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Relief from BPH

Benign Prostate Hyperplasia

Benign Prostatic Hyperplasia
TURP Procedure

TURP Procedure

Benign prostate hyperplasia (BPH) is a condition more commonly known as enlarged prostate. BPH involves hyperplasia of prostatic cells, resulting in the formation of large, fairly discrete nodules in the prostate. When sufficiently large, the nodules compress the urethral canal.  This can cause partial, or sometimes virtually complete, obstruction of the urethra.

BPH is the most common benign neoplasm in men, with more than 50% of men aged 60–69 years and as many as 90% aged 70–89 years having some symptoms of BPH. As life expectancy increases, so does the occurrence of BPH. In 2000, there were 4.5 million visits to physicians for BPH in the UnitedStates​.

  • Symptoms of BPH

  • Urinary frequency

  • Urinary urgency

  • Hesitancy – difficulty initiating the urinary stream; interrupted, weak stream

  • Incomplete emptying of the bladder – feeling of persistent residual urine, regardless of the frequency of urination

  • Straining – need to strain or push to initiate and maintain urination to more fully empty the bladder

  • Decreased force of stream – loss of force of the urinary stream over time

  • Dribbling – loss of small amounts of urine due to poor urinary stream

  • How is BPH Diagnosed

The only lab test that is universally recommended for BPH is urinalysis. Serum prostate-specific antigen (PSA) levels are used as a marker for prostatic diseases, including BPH.

Imaging studies can help confirm prostate size. BPH is diagnosed based on a written clinical history, a digital rectal examination (DRE) findings, and focused neurologic examination findings.

There are several options for patients who suffer with BPH. When considering a possible treatment plan, you and your physician will want to consider your symptoms, the severity of the symptoms, lifestyle considerations and your own preferences.

  • Watchful waiting

  • Medications

    • Flomax, Proscar, ​

  • Prostate surgery

    • Transurethral ​Resection of Prostate (TURP)

    • Greenlight Laser

    • Urolift

    • Rezum Prostate Steam Procedure

    • Prostatectomy

  • Prostate artery embolization 

  • What Are My Treatment Options

  • Potential Complications with Prostate Surgery

  • Retrograde Ejaculation 90%

  • Erectile Dysfunction 10%

  • Scaring and Narrowing of the Urethra 5%

  • Incontinence 69%

  • Bleeding 4%

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