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Enlarged Prostate

The Types Of Enlarged Prostate

An enlarged prostate can be divided into two types, one is a blockage type, and the other one is a hyperplastic type. With the blockage type of an enlarged prostate, prostate cells are enlarged, but the number of cells do not increase because of the actual blockage, prostate congestion and swelling. This causes various kinds of prostate diseases (such as prostatitis, prostate cysts, prostate nodules, prostate calcification, etc.) and various stimulant factors (like frequent sex and masturbation, chronic long-term drinking, too spicy food or too much stimulant food, etc.) which press on the posterior urethra and the surrounding blood vessels and nerves and cause urinary problems and sexual dysfunction. This can happen to any man at any age after puberty. A principle of treatment should be making an accurate diagnosis thus identifying all causes and clearing the prostate blockage. NB: using alpha blockers and 5α-reductase inhibitors normally does not work; on the contrary, they have a lot of side effects including decreased libido, and ejaculatory or erectile dysfunction.

The Hyperplastic type of an enlarged prostate means prostatic cells are enlarged and the number of cells increase mainly due to an age-related sex hormone imbalance, generally from 50 years of age, on. The use of alpha blockers and 5α-reductase inhibitors can improve the symptoms, but they cannot control the development of prostatic hyperplasia. Once the medication is stopped, symptoms will become more serious. In the end, patients will likely need surgical intervention which can lead to the debilitating consequences of an inability to ejaculate and/or incontinence.


How To Calculate The Volume and Weight of the Prostate

The volume of the prostate: the transverse diameter, the longitudinal diameter and the antero-posterior diameter of the prostate will be measured by ultrasound, the volume of the prostate is equal to 0.523 mutiplied by the product of the three diameters of the prostate. And the weight of the prostate equals the volume of the prostate mutiplied by 1.05.

How To Estimate The Degree Of Enlarged Prostate

Using Digital Rectal Examination (DRE) to evaluate the size of the prostate and estimate the weight: 

1) Degree I, Enlargement: the volume is 20 to 25ml and the estimated weight is 20 to 25 grams.

2) Degree II, Enlargement: the volume is 25 to 50ml and the estimated weight is 25 to 50 grams.

3) Degree III, Enlargement: the volume is 50 to 75ml and the estimated weight is 50 to 75 grams.

4) Degree IV, Enlargement: the volume of of the prostate is more than 75ml and the estimated weight is above 75 grams.

Common Causes Of An Enlarged Prostate

There are many reasons that can cause an enlarged prostate, and here are some of the most common:

1) Genitourinary infections, like prostatitis, seminal vesiculitis, urethritis, cystitis, verumontanitis can make the prostate tissue continuously congested,and result in prostate enlargement.

2) Excessive sexual activity and masturbation can cause the prostate tissue to congest repeatedly, with eventual prostate enlargement.

3) Chronic, long-term drinking and eating an excess of rich and spicy food will irritate the prostate, make it congested, and cause prostate enlargement.

4) Lack of exercise can lead to artery hardening and poor prostate blood circulation and can also result in prostate enlargement.

5) Long-term tension and pressure, and vegetative nerve dysfunction can also cause a microcirculation problem in the prostate, and result in prostate enlargement.

6) Retaining urine for too long makes urine highly concentrated with decreased frequency, leading to an ingress of toxins in the body, and urine reflux into the prostate during urination. Any pathogenic/toxic elements in the urine will affect the prostate and make it enlarged.

7) Lifestyle. Obesity is closely related to the volume of prostate. The fatter you are, the bigger the prostate volume is. The increased intake of total energy and proteins; fat, milk and milk products, red meat, also grain, poultry, starchy foods can potentially raise the risk of having an enlarged prostate and prostate cancer. Vegetables, fruit, polyunsaturated fatty acids, linoleic acid and vitamin D can potentially reduce the risk of having an enlarged prostate and developing prostate cancer .

8) Age-related enlarged prostates mostly result from a declining body function, imbalanced hormone levels from decreased production, decreased testicular and prostate secretion production, atrophying, degenerative changes of the gland and connective tissue hyperplasia in the prostate, all, can enlarge the prostate. An enlarged prostate presses on the urethra and the vas deferens thereby causing urination and ejaculation dysfunction. As the sexual hormones decrease further, functions of other areas of the body also gradually decline.

