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Benign prostatic hyperplasia       

The prostate gland is situated under the bladder and surrounds the first part of the urethra, the tube through which urine passes. The prostate is about the size of walnut and as men age, it grows in size.  This growth is called benign prostatic hyperplasia (BPH) and is mostly harmless, but since the enlarged prostate compresses the urethra, the flow of urethra can be affected. When symptoms become bothersome, your urologist may prescribe medications.  When medications are ineffective, benign prostatic hyperplasia (BPH) surgery may be the option to treat the enlargement.

Problems caused by benign prostatic hyperplasia

Prostate growth can be benign, i.e. non-cancerous, but it may be important for your doctor to also check for prostate cancer which typically does not cause symptoms at the earliest stages. Most men have prostate enlargement in various degrees by the time they reach their sixties. As prostate grows, it presses on the urethra resulting in following symptoms:

  • Hesitancy in urination even if bladder feels full.
  • Painful urination or bladder pain.
  • Weak urine flow.
  • Incomplete bladder emptying.
  • Frequency and increased need to pass urine especially at night time.
  • Urgency and sometimes incontinence.

Symptoms vary for each individual, but problems with urination are the most common.

Diagnosing BPH

With increasing and persistent urological symptoms, it is recommended that you consult your personal physician or urologist. Your physician will ask in detail about your symptoms, your past medical history, and any medications you are taking. He will conduct:

  • Physical exam.
  • Blood tests and urinalysis.
  • Urine flow test.
  • Ultrasound scan (optional).

If needed, you will be referred to a specialist and a bladder pressure test and a flexible cystoscopy will be ordered by your urologist.  Sometimes the symptoms of BPH may reflect complications like bladder infection, bladder stones or urinary retention.

Treatment options

Once the severity of symptoms is established, the doctor will chart a treatment plan. For minor symptoms a ‘wait and see’ approach or lifestyle changes may be suggested. For more advanced conditions, the doctor may prescribe medications initially – alpha blockers and/or 5-alpha-reductase inhibitors to control the prostate growth and reduce its size. When medications fail to control the growth, your urologist may recommend surgical options.  Surgery will remove the excess growth of prostate, to alleviate obstruction of the urethra.

Surgical options

There are different surgical options like:

  • Transurethral resection of the prostate (TURP).
  • Greenlight ™ Laser Photoselective Vaporisation of the Prostate (PVP).
  • Holmium laser enucleation of the prostate (HoLEP).
  • Thulium Cyber 150 ™ (Thulium) VaporEnucleation of the Prostate.
  • Bladder neck incision (BNI)/Transurethral incision of the prostate (TUIP).
  • Open prostatectomy.
  • Transurethral vaporisation of the prostate.
  • UroLift Device.

4   Trans-urethral microwave therapy (TUMT).

Get the best guidance and treatment    

The latest techniques use laser to remove tissue from the enlarged prostate. The excess tissue is cut into fragments and washed out, or vaporized. Laser may have advantages, as it does not affect surrounding tissues, and it has fewer significant side effects and after-surgery complications. If you have BPH, highly reputed and widely experienced consultant urologists like Mr Mark Feneley offer the most appropriate advice about treatment options. For all reliable and most up-to-date information on benign prostatic hyperplasia (BPH) surgery and other treatments for BPH, please reach for today.