Department of Urology and Urooncology
Chief Physician

Treatment of Benign Prostatic Hyperplasia

Professor MD Peter Hammerer

Chief Physician

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Statistics 2017
  • 3839 patient admission
  • 21 physicians
  • 90 medical staff
  • 308 stones removal
  • 110 nephrectomy
  • 372 urethrotomy
  • 606 operations on the urinary bladder
  • 564 transurethral excisions and destructions of prostate tissue
  • 15 operative treatment of varicocele

Treatment of Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH) is non-cancerous enlargement of the prostate gland. It is the most common men’s age-related disease. At least 50% of men older than 70 have the symptoms of BPH (which is also called benign prostatic hypertrophy). Sometimes the symptoms can be minor but in other cases BPH can cause significant discomfort and require immediate measures to be undertaken.

The prostate enlargement is caused by hormonal changes that, in turn, stimulate active cells growth. Depending on severity of symptoms and inner situation treatment of benign prostatic hyperplasia may vary from “watchful waiting” to surgery. In Prostate Center of Clinic of Braunschweig we prefer careful observation before taking decisive actions.

Symptoms of Benign Prostatic Hypertrophy

But what are the symptoms of BPH that can influence the treatment of the disease so dramatically? As “swelling” of the prostate can block the urethra, the most of them are related to urinating problems:

  • Difficulties when urinating: hesitancy when starting, weak stream, dribbling
  • Frequent and urgent urination
  • Nocturia (frequent urges to urination in the night)
  • Incomplete empting of the bladder

In most cases, conservative treatment can be sufficient; when it is not possible to get rid urinating problems, a catheter may be used for bladder emptying. Surgical treatment is advised when enlarged prostate does not regress and condition becomes chronic. As many of above symptoms are also associated with prostate cancer, for precise diagnosis you need not only physical examination and common urine test but more technically advanced exams.

Diagnostics of BPH in Urology and Urologic Oncology Department of Clinic of Braunschweig

Urology Department of Clinic of Braunschweig has all possible equipment for complex diagnostics including urodynamic measuring stations, ultrasound, Doppler sonography etc. Additionally, patients can be directed to Radiology Department for X-Ray CT scan and nuclear MRI.

The digital rectal examination (DRE) is a common examination for BPH but the other can be decided based on situation. Prostate-specific antigen study can be advised if any evidence of possible prostate cancer.

Treatment of Benign Prostatic Hyperplasia in Prostate Center of Clinic of Braunschweig

Certified Prostate Center is a part of Urology and Urologic Oncology Department of the clinic. It is one of the largest centers for treatment of prostate disorders in Germany. There are a number of possible treatments for BPH recommended by experts of the center after examination and discussion with the patient as following:

  • Medication (alpha blockers, 5α-Reductase inhibitors)
  • Laser treatment
  • High-intensity ultrasonographic therapy
  • Prostate artery embolization
  • Transurethral microwave therapy 
  • Transurectal incision
  • Prostatic stents
  • Prostatic implants
  • Minimally invasive prostatectomy
  • Open prostatectomy

As a rule, conservative treatment is recommended first and only if it was not effective other means can be applied.

Lifestyle and Prostate Health

In case of mild prostate hyperplasia the patient sometimes advised to manage the disorder by changing a way of life or alternative medicine as herbal treatment or yoga. It is known that a diet factors also may contribute to successful healing of the disease, though further studies are needed. Great intake of animal proteins can be a factor supporting prostate hyperplasia development.

Main lifestyle recommendations for patients with BPH are:

  • Reduce intake of alcohol and caffeine
  • Limit drinks in the evening to avoid nocturia
  • Keep healthy diet, avoid overeating
  • Exercise, physical activity seems contribute to your prostate health
  • Keep warm as undercooling can cause worse symptoms
  • Do not keep urine long, go urinating at first urge
  • After urination try to do this again a few moment later

In some cases, to maintain your health you may need self catheterization if you are not able to empty your bladder. Some medications as antihistamines, opioids and antidepressants can influence the condition. If you have any specific medicine intake during benign prostate hyperplasia treatment, you are better to consult with an urologist.

Prostate experts of Clinic of Braunschweig leaded always choose a treatment proper for every patient individually considering all the factors, overall health, severity of symptoms, examinations results and others. Being a part of multidisciplinary clinic the team of the department has possibility of cooperation with other department and offering better treatment. Developing the methods continuously the physicians every day introduce something new to the practice to benefit their patients. Our better efforts are to improve your health.

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