Symptoms Of An Enlarged Prostate

The urethra goes through the prostate gland. Therefore, when the prostate is enlarged, urination must be negatively affected. The enlarged prostate will compress the urethra and the bladder neck, meaning the bladder cannot be emptied completely. In order to overcome any obstruction from the bladder neck, the bladder wall muscle will attempt to overcome the problem and over-contract becoming thicker as a trabecular-like protrusion, forming a diverticulum. As the bladder neck obstruction get worse, the bladder cannot be emptied completely, and there will be some residual urine in the bladder after urination. That residual urine is the basis for developing urinary tract infection and stones. Without proper treatment, the enlarged prostate will develop further, and compression of the urethra will gradually increase, the residual urine in the bladder will increase, the pressure in the bladder will increase causing the urine to go to the ureters and kidneys, result in bilateral hydronephrosis and renal insufficiency.


The clinical symptoms of an enlarged prostate is mainly a urination disorder. The signs are as follows:

1) Frequent and/or urgent urination: Patients will have frequent urination in the early stages, especially at night. The patient cannot empty their bladder leaving residual urine. When there is inflammation or secondary stones, the patient will have urgent and painful urination.

2) Urination difficulty: The bladder muscle is exhausted, urination is weaker, and the residual urine volume increases, this makes the prostate more congested and swollen, and the urine flow is very small or split. Sometimes, there is no urine flow, just dribbling, sometimes two urine streams, or the patient may need wait for half or one minute before they start to urinate.

3) Incontinence: When the residual urine equals the volume of a normal bladder and when there is a water sound or other stimulation causes reflection, urine will flow automatically. Dribbling happens quite often, and the patient may saturate their underwear and feel miserable.

4) Acute urinary retention: With all the above urination problems, acute urinary retention can happen at any time. If the patient cannot urinate, they will have a lot of pain, and have to go immediately to the hospital Emergency Room. Acute urinary retention can be induced by a change of climate, catching a cold, fatigue, drinking of alcohol, etc.

5) Other: Bloody urine does not happen often. But for patients who have stones or a tumor, blood will be seen in the urine. There are some complications because the patient may have tried too hard to urinate, it may come from a hernia, hemorrhoids, anal prolapse, varicocele in the lower extremity, emphysema and so on.

6) Late stage Symptoms: Azotemia caused by renal insufficiency, acidosis, high blood pressure, poor appetite, anemia and weight loss, heart failure, and cerebrovascular disease may occur.

Examination Of An Enlarged Prostate

At our 3D Prostate Clinic, we use a full set of laboratory tests for the diagnosis of an enlarged prostate.

1) Ultrasound: We use ultrasound to check the shape, structure, and size of the prostate arriving at volume and weight values using the formulas described early in this article. TransRectal Ultrasound (TRUS) is not only used to diagnose whether the prostate is enlarged or not, but also to observe intuitional pathological changes in the prostate, such as infection, hyperplasia, nodules, cysts, calcification, stones, etc.

2) Digital Rectal Examination (DRE): DRE will be done after the bladder is emptied. The aim is to check the tension of the anal sphincter (which is different with a neurogenic bladder) and the condition of the prostate, including shape, size, and texture, also to see if there are nodules or tenderness/pain from the massage. When the prostate is enlarged, the gland can increase in length and/or width attaining a smooth surface, distinct edge, medium hardness and elasticity, the central sulcus lessening or disappearing entirely. The size of a normal prostate is similar to a chestnut. A Degree I enlarged prostate is like an egg, and a Degree II enlarged prostate is like a duck egg, and a Degree III enlarged prostate is like a goose egg.

3) Laboratory testing: The high white blood cell urine count in a routine test shows urinary tract infection. High white blood cell counts in prostate fluid and semen routine examinations indicates prostatitis and vesiculitis. High urea nitrogen and creatinine levels indicate impaired renal function.

4) A full set of lab. testing to identify causative pathogens:

The doctors at our Clinic take a number of samples for causative pathogen testing, which includes urethral secretions, prostate fluid, semen, and blood, etc. This sampling process combined with our extensive testing allows us to accurately identify the causative pathogens. The most common urogenital infections include: Staphylococcus aureus, Hemolytic streptococcus, Gonococcus, Bacterium aeruginosum, Corynebacterium, Escherichia coli, Proteus, Enterococcus, Klebsiella, Tubercle Bacillus, Chlamydia, Mycoplasma, Virus, Fungus, and Trichomonas, etc.

