Benign prostatic hyperplasia, also called an enlarged prostate, is a very common urological disease among adult men. By the age of 60, about one-third of men will experience symptoms of an enlarged prostate. By the age of 80, already half of the men will have this disease. Conservative and surgical methods of treatment will help to get rid of an enlarged prostate.
Symptoms of the disease
Prostate is an organ, that is located under a bladder. The initial part of the urethra goes through the prostate. When the prostate enlarges, it blocks the normal passage of urine.
Benign prostatic hyperplasia (BHP) can proceed in different ways. Some patients experience mild symptoms, others — annoying symptoms, that affect everyday life.
Main symptoms of benign prostatic hyperplasia include:
- Weak and interrupted urinary stream.
- Frequent urination, including urination at night.
- Straining during urination.
- Dribbling after urination.
- Unsatisfied feeling after urination.
As the pathology progresses, it leads to various complications. They are urinary tract infections, bladder stones, and hematuria. The most dangerous complication is acute urinary retention, that requires emergency care.
Diagnostics of BPH
The patient should visit a doctor, when he notices problems with urination. These symptoms can be a manifestation of various diseases, such as benign prostatic hyperplasia, prostatitis, and even prostate cancer. Only a comprehensive examination will help determine the diagnosis.
Examination can include:
- Rectal examination.
- Prostate ultrasound.
- PSA blood test.
The doctor chooses an individual treatment program for each patient. It depends on the symptoms, complications, and patient’s age.
If patient has mild symptoms that do not bother him, there̵
When patient has bothersome symptoms that affect his quality of life, the doctor recommends an active treatment. It can be rather a conservative or surgical therapy.
Treatment options for BPH
Many foreign citizens are interested in undergoing prostate treatment in Germany. In Germany, patients get access to all modern treatment methods. There are several effective treatment options for BHP.
Medicines can be effectively used at early stage of benign prostatic hyperplasia. Doctors prescribe two groups of drugs:
- Alpha blockers — these medicines eliminate spasm of the muscles of the urinary organs, making urine flow easier.
- 5-alpha reductase inhibitors — they lower the level of a hormone dihydrotestosterone, that helps slow down enlargement of prostate. These medicines can improve urine flow as well.
Medication is a safe therapy, doctors rarely encounter side effects of drugs. Nevertheless, this treatment option is not suitable for all patients.
Minimally invasive procedures
When medications are not effective, doctor can offer minimally invasive procedures. This treatment is performed on an outpatient basis.
These are the following procedures:
- Transurethral microwave thermotherapy — using the energy of microwaves, an urologist heats part of the prostate and destroys it.
- Transurethral radiofrequency ablation — an urologist heats the hyperplastic prostate cells with radio waves, that leads to their destruction.
- High intensity focused ultrasound ablation — the procedure involves heating the overgrown prostate tissue with focused ultrasound waves, that leads to its destruction.
This treatment option is possible only in the case of small size of the prostate. Procedure does not take much time and does not require a hospital stay. This treatment option helps to reduce the symptoms. Nevertheless, many men should repeat procedure in the future.
In the case of a very enlarged prostate and annoying symptoms, there is only one efficient option, i.e. surgical treatment.
Doctors perform such types of surgery:
- Transurethral resection of the prostate that involves endoscopic removal of prostate through the urethra. Among the advantages of this operation are low invasiveness and short recovery period.
- Holmium laser enucleation is the most modern method of treatment. This operation involves the use of a laser beam for destroying a hyperplastic prostate tissue.
- Open prostate surgery is carried out in case of a significant prostate enlargement. This operation involves removing a prostate through an incision in the abdomen wall. This is a traumatic surgery, but sometimes it is the only efficient option.
All modern methods of treating enlarged prostate are available in German hospitals. Undergoing treatment abroad is not as difficult as it seems. The company Booking Health will help organize treatment in Germany. We also provide the necessary services: book airlines tickets, translate medical documents, provide a transfer from the airport.