What is bph benign prostate enlargement?

Benign Prostatic Hyperplasia (BPH, Benign prostatic enlargement); It is a benign enlargement of the chestnut-shaped prostate gland with an average weight of 25 g, located between the bladder and the urethra in men. Age, hormones, growth factors, genetic and familial factors are responsible for this growth. It has been found that the incidence increases with age.

Symptoms are seen due to storage and discharge dysfunctions. Symptoms of storage dysfunction are frequent urination, urination at night, sudden urination, and urinary incontinence. Symptoms of voiding dysfunction are difficulty urinating, forked urination, intermittent urination by waiting, decrease in urine pressure, thinning of urine calibration and feeling of remaining urine in the bladder.
Detailed history and rectal examination (finger prostate examination) have an important place in the diagnosis of the disease. As laboratory tests, complete urinalysis, PSA, creatinine should be checked. A definitive diagnosis can be made by imaging the urinary system with ultrasonography and measuring the urine pressure with uroflowmetry.

Once diagnosed, treatment depends on the severity of symptoms and the size of the prostate. Only abundant fluid intake, dietary habits and lifestyle changes may be sufficient for the patient with mild complaints. The primary treatment in patients with moderate to severe complaints is medical treatment. Alpha-blockers and 5-alpha-reductase inhibitors can be used individually or in combination. Which drug treatments to use should be decided according to the patient’s comorbidities, the effects and side effects of the drugs. Surgical treatment should be applied in patients who do not respond to medical treatment, have a catheter inserted several times due to inability to urinate, have stones in the bladder, have active bleeding, and have dysfunction due to obstruction in the kidneys. Today, surgical treatment is mainly performed by endoscopic methods. TUR-P (Transurethral Resection of the Prostate) is most commonly performed. Palsmakinetic TUR-P, Holmium: YAG Laser Enucleation, KTP Laser (GreenLight) are techniques applied with different energy types of the same surgery. Open surgery can be preferred in patients with prostate size over 150 grams. The selection of these techniques, which have similar success rates and side effects, should be done together with the patient. Post-surgery patients will have dietary and behavioral restrictions for approximately 45 days.

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