Prostate hypertrophy is a very common disease in older men and the risk of disease increases with age. Prostate hypertrophy is a common disease in middle-aged and elderly men, especially after 50 years old. Although not cancer, the disease causes difficulty urinating, nighttime urination, frequent urination, urinary retention, greatly affecting the quality of life. If not treated promptly, patients may face complications such as urinary tract infections, bladder stones, and even kidney failure.
Dr. Nguyen Minh Tuan - Head of Urology Department, Bach Mai Hospital - said that the above information was at the scientific conference "Updating advances in the treatment of prostate hypertrophy and non-invasive bladder cancer in the muscular layer".
Dr. Nguyen Minh Tuan added that prostate hypertrophy (BPH) is a non-cancerous hyperplasia of the prostate gland, mainly occurring in the transitional part of the prostate gland, causing urinary tract compression and affecting the urination process.
The main symptoms of prostate hypertrophy include difficulty urinating, frequent urination, frequent urination, nocturia, and urinary retention that reduces quality of life. If not treated properly, the disease can lead to serious complications such as urinary tract infections, bladder stones, and kidney failure, and seriously impair quality of life.
According to Dr. Nguyen Minh Tuan, men over 40-50 years old, people with a family history of illness, obesity, lack of exercise, smoking, alcohol abuse, diabetes, heart disease or working in a polluted environment are at higher risk.
Signs that should not be subjective include: Weak urine flow, intermittent urination, difficulty starting to urinate, having to strain when urinating, frequent urination, frequent urination, nighttime urination, feeling of incomplete urination or urinary incontinence after urinating. When these symptoms appear, patients need to go for an early examination to have a prostate ultrasound, PSA test or magnetic resonance imaging when necessary.
Currently, there are many treatments for prostate enlargement tumors such as tumor removal surgery using classic techniques; Monopolar endoscopic incision; Bipolar and Plasma; Laser and tissue culture machine; Steam heat and nodules. Each method has advantages and disadvantages suitable for the patient's condition.
Also according to Dr. Nguyen Minh Tuan, about 80% of cases can be controlled with drugs, mainly drugs that reduce prostate size and urinary tract muscle relaxants. Medical treatment is appropriate for patients with mild to moderate symptoms or not eligible for surgery.
Surgery or intervention is indicated when the patient has recurrent urinary retention, kidney failure due to obstruction, recurrent urinary tract infection or bladder stones, severe symptoms that do not respond to medication, or a severely reduced quality of life. Treatment decisions are based on the prostate size, age, health condition, complications, and aspirations of the patient.
Currently, treatment methods include endoscopic surgery, open surgery for very large prostates and minimally invasive techniques such as vascular nodules, lasers, prostatectomy or urethral stenting.
Experts recommend that men should not be subjective when symptoms of difficulty urinating and prolonged nighttime urination appear. Regular check-ups and timely treatment help control the disease effectively, limit complications and choose the most appropriate method.
