Benign prostatic hyperplasia
what is Benign prostatic hyperplasia ?
Benign Prostatic Hyperplasia (BPH) is a common condition in older men where the prostate gland enlarges and presses against the urethra, causing urinary symptoms. This non-cancerous condition results in urinary difficulties, such as frequent urination, weak urine stream, and difficulty starting and stopping urination.
Risk factors for BPH include age (most common in men over 50), family history, and lifestyle factors such as diet and obesity. The exact cause of BPH is not known, but hormonal changes and cell growth are believed to play a role.
Diagnosis of BPH typically involves a physical exam, urinalysis, and medical history review. In some cases, further testing such as ultrasound or biopsy may be necessary.
Treatment options for BPH vary based on the severity of symptoms and may include medications to relax the prostate and improve urinary flow, minimally invasive procedures to remove excess prostate tissue, or surgery to remove the entire prostate.
Medications commonly used to treat BPH include alpha-blockers and 5-alpha-reductase inhibitors. Alpha-blockers work by relaxing the muscles in the prostate and bladder neck, improving urinary flow. 5-alpha-reductase inhibitors slow the growth of prostate cells and can shrink the size of the prostate.
Minimally invasive procedures for BPH include transurethral microwave therapy (TUMT) and transurethral needle ablation (TUNA). These procedures use heat or energy to destroy excess prostate tissue, improving urinary symptoms.
In severe cases of BPH, surgery to remove the entire prostate (prostatectomy) may be necessary. This can be performed as open surgery or laparoscopic surgery, and can provide significant improvement in urinary symptoms.
It's important to address symptoms of BPH as they can lead to serious complications such as urinary tract infections, bladder stones, and kidney damage. Regular check-ups and proper management of BPH can help improve quality of life for those affected by the condition.
In conclusion, BPH is a common condition in older men that causes urinary symptoms as a result of an enlarged prostate pressing against the urethra. Treatment options vary based on severity and may include medication, minimally invasive procedures, or surgery. It is important to address symptoms to prevent complications and maintain quality of life.