PUBLIC HEALTH IMPLICATION OF PROSTRATE ENLARGEMENT
ABSTRACT
The study is public health implications of prostate enlargement. This discussed prostate as a gland that produces the fluid that carries sperm during ejaculation. The prostate gland surrounds the urethra, the tube through which urine passes out of the body. An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men as they get older. An enlarged prostate is often called benign prostatic hyperplasia (BPH). It is not cancer, and it does not raise your risk for prostate cancer. The study found that an enlarged prostate is common for men over the age of about 50 and don’t fully understand what causes an enlarged prostate, but we know that your risk increases as you get older. The study recommended that the Ministry of Health at national and county levels, and cancer stakeholders to promote information on the signs and symptoms, treatment and preventive measures of prostrate cancer that will enhance further awareness and knowledge of the disease and  the Ministry of Health at national and county levels, and cancer stakeholders to promote good knowledge on prostate to increase men’s perception of self-vulnerability towards the disease and hence increase screening uptake amongst men at risk in the Nigeria County.
TABLE OF CONTENTS
CHAPTER ONE
1.1    INTRODUCTION
1.2     Definition of Prostate Cancer
1.3    The Prostate
1.4     Symptoms of Prostate Enlargement

CHAPTER TWO
2.1    THE CAUSES BENIGN PROSTATIC HYPERPLASIA
2.2    How common is benign prostatic hyperplasia?
2.3    Who is more likely to develop benign prostatic hyperplasia?
2.4    How might an enlarged prostate affect my life?

CHAPTER THREE
3.1    TREATING AN ENLARGED PROSTATE
3.2    Lifestyle changes Treatment
3.3    Medicines treatment of Prostate Enlargement
3.4    Surgerical Treatment of Prostrate Enlargement
3.4    Possible side implications of all types of surgery

CHAPTER FOUR
SUMMARY OF FINDING CONCLUSION AND RECOMMENDATIONS
4.1    Summary of Findings
4.2    Conclusions
4.3    Recommendations
REFERENCES
CHAPTER ONE
1.1    INTRODUCTION
Everyone has a pair of kidneys.  The job of the kidney is to remove waste.  It is the lawma (Waste Management Company) of your body.  Everybody your blood passes. (Gapstur, 2018).
Overhead storage tank. From the storage tank, a good plumber will run pipes to other parts often house, including the kitchen. God in His wisdom ran pipes from our urinary bladder to the tip of the penis. The pipe is called the urethra. Just blow the bladder and surrounding the urethra is a little organ called the prostate gland.  The prostate gland is the size of a walnut and weighs about 20grams. Its job is to make the seminal fluid-which is stored in the seminal vesicle.   During sexual intercourse, seminal fluid comes down the urethra and mixes with the sperms produced in the testicles to form the -semen. So semen technically is not sperm. It is sperm + seminal fluid. The seminal fluid lubricates the sperm. After age 40, for reasons that may be hormonal, the prostate gland begins to enlarger From 20 grams it may grow to almost 100 grams. As it enlarges, it squeezes the urethra and the man begins to notice changes in the way he urinates. If you have a son under 10, if he has a little mischief like we all did at that age, when he comes out to urinate, he can target the ceiling and the jet will hit target. Call his father to do same, wahala dey. His urine stream is weak, cannot travel a long distance and sometimes may come straight down on his legs, so he may need to stand in awkward position to urinate.

1.2     Definition of Prostate Cancer
Enlargement of the prostate is called benign prostatic hyperplasia (BPH). It occurs when the cells of the prostate gland begin to multiply. These additional cells cause your prostate gland to swell, which squeezes the urethra and limits the flow of urine. BPH is not the same as prostate and doesn’t increase the risk of cancer. However, it can cause symptoms that can affect your quality of life. BPH is common in men older than 50 years. (Kravchenko, 2008).
 1.3    The Prostate
Sperm are made in the testes and then pass along the highly coiled epididymis, through the vas deferens to the prostate. The prostate gland and other glands (the seminal vesicles and Cowper’s gland) make the fluid that mixes with the sperm. Semen then travels along the urethra to the tip of the penis where it is ejaculated (released) at orgasm. To stop semen flowing backwards into the bladder during ejaculation, an internal sphincter (muscle) at the base of the bladder and the top of the prostate closes. An external sphincter (a pelvic floor muscle) at the end of the prostate relaxes to release the fluid from the prostate into the urethra.
1.4     Symptoms of Prostate Enlargement
An enlarged prostate is the most common cause of urinary symptoms in men as they get older. It can cause your urethra to narrow, causing symptoms such as:
•    A weak urine flow
•    Needing to urinate more often, especially at night
•    A feeling that your bladder has not emptied properly
•    Difficulty starting to urinate
•    Dribbling urine
•    Needing to rush to the toilet – you may occasionally leak urine before you get there •
•    Blood in your urine. You may have only a few of these symptoms, or you may not have any symptoms at all. Without treatment, some men find that the symptoms of an enlarged prostate slowly get worse. These symptoms can be caused by other medical problems, lifestyle factors or certain medicines. They may be nothing to do with the prostate. If you have any of the symptoms above, you should visit your GP to find out what is causing them.