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Normal prostate size 40 years old


Normal Prostate Size 40 Years Old

Prostate size norm by age



The volume of the prostate gland is normal according to ultrasound (table of sizes by age)


Ultrasound measures the volume, linear dimensions of the prostate in the norm, with pathology. There are standard methods for their determination in humans. This is:



  • Through the abdomen.
  • Through the rectum.
  • Through the skin of the perineum near the location of the prostate.
  • Through the urethra.

The last two ultrasound methods are used for scientific research. Transabdominal (through the abdominal cavity or TA ultrasound) method of examination involves special preparation of a man. It is necessary to have a full bladder (abstinence from urination should be from 4 to 8 hours). The advantage of this ultrasound method is the ability to study the size of a conventional sensor, which is used to examine the abdominal cavity. The method has disadvantages:


The transrectal (TRUS) method of examination well reveals the contours of the organ, so the dimensions are more accurate. Such an ultrasound method does not require preparation, except for the release of the rectum, it allows you to additionally obtain information about the structure, blood flow, and the state of the surrounding tissues. The technique requires the skill of using a special ultrasound probe, which is inserted into the rectum. Not all ultrasound machines are equipped with transrectal sensors.



What values do they get?


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Usually study the size of the prostate in three projections. The ultrasonic beam makes a virtual "slice" of the organ (scanning) to a predetermined depth in the longitudinal and transverse directions. Measure the following dimensions:


The size of the prostate gland is measured in three projections



  • The transverse is 2.7-4.3 cm.
  • Anterior-posterior 1.6-2.3 cm
  • Upper-lower 2.4-4.1 cm

These sizes of the prostate are considered normal for men over 19-20 years old, but individual deviations are possible. Variations of the norm depend on genetic characteristics, physique, height, age. By the age of 50-60, its size increases.


The volume of the prostate gland is automatically calculated by the device according to the formula when studying linear indicators. This formula multiplies all the obtained dimensions and a factor of 0.52. This is how the volume of a truncated ellipse is calculated.


The average prostate volume of a person over 19 years of age is normally up to 25 cm3. After 50 years, the maximum volume of the prostate should not exceed 30 cm3. More precisely, the norm of the volume of the gland is calculated by the formula by multiplying the coefficient 0.13 by age and adding the number 16.4. The values of this indicator by age are presented in the table.


Age (years) Volume (cm3) Age (years) Volume (cm3)


If the calculated value of the volume obtained by ultrasound has deviations from the values presented in the table, it does not have to be pathological. When a man does not complain of pain, difficulty urinating, impaired sexual function, and the doctor does not determine any objective signs of a disease of the male organ, small deviations in values are considered the norm or an individual feature. Such cases require the doctor to especially carefully examine other ultrasound parameters (structure, blood flow).



Evaluation of indicators


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During a transrectal examination, the capsule of the organ is normally clearly visible, so measurements with this technique are more accurate.


The accuracy of the results also depends on the class of the device, the experience of the researcher, since this imaging method is not without subjectivity.


Shifting the sensor along the long axis provides the desired projections.


When determining the size (linear) of the prostate gland, pay attention to the symmetry of its lobes; normally, according to ultrasound, they have a homogeneous structure. The anterior part of the organ is muscular, covers the urethra. The prostatic urethra contains the excretory ducts of the prostate, seminal vesicles.


At normal measurements, the male organ may contain some areas of compaction or deformity, giving symptoms of difficulty urinating, pain, sexual problems. Further examination of the man becomes necessary to clarify the results. The following states can be detected:


Changes in the size of the prostate may indicate diseases


If the patient is over 40 years old, the doctor sends him for a blood test, which shows the content of PSA (prostate specific antigen).With a significant increase in PSA (more than 20), a volume above 30 cm3, a visit to a urologist-oncologist is necessary. This specialist will continue to clarify the diagnosis, prescribe the necessary treatment, since adenoma can be combined with cancer.


Stones cannot be removed from the gland except by surgery.


Changes in blood flow are detected in prostatitis of various nature (using the technique of power Doppler study), oncological processes.


The methods of three-dimensional reconstruction of blood flow become especially interesting and informative, which make it possible to suspect oncology in the early stages of the disease.


A healthy adult male is examined for prophylactic ultrasound every 1-2 years, the frequency of visits is determined by the urologist. More often (once every six months), ultrasound is performed at the borderline values of the parameters of the male organ, when no other symptoms of diseases are detected. This safe examination method is deservedly popular due to its high information content, the possibility of repeated repetition without any harm to health.


