Prostatic syndrome

"About 30% of patients do not respond effectively to medical treatment and surgery is performed".

DR. BERNARDINO MIÑANA LÓPEZ
CODIRECTOR. UROLOGY DEPARTMENT

Prostatic syndrome is the set of symptoms that appear as a consequence of an enlarged prostate.

Benign prostatic hyperplasia (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 is a process that correlates with the age of the patient.

Benign prostatic hyperplasia causes an obstruction at the level of the urethra, that is, at the level of the urinary tract. This obstruction determines an increasing difficulty to empty the urine that is stored in the urinary bladder.

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What are the symptoms of prostate syndrome?

The symptoms that the patient can present are very varied. Generally, the patient appreciates an increase in the number of urinations that must be made throughout the day, both during the day and at night.

Also, you may appreciate an increased difficulty in initiating urination, the stream of urine is becoming thinner and less powerful, and may be the urination at various times.

Also, a feeling of incomplete emptying of urine can be perceived. In extreme cases, the increasing difficulty in urination may lead to the impossibility to perform urination, requiring the patient to take immediate medical action.

The most common symptoms are:

  • Difficulty in eliminating urine.
  • Increased number of urinations.
  • Sensation of incomplete emptying.

Do you have any of these symptoms?

You may have a prostatic syndrome

What is your prognosis?

It is considered that approximately 75% of men aged 80 years will suffer some clinical manifestation due to the growth of the prostate.

The possibility that they will require a surgical intervention is 29%.

Who can suffer from prostate syndrome?

It is a very common disease in men over 80 years old.

How is prostate syndrome diagnosed?

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The diagnosis of prostate syndrome is made from the patient's medical history along with a physical examination consisting of a digital rectal exam.

The diagnostic tests consist of 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 prostatic syndrome treated?

The medical treatment can be done with various pharmaceutical products. These include 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 is important, surgical treatment is considered which can be conventional open surgery, simple prostatectomy, or by means of endoscopic surgery in which the patient is operated on through the urine duct, with a transurethral resection of the prostate.

In order to improve the results obtained with transurethral resection, research has been carried out over the last 20 years using different energies, especially with KTP lasers. The benefits sought are: less bleeding, shorter hospital stay with the same effectiveness.

Where do we treat it?

IN NAVARRA 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:

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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.

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