Prostate: benign enlargement, HoLEP, TURP and screening

Benign prostate enlargement

A weakening urine stream, frequent urination at night or the feeling that the bladder does not empty completely can be signs of a benign enlargement of the prostate.

Diagnosis

Not every patient needs surgery. I first examine where the symptoms come from and how much the urine flow is actually obstructed. This may include:

• Ultrasound
• Measurement of residual urine
• Urine flow measurement
• PSA blood test

If medication does not help enough, or complications such as repeated urinary retention, infections, bladder stones or significant residual urine occur, surgery may be advisable.

HoLEP – holmium laser enucleation of the prostate

In holmium laser enucleation, the obstructing prostate tissue is detached from the prostate capsule with a laser via the urethra and then removed. No external incision is required.

TURP – transurethral resection of the prostate

In transurethral resection of the prostate, the obstructing tissue is also removed step by step via the urethra. Again, no external incision is needed.

Which procedure is more suitable depends on factors such as prostate size, anatomy, symptoms, other conditions, medication and personal priorities. I make this decision together with the patient after a full examination.

Prostate cancer screening

Prostate cancer screening is based on age, family history, personal risk factors and individual wishes.

It includes a medical consultation and physical examination. After you have been informed about benefits and limitations, a PSA test may also be useful.

An abnormal result does not automatically mean prostate cancer. It has to be clarified with targeted further tests.