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All about benign prostatic hyperplasia (BPH) causes of benign prostatic hyperplasia benign prostatic hyperplasia symptoms diagnosis of benign prostate hyperplasia benign prostatic hyperplasia risk factors treatment of benign prostate hyperplasia lifestyle for benign prostate hyperplasia benign prostatic hyperplasia medications BPH alternative medicines BPH surgery BPH gentle surgical treatments when to treat benign prostatic hyperplasia BPH surgery and medication

What kind of surgery is available for benign prostatic hyperplasia (BPH) treatment?

An operation on the prostate will involve the removal of parts of the enlarged tissue. Invasive Procedures. The most effective surgical procedures, transurethral resection of the prostate (TURP) and open prostatectomy, are also the most invasive. They carry the highest risks for significant complications, including impotence and incontinence. Greater experience with TURP, however, has reduced complications and hospital stays. Because it is more effective than less invasive procedures, it remains the procedure of choice for many physicians. When considering invasive surgery, the patient should be sure his surgeon performs at least 50 of these procedures each year. The complication rates of the surgeon should be no higher than 1% for incontinence and 4% for impotence.

Less Invasive Procedures. Transurethral incision of the prostate (TUIP), transurethral needle ablation (TUNA), and thermotherapy procedures, such as transurethral microwave thermotherapy (TUMT) and transurethral electrovaporization (TUEVP), are less invasive.

The most common operation is an endoscopic surgical procedure where parts of the enlarged tissue are peeled off. This is called transurethral resection of the prostate (TURP). If the prostate is only slightly enlarged, it may be enough to make a little cut in the prostate, without removing tissue, to reduce the constriction of the urethra. This is called transurethral incision (TUI). If the prostate is considerably enlarged, it may be necessary to make an incision in the lower abdomen and to carry out an open operation. But this procedure is rarely carried out. Surgery carries more risk than medical treatment and there are possible complications including retrograde ejaculation. In retrograde ejaculation, the sperm enters the bladder during ejaculation instead of being expelled through the penis. Later it is flushed out with urine. Studies estimate that 74 per cent of men will experience retrograde ejaculation after transurethral resection of the prostate (TURP).

Surgery has also been linked with side effects of erectile dysfunction (in 14 per cent of men after TURP) and urinary incontinence (5 per cent). But studies are inconclusive as to whether the same rates of these problems would have occurred anyway in men not undergoing surgery.

The benefits of surgery are long lasting, but because only part of the prostate is removed, some men may eventually need another operation.

More information on benign prostatic hyperplasia (BPH)

What is benign prostatic hyperplasia (BPH)? - Benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy, is a noncancerous enlargement of the prostate gland that occurs in almost all men as they age.
What causes benign prostatic hyperplasia (BPH)?
- Benign prostatic hyperplasia (BPH) is probably a normal part of the aging process in men, caused by changes in hormone balance and cell-growth factors.
What are the symptoms of benign prostatic hyperplasia? - Initial symptoms of BPH include difficulty starting to urinate and a feeling of incomplete urination. Urinary tract infections cause burning or pain during urination, and possibly fever.
How does the doctor diagnose benign prostate hyperplasia? - Patients will be asked about their symptoms and may also be asked to fill out a symptom questionnaire to let the doctor know the nature of the symptoms and how troublesome they are.
Who is associated with benign prostatic hyperplasia? - Age is the major risk factor. A family history of BPH appears to increase a man's chance of developing the condition. Diabetes, in any case, worsens urinary tract symptoms in men with BPH.
How is benign prostate hyperplasia treated? - Treatment for benign prostatic hyperplasia (BPH) focuses on reducing your symptoms. Treatment is based on how severe your symptoms are, how much they bother you, and whether complications are present.
What're lifestyle measures for managing benign prostate hyperplasia? - Certain lifestyle changes can help relieve symptoms and are particularly important for men who choose to avoid surgery or drug therapy. Men with BPH should avoid, if possible, the many medications for colds and allergy that contain decongestants, such as pseudoephedrine (Sudafed).
What kinds of medicines are used for benign prostatic hyperplasia (BPH) treatment? - Alpha-blockers relax smooth muscles, especially in the urinary tract and prostate. They include terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), and alfuzosin (Xatral). 5-alpha-reductate inhibitors are a group of anti-androgens. In other words, they block male hormones, particularly dihydrotestosterone.
What are alternative medicines for benign prostatic hyperplasia (BPH) treatment? - Some herbal medicines may be helpful, but no one should take any herbal medication or attempt to treat BPH without first consulting a physician.
What kind of surgery is available for benign prostatic hyperplasia (BPH) treatment? - An operation on the prostate will involve the removal of parts of the enlarged tissue. The most effective surgical procedures, transurethral resection of the prostate (TURP) and open prostatectomy, are also the most invasive.
Are there other more gentle surgical treatments for benign prostatic hyperplasia (BPH)? - Microwave thermotherapy reduces the size of the prostate by causing cells in the centre of the prostate to die. Another endoscopic treatment, in which part of the prostate tissue is removed with laser energy.
How to choose between treatment and watchful waiting for benign prostatic hyperplasia (BPH)? - The choice between watchful waiting and treatment usually depends on a number of factors, such as urine flow rates, prostate size, and PSA levels.
How to decide between surgery and medication for benign prostatic hyperplasia (BPH)? - If a man opts for treatment, there are a number of choices. Medications are the best choice for patients with mild symptoms who decide to have their condition treated. Men with moderate to severe symptoms still have good choices among drugs and surgeries.
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