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Prostatic hypertrophy treatment
What is Prostatic Hypertrophy (Benign Prostatic Hyperplasia, BPH)?
Prostatic hypertrophy or enlargement of the prostate is called benign prostatic hyperplasia (BPH). It occurs when the cells of the prostate gland begin to multiply excessively. These additional cells cause your prostate gland to swell, which squeezes the urethra and limits the flow of urine. BPH is not the same as prostate cancer and doesn’t increase the risk of cancer. However, it can cause symptoms that can affect your quality of life. BPH is common in men older than 50 years
Symptoms of BPH
The symptoms of BPH are often very mild at first, but they become more serious if they aren’t treated. Common symptoms include:
incomplete bladder emptying
nocturia, which is the need to urinate two or more times per night
dribbling at the end of your urinary stream
incontinence, or leakage of urine
the need to strain when urinating
a weak urinary stream
a sudden urge to urinate
a slowed or delayed urinary stream
painful urination
blood in the urine
Talk to your doctor if you have any of these symptoms. They are treatable, and often treating them can help prevent complications.
BPH treatment
Treatment of BPH can begin with self-care. If symptoms don’t subside through self-care, medication or surgery may be recommended. Your age and general health will also influence the prescribed treatment.
Surgery for BPH
There are different types of surgical procedures that can help treat BPH when medications are not effective. Some procedures are either not invasive or minimally invasive and can often be done in your doctor’s office or clinic (outpatient procedures). Others are more invasive and need to be done in a hospital (inpatient procedures).
Outpatient procedures
Outpatient procedures involve inserting an instrument into your urethra and into the prostate gland. They include:
• Transurethral needle ablation (TUNA): Radio waves are used to scar and shrink prostate tissue.
• Transurethral microwave therapy (TUMT): Microwave energy is used to eliminate prostate tissue.
• Water-induced thermotherapy (WIT): Heated water is used to destroy excess prostate tissue.
• High-intensity focused ultrasonography (HIFU): Sonic energy is used to eliminate excess prostate tissue.
Inpatient procedures
Inpatient procedures might be recommended if you have any of the following symptoms:
kidney failure
bladder stones
recurrent urinary tract infections
incontinence
a complete inability to empty the bladder
recurrent episodes of blood in the urine