Treating BPH Comparing HoLEP, Rezum, and UroLift
The prostate is a male reproductive gland that produces the fluid that carries sperm during ejaculation. It surrounds the urethra, the tube through which urine passes out of the body. An enlarged prostate means the gland has grown bigger.
Prostate enlargement happens to almost all men as they get older. As the gland grows, it can press on the urethra and cause urination and bladder problems. An enlarged prostate is often called benign prostatic hyperplasia BPH or BPH Medical Encyclopedia prostatic hypertrophy.
It is not cancer, and it does not raise your risk for prostate cancer. The actual cause of prostate enlargement is unknown. It BPH Medical Encyclopedia believed that factors linked to aging and the testicles themselves may play a role in the growth of the gland. Men who have had their testicles removed at a young age for example, as a result of testicular cancer do not develop BPH. Similarly, if the testicles are removed after a man develops BPH, the prostate begins to shrink in size.
After taking a complete medical history, your doctor will perform a digital rectal exam to feel the prostate gland. The following tests may also be performed:. In addition, you may be asked to complete a form to evaluate the severity of your symptoms and their impact on your daily life.
Your score may be compared to past records to determine if the condition is getting worse. The choice of a treatment is based on the severity of your symptoms, the extent to which they affect your BPH Medical Encyclopedia life, and the presence of any other medical conditions. Treatment options include "watchful waiting," lifestyle changes, medication, or surgery.
If you are over 60, you are more likely to have symptoms. But many men with an enlarged prostate have only minor symptoms. Self-care BPH Medical Encyclopedia are often enough to make you feel better.
If you have BPH, you should have a yearly exam to monitor the progression of your symptoms and determine if any changes in treatment are necessary. Many herbs have been tried for treating an enlarged prostate. BPH Medical Encyclopedia palmetto has been used by millions of men to ease BPH symptoms and is often recommended as an BPH Medical Encyclopedia to medication. Some studies have shown that it helps with symptoms, but there is evidence that this popular herb is no better than a dummy pill in relieving the signs and symptoms BPH Medical Encyclopedia BPH.
Further studies are needed. If you use saw palmetto and think it works, ask your doctor if you should still take it.
The choice of a specific surgical procedure is usually based on the severity of your symptoms and the size and shape of your prostate gland. Most men who have prostate surgery BPH Medical Encyclopedia improvement in urine flow rates and symptoms. See prostate removal BPH Medical Encyclopedia a description of complications. Other, less invasive procedures are available. These use different forms of heat to destroy prostate tissue, including:.
None of these techniques have been proven to better than TURP. Patients who receive these less-invasive procedures are more likely to need surgery again after 5 or 10 years. However, these procedures may be a choice for:. Robot-guided prostatectomy is another newer technique.
However, the technology is not widely available, and surgeon experience should be taken into consideration. In addition, there are no long-term studies of this surgery.
Saw palmetto for benign prostatic hyperplasia. Kirby R, Lepor H. Campbell-Walsh Urology. Philadelphia, Pa: Saunders Elsevier; chap The effects BPH Medical Encyclopedia dutasteride, tamsulosin, and combination therapy on lower urinary tract symptoms in men with benign prostatic hyperplasia and prostatic enlargement.
J Urol. Rich KT, Safranek S. PPIN's clinical inquiries. Medical treatment of benign BPH Medical Encyclopedia hyperplasia. Am Fam Physician. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.
Call for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. CopyrightA. Any duplication or distribution of the information contained herein is strictly prohibited. Contents of this page:. Male reproductive anatomy. Prostatectomy - series. TURP - series.