Treatment Benign prostatic hyperplasia (bph) abroad

Benign prostatic hyperplasia is the inflammatory growth of men`s prostate. Benign prostatic hyperplasia develops when the epithelial cells form large nodules in the area of the pancreas. The etiology of this disease still remains unknown, however there are some facts proving that benign prostatic hyperplasia usually originates during the embryonic development or adolescence. It is a very widespread prostate disease, which men can develop after 55 years of age.

Benign prostatic hyperplasia symptoms

Enlarged prostate usually causes problems with urination.It happens because the nerve endings of the prostate become affected and they cause a plentitude of unpleasant sensations. Benign prostatic hyperplasia symptoms are as follows:

  1. frequent urination
  2. urinary force becomes decreased over the time
  3. urination becomes strained and man feels the urge to push, so that he can empty the bladder.
  4. pain in the kidneys
  5. urge to urinate becomes very critical, but at the same time the person can not normally use the toilet and it may take hours or even days to feel the complete relief
  6. burning of the prostate
  7. soreness

Hyperplasia causes

Men over 40 years old are in the main risk group. Bad diet habits and lack of exercise also increase the risk of hyperplasia by several times. If men suffer from heart disease, they may potentially develop prostate disease. Especially it may happen to those who have a long-term family history of prostate illnesses. Other diseases that can trigger benign prostatic hyperplasia are:

  1. diabetes
  2. weight problems
  3. increased blood pressure
  4. peripheral artery disease

Also men can have premature ejaculation. A healthy male ejaculation begins after 1,5-2 minutes of sexual intercourse while for patients with prostatic hyperplasia it may end much earlier. Men population with benign prostatic hyperplasia can also experience erectile dysfunction, which means that men stop getting pleasure from the sexual intercourse. It happens because of big decrease in male hormones and because of the deteriorating inflammatory process of prostate. Erectile dysfunction may result in great dissatisfaction and depression, that`s why many patients are recommended to visit a psychologist.

It is very complicated to completely cure the benign prostatic hyperplasia, but it’s possible to alleviate the painful sensations and to prevent further recurrence.

Diagnosis of prostate adenoma

To detect benign prostatic hyperplasia doctors usually conduct physical examination and complex testing to determine the exact cause of the hyperplasia. More accurate exam of the prostate`s condition may be undertaken at urologist`s, who will order further treatment. The main task of urologist is to determine whether the patient has prostate cancer or cancer of the blabber or whether he has only benign prostatic hyperplasia. Diagnosis is usually difficult to perform, because symptoms of malignant tumor and benign hyperplasia of the prostate are usually very similar.

During the medical examination urologist performs a rectal palpation, when the doctor inserts a finger in a glove into the rectum and determines size of the prostate. He can also detect the presence of nodules during such procedure. Rectal palpation is absolutely painless and it is performed very quickly.

To determine if there is any neurological dysfunction of the bladder, doctor also examines the bladder and kidney to detect any painful sensations which would prove that nerve endings around these two organs are damaged.

Analysis of urine helps to determine presence of inflammatory process in the body. Such analysis must be especially carried out if the patient has difficulty urinating.

During the cystoscopy a doctor inserts urethra into the bladder to take samples and to examine them later. Local or general anesthesia can be performed during such procedure.

Benign prostatic hyperplasia treatment

There are several effective options for benign prostatic hyperplasia treatment. They include massage therapy of the prostate. Massage therapy of the prostate may be performed only by professional who specializes in this particular disease, since masseuse without an experience may bring additional pain to the prostate and increase the inflammatory process. The massage therapy of the prostate can bring positive results after one or two sessions. First of all, it can partially restore the urination flow and, secondly, it can improve overall health.

Benign prostatic hyperplasia medications

Main purpose of medications for treatment of benign prostatic hyperplasia is to increase urine flow  and alleviate painful symptoms. This method is most appropriate for those who have mild benign prostatic hyperplasia symptoms. Usually doctors use special alpha blockers and anti-androgens or their combination in order to make the pain subside and to reduce the inflammatory process of the prostate. These drugs can also help men urinate with less frequency and to make the whole process less difficult. Flow of urine becomes strong again and it does not end until the patient feels complete void of the bladder.

Benign prostatic hyperplasia surgery

If men have severe symptoms of prostatic hyperplasia and drugs do not help, they need to have surgical treatment. In modern medicine it became common to use the laser for this type of surgical intervention. Laser removes whole or part of the prostate tissue while preserving the its vital functions.

Surgery is necessary if there are following prostate problems:

  1. blood in the urine
  2. kidney and bladder stones, which can not be dissolved by usual medications
  3. urinary infection affected the whole body system to the point when the patient feels nauseated all time and has symptoms similar to food poisoning
  4. Surgery gives positive results, but prostatic hyperplasia may develop again later, that`s why it`s vital to lead a healthy lifestyle in future

Recommendations for patients who underwent benign prostatic hyperplasia surgery:

  1. drink at least one liter of water daily
  2. caffeine and strong alcohol should be minimized or zero
  3. water must not be drunk right after the meals
  4. urination must not be very frequent, no more than once every three hours
  5. if  person is overweight, he must lose excessive kg
  6. exercise and therapy to strengthen and support pelvic muscles. During the urination a men should try to stop the flow, hold it for 20 or more seconds and then relax. Such exercise needs to be done every time men urinates.
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Booking Health offers the following options of treatment for this diagnosis.
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Transurethral needle ablation of the prostate
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Open prostatectomy
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Transurethral microwave therapy (tumt) 
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Transurethral resection of the prostate (turp)
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Greenlight Laser treatment of the prostate (turp)
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