Prostate Enlargement/Benign Prostatic Hyperplasia (BPH)
Benign prostatic hyperplasia is one of the most common diseases affecting men over 50 years old.
As the prostate grows makes it difficult for urine to pass out of the bladder, and then the symptoms of what is now called "lower urinary tract symptoms" begin.
What are the symptoms of the enlargement of the prostate?
The most common symptoms are difficult and slow urination, decreased urine output, dripping urine, frequent urination and need waking during the night many times to urinate. If left unmanaged, the bladder can in fact suffer long term, with loss of stretch and capacity permanently and develops other problems such as urinary tract infections, urinary stones, kidney damage, and urinary incontinence.
How the enlargement of the prostate is diagnosed?
Urologist in order to determine if the prostate is causing a blockage in the outflow of urine perform a urine flow test. This examination will show whether what the patient feels as difficult to urinate is a result of an obstruction causes from the enlargement of the prostate. Also other tests include a digital prostate examination and an ultrasound scan.
What are the treatment options for the enlargement of the prostate?
The first choice in the treatment of benign prostatic hyperplasia are medicines to relax the prostate(alpha-blockers).This medication might help initially but side effects such as dizziness or tiredness and lack of semen coming out at orgasm (retrograde ejaculation) are common
Another type of tablet is a the 5 alpha reductase inhibitor that shrinks the prostate. This medication work slowly, at least six months for effect, and can reduce libido and erections in some men.
If medications are ineffective or side effects undesirable consider seeing a Specialist to discuss options including new minimally invasive techniques which have less side effects than standard operations.
Minimally invasive techniques or Surgical treatment is decided when medications are not enough or stop being effective or when there are serious complications of the disease such as urinary incontinence, urinary tract infections, urinary stones, hydronephrosis.
The choice of the most appropriate method depends on several factors such as the size of the prostate and the general health of the patient.