Symptoms in BPH

At the beginning of the person noticed anything.
At the beginning of benign prostatic hyperplasia (BPH) does the person still had no complaints. The enlargement of the prostate is typically a slow process. Also, initially, the increased outflow resistance is compensated by the bladder muscle (see organic changes). Thus, the prostate have been considerably increased, without the person being aware of it. Rectal examination may, however, a urologist would even notice an increase in the initial stages of the prostate.


Typical symptoms are usually only noticed when the organic changes are already well advanced.
Initial symptoms are often affected by only noticed when the urethra is compressed already so strong that the bladder is flaccid. Then it comes to typical changes in urination:

    delayed the start of the evacuation: Sufferers are often for minutes at urinals or toilets.
    weakened urine: The urine comes only portions or he dribbles a long time then (pollakiuria).
    a feeling of incomplete bladder empty: Sufferers go again after urinating on the toilet because they are unsure whether they "need" one more time.
    Nocturia = frequent nocturnal toilet habits. This is a consequence of incomplete bladder emptying.
    frequent urinary tract infections.
    Strangury = pain when urinating.
    Hematuria: If a person can be pressed to empty his bladder or at highly elevated pressures in the bubble may burst bubble veins. Then see blood in the urine, which explains a visible hematuria.
    Acute urinary retention: In advanced cases, the bladder is unable to empty itself arbitrary. You can "run over".


Stages

Depending on the severity of symptoms of benign prostatic hyperplasia is divided into several stages. After Alken three stages can be distinguished:

    Stage I (stimulus phase): In this stage, the outflow obstruction compensated by the bubble (see organic changes), it remains that no residual urine in the bladder. The complaints are limited only to a weakening of the urinary stream, delayed start of urination, nocturia and urinary frequency.
    Stage II (Residual urine stadium): Now, the bladder can no longer drain the bladder outflow obstruction compensate.Nach still remains a residual urine of 100 ml in the bladder. All evaluated the first stage will occur. In addition to frequent urinary tract infections occur, possible bladder stone formation and urge incontinence.
    Stage III (decompensation stage): In the third stage, the impact of urinary come to the fore, as the overflow bladder (ischuria paradoxa), training from the typical image of Hydronephrosis kidney, with progressive loss of renal tissue, with subsequent renal insufficiency up to the urine poisoning (uremia).


In the stage "zero" the person concerned has no complaints.
There is yet another staging after Vahlensieck. Vahlensieck is based on four stages, with the first stage is defined as a stage in which the person has no symptoms in the bladder emptying. At this point, the BPH can be determined only through a medical examination. One could precede this stage as a stage "zero" after the description of alkene.



Non-urological complaints
Gastro-intestinal complaints and neurological symptoms complicate the diagnosis.
The damage to the kidneys has not only affected the production and the urine flow. You may also be manifested in other complaints. Thus, in kidney damage often have other complaints to the fore, such as gastro-intestinal symptoms such as nausea, vomiting and appetite loss. It can lead to weight loss or even neurological symptoms such as apathy and listlessness. This type of complaints beginning to look at the urological causes blocking, and the lead doctor on a wrong track.