In fact, enlargement of the prostate is a natural process observed in every aging man. Just as our hair turns white, we have difficulty seeing up close, or our bones and joints begin to lose strength and flexibility, our prostate responds to the years with growth. It has been determined that half of men aged 60 and 90% of men aged 85 have an enlarged prostate. The reason is still controversial. The thesis that it occurs due to a change in hormonal balance is more accepted.
But there is no rule that every enlarged prostate will cause problems. This partly depends on whether the prostate has enlarged in a way that affects the urinary tract. If its enlargement affects the urinary tract, urination problems may disturb people in various ways and the need for treatment may arise.
Lower urinary system problems caused by prostate enlargement may also cause impairment of erectile functions in men. The more these problems increase, the more impaired erectile functions may be.
In fact, the prostate is a gland surrounding the urinary tract at the bladder outlet. The most important job it does is to contribute to the fluid in which sperm are transported. As the prostate grows, it may begin to compress the urinary tract it surrounds. Complaints that start with urinary disorders can lead to bladder deterioration and even loss of kidney function in later periods.
Enlargement of the prostate does not increase the risk of prostate cancer, but growth and cancer development can occur simultaneously in a prostate. Perhaps the most important difference is where the cells develop. In benign prostate enlargement, the growth of cells is mostly in the inner part of the prostate, while cancer cells grow more in the outer part of the prostate and spread from this area to other areas.
It is not necessary to treat every person with an enlarged prostate. However, there is a wide range of treatment options that can be applied especially to people who develop urination problems:
Minimally Invasive Treatments:
These treatments carry more risks than drugs, but the main thing is There are fewer complications than surgical treatments. They aim to shrink the prostate with heat or laser energies.
Heat-related methods:
Transurethral Microwave Thermotherapy (TUMT)
Pro with Transurethral Radiofrequency Needle stat Ablation (TUNA)
Laser related methods:
- Holmium Laser Treatment
- Interstitial Laser Coagulation
Placing a stent to keep the urinary tract surrounding the prostate open is another minimally invasive treatment method.
Surgery
strong>There are generally three types of surgical treatment methods:
Transurethral Resection of the Prostate (TURP): By entering the urinary tract with an endoscope (camera device), the prostate is removed from the urinary tract. The inner part covering the canal is shaved and removed. Transuretral Prostate Incision (TUIP) : It aims to relieve the prostate tissue by cutting it instead of removing it with the help of an endoscope.
Open Prostatectomy : With the incision made in the lower part of the abdomen, it aims to relieve the prostate tissue. It is the process of removing tissue. Today, it is mostly used to remove large prostate tissues over 80-100gr.
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