Benign prostate enlargement usually occurs in middle-aged to older men. The risk of developing prostate enlargement is 10-20% in the 50 to 59 age group and 25-35% in the 60 to 69 age group. Almost every 2nd man over the age of 70 is affected.
Symptoms
The enlargement of the prostate leads to a narrowing of the prostatic urethra and the associated symptoms (weak urinary stream, prolonged urination assisted by abdominal pressure, frequent and nocturnal urination, incomplete emptying of the bladder).
Diagnosis
Benign prostatic hyperplasia (BPH) is diagnosed on the basis of symptoms, medical history and with the help of examinations.
The enlarged prostate can be palpated via the rectum (digital rectal examination). The exact size of the prostate can be determined with an ultrasound examination. Blood tests (PSA value) and urine tests provide further indications of prostate enlargement. If prostate cancer is suspected, a prostate biopsy (tissue sampling) is performed.
Therapy
- Excision via the urethra (electroresection of the prostate, TUR-P)
- Greenlight laser vaporisation, also possible with ongoing blood thinning
- Rezüm (water vapour therapy)
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