Benign Prostatic Hyperplasia (BPH)

What is Benign Prostatic Hyperplasia (BPH)?

Benign prostatic hyperplasia (BPH) is a common condition in men that involves the enlargement of the prostate gland. The prostate gland is located below the bladder and surrounds the urethra, the tube that carries urine out of the body. As the prostate enlarges, it can press on the urethra and cause difficulty urinating.

Symptoms

What are the symptoms of BPH?

The symptoms of BPH can vary depending on the severity of the condition. Common symptoms include:

• Difficulty starting to urinate
• Weak or interrupted urine flow
• Frequent urination, especially at night
• Urgency to urinate
• Inability to completely empty the bladder
• Painful urination

Causes

What causes BPH?

The exact cause of BPH is not fully understood, but it is thought to be related to a combination of factors, including:

• Age: BPH is more common in men over 50.
• Family history: Men with a family history of BPH are at an increased risk.
• Race: African American men are more likely to develop BPH than Caucasian men.
• Obesity: Men who are obese are at an increased risk of BPH.
• Hormonal changes: Changes in testosterone and estrogen levels may contribute to BPH.

Diagnostic 

How is BPH diagnosed?

BPH is diagnosed based on a patient’s medical history, symptoms, and a physical exam. The doctor may also order a blood test to check for prostate-specific antigen (PSA), a protein that is produced by the prostate gland. An elevated PSA level can be a sign of BPH, but it can also be a sign of prostate cancer. Further tests, such as a biopsy, may be needed to rule out cancer.

What is the outlook for BPH?

BPH is a chronic condition, but it can be managed with treatment. Most men with BPH are able to live normal, active lives.

Treatment of BPH in Germany 

BPH Treatment Options: Beyond Medications and Surgery

While medications and traditional surgeries are common treatments for BPH, there are several minimally invasive and non-surgical options available:

Minimally Invasive Procedures:

• Transurethral Microwave Therapy (TUMT): This procedure uses microwave energy to heat and destroy prostate tissue, shrinking the gland and relieving pressure on the urethra. It’s associated with shorter hospital stays and faster recovery than traditional surgery.
• Transurethral Radiofrequency Ablation (TUNA): Similar to TUMT, TUNA uses radiofrequency energy to heat and destroy targeted prostate tissue. This procedure offers precise control and minimal side effects.
• Transurethral Needle Ablation (TNA): This minimally invasive technique uses heat delivered through needles to destroy prostate tissue. It’s suitable for smaller prostates and offers a quick procedure with minimal recovery time.
• Laser Therapy: Various laser technologies can vaporize or shrink prostate tissue, offering precise control and reduced bleeding compared to traditional surgery.
• Prostate Artery Embolization (PAE): This procedure blocks blood flow to the prostate, causing it to shrink over time. It’s a good option for high-risk surgical candidates or those seeking a less invasive approach.

Non-Surgical Options:

• High-Intensity Focused Ultrasound (HIFU): This treatment uses focused ultrasound waves to heat and destroy targeted prostate tissue without incisions. It offers a minimally invasive approach with minimal side effects, but longer treatment times and potential for repeat sessions.
• Water Vapor Therapy

(REZUM): This procedure uses controlled bursts of steam to shrink prostate tissue. It offers faster recovery times than some other minimally invasive options, but may require repeat treatments for long-term results.

• Prosthetic Implants: These devices help prop open the urethra, relieving urinary obstruction. They offer a non-invasive option with minimal side effects but may not be suitable for everyone and require periodic replacements.

Choosing the Right Treatment:

The best treatment option for you depends on several factors, including:

• Severity of symptoms
• Overall health and medical history
• Personal preferences and risk tolerance

Consulting our leading urologist who specializes in BPH treatment is crucial to discuss all available options and determine the best approach for your individual case.

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