What is a Prostate Gland?
The Prostate is a walnut-sized gland that forms part of the made reproductive system. The Gland is made of two lobes. or regions enclosed by an outer layer of tissue. The prostate is located in front of the rectum and just below the bladder, where urine is stored. The Prostate also surrounds the urethra, the canal through which urine passes out of the body.
What is Benign Prgstatic Hyperplasia?
Benign Prostatic Hyperplasia is nonmalignant (noncancerous) enlargement of the prostate gland, a common occurrence in older men. It is also known as Benign Prostatic Hyperplasia and abbreviated as BPH.
What Causes BPH?
During Puberty, the prostate goes through a phase of very rapid enlargement, but this levels off once puberty is completed. Starting in mid-life, the prostate begins growing again. but very slowly this time.
It is thought that these periods of growth result from increased levels of male hormones such as testosterone. Testosterone is produced throughout a man’s life and subsequently the prostate grows throughout a man’s life.
Due to the slow progression of this growth, most men do not notice any symptoms of BPH untill they are older and the prostate has grown to such a Size that it impinges on the outflow of urine from the bladder.
What are the symptoms of BPH?
Due to the locations of the prostate BPH causes a number of urinary symptoms.The prostate is located just below where the bladder empties into the urethra (which is a thin tube that carries urine from the bladder, through the penis, to outside the body). As the prostate enlarges, it impinges the flow of urine through the urethra.
The most common symptoms are :
Blood in the urine (i.e., hematuria), Caused by straining to void
Dribbling after voiding
Feeling that the bladder has not emptied completely after urination
Frequent urination, particularly at night (i.e.,nocturia)
Hesitant, interrupted, or weak urine stream caused by decreased force
Leakage of urine (i.e.,overflow incontinence)
Pushing or straining to begin urination
Recurrent, sudden, urgent need to urinate
Your doctor may recommend a variety of treatment options depending on what disease you are suffering from. These options may range from ‘wait and see’ drug therapies, radiation. surgery, or some combination. Your doctor will recommend a treatment course that best fits with your individual situation and disease.
My Doctor Recommends Surgery……
There are different surgical procedures available and your doctor will be happy to explain the procedure he or she has chosen and risks associated. For example, if you have BPH, he or she may recommend Holmium laser procedure called Holmium Laser Enucleation of Prostate (HoLEP) or Transurethral Resection of the Prostate (TURP), these are two highly effective procedures that remove the enlarged prostate gland tissue.
Holmium Laser Enucleation of Prostate
Holmium Laser Enucleation of the Prostate (HoLEP) has emerged as a safe and effective BPH treatment option. HoLEP involves Enucleation of the median lobe, followed by the lateral lobes. The lobes are placed into the bladder for removal b morcellation. Prostate size is not a limitation for this technique. Minimal blood loss, less catheter time, lesser hospital stay are some advantages of this procedure.
Transurethral Resection of the Prostate (TURP)
A surgeon inserts a narrow instrument (resectoscope) into the urethra and uses small cutting loops to scrape away excess prostate tissue. Patients can be expected to stay in the hospital up to three days after surgery. Blood loss and catheter time are more in TURP than HOLEP