Back Pressure Effects Of BPH

by admin on October 16, 2011

BPH is known as benign prostatic hyperplasia, where the prostate gland enlarges, when median lobe enlarges, it compresses urethra first, leading to increased frequency, urgency and hesitancy of urine. Slowly slowly changes are seen in other structures, first of all muscular wall of bladder undergoes hypertrophy so as to push urine outside of body, when unable to do so, very thick muslces in form of bundles develop in bladder giving bladder a shape in which you see depressed part (sacculation) and elevated part (trabeculation) when seen from cystoscopy. The depressed part are weak, sometimes when pressure increases, herniation of these depressed part takes place leading to diverticuli in bladder, now in these diverticuli, urine is not able to pass out, leading to infection, later on some stone formation takes place. Utimately back pressure goes to ureter and kidney, leading to hydroureter, hydronephrosis of kidneys, utlimately renal shut down and death due to disturbed KFT. Watch out the video below showing you all real changes in bladder, kidney, prostate etc.

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{ 12 comments… read them below or add one }

id October 17, 2011 at 2:12 pm

i was thinking abt back pressure effect on my health. I have urethral stricture /bladder neck problem.(urethrogram report was not clear..suggested further tests). i was taking flotral for last 40 days. last week i relaxed my diet and started drinking tea and spicy foods. i felt the effects of flotral reduced and i had uneasiness while urinating again. i also had back pain for last 3 days.
i got tests done. CBC & blood sugar is ok. My urea and creatinine has increased. urea was 23 in april ..now its 27 . and creatinine was 110 now its 12o.

my age is 31.

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admin October 17, 2011 at 6:36 pm

In which unit you are talking about your creatinine values is it in mg/dl or ?mol/l, you never write your correct email Id, why?

id October 17, 2011 at 2:14 pm

urine culture report is still to come..

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admin October 17, 2011 at 6:39 pm

Why are you asking so many questions by using different names and different email ids.

sj October 19, 2011 at 11:23 am

sorry sir, i have given the right email now.
the creatinine value is in mg. the urine culture report has no developement found.
the back pain has lasted for 4-5 days. also have some uneasiness/weakness while urinating which flotral had helped earlier. i called my uro , he doubts it as orthodopedic pain. but i feel its never a ortho problem. the uneasiness in urination and back pain started together. my uro says he may prescribe sonography of lower abdomen(first done in april2011 ) and x ray for spine.

he diagnosed earlier as bladder neck /urethral stricture problem. i read somewhere that baldder neck problem gets worse due to sonography ..is it true….can sonography done in safe way …
further i still sometimes(once in 5-6 days) feel mild irritation in urethra for a sec (not during urination) at the same place where i had injury while RUG(2 months back).

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admin October 19, 2011 at 12:30 pm

Four glass test of urine, Trans rectal ultrasound are needed to rule out other pathologies, most prob you may be suffering from Chronic prostatitis/ chronic pelvic pain syndrome, continue, alpha blockers drugs like urimax and antibiotic fluoroquinolones (better based on senstivity ) for four weeks after consulting with urologist.

sj October 19, 2011 at 3:27 pm

I will talk abt the suggested tests with uro. He had done DRE . should i also get PSA blood test done with the four glass test of urine and TR ultrasound ?

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admin October 19, 2011 at 9:42 pm

Actually your age is 31, so there is no need for PSA, because Carcinoma of prostate is usually seen in old age, if you want to go for it for your satisfaction you can go for it, If you live in New Delhi, why do not you visit us in our hospital, we will examine you and will evaluate your diagnosis.

sj October 19, 2011 at 3:35 pm

i am having pain in the flank area and when i bend waist then also in the lower waist area.

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admin October 19, 2011 at 9:42 pm

left flank, right flank or both?

sj October 20, 2011 at 2:36 pm

Right flank ..though there was some spasm for short time for a day on left side.
Today , so far the i did not had the flank pain …or spasm…only mild pain on bending/ pressing in lower back (where back and hip meets).

i met the uro . he said it does not seem any emergency & prostate infection or kidney problem.
he suggested sonography. asked to continue flotral, and also prescribed
1)dox T for 6 weeks 2) Becosule for 6 weeks.
asked to meet after 3 months. said its bladder neck prob and he wont do operation so soon as sperm ejaculation may get affected.
i reminded of the unclear RUG report , injury & his suggestion to redo RUG …he said its not important at present. Seems he relies on present RUG report.

Another uro has recomended urethotomy and referred to senior doc, and third uro suggested cystoscopy after RUG. I am following the senior most uro.

i had given u my RUG report which u replied earlier on youtube. i am from kol , i had seeked help from you over phone.
i wonder if i should take 2nd opinion on taking Dox T as the flank pain seems to be disappearing , have already taken so much antibiotics & uro said its not a big problem.. My father says the tests like 4 glass test & TR ultrasound are not done everywhere. i will check with fortis…

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sj November 1, 2011 at 3:56 pm

sorry to write yet again..but i felt to write as back pain reduced!

I did not take Dox T . The pain in lower back has reduced even more. Though i feel pressure on bladder when i run or walk for a long time.
I am taking healthy food. eating radish/MOOLI seems to have helped ! I later checked that Ayurveda meds for UTI have mooli saar. Maybe that helped. I will see doc again to confirm if i really need to take the meds as symptoms have stopped and he was reluctant to give any meds and said mine was not urgent case. (He asked me to meet at 11 PM at night ! senior surgeon actually. )

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