What is Benign Prostatic Hyperplasia?
Benign Prostate Hyperplasia (BPH) also known as an enlarged prostate is a non-cancerous condition that is commonly seen in men as they grow older.
The urinary tube (urethra) runs from the bladder to the tip of the penis and during its course goes through the prostate just below the bladder.
The prostate is a small organ (usually the size of a walnut) located below the bladder in men and its main function is to provide nutritious fluid that forms a part of the semen. As men grow older the prostate often resumes growth for reasons not yet fully understood and in some men this can result in irritative and obstructive urinary symptoms due to compression of the urinary tube thereby restricting the flow of urine.
The symptoms initially may be minimal but overtime may worsen and significantly affect daily activities. If untreated it may culminate in urinary retention where the man develops severe lower abdominal pain and is unable to urinate.
How common is Benign Prostatic Hyperplasia (BPH)?
Benign Prostatic Hyperplasia is very common.
Half of all men over 50 years old and 90% of men over 80 years old have an enlarged prostate.
How is Benign Prostatic Hyperplasia diagnosed?
The diagnosis is often made by a doctor who conducts a history and physical examination, lab testing and imaging.
Some of the common symptoms include:
- Urinary Frequency during the daytime or at night
- Urgency – the need to urinate immediately and in inability to delay urination
- Hesitancy – flow doesn’t start immediately
- Intermittency – flow is not a steady stream but instead starts and stops
- Flow of urine is slow
- Blood in the urine
- Incomplete emptying:- A Feeling the bladder isn’t empty
- Dribbling after urination
These symptoms may range from just annoying to utterly embarrassing where men plan their day around access to a bathroom at all times. It may become necessary to see a urologist who is a medical doctor specializing in the diagnosis and treatment of diseases affecting the urinary and genital tract.
What are the risks of not treating Benign Prostatic Hyperplasia?
In most men the major consequence of not treating is worsening urinary symptoms.
In some men worsening symptoms may develop recurrent urinary tract infections, bladder stones or a diverticulum (outpouching) of the bladder and may ultimately culminate in acute urinary retention (a painful inability to urinate) or chronic urinary retention (where the bladder fails to empty properly and is unable to empty a large volume of its content). These conditions put the kidneys at risk for damage and if untreated for a long time may lead to end stage renal disease.
What are the options for treatment of Benign Prostatic Hyperplasia?
There are various treatment options for Benign Prostatic Hyperplasia (BPH) and treatment choice is often based on several factors and must be individualized to the patient.
Generally speaking the first line for initial treatment is often medical (with oral medication) in men not suitable for watchful waiting.
If this fails (the disease continues to worsen) or the patient does not want to take medication daily for the rest of their life then intervention is considered.
Options for intervention range from no incision (endoscopic surgery) to open surgical options
· Monopolar or Bipolar Transurethral resection of the Prostate (TURP)
· Laser prostatectomy (HoLEP or Holmium Enucleation of the Prostate)
· Open Simple Prostatectomy
Are these Benign Prostatic Hyperplasia treatments available locally here in Lagos, Nigeria?
Transurethral resection of the prostate (TURP) a “no incision” treatment option and a range of other treatment options are offered right here in Lagos, Nigeria.
Finding a Benign Prostatic Hyperplasia (BPH) Urologist in Lagos.
Identifying a surgeon to perform any procedure is the most critical decision one can make in treating urological diseases not treatable by medication.
A consultation with the urologist would include a complete assessment of the patient’s disease and individualization of treatment options. Risks and benefits of each approach would be assessed in full detail.Book an appointment today for an assessment by calling 07016641029 or by filling the request form here.