5) Determination of residual urine: The normal bladder volume is 350 to 500 ml. Residual urine after urination should be less than 10ml. When the residual urine is over 30ml, this indicates a pathological condition. The simplest and most atraumatic testing method is abdominal ultrasound.

6) Urodynamics: Urodynamics can be utilized to objectively evaluate urinary function. During the examination, 250 to 400 ml is the optimal urine volume, 150 to 200 ml is the minimum urine volume. The fastest uroflow rate is 15ml/s.

7) Cystoscopy: The normal distance from the seminal hillock to the bladder neck is 2cm. When the prostate is enlarged, the posterior urethra will be extended, the urethra will be compressed and cracks will form. The bottom of the bladder will sink and trabecula, cella or diverticulum abnormalities will form in the bladder wall.

8) Prostate Specific Antogen (PSA): Prostatitis, prostate enlargement and prostate cancer can all make the PSA value increase. Normally a PSA>4 ug/L result is the critical value that is used to screen prostate cancer. When the PSA result is between 4 to 10ug/L, it is called the grey area, it can indicate prostate cancer or prostate enlargement. When the PSA result is over 10ug/L, the possibility of prostate cancer is almost certain. When checked by digital rectal examination (DRE) and transrectal ultrasound, and prostate nodules are detected, and PSA is over 10ug/L, a prostate biopsy is required to diagnose or exclude prostate cancer.

3D Prostate Targeted Treatment Can successfully Treat Various Types Of Enlarged Prostates.

3D Prostate Targeted Treatment can successfully treat various types of enlarged prostate. Our treatment consists of several steps. First, we identify the causes of enlarged prostate by a full set of lab. tests and determine the location, size, and degree of the enlarged prostate lesion tissues by Digital Rectal Examination (DRE) and TransRectal UltraSound (TRUS). And then we inject a set of treatment herbal extracts without any side effects (including anti-enlargement herbal extracts, anti-hyperplasia herbal extracts, anti-infection medicines, and/or anti-cancer herbal extracts,etc) into the enlarged prostate lesion tissue areas in high concentration by using 3D local injection technology, thus directly inhibiting and killing the causative pathogens and the enlarged cells. At the same time, we inject unblocking herbal extracts to clear blockages, and discharge toxic substances, making the enlarged prostate shrink significantly, restoring normalcy. In addition, we use some herbal medicine to improve and restore prostate immunity and blood circulation to prevent the recurrence of any prostate enlargement.

3D Prostate Targeted Treatment is a non-surgical method that is not harmful, has no side effects, no secondary consequences and cures the various types of an enlarged prostate completely . After the causative pathogens and pathogenic cells have been eradicated, and the blockages and toxic substances have been cleared, the enlarged prostate shrinks significantly and returns to normal, and the patient's symptoms and body condition usually improve significantly overtime as the body heals itself. The prostate's blood circulation and endocrine secretion levels tend to return to normal. 3D Prostate Targeted Treatment does not need to be long term treatment and is by far the best, it is the best treatment for an enlarged prostate.

At present, 3D Prostate Targeted Treatment is not suitable for the volume greater than 80ml of benign prostatic hyperplasia, and hyperplasia site is protruding into the bladder inside.

Traditional Treatment Of An Enlarged Prostate

The most common treatment of an enlarged prostate includes watchful waiting, 5α-reductase inhibitors, alpha blockers, surgery, or a comprehensive use of the above-mentioned treatments. How to choose the most suitable treatment depends on the degree of prostate enlargement, and the patient's age, physical fitness, and their wishes which must be taken into account. These treatments may have serious side effects, such as erectile dysfunction and incontinence so the patient needs to find a balance between efficacy and life quality when they choose a treatment.

Alpha blockers and 5α-reductase inhibitors often will not work for a blockage type of enlarged prostate. And, although they can improve symptoms, they cannot stop the development of the hyperplastic type of enlarged prostate. In total, many doctors fail to differentiate between, and address the needs of, these two types of enlarged prostate. So, unfortunately, the blind use of alpha blockers and 5α-reductase inhibitors in treating these conditions have become standard treatment.

Enlarged Prostate Patients’s Testimonials

After some enlarged prostate patients finished 3D Prostate Targeted Treatment,they wrote the following testimonials. The authors wish us post these testimonials on our website exactly as below and do not include their contact information unless someone specifically asks for it. You can get contact information for some authors from the clinic.

The patients’s testimonials, please click on this link:


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