Benign prostatic hyperplasia is a growth disorder of the prostate gland that can cause urinary difficulties. In adults, BPH can manifest itself through bothersome symptoms that affect quality of life. These may include the need to urinate frequently, a weakened urine stream, feeling a sudden urge to urinate, or even the inability to hold urine back, which can lead to involuntary leakage. If not treated in time, BPH can lead to complications such as urinary tract infections, problems with bladder function or even affect the health of the kidneys.
Many factors cause a man to develop problems urinating. Among other causes, such as genetics or age, poor arterial health affects bladder and prostate function. Tobacco, a diet rich in fat and red meat, a sedentary lifestyle or poor blood pressure control accelerate the onset of urination problems.
• Conservative treatment: it is essential to make lifestyle changes, such as adjusting fluid intake, avoiding diuretic substances such as alcohol or infusions.
• Pharmacological treatment: there are various drug options that can improve the functioning of the bladder and prostate. It is important to understand the differences between them and know their possible side effects.
• Surgical treatment: Surgery is an option when symptoms are severe or do not improve with other treatments. Today, most surgeries for BPH are performed minimally invasively through the urethra.
Two of the most common techniques for treating BPH are water vapor thermal therapy, known as Rez?m, and endoscopic prostatic laser enucleation. These options have unique advantages and considerations:
• Rez?m: This procedure involves injecting water vapor into the prostate to reduce its size. It is performed on an outpatient basis, is minimally invasive and has little bleeding. An important aspect is that it does not affect the ejaculatory function.
• Laser enucleation: This procedure involves removing the inner part of the prostate that is blocking the flow of urine. It offers a significant and lasting improvement in symptoms. It usually requires hospitalization and affects ejaculatory function. It is technically complex to do.
These are just a few of the many treatment options for BPH. Therefore, it is essential that a urologist specialized in BPH, with extensive knowledge of all available treatment options, directs the treatment and can adapt it to the individual needs and preferences of each patient.
