Benign prostate hyperplasia
"We are the center with the greatest experience in the application of the green laser, holmium laser and prostate embolization to solve benign prostate hyperplasia".
DR. BERNARDINO MIÑANA LÓPEZ, M.D.
DIRECTOR - PERSON IN CHARGE. UROLOGY DEPARTMENT
What is benign prostatic hyperplasia?
Benign prostatic hyperplasia ( BPH) is the benign growth of the prostate gland in the male. BPH is the clinical process that causes the majority of urinary symptoms in the adult male.
It causes an obstruction at the level of the urethra, i.e. at the level of the urinary tract, which causes increasing difficulty in emptying the urine stored in the bladder.
It is a process that correlates with the age of the patient. It is considered that approximately 75 percent of men aged 80 years will suffer from some clinical manifestation due to prostate enlargement.
The Urology Department offers a personalised solution with maximum experience in the treatment of benign prostatic hyperplasia such as the KTP green laser, holmium laser and, in indicated cases, prostate embolisation.
The Clínica Universidad de Navarra has extensive experience in the application of all the treatments available to guarantee the solution to any benign prostatic hyperplasia problem.
Symptoms of hypothyroidism
Los síntomas habituales del agrandamiento de la próstata son:
- The patient notices an increase in the number of daytime and night-time micturitions.
- Increasing difficulty in initiating urination.
- Thinner and less powerful urine stream, urination may take place at various times.
- Sensation of incomplete emptying of urine.
- In extreme cases, increasing voiding difficulty may lead to the impossibility of voiding, requiring immediate medical action.
Do you have any of these symptoms?
If you suspect that you have any of the above symptoms,
you should consult a medical specialist for a diagnosis.
How is benign prostatic hyperplasia diagnosed?
The diagnosis of benign prostatic hyperplasia is made on the basis of the patient's clinical history together with a physical examination consisting of a rectal examination, an ultrasound scan to determine the size of the prostate and to check the volume of urine that remains in the bladder after urination. The study is complemented with a general and specific analysis (PSA determination).
How is benign prostatic hyperplasia treated?
It is indicated when the obstruction in the urinary tract is slight or moderate.
This treatment for BPH can be performed with products obtained from plants (phytotherapy), products that act on the innervation of the prostate gland (alpha-blockers) and drugs that block the enzymatic mechanisms that control the growth of the prostate gland (5-alpha-reductase inhibitors).
When medical treatment is not effective or the clinical impact of BPH is significant, surgical treatment including various alternatives is considered:
- Conventional open surgery, simple prostatectomy.
- Endoscopic surgery: The patient is operated through the urine duct, performing a transurethral resection of the prostate. It is the most used procedure and the most effective to solve the obstructive process. It is the technique of choice in patients with BPH less than 80 cc, a situation that accounts for between 80 and 85% of overall.
The treatment of prostatic hypertrophy through prostatic photovaporization with green laser, uses a laser fiber, green in color (hence the nickname), which works through a beam of light.
The laser beam produces the evaporation of 1 to 2 grams of prostate tissue per minute, so larger glands, which until now have been treated by open surgery, could be treated with this minimally invasive technique.
The benefits achieved with this technique for the treatment of benign prostatic hyperplasia are: shorter hospital stay (1 day), less bleeding and shortening of the time in which it is necessary to carry a urinary catheter (a few hours).
Holmium laser enucleation (HolEP) is the technique of choice for larger enlarged prostates, and can be used to obtain samples for pathological anatomy. It is a complex technique that is performed through the urethra and is recommended to be performed in centers of great experience.
Our professionals have carried out more than a thousand interventions on prostheses with an average stay of 48 hours.
We use prostate embolization for those patients whose characteristics or preferences make it more appropriate.
It is a technique for prostatic hypertrophy that, performed under local anesthesia, allows us to attempt to remove the probe in those patients who are not susceptible to other surgical treatments due to their general condition.
Rezum is a treatment for benign prostate hyperplasia that consists of injecting water vapor into the hypertrophied prostate tissue that causes the obstructive symptoms.
It is performed transurethrally, on an outpatient basis and with deep sedation. The patient is discharged in a few hours with a bladder catheter for a period of three to seven days, depending on the size of the prostate, previous symptoms, and the greater or lesser extent of the area treated.
360º PERSONALIZED MEDICINE
Prostate Center
The Prostate Center of the Clínica Universidad de Navarra is the first in Spain to offer the entire diagnostic and therapeutic arsenal for the management of prostate hyperplasia.
A personalized medicine based on the most advanced diagnostic and therapeutic technology, a team of professionals with high experience in its management, and the multidisciplinary approach centered on the patient and his or her needs, accompanied by a highly specialized nursing team.
Where do we treat it?
IN NAVARRE AND MADRID
The Department of Urology
of the Clínica Universidad de Navarra
The Department of Urology of the University of Navarra Clinic offers the patient a medical team, composed of first-rate professionals, and state-of-the-art diagnostic and therapeutic means such as the Da Vinci® robotic surgery.
The Department of Urology possesses the certificate of accreditation of the European Board of Urology, a reinforcement of the excellence of the service at the level of care, teaching and research, which in Spain only three hospital centers possess.
Diseases we treat:
- Prostate Cancer
- Kidney Cancer
- Bladder Cancer
- Testicular Cancer
- Benign prostatic hyperplasia
- Urinary Incontinence
- Renal Lithiasis
- Genitourinary Prolapses
- Pediatric Urology
Why at the Clinica?
- A team of top-level professionals trained in international centers.
- State-of-the-art technology for diagnosis and treatment.
- In 24-48 hours you can start the most appropriate treatment.
Our team of experts in benign prostatic hyperplasia
