Advances in the treatment of benign prostatic hyperplasia (BPH), which is caused by hormonal changes in the body due to advancing age in men, help improve the quality of life of patients. Urology Specialist Prof. gives detailed information about the symptoms, diagnosis and treatment of prostate enlargement. Dr. Başeskioğlu emphasized that regular check-ups should be performed for early diagnosis of prostate-related health problems in men. Urinary complaints are the most important symptom. Urology Specialist Prof. stated that today, two out of every five men over the age of 60 experience benign prostate enlargement. Dr. Barbaros Başeskioğlu noted that this rate reached 90 percent for people over the age of 80. Prof. lists the symptoms that occur due to the narrowing of the urinary tract and bladder by the prostate as "late start of urination, frequent need to urinate, urination at night, late emptying of the bladder, feeling of incomplete urination, frequent urinary tract infections and stones in the bladder." Dr. Barbaros Başeskioğlu: “Although prostate enlargement is harmless, the complaints it causes have an extremely negative impact on the quality of life. People with this problem cannot rest well because they wake up frequently at night and feel the need to go to the toilet frequently during the day. For this reason, they avoid long meetings, holidays, and long journeys. "It becomes a problem that reduces the patient's quality of life," he said.
Diagnosis is made through patient history and examination.
Explaining that the diagnosis of prostate enlargement is made by taking a detailed patient history and physical examination, Prof. Dr. Başeskioğlu also noted that a urine sample helps detect prostate and urinary tract infections and said, “Both infections can cause complaints similar to symptoms of prostate enlargement. "In addition, blood PSA, or prostate specific antigen test, can also be checked to rule out the risk of prostate cancer."
“Prostates of all sizes can be treated endoscopically with the HoLEP method.”
Prof. stated that the treatment of benign prostatic hyperplasia is planned according to the patient's complaints. Dr. Başeskioğlu stated that drug treatment is used in cases of mild complaints. Emphasizing that there should be no delay in urinating or inability to urinate, the urologist gave the following information about the HoLEP method, which is a candidate to be the "gold standard" in the treatment of prostate enlargement:
“Surgery may come to the agenda in patients whose problems continue despite drug treatments, and it also comes to mind as the first option in the group with severe urination problems. HoLEP is a method that can also be applied to this group of patients with benign prostatic hyperplasia and requiring surgical intervention. HoLEP means removing the prostate by fragmenting it with a holmium laser. Prostates of all sizes can be treated endoscopically, that is, closed, with this method. Since HoLEP can remove the entire part of the prostate that may block urine flow, it is an important option for the treatment of patients who are especially severely enlarged.”
It can be applied to patients of all ages
Prof. Dr. Barbaros Başeskioğlu stated that there is no age limit for HoLEP, which is used in patients with benign prostate hyperplasia, and said: “In this method, the surgery is performed by entering the urinary tract with an endoscope. Since no incision is made, the patient can return to daily life very quickly. "HoLEP stands out as a patient-friendly method with its benefits such as immediate improvement of urine flow, short hospital stay, opportunity to undergo surgery while using blood thinners, and very low need for repeat prostate surgery," he said.