Benign prostate disorders Benign enlargement of the prostate gland (prostate -hypertrophy, prostate adenoma) is a growth in the interior prostate gland. On its own, the appearance of this disease, particularly at an advanced age, would be harmless if the male urethra did not pass through the prostate gland. A growth in this gland constricts this canal, often leading to unpleasant, painful and sometimes dangerous consequences.
The constriction of the urethra makes emptying of the bladder more difficult. The bladder muscles, which by now are already weakened, have difficulty in contracting and literally become increasingly tired and less likely to execute their functions up to the "projected" end. The urine flow becomes thinner, dribbling occurs, and -most alarmingly - the volume remaining in the bladder after urination (residual urine) increases. This leads not only to more frequent pressure to urinate, as a signal is triggered at a particular level to visit the toilet. Eventually, when the bladder is too full, the danger of accumulation in the kidneys exists, resulting in possible permanent damage to these sensitive organs, with potentially fatal effects. Although this scenario is often far off, one should never lose sight of the possible and often real chain of consequences, and guard against its occurrence.
It is definitely possible to take action oneself when these disorders occur initially. Ensure that you pass urine regularly and slightly more often, and after every visit to the toilet try to coax one or two "repeats" after you finish urinating, to retain as little urine as possible. It is also possible to aid the relaxation of the bladder area by using a sit bath and a good old-fashioned hot water bottle. In addition, a variety of vegetable substances such as saw palmetto and pumpkin seed preparations are available, although these have limited effect. Urologists are increasingly prescribing Proscar, which does indeed often lead to a reduction in size of the prostate gland, or Omnic or Alna, which relax the musculature of the prostate gland, thereby relieving the passage of urine.
Where these remedies are unsuccessful, conventional medicine recommends surgical intervention, either in the form of transurethral resection (TUR) - an extension of the urethra by means of electrical scraping, or in advanced cases even the complete curettage of the interior gland by means of open surgery. Although TUR is relatively non-invasive in comparison to the latter intervention, the interior closing muscle is also removed in the procedure.
By contrast, we recommend that patients of ours who have been advised to undergo surgery of this nature rather consider a laser OP, which generally does not have the same side-effects and risks of the procedure described above. The constricted prostate urethra is "lasered free" under visual control, as in a bladder examination with local anaesthetic. This allows both the seminal hillock and both closing muscles to be accurately bypassed and unaffected. After wearing a permanent catheter for a few days, and once the relatively small volume of blood flow has stopped, the entire episode can be put behind one - sometimes even for life. Should the urethra become constricted again in time, which could also occur after TUR, the intervention can easily be repeated.