Benign prostatic hyperplasia
What is benign prostatic hyperplasia?
In Belgium, benign prostatic hyperplasia (BPH) is a widespread condition, especially among older men.
About 30% of men over the age of 65 experience BPH symptoms, which can lead to significant urinary problems such as difficulty urinating, a weak stream, and frequent nighttime urination.
Although many cases are treated with medication, about 10% of patients require surgery to relieve symptoms.
The condition is associated with aging and hormonal changes, but the exact causes remain unclear.
Regular medical consultations are important for managing the condition and determining the best treatment option.

Treatment and symptoms of benign prostatic hyperplasia (BPH)
What is benign prostatic hyperplasia?
Benign prostatic hyperplasia (or BPH) is an enlargement of the prostate gland that commonly occurs in men over the age of 50. This condition can lead to painful symptoms, such as difficulty urinating, a frequent urge to urinate, or waking up at night to use the bathroom. Although BPH is a benign condition, it can have a significant impact on quality of life.
Treatments for BHP
There are various treatment options, depending on the severity of the symptoms and their impact on your daily life. Each treatment aims to improve urine flow and relieve symptoms.
- Medication: Medications may be prescribed to relax the muscles of the prostate (alpha blockers) or shrink the prostate (5-alpha reductase inhibitors). These treatments can help relieve moderate symptoms.
- Minimally invasive surgical proceduresIf medication is not sufficient, surgical procedures may be suggested:
- Transurethral resection of the prostate (TURP): This is a commonly used technique in which part of the prostate is removed using a resectoscope inserted through the urethra.
- Laser enucleation (HoLEP): This technique uses a laser to accurately and effectively remove excess prostate tissue. HoLEP is often recommended for large prostates.
- Innovative and specific treatments:
- iTIND: This new technique uses a temporary device that is placed in the prostate to reshape the urethra and improve urine flow. It is a minimally invasive solution that can be removed after a few days.
- Rezum: This treatment uses steam to reduce excess prostate tissue. The steam is injected into the prostate, where it destroys the cells responsible for the obstruction, gradually improving symptoms.
- Prostate embolization: This is a minimally invasive procedure in which the arteries supplying blood to the prostate are blocked, causing the gland to shrink. This method is particularly useful for patients who do not want or are unable to undergo traditional surgery.
Assessment of symptoms and personal care
To assess the severity of your symptoms, we often use the IPSS (International Prostate Symptom Score). This simple questionnaire helps to quantify the impact of BPH on your daily life and to choose the most appropriate treatment.
Every patient is unique, and I strive to offer you the most up-to-date solutions tailored to your situation. Thanks to new developments in treatment, we can personalize the treatment of BPH to improve your quality of life.
Personal approach and innovation
Every patient is unique, and a personalized approach to treating Peyronie's disease is essential. Thanks to my involvement in various international and European associations, I stay up to date with the latest developments and innovative treatments. Together, we will determine the best treatment plan for your situation.
If you suspect you have Peyronie's disease, you don't have to struggle with it alone. There are effective solutions available that can significantly improve your quality of life.