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Prostate size: norm by age in men under 50


The normal size of the prostate gland characterizes a healthy organ, if the prostate increases in size and exceeds the norm, then men's health is at risk.


Modern diagnostic methods make it possible to detect diseases at an early stage and take the necessary measures in time.


The prostate grows in volume throughout a man's life.


This organ depends on androgens, which, according to the age of a man, have maximum and minimum levels.


Thus, growth is due either to an increase in testosterone levels or its decline.


How the size of the prostate changes, the norm by age:



  • infancy - no larger than a pea;
  • 11-16 years old - a sharp growth of the organ;
  • 18-22 years - the prostate reaches its maximum value;
  • 40-50 years - the beginning of the second stage of growth, the size of the prostate increases every year.

Hormonal changes during adolescence cause a significant increase in the prostate gland. The first burst of change in the prostate is characterized by a uniform expansion of the organ, the average value of the size of the prostate in men under 50 years of age is approximately 3.5 cm in length and width and 2 cm in depth (thickness). The indicators may vary depending on the physique, height and other characteristics of the body.


Limit values for normal prostate size:



  • 2.6-4.5 cm - the distance measured from the edge of the lower lobe to the edge of the upper (transverse dimension);
  • 1.6-2.2 cm - the distance measured from the front surface of the lobe to the back (anterior-posterior size);
  • 2.2-4.0 cm - measurement of the organ in width (transverse dimension).

The given dimensions of the prostate normally correspond to the age of up to 50 years, that is, before the second growth spurt. Based on the linear parameters, the volume of the organ is calculated, the normal volume of the prostate varies between 22-26 mm3. If deviations from the above indicators are observed at reproductive age, then this is a sign of pathological processes in the gland.


It is possible to determine the size of the prostate in medical institutions; for this, various diagnostic studies are carried out: palpation, ultrasound. TRUS, tomography. In this case, the doctor examines not only the size, but also the structure of the prostate. The gland consists of two halves in the form of a series of lobules, 15-25 in each, the halves are symmetrical and separated by a bridge. In the lower part of the organ are the seminal vesicles, the blood supply to the prostate occurs through the artery, which also supplies blood to the rectum and bladder. A healthy prostate has a homogeneous structure, and the diagnosis of a diseased organ reveals cysts, calcifications, tumors, nodes.


The enlarged prostate from the norm by age up to 50 years can be caused by the following diseases:



  • benign hyperplasia (adenoma);
  • prostatitis;
  • oncology;
  • cystic formation.


Normal prostate size in men over 50


The second burst of prostate growth occurs against the background of hormonal changes, when testosterone levels decrease and estrogen levels rise.


This causes the size of the gland to grow. if in youth it expanded evenly, then after 45-50 years of age, its changes occur mainly in the direction of the urinary tract.


This position has a bad effect on the process of urination, since the enlarged prostate gland presses on the urethra, narrowing its lumen. The older the man, the more likely it becomes to develop prostate adenoma.


The normal size of the prostate in men by age is calculated by the formula that calculates the volume: to a factor of 0.13 times the age of the man, the indicator is summed up to 16.4.For example: 0.13 * 50 (years) + 16.4 cm3 22.9 cm3. The volume limit should not exceed 30 cm3. The mass of the gland is determined by the product of the volume and the coefficient 1.05.


With age, the likelihood of not only benign hyperplasia, but also malignant tumors increases. An enlarged prostate after 50 years of age suggests a mandatory blood test for PSA. Often, older men develop a chronic form of prostatitis, in which the size of the prostate is higher than normal.



How does the size of the prostate change with prostatitis?


Prostatitis is an inflammatory disease of the prostate gland. According to the nature of the course, the disease is divided into acute and chronic. It may be the result of infection of the organ with pathogenic microflora or manifest itself as a result of congestion in the pelvic organs and the gland itself. Young men are more likely to be diagnosed with an acute form of the disease caused by pathogenic bacteria, and after 50 years, chronic subtypes of the disease are characteristic.


The enlarged size of the prostate gland with prostatitis occurs due to inflammatory processes in the tissues of the organ, the accumulation of purulent contents and stones in the gland. As you get rid of the disease, the size of the prostate returns to normal.



What is the norm for the size of the prostate


The initial stages of many prostate diseases are almost asymptomatic. Almost the only sign of pathological processes at this stage is a change in the size and structure of the organ. That is why periodic examination of the prostate is the most effective way to detect adenomas, malignant tumors, cystic formations, prostatitis and other diseases early. First of all, this applies to men over 40, since it is from this age that the risk of developing pathologies increases significantly.



