Benign prostatic hyperplasia
- Reduction of the flow of urine during urination is one of the most common symptoms of prostatic hyperplasia. Typically the victim observes that the urine flows near to the body of the patients and urination frequently results in wetting the shoes. It is particularly troublesome because many men with advanced prostatic hyperplasia are forced to urinate sitting down in the basin in an attempt to avoid wetting themselves.
- The emergence of so-called teardrop bladder is usually a result of reduction of the flow of urine. The young man when finished urinating stop the flow of urine without any loss that remains dry. On the contrary, in the case of prostatic hyperplasia, urination may continue for a few seconds forming drops of urine despite the will of the person to stop urination.
- Prostatic hyperplasia is characterised by frequent urination. It is one of the most important symptoms of the disease and ultimately what bothers most of the patients. When frequent urination occurs at night is called nocturia.
- Many people complain that they have an urgent desire to urinate that can not be held. They describe that on the way to the toilet they may lose some urine and feel that they are not able to hold urine. This phenomenon is described by urgent urination.
- Many patients describe struggling over the toilet to initiate urination, and urination comes only after long wait. Other patients are forced to open the tap in order to relax more and urinate. Others complain of pain when urinating and sometimes see a little blood in their urine. Many people feel that after urination their bladder is not empty and there is residual urine in it. These are all symptoms of prostatic hyperplasia. There are other individual symptoms which are not as annoying and do not have such a negative impact on quality of life of patients.
- The dramatic conclusion of hyperplasia and the most dangerous symptom is the so called acute urinary retention. The patient feels great discomfort and pain in the lower abdomen and feels that he is going to “explode”. He cannot urinate. It is very painful and requires immediate treatment by a medical specialist with catheter placement into the bladder. The relief is immediate and urine comes out through the catheter.
- Possible complications of BPH
The surgery is called prostatectomy and it includes the excision ,or rather, the removal of the prostate adenoma, the portion of the prostate that has enlarged. Our department has the ability to offer 3 different methods of surgical access for the same purpose, which is the removal of the obstructive portion and restoration of comfortable urination for the patient. These accesses are called transurethral prostatectomy, Photoselective Vaporization of the Prostate (PVP) with Greenlight laser and laparoscopic simple prostatectomy.
- Transurethral prostatectomy
Since there is no surgical incision, it is easily understandable that the procedure is less painful and practical,it also means that the patient can be dismissed early from the hospital and return home after approximately 4 days. This method is a basic of the surgical treatment of BPH and allows the patient to mobilize quickly and soon return to work.
- Photoselective Vaporization of Prostate (PVP) with Greenlight laser
- Laparoscopic simple prostatectomy (adenomectomy)
- Possible complications
- Sexual activity after prostatectomy for BPH