflammation of the prostate gland, which can cause pain and urinary issues. The relationship between the two lies in the fact that inflammation in the prostate can lead to symptoms that mimic OAB, such as urgency and frequency.


Question 2: Purpose of Urinary Flow Rate Testing
The urinary flow rate test is a simple, non-invasive procedure that measures the rate at which urine is expelled from the bladder. This test helps assess how well the bladder and urethra are functioning. It can provide valuable information about potential obstructions in the urinary tract, bladder function, and the severity of symptoms related to BPH or prostatitis. A reduced flow rate may indicate an obstruction, which could be due to an enlarged prostate or inflammation.


Question 3: Implications of an Enlarged Prostate
If your doctor mentioned that your prostate is larger than average, it could indicate a few things. An enlarged prostate is often associated with BPH, a common condition in older men that can lead to urinary symptoms. While having a larger prostate does not automatically mean you will develop complications, it can increase the likelihood of experiencing symptoms such as difficulty urinating, increased frequency, and urgency.

It’s important to monitor the situation, as an enlarged prostate can lead to further complications if left untreated. Regular follow-ups with your healthcare provider are essential to manage symptoms and prevent progression.


Additional Considerations
1. Lifestyle Modifications: Alongside medication, lifestyle changes such as reducing caffeine and alcohol intake, practicing pelvic floor exercises, and maintaining a healthy weight can help manage symptoms.

2. Follow-Up Care: Regular check-ups are crucial, especially if you experience worsening symptoms or new issues. Your healthcare provider may recommend additional tests or treatments based on your progress.

3. Mental Health: Chronic urinary symptoms can impact mental well-being. If you find yourself feeling anxious or depressed due to these issues, consider discussing this with your healthcare provider.

4. Education: Understanding your condition is empowering. Don’t hesitate to ask your healthcare provider for more information about your diagnosis, treatment options, and any concerns you may have.

In summary, managing prostate inflammation and related symptoms involves a combination of medication, lifestyle adjustments, and regular monitoring. Understanding the medications prescribed, the purpose of diagnostic tests, and the implications of prostate size can help you take an active role in your health care. Always feel free to reach out to your healthcare provider with any questions or concerns you may have regarding your treatment plan.

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