Enlarged Prostate

Introduction

An enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a common condition affecting older men, where the prostate gland grows in size and compresses the urethra, leading to urinary symptoms. These symptoms can include difficulty starting urination, frequent need to urinate, weak urinary stream, and an inability to fully empty the bladder. While BPH is not cancerous, it can significantly impact quality of life and may lead to further complications if untreated. There are various treatment options ranging from lifestyle changes and medications to minimally invasive procedures and surgery, each designed to relieve symptoms and restore normal urinary function.

Benefits of Treatment

Treating an enlarged prostate can greatly improve quality of life by reducing or eliminating bothersome urinary symptoms. Successful treatment can prevent potential complications, such as urinary tract infections, bladder stones, or kidney damage due to prolonged retention of urine. Modern treatment options, especially minimally invasive procedures, offer effective symptom relief with quick recovery times and minimal risks.

Ideal Candidate

Ideal candidates for BPH treatment are men experiencing moderate to severe symptoms that interfere with daily life. Men who have tried medications with limited success or who experience side effects may also benefit from advanced procedures. The decision to pursue treatment depends on symptom severity, overall health, and personal preferences.

Consultation and Preparation

The treatment process starts with a consultation with a urologist. During this evaluation, the doctor will review medical history, perform a physical exam, and conduct diagnostic tests such as a digital rectal exam (DRE), urinalysis, or ultrasound to assess the size of the prostate and rule out other conditions. In preparation for the procedure, patients may need to avoid certain medications or foods, depending on the type of treatment recommended.

During the Procedure

Treatments range from non-surgical options, such as medications or minimally invasive techniques like UroLift or transurethral microwave therapy, to surgical options like transurethral resection of the prostate (TURP). In minimally invasive treatments, instruments are inserted through the urethra to either remove or reposition tissue obstructing urine flow. Procedures usually last from 30 minutes to an hour, often under local or general anesthesia.

After the Procedure and Recovery

Post-procedure, patients may experience mild discomfort, urgency, or urinary frequency, which typically subsides within a few days to weeks. Most men can return to normal activities within a few days, although intense physical activities should be avoided for a short time.

Results

Many patients experience substantial relief from symptoms and a significant improvement in quality of life. Results can last for several years, and some may need periodic follow-up treatments depending on the method used.

Conclusion

Treating an enlarged prostate can transform daily life for men affected by bothersome urinary symptoms. With modern treatment options, relief is more accessible and effective than ever.

Q&A:

• Is treatment painful? Most treatments involve minimal discomfort, especially with anesthesia.

• How long does symptom relief last? Symptom relief can last for years, with some treatments providing longer-lasting results than others.