Organ Features


The prostate is a small male gonad located in the pelvis just below the bladder. It is divided into two symmetrical halves, has a fairly dense texture and consists of muscle, glandular and connective tissues. The shape of the prostate resembles an inverted trapezium, so during the study its longitudinal and transverse dimensions are determined.


One of the important features of the body is the constant change in its volume under the influence of hormones. So, in a newly born child, the prostate gland is in its infancy and weighs only a few grams. Gradually, it increases, and the most intensive growth occurs during puberty.


By the age of 20-25, in men, the volume of the prostate is finally formed, which will remain until the next change in the hormonal background in adulthood. The period of stability ends at the age of 50-60 years, when the balance of hormones in the body changes again.



Prostate dimensions


What is the normal size of the prostate gland? The following organ parameters are considered normal: width - 3 cm, length - 2 cm.


Due to the individual characteristics of the organism in men of reproductive age, some deviations from the indicated parameters are allowed:



  • length can be 2.5-4.5 cm;
  • transverse width should be between 2.5 and 4 cm;
  • thickness varies from 1.5 to 2.5 cm.


Gland volume


The normal volume of the prostate gland is also an indicator of its stable functioning. It is calculated on the basis of data on linear parameters using a coefficient that depends on the shape of the gland. In cases where it has a normal shape, the volume is the product of width, thickness, length, multiplied by a factor of 0.52.


If the result is within 25-26 cu. see, we can assume that the body is normal. This applies to men aged 20-40 years. You can calculate the normal volume, taking into account age-related changes, using the following formula: the number of years must be multiplied by a factor of 0.13 and add 16.4. Using this formula, we get the following results: the norm for 50 years is 22.9 cubic meters. cm, 60 years old - 24.2, 70 years old - 25.5.


During the examination, it is important not only to establish the linear parameters of the prostate, but also to find out its structure. More precisely, it helps to do an ultrasound or MRI. A normal organ is divided into two identical halves, consisting of 30-45 lobules, there are no seals, stones, heterogeneities in it.



Methods for determining prostate parameters


There are three main methods to determine the size and structure of the prostate gland:


The examination is carried out through the wall of the rectum and makes it possible to identify existing deviations associated with the presence of seals or tissue heterogeneity. The method is suitable only for men of reproductive age, since it is almost impossible to probe a prostate that has not yet enlarged in children and adolescents.


The most common method that helps to obtain accurate information about all the parameters of the male organ, its possible structural changes.


MRI is also referred to as a high-precision method for determining abnormalities in the structure of the gland and early detection of various pathologies.


Of all the proposed options, a fairly accurate and affordable ultrasound is most often used. Ultrasound is performed externally (through the anterior abdominal wall and in the perineum) or by inserting a probe into the urethra (transurethally) or rectum (transrectally).


During an external ultrasound, the bladder must be filled to allow for a more accurate scan. As a result, it is possible to obtain clear sections in the longitudinal and transverse directions, as well as calculate the volume of the male organ.


In some cases, when more detailed examination of tissues or individual lobes is required, Transrectal ultrasound is more accurate, but less pleasant for the patient. This method of research gives the most complete picture and allows you to detect even minor tumors or other foreign inclusions.


According to the results of an ultrasound or tomogram in men, the following pathologies can be detected:



  • prostatitis (inflammatory process in the glandular and connective tissues);
  • adenoma (uncontrolled tissue growth leading to disruption of the urinary system);
  • neoplasms of a pronounced malignant nature;
  • cystic masses (small fluid-filled cavities);
  • Stony deposits that form inside channels.

Regular examination of the prostate using palpation, ultrasound or tomography allows you to identify many pathologies at the stage of development, which significantly increases the chances of a quick and successful treatment.


Prophylactic examinations are especially important for men over 40-45 years old, since during this period the likelihood of developing diseases increases.



Norm and pathology in the size of the prostate


The prostate gland, the size and normal functions of which are in direct proportion, is periodically subject to research to assess the compliance of its external dimensions with the established parameters. Such studies are conducted or prescribed by a urologist. The age and specific complaints of the patient determine the type and complexity of the upcoming studies. For example, during a routine examination and the absence of complaints, palpation is performed through the rectum. At the age of over 40-50 years, in the presence of pain, a change in the nature of urination, ultrasound examinations are prescribed, and in difficult cases, computed tomography.



