What is benign prostatic hyperplasia?
Benign prostatic hyperplasia is a physiological growth in all men from 45 to 50 years that produces certain alterations in the emptying of the bladder. Benign hyperplasia, as its name suggests, is a physiological and benign growth and must be distinguished from what is a growth by prostate cancer .
What are the symptoms of benign prostatic hyperplasia?
Benign prostatic hyperplasia presents two large groups of symptoms, some are irritative and others are obstructive. The irritatives are treated from the urological point of view with medication and it is not necessary to go to surgery.
The obstructive symptomatology , which is the most annoying to the patient, may require , in case medical treatment fails, a surgical treatment of emptying of the prostate .
The most characteristic obstructive symptoms would be the decrease in strength and caliber of the voiding stream , and as a consequence of an inadequate voiding of the bladder, the frequency , that is, the increase in the frequency of voiding both day and night.
What treatments are there for benign prostatic hyperplasia?
For benign prostatic hyperplasia we have medical treatments and when these fail we resort to surgical techniques. Until 2003 there were two types of surgery, a transurethral endoscopic surgery that was less invasive and a more aggressive one that was open surgery. Both surgeries were bleeding and with sequelae incontinence level and impotence of relevant nature.
Since 2003, we were pioneers in using the green laser and we performed this surgery successfully because it is minimally invasive , so the patient is only admitted 24 hours, there is virtually no bleeding and the sequelae are minimal or none.
At the present time, we do not have any patient with impotence , and with incontinence only one at a temporary level that has been corrected, with which we can say that lacking sequelae. Today we are going for the fourth generation of lasers and we have more than 1000 patients operated with total success and with almost no complications .