Endoscopic surgery of benign prostatic hyperplasia (BPH)
The prostate is an organ of the male, located below the bladder lying on the pelvic floor. The urethra takes its course from the bladder neck through the prostate, the outer sphincter and finally as penile urethra through the penis. During the course of life, changes in the hormone balance lead to an increase in prostate size.
On the one hand, the prostate can grow outward, thus increasing measurable volume; On the other hand, there is a possibility the prostate is growing inwards. If this happens, the free diameter of the prostatic urethra is consequently narrowed (prostate with benign prostatic hyperplasia (BPH)). The bladder muscle must work against increased resistance.
As a result, different symptoms can occur: Examples include an attenuated urinary stream and thus a prolonged void, the delayed voiding and the so-called two-time void. After the initial urine a few moments have to pass, until the micturition can be restarted.
It can also lead to residual volume, diverticulum or bladderstones. It also can occur a complete urinary retention, which makes a catheter supply through the urethra necessary.
The symptoms can be very debilitating and are initially treated with medication. If this is not successful or the symptoms get worse, an operation is the next step. The indication for surgery will be provided after careful examination in accordance with the German and European guidelines and a personal discussion with you.