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BIOC33H3 (127)

Male Reproductive Problems

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Biological Sciences
Stephen Reid

Chapter 55: Male Reproductive Problems BENIGN PROSTATIC HYPERPLASIA (BPH)  Benign prostatic hyperplasia (BPH) is prostate gland enlargement due to increased epithelial cells and stromal tissue.  BPH results from endocrine changes associated with the aging process.  The compression of the urethra leads to clinical symptoms including decrease in caliber and force of the urinary stream, difficulty in initiating voiding, intermittency and dribbling.  Conservative and initial treatment is “watchful waiting” when there are no symptoms or only mild ones. Drug therapy may also be used.  Invasive treatment of symptomatic BPH involves prostate resection or ablation. PROSTATE CANCER  Prostate cancer is the most common cancer among men, excluding skin cancer.  Risk factors include family history, age, and ethnicity.  Symptoms of prostate cancer are similar to those for BPH, including dysuria, hesitancy, dribbling, frequency, and urgency.  Elevated levels of prostate-specific antigen (PSA) indicate prostatic pathology, although not necessarily prostate cancer.  The conservative approach to managem
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