Benign prostatic hyperplasia (BPH)

More than half of men over age 60 have an enlarged prostate. The possibility of growth of this gland increases over the years. Generally, this growth is not malignant and is called benign prostatic hyperplasia.

When the growth of the prostate gland interferes with the urinary flow, some symptoms may appear:

  • Weak urine stream
  • Feeling of incomplete evacuated bladder
  • Difficulty initiating urination
  • Frequent urination
  • Urgency or difficulty in holding urine
  • Waking up frequently at night to urinate
  • Intermittent urine stream

Surgical treatment:

Of all treatment options, prostate surgery offers the best chances of improving symptoms. However, surgery also has the highest rates of significant complications.

The most frequent surgical procedure to alleviate the symptoms of benign prostatic hyperplasia is transurethral resection of the prostate (RTP), in which the obstructive part of the prostate is removed. For this intervention it is not necessary to cut the skin since it is done through the urethra. Recently the Laser is used as a therapeutic option, which is safe, but it is not yet known if it is as effective in the long term as traditional surgery. It needs just like the RTP the introduction of an endoscope through the urethra.

In other cases open surgery is indicated, especially when the prostate is very large or there is some specific indication to choose that pathway. In this case it is necessary to make an incision in the lower abdomen.

Although surgery reduces the symptoms in most patients, it may not completely eliminate the discomfort. For example, a weak bladder may continue with urinary symptoms, despite the elimination of urinary obstruction.

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