Benign prostate Hyperplasia (BPH)

Men are statistically much less likely than women to seek medical care.
The urologists at the Melbourne Urology Centre are experts in diagnosing and treating medical conditions specific to men. Learn more about our services.

Benign prostate Hyperplasia (BPH)

Benign prostate Hyperplasia (BPH) is a non-cancerous enlargement of the prostate that affects up to 50% of men over the age of 50. As a result, some men develop bothersome urinary symptoms that can significantly compromise their quality of life. In some cases, it can also result in more serious complications if not attended to in a timely manner. Urinary symptoms are common and it is also important to differentiate between other lower urinary tract conditions. Doctors Shekib Shahbaz and Tony de Sousa of Melbourne Urology Centre offer a personalized service with thorough evaluation of individual patients to diagnose the underlying cause of their symptoms. They will also discuss your suitability for the different treatment options. At Melbourne Urology Centre we offer a full range of medical and surgical options for enlarged prostate (BPH), including:

Incidence of BPH

  • Benign (non-cancerous) enlargement of the prostate
  • Affects 50% of 50 year olds and increasing incidence with age
  • May cause obstruction of the urethra leading to bothersome urinary symptoms
  • Onset is gradual over years to decades and therefore symptoms often develop slowly

Symptoms of BPH

Lower Urinary Tract Symptoms of BPH may include:

  • Straining or difficulty in beginning urination
  • Weak stream/flow of urine
  • Stop and start urine flow
  • Incomplete emptying of the bladder
  • Frequent urination
  • Interrupted sleep because of the need to urinate
  • Sudden urge to urinate and dribbling

Complications of BPH

  • Urinary tract infection – in men always needs evaluation
  • Sepsis (blood poisoning) due to urinary tract infection
  • Haematuria – blood in urine
  • Kidney failure due to high pressure retention of urine
  • Bladder stones
  • Chronic bladder damage

Treatment Options

Medications:

  • Alpha Blockers (Prazosin, Tamsulosin, Silodosin)
    • Only modest symptomatic relief
    • Relaxation of bladder neck and prostatic smooth muscle
    • Does not change the natural progress of the disease
    • Side effects may include dizziness, fatigue or retrograde ejaculation (sexual dysfunction)
  • 5A-reductase inhibitors (Dutasteride, Finasteride)
    • 30% reduction in prostate size over 6-9 months
    • Improve symptoms by up to 15%
    • 5-10% will have decreased libido and erectile dysfunction (sexual dysfunction)
  • Combination therapy (Duodart)
    • Tamsulosin + Dutasteride
    • More effective than either medication alone
    • Maximal effect in 6-9 months
    • Combined side effect profile of both medications

Minimally Invasive Procedures

‘Cavitating’ Surgery

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