close
Opening hours: Mon. - Thu. 08:00 to 17:00 | Fri. 08:00 to 14:00
Dr. Derakhshani in the operating room

Prostate Enlargement

Prostate Enlargement

About 85% of men over the age of 60 are affected by BPH. The question of necessity and type of treatment depends on both the subjective symptoms of the patient and the objectifiable disturbances of bladder emptying.
West German Prostate Center Logo
close

What is it?

Benign prostate enlargement

Normalerweise ist die Prostata etwa so groß wie eine Kastanie und wiegt 20 bis 25 Gramm. Die Drüse liegt unterhalb der Blase und umschließt die Harnröhre. Mit zunehmendem Alter wächst das Drüsengewebe der Prostata und sie nimmt an Größe zu. Dadurch wird die Harnröhre eingeengt und die Stärke des Harnstrahls nimmt ab. Diese Zellwucherung ist nicht bösartig und zunächst unbedenklich - nicht zu verwechseln mit einem Prostatakarzinom – und wird daher auch als gutartige Prostatavergrößerung oder benigne Prostatahyperplasie (BPH) bezeichnet. Dennoch können Beschwerden durch eine gutartige Prostatavergrößerung die Lebensqualität der Betroffenen stark beeinträchtigen und Komplikationen sowie Spätfolgen nach sich ziehen.

Symptoms

Symptoms and complaints

The increase in size and narrowing of the urethra may cause the following symptoms:

  • Obstructive symptoms (urination problems): Weakening of urinary stream, prolongation of micturition, delayed onset of bladder emptying, post urination dribbling, residual urinary sensation and urinary retention (total urinary retention).
  • Irritative symptoms (bladder urgency symptoms): Frequent urination, nocturnal urination, constant urination, imperative (sudden onset) urination, frequent urination of small amounts (pollakiuria), nocturnal urination

If BPH is not treated, it can lead to significant complications. The bladder is emptied only incompletely due to the mechanical obstruction of the urine outflow and germs form in the residual urine, which in turn cause painful inflammations in the urinary tract and bladder. In the worst case, complete obstruction of the urethra can occur in the advanced stages. Urinary retention, as it is called, is always an emergency that must be treated immediately, otherwise urine may back up into the kidneys with subsequent kidney failure.

Diagnostics

Clarification of possible prostate diseases

In order to clarify a possible prostate disease, the urologist performs a number of examinations as part of cancer screening or in the event of complaints. These include a detailed interview, palpation of the prostate, and determination of the PSA value. If there is a benign enlargement of the prostate, an additional urine flow measurement (uroflowmetry) is performed to determine the obstruction of the urine flow and a subsequent ultrasound examination of the bladder to determine the residual urine. A urine sample provides information about concomitant diseases such as inflammation or bleeding of the urinary tract.

Therapy

Rapid further development of treatment methods

Due to new findings on the development of the disease as well as the rapid further development of medicinal and surgical treatment methods, a very differentiated treatment of benign prostatic hyperplasia is possible today. The goal of therapy should always be to eliminate micturition problems and to eliminate the obstruction to a large extent. The therapeutic options depend on the extent of the obstruction and the intensity of the irritative symptoms. In addition to the objective criteria for the indication, the subjective symptoms and the patient's preferences should always be taken into consideration when selecting the appropriate therapy.

FAQ's

add
Signs and symptoms of benign prostate enlargement
add
Late effects and complications
add
Prostate Questionnaire (IPSS)
add
Ab wann sollte eine gutartige Prostatavergrößerung operiert werden?