Menu
The prostate is a gland whose main function is to exude the prostatic fluid. The prostatic fluid, spermatozoa and the fluid of the seminal vesicles, creates ejaculation, during the climax of sexual intercourse. Benign prostatic hyperplasia is the increased size of the gland that often compresses the wall of the urethra circularly, but also the bladder upwards, causing disturbances in urination.
As the prostate increases in size, the bladder suffers, because its responsibility is to storage the urine and to vacate when it is time. So, as the bladder needs to overcome the prostate blockage, the bladder muscle is overfed (hypertrophy), to exert more pressure on the urine.
However, the hypertrophy of the bladder cannot be forever, and as the time passes the bladder thickness decreases and residual volume of urine is observed. Thus, the urine produced in the kidneys cannot go down into the bladder and hydronephrosis occurs. If the obstruction persists and a catheter is not immediately placed, the parenchyma of the kidney is destroyed, and the patient develops renal failure.
There are obstructive and irritating symptoms. Obstructive symptoms are mainly due to the mechanical obstruction caused by the enlargement of the gland and include difficulty in starting urination, prolonged urination, decreased urine flow, intermittent urination, dribbling, incomplete emptying, overflow incontinence and urinary retention.
- Irritating symptoms, which may be due to obstruction but also to bladder dysfunction, include frequency, urgency or even incontinence, nocturia, burning sensation during urination and suprapubic pain.
In some cases they may need:
Surgical treatment is recommended in patients with large residual volume of urine - urinary retention, bladder lithiasis, frequent urinary infections and especially in patients with severe clinical and subjective complaints, which do not subside with medication and affect the quality of life. Improvement in symptoms is evident immediately after surgery.
There are three types of procedures: transurethral prostatectomy (TURis) , open prostatectomy and LaserProstectomy (HoLeP).
The most common complication after prostatectomy is bleeding, so patients who are taking anticoagulants and aspirin should stop taking them several days before the surgery. After the operation, patient may have urgency for a few months, but in most people, retrograde ejaculation is observed, while erection and orgasm are not affected. This happens, because the bladder neck is now open and the sperm travels freely to the bladder.
You can also book your next appointment online. Just fill out the form and we will contact you.
Urological Diagnostic & Therapeutic, Copyright© 2022 All rights reserved.
Design & Development by
