Enlarged prostate; Benign prostate enlargement, or benign prostatic hypertrophy (BPH) as it is known in medical literature, is an important health problem affecting most men over the age of 50. Our hospital’s Urology Specialist Op. Dr. Hakan ÇAKICI made a statement on the subject.
What is the prostate?
The prostate is an organ found only in men and located at the exit of the urine bag. There is a belief among the public that the prostate is found only in old men and it is formed later, this is incorrect information. Just like our liver, kidney and other organs, it is an organ that exists from birth. The prostate is a secretory gland and secretes some of its content and plays a role in maintaining the vitality of the sperm. It is an important organ in men’s sexual health and reproduction.
What is an enlarged prostate?
The size of the prostate gland is on average 15-25 cc in young adults. With advancing age, prostate tissue begins to grow with the effect of hormonal changes in the body and since it is located at the outlet of the bladder, it also puts pressure on the urinary ducts. As a result, frequent findings such as difficulty urinating and intermittent urination occur. Prostate enlargement can be in the form of benign growth or cancer (malignant). It is benign growth that is common in society.
What are the symptoms of an enlarged prostate?
Difficulty urinating, intermittent urination, frequent urination, urinating twice or more at night and the feeling of inability to empty the bladder completely are among the complaints of prostate enlargement.
How is an enlarged prostate diagnosed?
After all complaints are evaluated, an examination is performed first. Blood tests (PSA) and urinalysis are performed. With ultrasonography, the size of the prostate is measured and the kidneys are evaluated. With the measurement of the urine flow rate, the level of the person’s urinary problem is decided. In the light of all these evaluations, prostate biopsy can be performed if cancer is suspected.
How to treat enlarged prostate?
Treatment for benign prostate enlargement is divided into two as medical treatment and surgical treatment. There are several drugs for medical treatment and can be used safely in eligible patients. However, nowadays, there are products that are claimed to be made of herbal origin and sold on the internet with increasing frequency. It is recommended not to use such products without consulting your doctor.
Surgical treatment can be basically described as open and closed methods.
Open surgery is generally a preferred method for 80cc and above prostates. For prostates under 80cc, closed surgery methods are preferred. Today, as closed surgery, the method we call TUR is the accepted gold standard surgery. With technological development, different methods (Laser, Microwave, Tuna etc.) have been described. However, since the long-term results of these methods are not yet sufficient, TUR surgery is still considered as the gold standard method. Treatment should be individualized for each patient; While drug therapy is appropriate for a patient with a 60 cc prostate, surgery may be required for another patient with a 60 cc prostate.
What should be done to prevent prostate enlargement?
Prostate enlargement starts after the age of 45, depending on hormonal changes in our body. We can accept this growth as a part of the transition from middle age to old age. It is known that a natural and healthy diet can prevent the development of prostate cancer and benign prostate enlargement. Rather than consuming a specific food, it is recommended to focus on a diet based on vegetables and fruits and to avoid constipation. It is claimed that a Western fast-food diet increases the risk of prostate cancer. Restricting smoking and alcohol use will also help reduce prostate enlargement and related problems.