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Prostate Enlargement (BPH) & Urination Problems

Prostate Enlargement (BPH) and Urination ProblemsProstate Enlargement (BPH) &
Urination Problems

What is the Prostate?

The prostate is a male reproductive organ located just below the bladder with the rectum sitting directly behind it. The prostate’s main function is to produce part of the ejaculation (seminal fluid) which carries the sperm which is made by the testes to the female for fertilisation. In younger men the prostate is about the size of a walnut. The prostate is like a doughnut surrounding the urethra (the tube that conveys urine from the bladder to the penis).

Benign Prostatic Hyperplasia (BPH) – Non cancerous prostate enlargement

Benign Prostatic Hyperplasia (BPH) or enlargement is common in men as they get older. Some enlargement of the prostate is usual in most men from age 50 onwards. If the enlargement is sufficient to squeeze the urethra, which passes through the prostate, difficulties with urination may occur. These symptoms are commonly referred to as LUTs (lower urinary tract symptoms). Treatment of BPH may require medications or an operation to widen the urethral passage such as a transurethral resection of the prostate (TURP).

 Lower urinary tract symptoms (LUTs) include:

  • Slower urine flow with dribbling.
  • Reduction in strength of flow (not being able to hit the back of the pan).
  • Needing to strain or push to pass urine.
  • Feeling your bladder is not empty after you have finished urinating.
  • Urinating more frequently with urgency (need to hurry to the toilet and sometimes with leakage).
  • Getting up at night more frequently to pass urine.
  • Difficulty starting and stopping the flow.

If you are referred to Dr Louie-Johnsun for an assessment of BPH / LUTs, at your appointment you can expect to:

  • Fill out a symptom score sheet (IPSS) and discuss the severity of your symptoms
  • An assessment with a urinary flow rate followed by a bladder ultrasound scan to assess your ability to empty your bladder
  • Prostate cancer risk assessment based on a PSA blood test result and a rectal examination of the prostate (DRE)
  • Dr Louie-Johnsun will then discuss treatment options such as lifestyle modification, medications and surgery (including transurethral resection of the prostate (TURP) and laser vaporesection of the prostate).
  • Dr Louie-Johnsun is also performing the UroLift® System treatment. This is a minimally invasive approach to treating prostate enlargement and symptoms by lifting the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue.
  • Clinical data has shown that the UroLift System treatment is safe and effective in relieving lower urinary tract symptoms due to prostatic enlargement without compromising sexual function. The goal of UroLift is to relieve symptoms so you can get back to your life and resume your daily activities earlier.

UroLift® System for BPH Procedure Animation