With benign #prostate enlargement, complaints such as a weak #urinary stream, frequent urge to urinate or dripping after urination can impair the quality of life. Although enlargement of the #prostate is initially a natural and - unlike prostate cancer - harmless process, prostate enlargement should be detected and treated early. This can prevent further complaints such as urinary retention, infections, or damage to the kidneys. In this med.clip Priv.-Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne, which symptoms and signs indicate an enlarged prostate and how it can be optimally treated.

Treat benign prostate enlargement safely and gently: Holmium Laser Enucleation (HoLEP) of the prostate is one of the most modern procedures for the treatment of benign prostate enlargement. The advantages of this method compared to classical resection of the prostate are the low blood loss and the possibility to treat even very large glands. Side effects such as incontinence and potency problems can be virtually eliminated by the gentle holmium laser treatment of the prostate and the need for further operations due to regrowing glandular tissue is very low. In this med.clip you will learn how the treatment of benign prostate enlargement is performed using Holmium Laser Enucleation (HoLEP). PD Dr. Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne explains for whom the HoLEP surgery is particularly suitable and what you can expect from this prostate surgery.

If drug treatment of benign enlarged prostate does not lead to the desired success and significant improvements in symptoms, surgery should be considered. Thanks to innovative laser procedures (diode laser) and bipolar resection techniques (TURiS), excess prostate tissue can be removed safely and gently. Complaints such as urinary retention or frequent urinary tract infections can thus be treated with little bleeding and complications such as urinary incontinence and impotence can be virtually ruled out. Dr. Stephan Neubauer from the West German Prostate Center in the KLINIK am RING - Cologne explains in this med.clip and how an operation for benign enlargement of the prostate works and which surgical method may be right for you.

What medications can be considered for the treatment of benign #prostate enlargement? While in the early stages of benign prostatic hyperplasia herbal preparations have proven effective in alleviating symptoms, muscle-relaxing and prostate-reducing #medications should be used in cases of advanced enlargement of the prostate or persistent symptoms. Dr. Pedram Derakhshani from the West German Prostate Center at the KLINIK am RING - Cologne explains in this med.clip which drugs are particularly suitable for effective and gentle treatment, depending on the symptoms and stage of benign prostate enlargement. Learn how alpha-blockers (e.g. tamsulosin) and 5-alpha-reductase inhibitors (finasteride or dutasteride) work, what side effects might occur and at what point surgery for prostate enlargement becomes necessary.

Benign prostate enlargement surgery? When is the right time to operate on the enlarged prostate and which procedure is most suitable? Priv.-Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne explains in this med.clip when benign prostate enlargement should be operated on and what influence the size of the prostate and the patient's risk profile have on the selection of the surgical procedure. Here you will learn why surgery for prostate enlargement is necessary in cases of frequent urinary retention and urinary tract infections, or when medications such as tamsulosin or finasteride no longer help.

Temporary urinary leakage after benign prostate enlargement surgery? This is why you should not worry about incontinence as a result of prostate surgery! Dr. Sonja Knippschild from the West German Prostate Center in the Klinik am Ring - Cologne explains in this med.clip everything about the functioning and interaction of the bladder muscles, prostate and sphincter. Learn what to expect during surgery for benign prostate enlargement and why the interaction of the sphincter and bladder muscle must first be relearned after surgery: A temporary process that is often wrongly confused with urinary incontinence.

Surgery for benign prostate enlargement leads to dry ejaculation. The reason for this is the so-called retrograde ejaculation. In this medical clip you will learn how this happens and what influence retrograde ejaculation has on erection, orgasm and libido. Priv. Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center at the KLINIK am RING - Cologne, explains how prostate enlargement surgery causes sperm to flow back into the bladder and what influence the lack of ejaculation has on sex life.

Prostate enlargement surgery: Laser or excision? If prostate enlargement needs to be treated surgically, snare resection (TUR-P) and various laser techniques (including diode laser, holmium laser enucleation) are the most established treatment options. But which of the two minimally invasive surgical methods is best for you? Urologist Kai P. Schuster from the West German Prostate Center at the KLINIK am RING - Cologne explains all about the advantages and disadvantages of the most common surgical treatment options for prostate enlargement. Find out how laser techniques promote less blood loss, shorter surgery times and faster recovery and why men in particular, who are exposed to a higher risk of bleeding, benefit from modern and gentle laser procedures.

