Enlarged prostate is a condition most men face eventually. Remember the first time you had to interrupt your favorite movie? Can you recall when you used to sleep the entire night without interruption?
Symptoms of urgency, slow flow, having to go after you just went, dribbling? These are all possibly due to benign prostatic hypertropy or BPH. The prostate enlarges over time. Like a donut that expands, the prostate’s donut hole gets smaller and pinches the urinary channel, which runs through the donut hole. This puts pressure on the bladder.
Besides creating irritating symptoms, BPH can eventually damage the bladder and even the kidneys. This can lead to a lifetime of problems, even if the prostate is fixed. In some cases, patients will suffer intense pain when they eventually cannot urinate and have to rush to the emergency room.
How do we avoid enlarged prostate? Unfortunately, BPH is like many other problems that affect us as we get older. Knees need repair, eyes need glasses, etc. The prostate is no different. Medications traditionally have been first line treatment. We prescribe men flomax or proscar or even cialis to take for a lifetime. All these medications come with potential side effects as well as cost. Most men don’t want pills. They want a solution.
In the past, surgery was the only treatment if pills did not work. Laser TURP or robotic removal of the prostate are considered gold standard treatments. However, there are now two therapies available, both of which have solid five year data showing very good results.
To learn more about the two new treatments:
Dr Kella and the Urology Place are very experienced with both procedures. He was the first person to do the Urolift in Texas once it was approved. He has done nearly 100 Rezum procedures as well. This makes him knowledgeable about both procedures, which is helpful because the success of both treatments depends in part on the individual patient.