Dr. Amy E. Krambeck, Mayo Clinic Urologic Surgeon, talks about symptoms, treatment and surgical options for Benign Prostatic Hyperplasia (BPH).
Benign prostatic hyperplasia will affect most men if they live long enough approximately 50% of men at the age of 60 and 90% of men at the age of 85 have symptoms of benign prostatic hyperplasia these symptoms usually first manifest themselves as nocturia are getting up at night to urinate the patients can also suffer from urinary frequency during the day so they’re
Urinating quite often a feeling of urgency a feeling that their bladder does not empty completely and in the worst case scenario patients may get to a point where they can’t hear any at all and have to have a catheter placed or perform intermittent catheterization that is the most extreme scenario generally men seek treatment for benign prostatic hyperplasia when
They notice the symptoms early when you see your physician they will talk about multiple forms of treatment the first form of treatment is just conservative treatment watching your symptoms seeing if they get worsen or progress in general patients symptoms will eventually worsen and progress the next step is medical management and there are two types of medications
That are often prescribed one is an alpha blocker which is tam’s tamsulosin or other forms and this medication helps to dilate up the prostate and make it easier to urinate it does not prevent the progression of the disorder but it does improve the symptoms the other medication is a 5 alpha reductase inhibitor and it affects the hormones in the prostate and over
A long-term course such as a year it is thought to actually shrink the gland if medical therapies fail or the patient is not a taller the medication and you can move up to actual surgical intervention for the procedure and there are multiple multiple different therapies available available for bph and there’s three therapies that we offer here at mayo clinic we
Still offer the gold standard transurethral resection of the prostate this is the one of the earliest forms of treatment for benign prostatic hyperplasia and we use a cutting knife to actually core out the center of the prostate and make it easier to urinate this procedure has the benefits of producing a tissue specimen however there is a higher risk of bleeding may
Require hospitalization over one to three days and can be associated with some electrolyte abnormalities therefore we’ve moved on to other newer therapies such as laser ablation of the prostate and homem laser enucleation of the prostate with laser ablation of the prostate it’s performed at an outpatient surgery center a ktp greenlight laser is used to actually
Burn the center of the prostate and open the channel making it easier to urinate for these patients the catheter stays in overnight the catheters remove the next day and in the immediate post-operative studying most patients have some feeling of burning with urination or urgency to urinate these symptoms are temporary but they can last up to three months the
Other therapy that we offers home iam lasering nucleation of the prostate and with the a nucleation procedure or hol up hol ap a home iam laser is used to actually core out the center of the prostate down to the level of the capsule the tissue is then more elated and removed so that can be looked at by a pathologist the patients can either be done as an outpatient
Procedure or discharged the next day and their catheter is removed before they are sent home most patients will have blood in the urine but the risk of severe bleeding requiring a blood transfusion are less than 1% the blood in the urine should stop at about two weeks most patients have transient leakage of urine that’s related to the procedure and it may resolve
Within 24 hours or it may take up to three months to resolve studies on this surgeries show that patients followed up to ten years do not require a repeat procedure and that it is highly effective at removing the blockage there’s multiple vitamins and over-the-counter supplements that are available for men’s health or prostate health and none of those supplements
To date have shown an actual proven benefit in randomized studies i think just overall general health well help prevent long-term complications and problems and the best thing that someone can do is when they start to notice symptoms don’t ignore them seek medical help early
Transcribed from video
Benign Prostatic Hyperplasia – Mayo Clinic By Mayo Clinic
