Alpha reductase inhibitors: They act by preventing the conversion of testosterone into its active form, dihydrotestosterone (DHT). It is reported that in this way, they cause the prostate to shrink to a certain extent. Side effects include loss of libido, impotence (loss of sexual function), breast enlargement and sensitivity, and decrease in sperm count.
Alpha-blockers: They affect the smooth muscle structures in the bladder neck and prostate. They relax and cause the urinary tract to widen. It is taken orally once a day. Side effects may include headache, dizziness, fatigue, weakness, and drop in blood pressure.
Transurethral Prostate Resection (TUR-P): Transurethral Prostate Resection is a treatment for benign prostate enlargement (TUR-P). It is the most commonly used method in the surgical treatment of BPH. In this method, after the patient is given general or lumbar (spinal or epidural) anesthesia, a special tool called resectoscope is entered through the urinary tract and the prostate tissues are cut using electric current. During this surgery, which is performed with images magnified 10-12 times by transferring the images inside the patient to a television monitor through an optic, irrigation fluid must be constantly used. Electrical current is transmitted to the tissues through a semicircular wire called "loop" and while the prostate tissue is cut into strips, bleeding is stopped with the help of the loop. The prostate tissues accumulated in the urinary bladder are then removed with the vacuum system. After the operation, a catheter is placed in the urinary tract and left for 2-3 days.
TUR-P operation
Open Prostatectomy:Open Prostatectomy is the surgical removal of an enlarged (non-cancerous) prostate. It is performed under general or spinal anesthesia. An incision is made, usually in the lower abdomen, sometimes between the rectum and the base of the penis. A catheter may be inserted into the bladder through the skin of the lower abdomen to assist in bladder emptying (post-operative bladder irrigation), and another catheter comes out of the penis to drain urine. The procedure requires a slightly longer hospital stay and recovery time than the transurethral resection of the prostate method (TURP).
Open pro Statectomies may be needed only in men with enlarged prostate glands (which may be more effective than TURP in relieving obstruction of urine flow), in men with bladder diverticula or stones, and when TURP is not possible. Prostatectomy also reduces the likelihood of needing another surgery, which is a potential problem when TURP is used, but open prostatectomy cannot be performed if you have prostate cancer surgery.
Non-Surgical Treatment for Prostate Enlargement: Thermotherapy
Thermotherapy treatment, one of the methods used in prostate enlargement disease, was also started.
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