Benign Prostatic Hyperplasia (BPH)
What Is Benign Prostatic Hyperplasia (BPH)?
Benign prostatic hyperplasia or BPH as it is commonly abbreviated is the noncancerous enlargement of the prostate gland and is an occurrence most common in older men aged 40 to 70. The gland is a vital component of the male reproductive system, secreting a fluid into the urethra during ejaculation. It is located immediately below the neck of the urinary bladder, surrounding the urethra.
When the prostate starts to grow in size, the gland will begin to press against and squeeze the urethra. The wall of the bladder will gradually become thicker because of the increased pressure. Inevitably, the bladder will significantly weaken and lose the capacity to completely empty urine from the bladder. The narrowing of the urethra in addition to the inability to completely empty the bladder will attribute to many of the issues connected with benign prostatic hyperplasia.
Symptoms Of Benign Prostatic Hyperplasia (BPH)
Despite past and ongoing research the exact cause for BPH is not fully understood. For the majority of men who have BPH many will not exhibit any discernible signs or symptoms of the condition. Although when symptoms do begin to occur they can range from mild to severe and the severity of the symptoms aren’t necessarily associated with the amount of prostate growth. For example, a patient with a significant amount of prostate enlargement may only have mild symptoms while another patient with minimal prostate growth will have a greater severity in their symptoms.
Regardless of past and continuous examination, the precise reason for BPH is not completely understood. For most men who have BPH, a vast majority of them won’t display any perceptible signs or side effects of the condition. When indications or symptoms do occur, they can run from minor to extreme and the seriousness of the manifestations aren’t always indicative of prostate cancer growth development. For instance, a patient with a great amount of prostate enlargement may just have minor symptoms while another patient with “minor” prostate growth can have a more prominent seriousness in their symptoms.
BPH Symptoms may include:
• Weak urinary stream
• Difficulty starting urination
• Frequently needing to urinate
• Inability to empty bladder completely
• Leaking or dribbling of urine
• Repeated urinary tract infections
Diagnosing Benign Prostatic Hyperplasia (BPH)
Your doctor will begin by asking you a series of detailed questions in relation to your symptoms, evaluate your complete medical history and perform a full physical examination. Some of the diagnostic procedures used to diagnose BPH might include:
Digital Rectal Exam (DRE):
The Digital Rectal Exam (DRE) Is a procedure in which a doctor will insert a lubricated gloved finger into the rectum of the patient in an effort to examine the prostate gland for prostate enlargement, abnormalities, and any signs of cancer.
Urinary Flow Test:
The Urinary Flow test is a procedure in which your doctor will have you urinate into a repository attached to a device. The device is designed to measure the strength and volume of your urine flow. The results from this test help your doctor to determine the severity of your condition and how best to address your condition.
A Cystoscope is an optic instrument with a lighted tip . The process of inserted this instrument through the urethra to thoroughly examine the bladder and urinary tract is called a Cystoscopy. Your doctor will be looking specifically for any obstructions or abnormalities that will help to determine the severity of your condition.
Treatment Options For Benign Prostatic Hyperplasia (BPH)
For the majority of men with BPH, the prostate will continue growing until it becomes necessary for medical intervention. With the help of a urologist, each man will develop a individualized treatment plan with which they are both comfortable. Below are the currently available treatment options.
Watch and Wait
For relatively mild symptoms with no significant effect on a man’s quality of life, or men with medication sensitivities, or when surgery presents undue hazard, this can be an a great option. With general subsequent meet-ups, the doctor screens the advancement of the infection and the man’s symptoms. This is regularly utilized as a temporary option due to the fact that the prostate will continue to grow until a more advanced treatment regimen will be necessary.
Advanced treatment may get to be prudent in spite of the level of the man’s uneasiness due to the potential for hurting the urogenital territory. After some time, the wall of the bladder may thicken and the muscles may be weakened to the point that it can not totally discharge itself. This can lead to urinary tract infections, This retention of urine, bladder stones, damage to the urinary and reproductive organs, and, if these conditions persist, urine may back up to the kidney, eventually causing kidney stones and possibly renal disease.
This treatment option requires a man to take medication for the remainder of his life. The benefit of this option is that these medications are very effective. The downside is their side-effects, some of which are sexual functioning issues, making this option unacceptable to some men.
Medications are separated into three groups: those which relax the muscles of the prostate and lower bladder allowing the urethra to open; those which retard and/or shrink the growth of the prostate; and those which increase bladder capacity.
Some common names for these drugs are: Avodart, Proscar, Cardura and Flomax.
Surgical options are labeled invasive or minimally invasive depending on whether or not tissue is cut. The procedures discussed below are the most invasive, but also the most efficient and effective of all treatment options.
Historically, BPH was surgically treated by an operation called an Open Prostatectomy which is a major abdominal surgery. Performed in a hospital under general anesthesia, the surgeon opens the patient’s abdomen and either removes the gland or cuts off the overgrowth. The patient leaves the operating room with two catheters which stay in for up to a week. This procedure requires a long-term rehabilitation period. Today, a prostatectomy is performed when the patient’s prostate has grown too large, there are bladder stones, or when the bladder needs to be repaired at the same time.
Less invasive than Open Prostatectomy is the more commonly performed TURP (Transurethral Resection of the Prostate). Button TURP and Green Light Laser are the most commonly used less invasive treatment options for BPH. Bipolar cautery vaporization, or button TURP, is a newer, less invasive variation of what has traditionally been the mainstay for treating BPH known simply as TURP. This procedure is done in a hospital or out-patient setting using general anesthesia, or an epidural or spinal anesthesia with sedatives. Using a resectoscope, the surgeon enters the urethra through the penis and cuts away pieces of the overgrown gland using electricity. At the end of the procedure, a urinary catheter is put in the patient and is removed either in recovery or the next day. This procedure takes about 90 minutes and the patient may be discharged on the day of or day after. The initial recovery period allows for a return to daily activities in about a month. The benefit of this procedure is its safety and effectiveness in opening the urinary route.
Button TURP is considered to be the optimum treatment for BPH today. To learn more about Button TURP & speak to Dr. David Samadi in detail please click here or on the contact us button below & submit your information.