EP286: Testosterone and the ageing prostate | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, gives advices to a reader who has turned 60 on how he can address a problem that he has been experiencing lately involving his weak stream during urination.  Read more at https://tinyurl.com/56krsutb  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00hello there welcome to the second week of putting dr g on the spot in the month of august when we

00:06talk about the aging process in men for their sexual and reproductive function and this week

00:13we're specifically talking about the prostate although prostate is not directly related to

00:25sexual or reproductive health it actually is crucial part of the reproductive health as far

00:32as production of seminal fluid or the semen the semen itself accumulates in prostate mixed with

00:39sperms and create ejaculations as men get older by definition the age of 40 then the prostate gets

00:47bigger so some statistics shows that men at the age of 40 will already have 20 percent of bph benign

00:56prostatic hyperplasia at the age of 50 probably about 30 percent 60 probably about 50 percent and 70

01:04about 80 percent and 90 nearly a hundred percent so what exactly happens actually there is one component

01:12of the testosterone which is the active form of testosterone called dihydrotestosterone and this

01:19testosterone is deranged and the prostate gets bigger as a result of that and then men will begin to get

01:26urinary problems what sort of urinary problems will men encounter or first of all they'll start waking

01:33up at night to urinate it's because they don't empty their bladder completely then they will have frequent

01:38urination during daytime and this is partly because the excess amount of urine the residual urine that

01:45is left behind then you'll get frequency urgency and also slowness of urine that will constitute

01:53hesitancy a bit of waiting whenever they urinate and also dribbling incomplete emptying and straining

02:02and all these are not related to cancer it's just related to enlarged prostate

02:08the enlarged prostate itself will continue to grow at some point it will need treatment and that's the

02:14reason why when you see older men standing at the urinal they take longer to urinate and they take much

02:20longer in order to shake it off so when this begin to cause problems like affecting quality of life

02:27lack of sleep and also embarrassment due to incontinence of urine then certain medications come in handy

02:35alpha blockers 5 alpha reductase inhibitors pde5 inhibitors and also all these combinations can help

02:44to reduce that frequent urination at some point an advancing age will cause men to have prostate that

02:51might cause blockage and acute retention of urine at that stage you don't have a choice but have to face

02:57the problems of an operation called the TURP this TURP is a scraping of the prostate opening up the channel

03:06so men can urinate like how it was when they were 25 for the following week we're talking about more

03:13aging process this time we're going to talk about what happens to your testosterone as you get older

03:19and what happens to your hair when the testosterone get deranged stay tuned for next week's putting dr g on the spot

EP286: Testosterone and the ageing prostate | PUTTING DR G ON THE SPOT

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