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
CODIRECTOR. UROLOGY DEPARTMENT

Benign prostatic hyperplasia or hypertrophy (BPH) is the benign growth of the prostate gland in the male.

BPH is the clinical process that causes most of the urinary symptoms in the adult male. It causes an obstruction at the level of the urethra, that is, 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 over the age of 80 will suffer some clinical manifestation due to an enlarged prostate.

The Department of Urology offers you a personalized solution with the maximum experience in the treatment of benign prostatic hyperplasia such as KTP green laser, holmium laser and in indicated cases, prostatic embolization.

We have the greatest experience at a national level in the application of all treatments available to guarantee the solution of any benign prostatic hyperplasia problem.

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What are the usual symptoms of benign prostatic hyperplasia?

The usual symptoms of an enlarged prostate are:

  • The patient appreciates an increase in the number of daytime and nighttime urinations.
  • Increased difficulty in initiating urination.
  • Stream of urine thinner and less powerful, and may be the urination at various times.
  • Sensation of incomplete emptying of urine.
  • In extreme cases, increased difficulty in urination may result in the inability to perform urination, requiring the patient to take immediate medical action. 

The most common symptoms are:

  • Less force in urination.
  • Increased frequency of urination during the day and night.
  • Difficulty in starting urination.

Do you have any of these symptoms?

You may have a benign prostatic hyperplasia

How is prostatic hypertrophy diagnosed?

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The diagnosis of hyperplasia or benign prostatic hypertrophy is made on the basis of the patient's medical 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 remaining in the bladder after urination, and a micciometry to assess the degree of obstruction in the urinary tract.

The study is complemented with a general and specific analysis (determination of PSA).

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

OUR MEDICAL TEAM

Urology Department Specialists

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:

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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.

Safer than ever to continue taking care of you

We update safety protocols weekly with the latest scientific evidence and the knowledge of the best international centers with which we collaborate.