Benign prostatic enlargementis a non-cancerous enlargement of the prostate gland. It is also referred to as Benign Prostatic Hyperplasia (BPH).The prostate is a walnut-sized gland that forms part of the male 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. The main role of the prostate is to produce semen, the milky fluid that transports sperm during ejaculation.
Benign prostatic enlargement rarely causes symptoms before age 40, but more than half of men in their sixties and in their seventies and eighties have some symptoms of BPH.
Many symptoms of BPH stem from obstruction of the urethra and gradual loss of bladder function, which results in incomplete emptying of the bladder. The symptoms of BPH vary, but the most common ones involve changes or problems with urination, such as:
You may first notice symptoms of BPH yourself, or your doctor may find that your prostate is enlarged during a routine check-up. Some tests your doctor may order can include the following:
Conservative treatment measures to treat BPH are always considered first before invasive measures such as surgery. Medications are the most common treatment method for controlling symptoms of BPH. There are a number of medications approved for the treatment of BPH symptoms. Some prevent growth of the prostate while others actually shrink the prostate gland. Other drugs may be prescribed to improve urine flow and reduce bladder outlet obstruction. Your doctor will discuss the various drugs available to treat your particular situation.
Nonsurgical Treatment Measures are minimally invasive treatments to reduce the size of the prostate gland and enlarge the urethra to make voiding easier.
Many doctors recommend removal of the enlarged part of the prostate as the best long-term solution for patients with severe BPH. With surgery for BPH, only the enlarged tissue that is pressing against the urethra is removed; the rest of the inside tissue and the outside capsule are left intact. Surgery usually relieves the obstruction and incomplete bladder emptying caused by BPH.
The most common surgery performed for BPH is Transurethral Resection of the Prostate or TURP surgery. With TURP, an instrument called a resectoscope is inserted through the penis so there are no incisions made in the skin. Transurethral procedures are less traumatic than “open” surgeries that require a long abdominal incision. The main side effect of TURP is retrograde, or backward, ejaculation. In this condition, semen flows backward into the bladder during climax instead of out the urethra causing infertility. If you plan on having children, you need to discuss alternative options with your surgeon.