What is BPH

Updated: May 5

Monthly Blog – September 2021

From the Desk of Dr. M.

I will be starting a monthly blog series that will address a number of urology issues that I have seen in my 20+ year practice of urology as an academic Urologist at St. Joseph’s hospital in Hamilton, Ontario. I hope you enjoy!

What is BPH in Medical Terms?

For many men over the age of 50, they suddenly experience troublesome urinary symptoms that may include:

- Frequency (how many? What is normal number of times someone has to pee?)

- Night time waking up

- Urgency

- Difficulty starting to pee

- Stop and going

- Slow flow

I’ve treated thousands of men experiencing these symptoms in my practice. These patients often arrive in my office both exasperated and frustrated as their day to day activity and lifestyle is being negatively impacted .

From my experience as a urologist, the symptoms described above typically are caused by BPH -– Benign Prostatic Hperplasia, which is essentially an enlarged prostate gland that is impacting urinary function.

BPH is not cancerous and is a very common condition for men as they age. As a urologist there are a few ways that I manage BPH with my patients depending on the severity of symptoms,

1) Lifestyle Recommendations

I often recommend to patients experiencing mild symptoms to consider lifestyle changes that can make a significant difference in these annoying symptoms

- Pelvic floor exercises to strengthen the muscles

- Reduce fluid intake

- Reduce caffeinated and alcoholic drinks

2) Medication

There are a number of medications that can be prescribed to either shrink an enlarged prostate or to relax the muscles in the prostate and bladder. I have found that some patients respond well to these medications and symptoms do subside.

3) Procedures

If lifestyle changes and medications are not working, I often look to suggesting surgical procedures to remove or reduce the size of the prostate. Many patients are worried when they hear surgery however, many of these procedures are minimally invasive. TURPS, Greenlight therapy, cystoscopies are go to procedures that are often utilized.

REZUM is another option for many of my patients that have tried all of the above therapies. It is a less invasive procedure that many patients have found to solve the problems of BPH. Please contact my office for more information about the Rezum procedure.

Edward D. Matsumoto M.D., M.Ed., F.R.C.S.C., Dip.ABU.

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