Age changes


The prostate gland (hereinafter the pancreas, prostate) undergoes changes associated with the natural processes of growth and development of all internal organs. At birth, the weight of the prostate is grams, and by the age of 20-25 it takes on a spherical shape the size of a walnut.


Given the rounded shape of the gland, its dimensions are determined in 3 projections, conditionally calling them the length, width and thickness of the prostate. The following sizes are considered normal:



  • length - 25-45 mm;
  • width - 20-25 mm;
  • thickness - 15-23 mm.

In addition to linear parameters, medical practice uses the volumetric index of the pancreas, which is often determined automatically by calculation formulas based on measured linear values during ultrasound examinations.


Doctors sometimes use an empirical formula to determine the normal volume of the pancreas depending on age: 0.13xB + 16.4. For example, for 25 years old, this norm will be: 0.13x25 + 16.419.6 cubic meters. cm, and for 75 years old: 0.13x75 + 16.426.2 cu. see. The maximum allowable normal volume of the gland should be no more than 30 cubic meters. see Age, physique, height and weight of a man are taken into account when assessing the parameters of the pancreas.


The normal functioning of the prostate gland consists of 2 functions:



  • production of prostate secretion;
  • Closing the exit from the bladder.


Pathological resizing


The increase in the prostate gland in men (swelling with inflammation, swelling) disrupts its normal functioning, which is expressed in pain symptoms, impaired urination and other objective data and subjective sensations. There are 2 main causes of prostate growth:



  • infectious diseases;
  • tumors.


Changes in the prostate in infectious diseases


Swelling of the prostate, i.e., an increase in its size and soreness occurs with prostatitis, an infectious inflammation that is most often caused by microbes and viruses that penetrate the prostate tissue.


Hypothermia, weak physical activity with a sedentary lifestyle, injuries, excessive alcohol consumption lead to inflammation and swelling of the pancreas.


The volume of the prostate increases temporarily for the period of inflammation, and after treatment it returns to normal. In men under the age of 40, treatment is assessed by rectal palpation, which is sufficient to assess the condition of the prostate. Prostatitis in later and older age requires more informative monitoring of the size and condition of not only the pancreas, but also the bladder, kidneys, and urethra. transrectal ultrasound allows you to assess the change in the lobes of the prostate, the state of its parenchyma.


With the disappearance of the symptoms of prostatitis after treatment, the volume of the pancreas, not exceeding 30 cubic meters, should be recognized as normal. see, for the age range of 40-45 years. For later age, the size of the prostate gland after treatment is compared with the size obtained in the previous ultrasound. That is why it is so important, especially in old age, to record the size of the prostate annually in order to properly treat possible complications.



Change in the size of the prostate in tumors


The second heart of a man (the prostate) begins to grow in volume after 40-50 years. This is due to benign prostatic hyperplasia (BPH), which is diagnosed in 85% of men. Moreover, in 20% (elderly and old), instead of BPH, the size of the prostate increases without the formation of a tumor, followed by its atrophy. The danger of an increase in the volume of the pancreas is as follows:



  • difficulties in the outflow of urine from the bladder due to squeezing of the urethra by the overgrown tissue of the gland;
  • the appearance of residual urine in the bladder with the possibility of inflammation;
  • sleep disturbance due to multiple trips to the toilet;
  • the possibility of degeneration into a malignant tumor.

After 40-50 years old, an annual control of the size of the prostate, a biochemical blood test with the determination of the level of prostate specific antigen (PSA) is recommended. According to the PSA level, early diagnosis of prostate cancer is possible, which is asymptomatic, but is also associated with an increase in the size of the pancreas and requires more radical methods of treatment than a benign tumor.


If the prostate specific antigen corresponds to BPH, then drug treatment with adrenergic blockers normalizes the outflow of urine by relaxing the smooth muscles of the pancreas, improves blood circulation and reduces the size of the tumor. In addition, constipation must be prevented, greater mobility in everyday life is recommended, alcohol, smoking, spicy and spicy foods are prohibited.


Folk treatments for BPH have the same direction as traditional medicine, that is, they relieve inflammation with improved urine outflow, but they are temporary, not always with a positive effect.



Conclusion


The size of the prostate up to 40-45 years old remains normal (in the absence of hereditary abnormalities) and does not need systematic monitoring. Excessive alcohol consumption, sexual excesses, a sedentary lifestyle can cause inflammation of the pancreas and its temporary increase due to swelling. Rectal palpation by the urologist is sufficient to assess the quality of treatment and the decline in swelling. In the case of infectious inflammation of the prostate at this age, an ultrasound examination is prescribed, but not only to control the size of the pancreas, but also to assess the condition of the kidneys and bladder.