These are the most common complaints of prostate enlargement! Symptoms such as frequent urge to urinate, unpleasant dribbling, weak urine stream as well as incomplete bladder emptying and pain during urination are among the most common complaints of benign prostate enlargement. Priv. Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne explains in this med.clip how the narrowing of the urethra can lead to urinary complaints, the so-called micturition complaints, and what distinguishes obstructive and irritative complaints in prostate enlargement from each other.

What you should know about surgery for benign prostatic hyperplasia: Everything about healing, possible complaints and the right behavior after surgery for benign prostatic hyperplasia. Priv.-Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne explains in this med.clip what to expect after prostate surgery and what you can do yourself to support the healing of the prostate. Learn why you should avoid things like sports and sexual intercourse in the first weeks after prostate enlargement surgery, how increased urinary urgency and temporary incontinence can often occur during the healing process, and why delaying the surgical procedure for a long time may impair the success of the surgery.

Benign prostate enlargement: This is the influence of drugs like tamsulosin, finasteride, dutasteride or tadalafil on sexuality! Learn which side effects can occur when taking medications for the treatment of prostate enlargement and what influence alpha-blockers, 5a-reductase inhibitors and phosphodiesterase inhibitors can have on potency and libido or ejaculation. Priv. Doz. Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne, presents in this med.clip the most important drugs used for the treatment of benign prostate enlargement and informs about possible side effects.

Prostatitis or prostatitis is one of the most common causes of pain during urination, frequent urination or a persistent feeling of pressure in the perineal area. While acute prostatitis is usually accompanied by chills and high fever, symptoms such as pain after sexual intercourse or blood in the ejaculate are particularly typical of chronic prostatitis. In this med.clip, Dr. Sonja Knippschild from the Urology Department of the KLINIK am RING - Cologne explains how acute and chronic prostatitis differ from each other and what you should do against prostatitis to prevent worse. Learn why you should consult your urologist quickly in case of prostatitis in order to prevent blood poisoning and what options are available if freedom from symptoms cannot be achieved despite medical treatment.

Novel therapy options for BPH, when drugs for the treatment of benign prostate hyperplasia do not help or do not achieve a sufficient effect. Priv.-Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne shows in this med.clip new experimental techniques for the treatment of benign prostate hyperplasia. Learn which procedures are available for the surgical treatment of BPH besides resection and laser procedures and how interventions such as prostatic artery embolization (PAE), UroLift, AquaBeam or transurethral needle ablation of the prostate work.

How does benign prostatic hyperplasia develop and what are the causes? Frequent urination and the feeling of not being able to empty the bladder properly are common symptoms of benign prostatic hyperplasia (BPH). But what actually causes benign prostate hyperplasia, which occurs in many men after the age of 50? Priv.-Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne explains in this med.clip which factors lead to the growth of prostate tissue and which risk factors promote prostate enlargement.

What happens if benign prostatic hyperplasia is left untreated? These complications and long-term consequences can occur with untreated BPH. Priv.-Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center at the KLINIK am RING - Cologne explains what symptoms can occur with benign prostatic hyperplasia (BPH) and why early treatment makes sense in order to prevent long-term consequences such as kidney failure or urinary retention. Here you can find out how storage problems (irritative symptoms), such as the urge to urinate at night, differ from urination problems (obstructive symptoms), which include, for example, a weak urine stream, dribbling or pain when urinating.

The size of the prostate has this influence on the choice of the right surgical method! If drug therapy for prostate enlargement no longer helps and complications are already occurring, surgery becomes necessary. But which surgical method is best suited for severe enlargement of the prostate? Priv.-Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center at the KLINIK am RING - Cologne explains at what size one speaks of particularly large prostates and how the various surgical techniques for treating patients with particularly large prostates differ from one another. You will also learn about the advantages of modern and gentle laser procedures such as Holmium Laser Enucleation (HoLEP) compared to open surgery (open adenomectomy) in terms of bleeding risk and length of hospital stay.

Herbal medication for benign prostate enlargement? Natural remedies such as saw palmetto fruit extracts, pumpkin seeds and nettle root can help in the early stages of benign prostatic hyperplasia (BPH). Priv.-Doz. Dr. Dr. Holger Gerullis from the West German Prostate Center at the KLINIK am RING - Cologne shows in this video which herbal active ingredients are suitable for the treatment of benign prostate enlargement and when they can be used to treat BPH. Find out what you can expect from the so-called phytotherapeutics and in which cases therapy with synthetic medication or surgery for benign prostate enlargement should take place.