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Benign Prostatic Hyperplasia (BPH)

As hormone levels in men drop with increasing age, the prostate often begins to enlarge putting pressure on the urethra and therefore affecting urination. 

Benign Prostatic Hyperplasia (BPH) is a common benign condition and does not develop into cancer however it can lead to urinary tract infections and/or kidney damage. 


Common symptoms include:

  • Urinating frequently 
  • Difficulty starting to urinate 
  • Urgent need to urinate 
  • A weak stream or small stream of urine
  • Dribbling after finishing 
  • Feeling of incomplete emptying 
  • Waking in the night to urinate (nocturia)


Treatments:

  • Watchful waiting
  • Medical treatments which relax the muscles of the prostate and urethra such as FLOMAXTRA®
  • Non-surgical Procedures using devices that remove parts of the prostate such as TUMT (transurethral microwave thermotherapy) and TUNA (transurethral needle ablation)
  • Surgery to remove a piece of the prostate commonly known as TURP (transurethral resection)


Adverse Effects:


Medication with alpha blockers that also lower blood pressure can lead to dizziness. Other side effects of medication can include retrograde ejaculation (this is not dangerous); weakness; headache; heart palpitations; allergic reactions. Surgery for BPH may have an effect on sexual function and also cause retrograde ejaculation. 

BPH is diagnosed and treated by your GP or specialist Urologist. 
It is important to have your symptoms evaluated as although most men with BPH do not develop prostate cancer, the early symptoms are the same for both conditions. 


BPH Tests:

  • DRE (Digital rectal examination)
    The doctor inserts his gloved finger into the rectum to ascertain the size and condition of the prostate.
  • Blood Test
    Testing your PSA (prostate-specific antigen) levels indicates the possibility of prostate cancer.
  • Imaging
    An x-ray of the urinary tract
  • Urine Flow Study
    A device is used to measure the speed of the urine flow. A reduced flow may be indicative of BPH. 
  • Cystoscopy
    A thin tube with lenses is inserted into the bladder though the urethra.
 

Note: Information on this site is not intended to replace the advice given by your doctor or other health professional.


Helpful Link


everybody.co.nz – BPH

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