Benign Prostatic Hyperplasia

Benign Prostatic Hyperplasia is a non-cancerous growth of the prostate that causes discomfort when urinating such as frequent urination, thin urine stream, need to squeeze to urinate and urine leakage. It is common in men older than 50 years.

What is Benign Prostatic Hyperplasia?

Benign Prostatic Hyperplasia (BPH) is a non-cancerous growth of the prostate that can cause annoying urinary symptoms and significantly affect the quality of life. This growth of the prostate can obstruct the urethra, the tube that carries urine from the bladder to the outside of the body, making urination difficult. The symptomsof BPH can range from mild to severe and include:

  • Frequent and urgent need to urinate.
  • Weak urinary flow or interrupted.
  • Inability to empty the bladder completely.

 
Although BPH is not a cancerous condition, its symptoms can be severe enough to require medical treatment. Benign Prostatic hyperplasia is the most common cause of urinary problems in men over the age of 50, and its prevalence increases with age. Proper treatment is essential to relieve symptoms and improve quality of life.

How do I know if I have or suffer from Benign Prostatic Hyperplasia?

The symptoms of Benign Prostatic Hyperplasia (BPH) are divided into emptying symptoms and filling symptoms. This classification helps to identify the type of obstruction that the prostate is causing and facilitates the choice of the appropriate treatment. These symptoms can significantly affect the quality of life. If you experience any of these, consult a healthcare professional to get a diagnosis and discuss treatment options.

Emptying symptoms

Emptying symptoms occur during urination and suggest that the prostate is obstructing the outflow of urine from the bladder, hindering its flow and causing a feeling of not completely emptied bladder.

  • Weak or thin stream: Difficulty expelling urine forcefully.
  • Delay or difficulty in starting to urinate: The need to wait before urination begins.
  • Choppy stream: Urine comes out at intervals.
  • Need to squeeze to urinate: Extra effort to empty the bladder.

Filling symptoms

Filling symptoms are experienced between urinations and reflect the pressure that the prostate exerts on the bladder and the urethra, affecting the functioning of the bladder and reducing its ability to retain urine.

  • Increased daytime urinary frequency: Need to urinate more frequently during the day.
  • Nocturia: Need to wake up several times at night to urinate.
  • Urinary urgency: Sudden and intense urge to urinate.
  • Incontinence: Involuntary leakage of urine.

Solutions for Benign Prostatic Hyperplasia

The treatment for Benign Prostatic Hyperplasia (BPH) is adjusted according to the severity of the symptoms and the impact on the patient’s quality of life. This personalized approach allows the therapeutic options to be adapted to the specific needs of each individual.

At Andrology Mallorca, we offer a wide range of treatments, which are adapted to your diagnosis. Treatments may include minimally invasive therapies, conservative options, pharmacological , or surgical interventions, as required by each case.

Holmium laser treatment

The Holmium Laser Prostatic enucleation with Moses effect, known as MoLEP, for its acronym in English Moses Holmium Laser Enucleation of the Prostate, is a minimally invasive surgical procedure indicated to treat Benign Prostatic Hyperplasia, one of the most common conditions in men.

Water vapor treatment

It is a state-of-the-art, minimally invasive and non-admission treatment for benign prostatic hyperplasia. This device allows us to inject water vapor into the prostate from the urethra generating a thermal energy that manages to eliminate the prostate tissue.Water vapor treatment

Pharmacological treatment

When symptoms are more pronounced, pharmacological treatments can offer considerable relief. Among the available options are:

Alpha blockers: Relax the muscles of the prostate and urethra to facilitate urinary flow.

5-alpha-reductase inhibitors: They decrease the size of the prostate and reduce the levels of prostate-specific antigen (PSA) in the blood.

Antimuscarinic (Anticholinergic) and Beta-3 Agonists: Help control bladder-related symptoms.

Phosphodiesterase Type 5 (IPDE5) inhibitors: Contribute to improving urinary flow and relieving symptoms.

Conservative treatment for enlarged prostate

For mild to moderate symptoms that do not significantly affect daily life, conservative treatments may be effective. This includes:

  • Lifestyle modifications: Changes in diet, reduction of fluids before sleeping, and avoiding alcohol and caffeine.
  • Regular monitoring: Continuous follow-up to observe the evolution of symptoms.
  • Behavioral therapies: Techniques to manage urinary urgency and frequency.

Surgical Treatments for Benign Hyperplasia

If conservative and medical treatments do not provide adequate relief, or if the symptoms are severe, surgical treatment may be necessary. Among the surgical options are:
  • Transurethral Resection of the Prostate (TURP) – The most common technique, which involves the removal of prostate tissue through the urethra.
  • Open or laparoscopic prostatectomy: More invasive procedures to remove prostate tissue in cases of very large prostate growth or in specific situations.

Find your solution for the Benign Prostatic Hyperplasia

In our clinic we will perform all the necessary tests and we will look for the best solutions for your case in a personalized way. And if you want more information, do not hesitate to contact us.
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