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What is Benign Prostatic Hyperplasia (BPH)?

  • Is a very common disease among the older men
  • Half of all men over age 50 start to develop BPH
  • Almost 90% of men over age 80 get BPH
  • Is not a life-threatening disease but it can seriously affect quality of life

Symptoms

  • Frequent or urgent to urinate
  • Incomplete emptying the bladder
  • Strain to urinate
  • Difficulty in postponing urination
  • Difficulty starting urination or delayed start while trying to urinate
  • Weak urine stream or a stream that stops and starts
  • Dribbling at the end of urination
  • Increased frequency of urination at night (nocturia)
  • Urinary incontinence
  • Acute urinary retention
  • Blood in the urine (hematuria)

Diagnosis

  • International Prostate Symptom Score (IPSS) questionnaire
  • Digital rectal examination (DRE)
  • Urine test (urinalysis)
  • Prostate-specific antigen (PSA) blood test
  • Uroflowmetry
  • Transrectal ultrasound (TRUS)
  • Cystoscopy

Treatment Options

  • Medications
    • Need long-term treatment
    • Cannot reduce the size of the prostate
    • May become more severe if the medication is stopped
    • Common side effects may include headache, dizziness, upset stomach, tiredness, sinus congestion and low blood pressure
    • Erectile dysfunction can also occur
  • Surgery
    • Costly
    • Usually hospitalize for about 3 days
    • Performed under general or regional anesthesia
    • Blood in the urine (Heamaturia), pain and discomfort
    • The most common, long term side effect of prostate surgery is retrograde ejaculation (dry climax)
  • Prolieve ® Thermodilatation System
    • Minimally invasive treatments
    • 45-Minute In-Office Procedure
    • 99% do not experience erectile dysfunction or reduction in sexual function
    • Improvement of mean AUA symptom score baseline from 20.12 to 12.86 at year 5
    • Peak flow rate still has 53% improvement

Source
http://www.urologyhealth.org/urologic-conditions/benign-prostatic-hyperplasia-(bph)/diagnosis
http://www21.ha.org.hk/smartpatient/SPW/en-US/Disease-Information/Chronic-Diseases-Zone/Details/?guid=5d573388-ccef-46a8-aee8-141ada88adcc