After 40-45 years, an annual control of the size of the prostate is necessary. In the presence of an adenoma, in addition to ultrasound, a PSA level is prescribed for the early diagnosis of pancreatic cancer. The dynamics of changes in the size of the prostate is analyzed by the urologist together with ultrasound data on residual urine and the number of night trips to the toilet. Transrectal ultrasound is considered the most informative at this age, as it allows you to determine the size of the pancreatic lobes and the direction of tumor growth.


Folk methods to improve the quality of men's life create temporary improvements, but they cannot affect changes in the size of the pancreas. While adrenergic blockers create a stable relaxation of the pancreas, and some types reduce the size of the tumor.


Medical statistics states that the second heart of a man is the prostate gland, its size and normal functions should be under the constant supervision of a specialist in order to avoid unforeseen complications.



The size of the prostate gland and volume indicators of the norm for the age of the man and the causes of deviations


Not only the level of sexual activity of a man, but also health in general depends on the state of this organ. With any deviation from the norm, whether it is inflammation, adenoma or a malignant process, the size of the prostate gland (prostate) increases. Find out how a change in the volume of this organ affects the functioning of the male reproductive system.



What is the prostate


The prostate provides reproductive function in the stronger sex. The organ is an exocrine gland. The psychological, sexual health of a man depends on the state of the latter. The prostate gland (PG) is located under the bladder, includes areas of glandular, muscular tissue.The first is responsible for the production of prostate secretion and hormones, while the second promotes the outflow of seminal fluid. The organ has a complex nervous apparatus that reacts to any changes and determines the local or general reaction of the body to the state that has arisen.



Normal size of the prostate gland in men


As the concentration of sex hormones increases, the volume of the organ changes. A slight deviation from the norm is quite acceptable and does not indicate the occurrence of degenerative-destructive changes. Rapid growth of the size of the prostate gland is considered pathological, which is accompanied by sexual impotence, difficulty urinating and other clinical manifestations. The normal size of the prostate in men of reproductive age is 4 cm in length and width, the maximum volume of the organ does not exceed 30 cm.



The size of the prostate gland is normal according to ultrasound


When conducting an ultrasound examination, the doctor pays attention to the structure, contours of the organ: its dimensions are largely determined by the age of the man. Physiological abnormalities due to individual structural features may be present. The volume of the prostate gland in the norm according to ultrasound should not exceed 25-30 cms. A healthy organ has a homogeneous structure, a symmetrical shape and clear contours. The normal size of the prostate according to ultrasound in adult men from 25 to 45 years old is as follows:



Norm by age


The average prostate volume for a man over 20 years of age is approximately 25 cms. After 40 years, the second stage of prostate growth begins, during which it gradually increases, reaching 30 cm by the age of 60. The indicators may vary depending on the height, physique and other features of the male body. The normal volume of the prostate gland by age is presented below:



Why you need to know the size of the prostate


Any urological examination involves a thorough analysis of the condition of the prostate. If pathological changes are detected, additional diagnostic measures are prescribed in order to identify the cause that led to the increase in the organ. This may be due to adenoma (prostatic hyperplasia), cancer, and other serious ailments. In addition, depending on the degree of prostate enlargement, an appropriate course of treatment is selected, the prognosis of the disease is formulated.



Determining the size of the prostate gland in men


The method of transrectal ultrasound diagnostics (TRUS) allows you to accurately determine the volume of the prostate. During the examination, a special probe is inserted through the lumen of the rectum directly into the area under study. In order to obtain more accurate results, doctors are advised to independently calculate the volume of the organ based on the obtained linear dimensions of the gland. In addition to TRUS, the following methods are used to determine the size of the prostate in urology:



How to calculate prostate volume


This parameter is calculated based on the exact dimensions obtained by ultrasound. Nuances:



Pathologies characterized by prostate enlargement


The prostate is a biomarker of the state of the body. A healthy gland indicates the normal functioning of the male sexual function, the endocrine system. In the presence of degenerative-destructive changes in the organ, extremely undesirable phenomena appear in the form of a decrease in sexual activity, hormonal imbalance, and psychological disorders. An increase in the size of the pancreas is a diagnostic criterion for the following pathologies:



  • benign tumors (for example, adenomas);
  • prostate cancer;
  • calcifications;
  • prostatitis;
  • brush