Symptoms Benign prostate enlargement, straining to urinate. Having a weak urine flow. This is where you can't empty your bladder completely, but you can still urinate a little. It usually develops slowly over time.
Early signs usually include a weak flow during urination or a loss of urine at night. You may feel that your abdomen (stomach area) is swollen or that your bladder is not completely emptying. A person may have urinary symptoms unrelated to benign prostatic hyperplasia caused by bladder problems, urinary tract infections, or inflammation of the prostate due to prostatitis. Minimally invasive procedures can destroy enlarged prostate tissue or widen the urethra, which can help relieve urinary obstruction and retention caused by benign prostatic hyperplasia.
The urologist uses medical tests to help diagnose lower urinary tract problems related to benign prostatic hyperplasia and recommend treatment. If the symptoms of benign prostatic hyperplasia become bothersome or pose a health risk, the urologist usually recommends treatment. However, surgery for benign prostatic hyperplasia often cannot restore function that was lost before the procedure. With TURP, the urologist inserts a resectoscope through the urethra to reach the prostate and cuts out pieces of enlarged prostate tissue with a wire ring.
You may not have all of these symptoms, and some men with an enlarged prostate may not have any symptoms. Some men with a very large prostate have little obstruction and few symptoms, while other men with a minimally enlarged prostate have more obstruction and more symptoms. The cause of benign prostatic hyperplasia is not well understood, but it occurs mainly in older men. Several studies, such as the Medical Therapy of Prostatic Symptoms (MTOPS) Study, have shown that combining two classes of medications, rather than using just one, can more effectively improve symptoms, urinary flow, and quality of life.
Benign prostatic hyperplasia affects approximately 50 percent of men between 51 and 60 years of age and up to 90 percent of men over the age of 80.2.This surgery is most often used when the prostate is very enlarged, complications occur, or the bladder is damaged and needs repair. Right after surgery for benign prostatic hyperplasia, the urologist may insert a special catheter, called a Foley catheter, through the opening of the penis to drain urine from the bladder into a drainage bag. The risk of bleeding is lower than in TURP and TUIP because the laser seals blood vessels as it passes through prostate tissue. Medications used to treat benign prostatic hyperplasia can have side effects that can sometimes be serious.
The test helps the healthcare provider see if the prostate is enlarged or tender or if it has any abnormalities that require further testing.