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Blue Mountains and Penrith Endovascular Specialist and Neurointerventionalist
Conditions we treat
Benign Prostatic Hyperplasia
Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland. The central portion of the prostate gland enlarges, compressing the urethra resulting in urinary symptoms.
What causes BPH?
Testosterone and dihydroxytestosterone potentiate the growth of the prostate gland contributing to an enlarging gland with age. Risk factors for the development of BPH including:
Obesity
Western diet
Type 2 diabetes
Family history
What are the symptoms of an enlarged prostate?
The enlarged prostate gland compresses the urethra resulting in lower urinary tract symptoms (LUTS). These symptoms are categorised into two groups:
Obstructive Symptoms:
Poor urinary flow
Hesitancy – difficulty starting urination
Incomplete emptying
Dribbling
Straining to pass urine
Storage Symptoms:
Increased frequency of urination
Urgency to urinate
Nocturia – repeatedly needing to urinate at night
What are the treatment options?
Medication: Indicated for patients with mild to moderate lower urinary tract symptoms.
Surgery: Transurethral resection of the prostate (TURP) remains the gold standard treatment of BPH. This procedure utilises a resectoscope with a cautery loop to surgically resect and aspirate tissue via retrograde urethral access.
Interventional techniques: Prostate artery embolisation involves blocking blood supply to the prostate gland, causing it to shrink down and alleviate urinary tract symptoms.