Benign prostatic hyperplasia treatment

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Benign prostatic hyperplasia is a common disease characterized by an enlarged prostate gland and impaired urination. BPH is a disorder of ageing. As a rule, an enlarged prostate responds well to treatment with drugs, laser therapy, or surgery (minimally invasive and robotic).

Benign prostatic hyperplasia (shortly, BPH) is a condition when the prostate becomes larger. It is a benign disease, which means that it is not cancerous.

The prostate gland is a component of the male reproductive system. It is located under the bladder and surrounds the urethra. Typically, urine accumulates in the bladder and exits through the urethra. However, an enlarged prostate can block or slow the urine passage from the urethra.

During life, the men's gland increases. It is due to testosterone levels, which accelerate prostate cell division leading to benign enlargement over the years.

BPH is the most common urological disease in men. Every year, about 250 million men suffer from prostate enlargement. With age, the chances of getting the disease increase. So the average age for diagnosing BPH is 50 years. Over 60, about 70% of men are affected by this disorder.

Benign prostatic hyperplasia can cause severe complications:

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Prostate enlargement causes

The exact cause of benign prostatic hyperplasia has not yet been identified. However, doctors believe that ageing and hormonal changes play an essential role. As men age, they produce less testosterone (a male hormone) than estrogen (a female hormone).

Several risk factors increase the likelihood of developing BPH:

  • Age over 50;
  • Family history of BPH;
  • Lazy lifestyle;
  • Smoking;
  • Obesity.

Symptoms of benign prostate enlargement

Symptoms of benign prostate enlargement are since the urethra is increasingly narrowing. However, the degree of prostate growth and the severity of symptoms varies greatly and depends mainly on genetic factors.

The following symptoms mainly characterize the gland increases:

  • Frequent urge to urinate;
  • Urinary incontinence;
  • Sudden urge to urinate;
  • Difficulty holding urine;
  • Night trips to the toilet;
  • Difficulty starting to urinate;
  • Weak or interrupted urine stream;
  • Incomplete emptying of the bladder;
  • Pain when urinating.
  • In addition, benign prostatic hyperplasia affects sexual function in some cases, such as erectile dysfunction.

How is benign prostate hyperplasia diagnosed?

In diagnosing prostate enlargement, the patient's history is essential, in addition to laboratory tests and imaging. Urologists give men a special questionnaire where they indicate their complaints. The questionnaire then assesses the impact of BPH symptoms on quality of life. It is an integral part of the diagnosis, which influences the choice of a treatment plan.

Urinalysis shows signs of infection, assessing how fast urine flows, how much remains in the bladder after urination, and how much pressure is in the bladder.

Blood test for PSA (prostate-specific antigen). As the gland gets bigger, the PSA level increases. Generally, a high PSA level indicates prostate cancer.

For a more accurate assessment of the problem, doctors conduct the following diagnostic methods:

  • Digital rectal examination. The doctor's finger is placed into the rectum to check the prostate's shape, size, and thickness.
  • A prostate ultrasound shows any changes in the gland.
  • The urologist evaluates the urine stream during uroflowmetry. Then, the urologist asks the patient to urinate into a special funnel that reads how much urine passes through in a certain amount of time. Thus, the speed of urine flow and the presence of narrowing of the urethra is checked.
  • Cystoscopy involves inserting a flexible tube with a camera into the urethra to evaluate the bladder.

How is prostate hyperplasia treated?

The treatment plan usually depends on the severity of the symptoms. The doctor monitors the disease with annual prostate examinations and a review of symptoms for mild signs and slight gland enlargement.

Medications to treat BPH include pills to improve and ease urination and shrink the prostate.

If drugs are not effective, surgery may be an alternative option:

  • A prostatic urethra lift is the placement of implants that elevate the gland so it does not block the urethra.
  • Transurethral resection of the prostate. The urologist inserts a narrow tube with a camera and a unique tool into the urethra that passes an electric current, removing excess prostate tissue.
  • Transurethral microwave therapy is also administered through the urethra. But during this operation, microwaves heat the prostate tissue, thereby destroying it.

Laser therapy uses a high-energy laser to remove overgrown gland tissue. Doctors distinguish several types:

  • Laser ablation removes gland tissue using water vapour.
  • HoLEP (holmium laser enucleation of the prostate) removes gland tissue that interferes with urine flow.

Urologists extensively use da Vinci robotic surgery for severe cases of BPH. Surgeons remove prostate growth using a da Vinci robot without touching healthy tissue, which allows the patient to maintain potency and urinary retention.

What to expect with prostate enlargement?

The prognosis for benign prostatic hyperplasia varies from man to man. The current treatment for BPH has a high success rate of over 80%. In addition, the latter drugs reduce the risk of developing prostate cancer by about 25%.

However, 20-30% have a disease recurrence after 3-5 years.

FAQ

What treatment options are available for benign prostatic hyperplasia?

Drug therapy is effective in the initial stages to relieve symptoms. Laser therapyminimally invasive and open surgery are the next step in treatment. Urologists use transurethral resection or incision of the prostate, as well as microwave thermotherapy and needle ablation and so on.

Can I have DaVinci surgery for prostate enlargement?

Yes. One surgical treatment option for BPH is da Vinci robotic surgery. The method is susceptible and gently removes the overgrown prostate tissue.

Is HoLEP laser surgery available for benign prostatic hyperplasia?

Yes. It is a non-surgical method for treating the symptoms of benign prostatic hyperplasia. HoLEP removes excess prostate tissue and removes blockages in the flow of urine.

How to prevent urinary incontinence after prostate enlargement surgery?

Doctors recommend wearing absorbent pads after surgery. In addition, special Kegel exercises strengthen the pelvic muscles and regain control of the bladder.

How to find a clinic for prostate enlargement?

To be treated for benign prostatic hyperplasia in the best clinic, call AiroMedical or leave a request on the website. Our patient managers will select a specialized hospital for you.

Where can I get Benign prostatic hyperplasia treatment?

Germany, Israel, Turkey, Spain, Poland are among the best for Benign prostatic hyperplasia treatment.

7 countries and 21 cities for Benign prostatic hyperplasia