| Abstract: |
This booklet reviews benign prostatic hyperplasia (BPH), a common condition of prostate enlargement that occurs as a man gets older. As the prostate enlarges, the layer of tissue surrounding it stops it from expanding, causing the gland to press against the urethra like a clamp on a garden hose, resulting in discomfort, difficulty in urination, and urine retention. The booklet reviews the occurrence of BPH, the symptoms it can cause, diagnostic tests used to confirm the condition, treatment options, and current research efforts in this area. Diagnostic tests discussed include digital rectal examination (DRE), prostate-specific antigen (PSA) blood tests, rectal ultrasound and prostate biopsy, urine flow studies, and cystoscopy. Treatment issues discussed include drug treatment; minimally invasive treatments such as transurethral microwave procedure (TUMP), transurethral needle ablation (TUNA), water-induced thermotherapy, and high-intensity focused ultrasound; and surgical treatments, including transurethral surgery, open surgery, laser surgery, postoperative recovery, sexual function after surgery, and postoperative complications such as urinary incontinence. The booklet provides a brief glossary of related terms and briefly describes the goals and activities of the National Kidney and Urologic Diseases Information Clearinghouse. 3 figures. 2 references. |