Benign Prostate Enlargement Treatment
This group of patients have very mild symptoms. The prostate feels smooth and benign and all the blood and urine tests are within normal range. They are given general fluid advice, mainly to cut down stimulating drinks and have more clear fluids. Follow up is usually arranged within 3 to 4 months’ time to review the symptoms and reassess the patient.
The decision to treat with medicines usually depends on how much bother the symptoms are causing you. There are mainly 2 groups of medication.
Alpha-blocker medications. This group of medicine works by relaxing the smooth muscles of the prostate and bladder neck area. Some improvement is usually noticed in a few days and full effect may take some weeks. Side effects are uncommon however you may notice slightly drowsiness, headache or dizziness.
5 alpha-reductase inhibitors, Proscar/Avodart These work by blocking the conversion of testosterone to dihydrotestosterone in the prostate which is an active component of testosterone and responsible for enlargement of the prostate gland. Medication produces shrinkage of the prostate by about 20% which may take up to 6 months. Both alpha-blockers and 5-alpha reductase can be taken together to produce combined effect. Side effects may include occasional impotence and reduced sex drive. These side effects are usually reversible if the medication is stopped.
Transurethral Resection of Prostate (TURP)
This is the most common operation carried out for benign prostate enlargement. Under general anaesthesia, either general or spinal, a telescope is passed into the bladder and using a small loop of wire through which electric current is passed small chips of prostate are removed and washed away with fluid. At the end of the operation there is a much bigger open channel through the prostate allowing a more free flow of the urine.
After surgery you will require a catheter which may need to stay in for a day or two to allow the bleeding to settle. Once the catheter is removed your flow rate is assessed, you go home within a maximum of 2 to 3 days’ time.
Transurethral Incision of Prostate
This procedure is carried out for smaller prostates or a tight bladder neck area. This is a relatively smaller procedure although carried on the same principle as a TURP but requires less extensive surgery. The post operative period may be similar with a stay of a day or 2 in the hospital.
Laser is used to either evaporate the prostatic tissue as in Green Light Laser Prostatectomy. The other source to remove the benign part of the prostate is Holmium Yag Laser Enucleation of prostate where the benign part of the prostate is first excised using laser and then small pieces removed from the bladder. There is minimal bleeding following laser surgery and post operative stay may be shorter than conventional TURP.
Open prostatectomy is only carried out rarely for benign disease nowadays. This may be required only in cases with very large prostates, well over 100 g.
One Stop Prostate Assessment Clinic
Mr Syed has set up a one stop Prostate Assessment Clinic which includes consultation with Mr Syed and examination of your prostate.
Blood test, including PSA
Flow rate study
This one stop clinic will allow a complete assessment of your prostate symptoms. You can arrange this appointment either through a GP letter or making a direct call to the following numbers:
Melanie Bryant, Medical Secretary, Spire Little Aston Hospital
Telephone: 0121 580 7405
Fax: 0121 352 1971
Main switchboard at Spire Little Aston Hospital 0121 353 2444
Spire Little Aston Hospital
Little Aston Hall Drive
Outpatient Department for consultation appointments: 0121 580 7151
Comprehensive diagnostic service for a wide range of urological conditions