What is prostate?

The prostate is a small but important gland (organ) in the male reproductive system. The main role of the prostate is to make fluid that protects and gives nutrients to sperm. The prostate makes about one third of the fluid that is ejaculated (released) from the penis at orgasm (sexual climax).

Where is prostate (location)?

In young men the prostate is about the size of a walnut, but it gets bigger with age. The prostate sits underneath the bladder, and surrounds the top part of the urethra. Urine passes through the urethra on its way from the bladder to the penis.

How does the prostate gland change with age?

The male sex hormone testosterone makes the prostate grow in size. As men get older, the prostate grows larger. At puberty, testosterone levels in boys start to increase and the prostate grows to about eight times of its size. It continues to grow, doubling in size between the ages of 21 and 50 years, and almost doubles again in size between the ages of 50 and 80 years.

What is BPH?

BPH (benign prostatic hyperplasia) is a non-cancerous enlargement or growth of the prostate gland. Narrowing of the urethra due to this enlargement can affect the passing of urine in a number of ways. BPH is not usually life-threatening but symptoms can have a major effect on quality of life.

How common is BPH?

BPH is more common in older men, usually starting after 40 years of age; it affects nearly all men at some time in their lives. Symptoms usually get worse over time if not treated.

What are the symptoms of BPH?

Urinary changes including obstructive symptoms (delay or straining, slow or dribbling flow) and irritative symptoms (urgent or frequent urination during the day and night).

How is BPH diagnosed?

Taking medical history, physical examination (DRE), blood or urine tests, PSA test, and sometimes biopsy or ultrasound.

How is BPH treated?

Mild cases may need no treatment. Oral medicines (tablets) help moderate symptoms. Surgery is an option for severe symptoms.

• TURP: Telescopic removal of the obstructing part of the prostate to allow easier urine flow.
• Laser Prostate surgery (HoLEP): Using a laser to cut and remove excess tissue. Advantages include lower risk of bleeding, suitability for very large glands, and quicker recovery.

Procedures do not affect orgasmic pleasure, but most patients experience retrograde ejaculation (dry ejaculation), which is harmless. All mentioned procedures are regularly performed at Max Saket with excellent results.