Benign Prostatic Hyperplasia is the enlargement of the prostate gland which, due to its anatomical position, results in the obstruction of the outflow of urine from the bladder. It is one of the most common diseases affecting men.
Benign prostatic hyperplasia or prostatic enlargement manifests itself mainly after the age of 40. At this age, 40% of men present symptoms of this disease, which are mainly manifested in alterations in urinary dynamics. This percentage increases by 10% as each decade progresses, so that almost all men over 80 years of age have urinary problems.
Urinary symptoms may be due to different causes. One of the most common is benign prostatic hyperplasia but it is necessary to rule out others such as narrowing of the urinary tract (urethral stricture), bladder tumor, bladder stones, urinary tract infections, etcetera.
The main symptoms of Benign Prostatic Hyperplasia (BPH) are:
The cause of the disease is unknown, although there appear to be genetic, hormonal, dietary and health factors that may increase the risk of prostate problems.
The diagnosis of benign prostatic hyperplasia is made by clinical history and physical examination. Within the basic study, a blood test with PSA (Prostate Specific Antigen) and renal function, urinalysis (with a urine culture to rule out infection) and renal, bladder and prostate ultrasound are usually requested. Sometimes it will be necessary to perform more directed studies such as cystoscopy, urodynamics or transrectal ultrasound.
Treatments vary depending on the severity and intensity of symptoms:
We may only need to do an ultrasound of the prostate, bladder and kidneys, along with a blood test.
Yes, some prostate medications worsen erection, sexual desire and ejaculation, but there are alternatives to improve symptoms without side effects.
Not at all. In recent years we have more and more technology that allows us to perform minimally invasive prostate surgery without causing sexual side effects.
Yes, very much so. Prostate problems can lead to impotence and premature ejaculation. That's why sometimes early treatment of prostate hyperplasia can prevent you from developing sexual problems.
Initial experience with thulium fiber laser for prostate enucleation: Analysis of the intraoperative and short-term outcomes in a prospective, multicenter cohort.
ROC Clinic has performed more than 3,000 prostate enucleation procedures with Holmium laser.
Programming of the 2022 courses in Holmium laser prostatic enucleation.