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Benign prostate enlargement or hyperplasia (BPE or BPH)

Overview

This is a common, non-cancerous condition that may occur as a patient grows older. It is characterised by an enlargement of the prostate and is typically accompanied by urinary discomfort.

The symptoms of BPE/H are as follows:

  • Increased frequency of urination
  • Bladder urgency, which is a strong, sudden need to urinate
  • Nocturia, increased frequency of urination at night
  • Poor urinary flow
  • Straining during urination
  • Stopping and starting during urination or an intermittent urine stream
  • Feeling of incomplete urination
  • Burning sensation during urination, accompanied by fever or chills
  • Bladder stones

BPE can be diagnosed via the following investigations:

  • Digital rectal examination: A healthcare professional will manually palpitate the area around the prostrate and assess its status
  • Ultrasound KUB: An ultrasound examination of the kidneys, ureters, and bladder
  • Uroflowmetry: A test that measures the speed, amount, and duration of urination
  • Serum PSA: A blood test that checks for a protein produced by the prostate gland
  • Urinalysis: A common urine test

The following treatments are available for BPE:

  • Transurethral resection of the prostate (TURP): This surgical procedure involves removing a portion of the prostate gland. We offer both monopolar and bipolar TURP
  • Laser enucleation (LEP): A pulsed laser beam is used to remove tissue from within the prostate. It is a minimally invasive procedure. We offer LEP using two types of lasers (HoLEP and ThuLEP)
  • Laser vaporisation: A high-power green light laser is used to remove tissue from the prostate gland
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