Benign Enlargement

Benign prostate hyperplasia (BPH) is a disease of the man in old age. About 85% of men over the age of 60 are affected by BPH. The question of the necessity and type of treatment depends on the subjective symptoms of the patient as well as on the objectifiable disorders of urination.

Symptoms

The symptoms of BPH can be subdivided into obstructive symptoms (micturition symptoms) such as weakening of the urinary tract, prolonged urination, delay in taking off, drowning, residual urination and urinary retention as well as irritant symptoms such as frequent urge to urinate, nocturnal urination, constant urge to urinate and urge incontinence. Frequent or nocturnal urination and constant urge to urinate are, according to current investigations, a considerably higher impairment of the quality of life for those affected than the so-called obstructive symptoms such as a decrease in the urinary tract caliber, occasional dripping or delayed start of urinary emptying.

Therapy

In principle, medical and surgical treatments are used.

The drug treatment

In the early stages of BPH therapy with herbal extracts has a long tradition and is established in Germany in particular. Herbal preparations made from sabal fruit extract (saw palms), pumpkin seeds, nettle roots, tremor papules, red coneflower and rye pollen have proven their worth. If no results can be achieved with herbal preparations, chemically produced drugs are used which on the one hand relax the muscle cells in the prostate and on the other hand can cause swelling of the prostate.

The surgical treatment

If these measures do not lead to the hoped-for success, surgical intervention is usually required to eliminate the urinary flow disorder. The standard procedure for surgical treatment is often still the classic excision of the prostate(transurethral prostate resection/TURP). In this procedure, the glandular portion of the prostate around the urethra is hollowed out with an electric snare. Despite the constant improvement of the technique, serious complications can still occur, such as relevant blood loss or a life-threatening washing of current-conducting irrigation fluid foreign to the body into the bloodstream (so-called TUR syndrome). 

State-of-the-art laser procedures: Gentle and with little bleeding 
By contrast, state-of-the-art laser procedures and TURiS resection and vaporization are much gentler. Bleeding is reduced by the simultaneous tissue-removing and hemostatic effect of the procedures, and the healing time is significantly shortened. Men with a large prostate and men who are exposed to an increased risk of bleeding due to taking anticoagulant medication benefit most from this. 

The WPZ is one of the few centers in Germany to offer both TURiS resection and vaporization as well as state-of-the-art laser procedures, including Greenlight Laser Therapy, Diode Laser Procedure and Holmium Laser Enucleation (HoLEP). HoLEP is currently one of the most modern and least bleeding procedures for the treatment of benign prostate enlargement. So far, it is only used at a few clinics in Germany. The WPZ is equipped with a latest generation holmium laser, the MultiPulse HoPLUS from JenaSurgical.

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It is important to detect and distinguish malignant changes in the prostate at an early stage, which can only be detected by regular prevention.