Urologists: When urinating becomes painful agony

Urologists: When urinating becomes painful agony

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Gentle procedure developed: When prostate enlargement peeing becomes torture
Around every second man over 50 has an enlarged prostate. Affected people usually have - often very violent - urinary symptoms. This can sometimes be remedied by surgical treatment. Experts have recently developed a particularly gentle process.

Every second man has an enlarged prostate
In Germany, about every second man over 50 and almost everyone over 80 years old has an enlarged prostate. "The proximity to the urethra can lead to narrowing - combined with varying degrees of urination problems," explained Dr. Reinhold Schaefer, urologist and medical director of the Uro-GmbH North Rhine medical network, in an interview. About every fifth person affected has to undergo treatment. A particularly gentle procedure was recently developed at the Freiburg University Hospital.

When men have to go to the bathroom all the time
The prostate, also called the prostate gland, is located directly below the bladder and surrounds the urethra. It is significantly involved in the formation of semen. If the prostate is enlarged, it presses on the urethra and bladder.

The consequences: it is difficult to urinate and despite frequent visits to the toilet, the impression sometimes remains that the bladder is never really empty.

The urine stream is usually weak, there is a dribbling or sudden urge to urinate.

Urinary tract infections can also occur.

Enlarged prostate does not always cause problems
If you have prostate problems, you should always contact a urology specialist if you have severe and persistent symptoms.

“Depending on the severity of the symptoms, other illnesses and the patient's wishes, medicinal or surgical therapies are used. However, an enlarged prostate is often not a problem, ”says Dr. Shepherd.

"Surgery does reduce the symptoms significantly for most patients."

Particularly gentle process developed
Surgeons often use endoscopic procedures and increasingly laser techniques for an operation. A particularly gentle procedure was developed at the University Hospital Freiburg.

According to a message from the clinic, one of the most modern methods is the further development of Professor Dr. Arkadiusz Miernik from the Department of Urology at the University Medical Center Freiburg, now even safer.

"The procedure we performed lasts half as long as the previous standard prostate reduction method and complications such as post-bleeding tend to be less common than other surgical interventions to correct prostate enlargement," explained Professor Miernik.

The time of treatment depends solely on the patient
The urologists at Freiburg University Hospital rely on the "Holmium Laser Enucleation of the Prostate", or HoLEP for short. Under general anesthesia, a laser system is advanced through the urethra to the prostate.

In the classic HoLEP, the tissue is usually cut into three parts with the laser, which are removed via the urethra. However, due to the complex surgical technique and handling, the intervention is difficult to learn. This creates the residual risk of complications.

Thanks to the further development of the method by Professor Miernik, this risk can be further minimized. Instead of several parts, the prostate is detached from the surrounding tissue in one piece.

The optimized technology has been offered to all patients with a benign enlarged prostate at Freiburg University Hospital for over a year. The right time for surgical treatment is very individual.

According to Professor Miernik, this should be done if the person affected suffers severely from the symptoms and "no other therapy is possible".

Long-term symptom-free
As the communication says, benign prostate enlargement has been treated since the 1950s, initially in an open surgery. The advances in surgical technology are enormous.

“30 years ago, a patient had to stay in the hospital for two weeks after the operation and the complications were not insignificant. If the patient's son were treated with us today, he can usually leave the hospital after two to three days and is probably long-term symptom-free, ”says Professor Miernik. (ad)

Author and source information

Video: Urinating at night = Nocturia (August 2022).