{"id":2179,"date":"2023-02-09T16:58:16","date_gmt":"2023-02-09T15:58:16","guid":{"rendered":"https:\/\/www.kontinenzzentrum.ch\/diseases\/bladder-dysfunction\/gutartige-prostatavergroesserung\/"},"modified":"2023-03-13T13:36:09","modified_gmt":"2023-03-13T12:36:09","slug":"benign-prostate-enlargement","status":"publish","type":"page","link":"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/bladder-dysfunction\/benign-prostate-enlargement.html","title":{"rendered":"Benign prostate enlargement"},"content":{"rendered":"
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Benign prostate enlargement<\/h1>\n

Difficulty in voiding the bladder and incontinence in cases of benign prostate enlargement<\/h2>\n<\/div>\n<\/div><\/div><\/div><\/div>
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The prostate is located in the pelvis, below the bladder, encircling the urethra and extending downwards to a position close to the urethral sphincter muscle. It is in the centre of the male urogenital tract, where the urinary and seminal tracts meet. It is made up primarily of glands that form prostate secretions which are the main component in seminal fluid.<\/p>\n

The interior of the prostate is divided roughly into an inner zone and an outer zone. The structure of the prostate can be described in visual terms like an orange: the outer zone has a structure like the peel and the inner zone has a structure like the fruit.<\/p>\n

As has been mentioned, the inner zone encircles the urethra, and it is also the inner part of the prostate that is affected by\u00a0benign prostate enlargement,<\/strong>\u00a0which is primarily an age-related condition.<\/p>\n

Benign prostate enlargement<\/strong>\u00a0is a typical problem of the older male. The growth of prostate tissue makes it difficult for urine to flow out from the bladder, and this interferes with voiding the bladder. If the urethra is restricted by the growing prostate for a prolonged period, there is also the risk of damage to the bladder itself. If it has to overcome ever greater resistance to expel urine, the bladder wall stretches and small areas of sagging in the wall develop. Over time, the bladder muscle weakens, the bladder no longer empties completely, and the urine remaining in the bladder after urination can cause cystitis.<\/p>\n

How do you recognise prostate enlargement?<\/strong>\u00a0In the early stages, an affected man notices very little. He may notice that the urine stream is weaker or that he stays much longer on the toilet than he used to do a few years before.\u00a0Frequent urge to urinate at night<\/strong>, a\u00a0more pronounced urge to urinate<\/strong>\u00a0and\u00a0dribbling of urine<\/strong>\u00a0after voiding the bladder are typical signs of an enlarging prostate.<\/p>\n

The symptoms become more severe if the prostate continues to grow. A distinction is drawn between\u00a0obstructive symptoms<\/strong>, triggered by the\u00a0 obstruction of the outflow tract, and\u00a0irritative symptoms<\/strong>, triggered by a constriction or irritation of the entire bladder\/prostate system. Irritative symptoms come top of the hitlist of symptoms, which can manifest as\u00a0frequent nocturnal urination<\/strong>,\u00a0more frequent and more pronounced urge to urinate during the day<\/strong>\u00a0or\u00a0a feeling that the bladder has not been completely emptied<\/strong>.<\/p>\n<\/div>\n<\/div><\/div><\/div>

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Normal (a) and enlarged (b) prostate: Constriction of the urethra in connection with prostate enlargement (1) bladder, (2) prostate, (3) urethra, (4) opening of the ureters, (5) opening of the seminal ducts<\/p>\n <\/div>\n <\/div><\/div><\/div><\/div><\/div><\/div>

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Treatment of benign prostate enlargement<\/h2>\n

Surgery for benign prostate enlargement (TURP - TransUrethral Resection of the Prostate) The excess prostate tissue is gradually removed using an electrical loop inserted via the urethra. The outer zone of the prostate remains intact.<\/p>\n

In the early stage of\u00a0prostate enlargement,\u00a0<\/strong>plant-based active ingredients such as pumpkin seeds, saw palm extract, nettle root etc. can be used.<\/p>\n

As the symptoms become more severe (weaker urine stream, incomplete bladder voiding, more frequent and more pronounced urge to urinate during the day and at night, typical prostate medication (alpha-blockers, reductase inhibitors<\/strong>) can offer significant relief of the symptoms and keep the consequences of\u00a0prostate enlargement<\/strong>\u00a0under control for years.<\/p>\n

If medication does not keep the symptoms under adequate control, or if it is not tolerated,\u00a0surgery to reduce the size of the enlarged prostate<\/strong>\u00a0should be considered.<\/p>\n

For decades, the proven standard procedure has been to use an electrical sling inserted via the urethra to scrape away the prostate. This procedure is known as\u00a0transurethral resection of the prostate (TUR-P)<\/strong>. In the past few years, new procedures have been tested and found successful. They include the use of\u00a0lasers<\/strong>\u00a0and\u00a0vaporisation<\/strong>\u00a0of prostate tissue.<\/p>\n

In older men, or those with medical conditions that make them less suitable for surgery,\u00a0embolisation of the prostate blood vessels<\/strong>\u00a0can be considered. This is carried out by sealing the blood vessels in the prostate by a catheter inserted via the blood vessels in the groin. This causes the prostate to shrink, making bladder voiding easier again.<\/p>\n<\/div>\n<\/div><\/div><\/div>

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Surgery for benign prostate enlargement (TURP - TransUrethral Resection of the Prostate) The excess prostate tissue is gradually removed using an electrical loop inserted via the urethra. The outer zone of the prostate remains intact.<\/p>\n <\/div>\n <\/div><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

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