The benign prostate hyperplasia (BPH) or benign prostate enlargement (BPE) is a disease common in men of high age. Approximately 85% of all males older than 60, are affected by BPH. The decision about the necessity and the type of the treatment performed depends upon the symptoms of the patient, and the evidenced disruption of the bladder.
The symptoms of BPH can be subdivided in obstructive symptoms (miction symptoms). Symptoms of BPH vary, but the most common ones involve changes or problems with urination, such as:
According to the latest findings, frequent urinating or urinating during sleep and uncontrollable urge to urinate are presenting the greatest interference to the patient’s quality of life, than the so-called obstructive symptoms such as urethra stream calibers, occasional dibbling after urination or difficulty starting a urine stream.
Two treatments are always applied are medical therapy and surgery.
With BPH in early stages, biomedical treatment, therapy with plant extracts, has a long tradition, and is especially popular in Germany. Plant extracts that have shown promise in the treatment of BPH are serenoa repens (saw palmetto), pumpkin seeds, stinging nessel (urtica dioica) trembling poplar, echinacea extract, and rye pollen (Secale cereale). If sufficient results cannot be achieved with biomedical treatment, chemically produced drugs, so-called alpha blockers will be applied. They help to relax muscle fibers within the prostate thereby reducing the obstruction to the flow. They do not reduce the size of the prostate.
In cases were the above described biomedical measures are not resulting in the desired success, generally an endoscope or surgical procedure is necessary for the relief of urethral flow obstruction. Aside from the today only rarely required open prostatectomy, transurethral resection of the prostate (TURP) in which obstructing tissue is removed one piece at a time from the inside of the prostate gland, and the laser prostatectomy are mainly performed. Laser prostatectomy uses beams of light to destroy prostate tissue and has the advantage that there is less bleeding involved. The West German Prostate Center offers as one of the few centers in Germany the Greenlight laser resection as well as the highly modern diode laser procedure. The latter method is especially suited for the patient with a large prostate.
Important is the early detection and the prevention of malignant changes in the prostate, which is only possible through participating in regular preventive screening.