Benign Prostatic Hyperplasia (BPH)

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About a disease

Description

Benign prostate hyperplasia affects the majority of men.

Benign prostate hyperplasia usually develops after 40 years. According to statistics, the morbidity rate among men aged 40-50 is 20 %; among men aged 50-80 – 50 % and among men older than 80 – 90 %. The disease deprives men of their sexual attraction and also seriously affects urination.

The tumor is benign and does not affect neighbouring organs and systems. Tissue growth causes significant urination difficulties. Therefore, patients complain of pain and discomfort.

BPH can be detected when a man suffers the following symptoms, which are typical of the disease:

– Increased pressure to urinate;

– The need for tension in the abdominal muscles for urination;

– The presence of pains, burning, sluggish urine;

– Discomfort and insufficient emptying of the bladder;

– Increased duration of the urination process.

Diagnosis

– The following laboratory and instrumental methods are used to diagnose prostate adenoma:

– General blood and urine tests;

– Biochemical tests of blood for kidney markers, urea and creatinine;

– PSA level analysis (to exclude prostate cancer);

– Transrectal ultrasound (ultrasonic);

– Urofluometry (to determine the rate of urine current);

– Measurements of residual urine (by ultrasound);

– Pelvic floor electromiography

– Urethroscopia

– Excretory urography

Treatment

Surgery provides the best treatment effect. The decision to perform surgery can be made at any stage of the disease.The “golden standard” of surgical treatment is transurethral resection (TURP) – excision of the benign prostate hyperplasia via urinary tract. Alternative of this operation is TUEB.

Laparoscopic adenomectomy (MIA) is performed via the abdominal wall. This method is used to remove large tumors. The endoscopic instrument is triggered by several puncture wounds in the lower abdomen. Adenoma is cut off, shredded and evacuated by a special container.

Laser enucleation by a golmium, tullium laser (HoLEP/ThuLEP) is in many cases an effective method of treating benign prostate hyperplasia. The removal of prostate adenoma by laser is performed without external cuts using endoscopic techniques through the urinary canal. During surgery there is almost no blood loss, it is possible to remove adenomatous tissue of any size, a short rehabilitation period is required, and there are no post-operative sutures.

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