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Prostate hypertrophy development and treatment

Prostate hypertrophy occurs primarily at older age. It affects every other man above sixty.

The symptoms:

The patient experiences hesitancy when starting to urinate, in a thin stream, often voiding intermittency, straining to void, having to exert significant abdominal pressure. Only a small amount of urine passes at once, with the urge shortly recurring. Even at night, it may wake up the patient several times. The other group of symptoms is defined as the irritating symptoms: the patient experiences a sudden, compelling, excruciating urge to urinate, urine-dripping, urine-retention incapacity to a greater or lesser degree may be experienced.

Symptoms are quite specific, though the diagnosis of a simple, benign prostate hypertrophy may only be given after the exclusion of other disorders, by histological examination. If you experience the symptoms listed above, see a urologist, no GP referral is needed to visit a urology specialty clinic.


It may occur, that, due to the incomplete emptying of the bladder, residual urine results in stasis and bacterial infection, causing a urinary bladder inflammation. This leads to painful, burning-stinging sensation while voiding, urine may turn bloody.

As an acute complication total urinary retention may occur, with the prostate completely compressing the initial segment of the urethra, making it impossible to urinate. This condition requires immediate treatment, a specialist inserts a catheter, resulting in immediate relieve for the patient.

Therapy of the benign prostate hypertrophy

In the therapy of BPH it is no worthy to try products of dubious origin, there are several treatment methods (pharmaceutically as well as operatively), out of which the urologist chooses the most adequate for the patient.


Herbal remedies may be considered for initial moderate symptoms, these were proven effective on the treatment of prostate hypertrophy by scientific methods as well:

  • saw palmetto
  • nettle root
  • pumpkin seed
  • rye pollen
  • lily

Pharmaceutical treatment

The so called alpha-blockers and 5-alpha-reductase inhibiting agents require a prescription, and should be taken under medical supervision.

Operative treatment

Operative treatment is indicated in cases of sustained urine blockage, recurrent infections, renal impairment due to urinary stasis occurs. Scalpel, electricity, laser, thermal energy may all be addressed in the treatment of prostate hypertrophy.

Check-up, screening

If you are currently under treatment, it is suggested to consult with your treating physician every six months. In case of worsening, a modification of medication may be required, or taking the operative solution into account.

Prostate cancer screening (early detection) requires yearly a so called PSA examination.