A common condition
Benign Prostatic Hyperplasia
"An enlarged prostate is benign, but the symptoms are very real and can be treated more effectively today than ever before."
Dr. Sam Ward
In Belgium, benign prostatic hyperplasia (BPH) is a widespread condition, especially among older men. Approximately 30% of men over the age of 65 experience BPH symptoms: difficulty urinating, a weak stream, and frequent nighttime urination. Many cases are treated with medication; about 10% require surgery. The condition is associated with aging and hormonal changes, although the exact causes remain unclear. Regular medical follow-up is important for proper management and choosing the right treatment.
Key Points
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BPH is a benign enlargement of the prostate, often occurring in men aged 50 and older.
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About 30% of men over the age of 65 experience BPH symptoms.
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Common symptoms: difficulty urinating, a weak stream, and frequent urination at night.
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Most cases can be treated with medication; about 10% require surgery.
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From traditional surgical procedures (TURP, HoLEP) to innovative techniques (iTIND, Rezum, prostate embolization).
Personalized Approach and Innovation
To objectively assess the severity of your symptoms, we often use the IPSS (International Prostate Symptom Score). This simple questionnaire evaluates the impact of BPH on your daily life and helps us choose the most appropriate treatment.Every patient is unique. Thanks to my involvement in various international and European associations, I stay up to date on the latest developments and innovative treatments. Together, we’ll determine the treatment plan that best suits your situation and improves your quality of life.
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Symptoms and Impact
Benign prostatic hyperplasia is an enlargement of the prostate gland that commonly occurs in men over the age of 50. It can cause bothersome symptoms, such as difficulty urinating, a frequent urge to urinate, or waking up at night to use the bathroom. Although BPH is benign, it can have a significant impact on your quality of life. Every treatment is aimed at improving urine flow and relieving symptoms.
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Medication
For moderate symptoms, medication may be sufficient. Alpha-blockers relax the muscles of the prostate, while 5-alpha-reductase inhibitors shrink the prostate. These treatments help relieve moderate symptoms.
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Minimally Invasive Surgery
When medication is not effective enough, there are surgical options:
- TURP (transurethral resection of the prostate): a commonly used technique in which part of the prostate is removed using a resectoscope inserted through the urethra.
- HoLEP (laser enucleation): a laser is used to precisely and effectively remove excess prostate tissue; often recommended for enlarged prostates.
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Innovative and specialized treatments
For those who wish to avoid traditional surgery, there are minimally invasive alternatives:
- iTIND: a temporary implant reshapes the urethra and improves urine flow; it is removed after a few days.
- Rezum: steam is introduced into the prostate to reduce the excess tissue causing the obstruction, leading to a gradual improvement in symptoms.
- Prostate embolization: The arteries that supply blood to the prostate are blocked, causing the gland to shrink. This is particularly useful for patients who are unwilling or unable to undergo traditional surgery.