Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH) is a condition in which the prostate gland around the urinary tract enlarges and blocks the outlet of the bladder (bladder) and prevents urine flow.
BPH, which is a common condition, is associated with the hormonal changes that occur in men with aging. BPH can affect the urination pattern and pattern, can cause lower urinary tract problems besides having a negative effect on quality of life. Benign prostate hyperplasia causes problems with urination in about half of men in their 50s and 60s and in about 90% of patients in the older age group. In the case of benign prostate hyperplasia, where early diagnosis and treatment are important, kidney failure, bladder stones, recurrent urinary tract infections, and even bladder cancer due to chronic irritation may occur.
What are the Symptoms of BPH?
BPH can cause pressure on the urinary tract at the bladder outlet and the urine output from the bladder becomes difficult. BPH manifests with a variety of symptoms:
Symptoms during urination:
• Frequent urination
• Waking up to urinate at night
• Sudden need to urinate
• Involuntary incontinence
• Poor flow of urine
• Forked and diffuse urine flow
• Intermittent urination
• Winding down to urinate
• Waiting before starting to urinate
• Too long to urinate
Symptoms after urination:
• The feeling that the bladder (bladder) is not fully emptied
• Involuntary incontinence in underwear afterwards.
How Is BPH Diagnosed?
A detailed and careful medical history of the patient has an important role in the diagnosis of BPH. For this, scoring systems are used to determine the severity of symptoms and their negative impact on the quality of life of the patient. Finger examination of the prostate from the anus is also important in the diagnosis of BPH.
Other tests that may be required according to the patient’s condition are:
• Prostate specific antigen (PSA) test: It is a blood test for the possibility of prostate cancer.
• Urine flow test: Shows the urine flow rate and urination pattern.
• Measurement of remaining urine after voiding: Shows how effectively urine discharge can be achieved.
• Ultrasonography: It provides imaging of the kidney, bladder (urine bag) and prostate.
• Cystoscopy: It is the direct visual examination of the external urinary canal and bladder (urine bag) using an instrument.
Treatment to be applied in benign prostate enlargement is determined by the doctor according to the patient’s condition. Depending on the severity of the patient’s complaints, close follow-up, medication therapy, focal treatments or surgical methods may be preferred for treatment.
NOTE: The content of the page is for informational purposes only, consult your doctor for diagnosis and treatment.