Benign Prostate Enlargement and Endoscopic Prostate Surgery

What is Prostate?
What Does It Do?

The prostate is a gland found in the urethra, below the bladder (bladder) and in men that surrounds the urethra (urethra). It is an organ that secretes 20-25 gr chestnut-shaped fluids found in the semen (semen).

As a result of hormonal changes in advancing age, the prostate gland begins to grow and narrows the urinary tract, causing complaints. Prostate enlargement is mostly in the form of benign prostate enlargement. Benign prostate enlargements should be differentiated from prostate cancers.

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Benign prostatic enlargement usually occurs due to old age and is a disease whose cause is not known yet. It can seriously affect the patient's quality of life.

How Is It Diagnosed?

When diagnosing prostate enlargement, other diseases that may cause similar complaints are also questioned and a detailed medical history is taken. A physical examination is then performed.

During this procedure, the genitals and prostate are examined. Examination of the prostate is done with a finger rectally and the shape, firmness and size of the prostate are examined.

Then some blood and urine tests and more extensive tests are done.

Urinalysis and PSA are the most basic tests. PSA (prostate specific antigen) is a test used to differentiate benign prostate enlargement and cancer, especially used in prostate cancer screening.

With uroflowmetry, which measures urine flow, it is investigated whether the enlarged prostate narrows the urinary tract. With ultrasound, the size (volume) of the prostate, the amount of urine remaining in the bladder after urination, and whether there is any problem in the kidneys are examined.

In some patients, urodynamics can be performed to more clearly reveal the cause of urination difficulty.

Who can be offered treatment?

Medication is recommended primarily to patients whose complaints affect their quality of life, and patients are followed up at regular intervals.

Prostate surgery is recommended for those who do not benefit from drug treatment due to prostate enlargement in the future, who have frequent urinary tract infections, whose kidneys are affected, who cannot urinate and have a catheter inserted, and who have recurrent bleeding in the urine.

The mainstay of surgical treatment is to remove the enlarged prostate tissue blocking the urinary tract and to provide a healthy urine flow.

The most widely applied and standard prostate surgery technique is the endoscopic removal of the prostate gland called TUR-prostate (transurethral resection of the prostate).

With this method, the prostate gland is taken out in small pieces by entering the urinary tube (urethra) with a camera device (resectoscope) without making any incisions in the body.

The procedure is performed under spinal or general anesthesia. After the procedure, a catheter is placed in the urinary bladder and the patient is discharged, usually on the 1st or 3rd day of the procedure.

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