Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / Diseases and Disorders / Prostate BPH / January 2004

Tip: Looking for answers? Try searching our database.

BPH mechanism Question; Don't Really Understand ?

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
Robert11 - 16 Jan 2004 16:24 GMT
Hi,

Still trying to understand this bph malady.
Real dumb questions, but please consider them as just beginner questions,
and bear with me:

O.K., so the enlarged prostate squeezes the bladder.

But if one does empty the bladder Completely each time, so what ?

e.g., why is the frequency, at night particularly, thereby increased
if there is no more urine being created than usual ?

Why an increased frequency, if full emptying actually occurs ?

Certainly missing something.
Any explanations would be most appreciated.

Thanks,
B.
Gene Newcomb - 16 Jan 2004 20:08 GMT
> Hi,
>
[quoted text clipped - 3 lines]
>
> O.K., so the enlarged prostate squeezes the bladder.

No, it squeezes the drainage channel (urethra).

> But if one does empty the bladder Completely each time, so what ?

You don't empty completely, so you always have a partially full bladder.

> e.g., why is the frequency, at night particularly, thereby increased
> if there is no more urine being created than usual ?

There is limited capacity because the bladder is already nearly full.

> Why an increased frequency, if full emptying actually occurs ?

See above.

> Certainly missing something.

You are assuming the completing a cycle of urination has emptied the bladder.
This is not the case. If the bladder were being squeezed as you first stated,
this might be the result, but since the channel is being constricted so that
it takes more pressure to get the urine out, the bladder can't supply that
extra pressure and urine is retained in the bladder.

> Any explanations would be most appreciated.

Hope that this helps.

> Thanks,
> B.

Gene
Lee M. - 16 Jan 2004 23:19 GMT
Here's the way I understand it:  the enlarged prostate squeezes the urethra,
restricting flow from the bladder so during urination, the bladder becomes
"tired" before completely emptying.  This residual means it takes less time
for the bladder to refill to the point where it feels full again, i.e., one
feels the need to pee.  In some cases, the prostate protrudes into the
bladder, further reducing its capacity.  In some cases, this causes
extremely slow and perhaps painful flow if one waits too long.  In my
particular case, my flow is ok (not strong but steady) when I pee before the
urge gets too strong.  If I wait too long, then the stream slows down
considerably and just dribbles out.

> Hi,
>
[quoted text clipped - 16 lines]
> Thanks,
> B.
Chris - 16 Jan 2004 23:59 GMT
>Hi,
>
[quoted text clipped - 5 lines]
>
>But if one does empty the bladder Completely each time, so what ?

Trouble is, with bph you don't empty the bladder completely.

The bladder walls are muscle, that has to contract to squeeze out the
contents. If there's an obstruction, the muscle has to work harder,
and gets thicker, like any exercised muscle.

Now that it's thicker, as it tries to contract it cuts off its own
blood supply and runs out of energy. So it stops squeezing before it
is empty.

So you have urine left in there, and as soon as you've added a bit
more you automatically get the feeling you need to pee again.

If you've got 500 ml in the bladder and, with no bph, you can get rid
of it in one go, brilliant. If your bladder has to quit after pushing
out 100ml, how many times will you get up that night?

Hope that helps!
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.