|Where There Is No Doctor - A Village Health Care Handbook (Hesperian Foundation, 1993, 516 p.)|
|Chapter 18 - THE URINARY SYSTEM AND THE GENITALS|
This condition is most common in men over 40 years old. It is caused by a swelling of the prostate gland, which is between the bladder and the urinary tube (urethra).
· The person has difficulty in passing urine and sometimes in having a bowel movement. The urine may only dribble or drip or become blocked completely. Sometimes the man is not able to urinate for days.
· If he has a fever, this is a sign that infection is also present.
Treatment for an enlarged prostate:
· If the person cannot urinate, he should try sitting in a tub of hot water, like this: If this does not work, a catheter may be needed.
· If he has a fever, use an antibiotic such as ampicillin or tetracycline.
· Get medical help. Serious or chronic cases may require surgery.
Note: Both prostate trouble and gonorrhea (or chlamydia) can also make it hard to pass urine. In older men it is more likely to be an enlarged prostate. However, a younger man - especially one who has recently had sex with an infected person - probably has gonorrhea or chlamydia.