Prostate Enlargement

 

LasertherapieThe benign prostate hyperplasia (BPH) or benign prostate enlargement (BPE), is a disease common in older men. Approximately 85% of all males over the age of 60 are affected by BPH. The decision about the necessity and the type of the treatment performed depends on the symptoms of the patient, and an evidenced bladder dysfunction.

Symptoms 

The symptoms of BPH can be characterized as obstructive symptoms (miction symptoms). Symptoms of BPH vary, but the most common ones involve changes or problems with urination, such as frequent urination and a sudden, uncontrollable urge to urinate. 

According to the latest findings, frequent urinating or urinating during sleep, and an uncontrollable urge to urinate, interfere more severely with a patient’s quality of life than the so-called obstructive symptoms, e.g., urethra stream volume, occasional dribbling after urination, or difficulty to start a urine stream. 

Therapies

Generally, there are two treatment options. Firstly, the treatment with medication (pharmacotherapy) and secondly, surgery.

Pharmacotherapy

 
Treating BPH in its early stage, biomedical treatment - therapy with plant extracts - has a long tradition, and is especially popular in Germany. Plant extracts that have shown promise in the treatment of BPH are serenoa repens (saw palmetto), pumpkin seeds, stinging nettles (urtica dioica) trembling poplar, echinacea extract, and rye pollen (secale cereale). If sufficient results cannot be achieved with biomedical treatment, chemically produced drugs, so-called alpha blockers will be applied. They help to relax muscle fibers within the prostate thereby reducing the obstruction to the flow. They do not reduce the size of the prostate. 
 

Surgical treatment

In cases were the above described biomedical measures are not resulting in the desired success, generally an endoscope or surgical procedure is necessary for the relief of urethral flow obstruction. Aside from the today only rarely required open prostatectomy,  transurethral resection of the prostate (TURP), the recent TURiS-Resection and vaporization in which obstructing tissue is removed one piece at a time from the inside of the prostate gland, and the Laser prostatectomy that uses beams of light to destroy prostate tissue, which has the advantage that there is less bleeding. The West German Prostate Center offers as one of the few centers in Germany the Greenlight laser transurethral resection as well as the highly modern diode laser procedure. The latter method is especially suited for the patient with a large prostate.  


Important is the early detection and the prevention of malignant changes in the prostate that is only possible through the patients having regular preventive screenings.