After this age, every second man is at risk.

SHAFAQNA Türkiye – Doctor from Medipol Mega University Hospital, Department of Urology. Instructor Association member Mustafa Yucel Boz warned against benign prostatic hyperplasia, which can be seen in one in two men over 50 years of age. Dr. Instructor Prof Boz said: “Benign prostatic hyperplasia (BPH) is a clinical condition that causes difficulty urinating when an enlarged prostate puts pressure on the urinary canal, causing an obstruction. This condition worsens with age. The main complaints of patients with benign prostate enlargement are; It can manifest as difficult onset of urination, weak and intermittent urination, feeling unable to completely empty the urine, frequent urination, sudden urination, nighttime urination, urinary incontinence.


Noting that no special dietary or exercise precautions should be taken against prostate enlargement in men, Dr. Instructor Member Boz said: “Due to aging after 50 years, almost one in two men can experience these problems to a greater or lesser extent. This situation needs to be monitored. In fact, the symptoms of benign prostate enlargement and prostate cancer are similar in the form of difficulty urinating. We can distinguish benign prostate enlargement from prostate cancer based on the examination of the prostate gland and the presence of an elevated PSA level in the blood. If treatment does not bring relief, if the person’s complaints or urinary test do not improve, we may recommend surgery. In the treatment of BPH, the methods HOLEP, THULEP and BIPOLEP come to the fore as the most modern and effective approaches to treatment.


Dr. Instructor Member Mustafa Yucel Boz explained the current treatments as follows:

“The HOLEP, THULEP and BIPOLEP methods stand out as the most effective treatments for benign prostate enlargement. The HOLEP and THULEP methods are similar to each other. Between these methods there is a difference in the laser source used. In the BIPOLEP method there is a difference in the energy source. If we explain the HOLEP method in terms of easy understanding, if we compare the prostate to an orange, it will allow us to open the area between the peel and the lobules so clearly that there will be very little bleeding. It has many benefits, especially in terms of bleeding. We can effectively treat prostate enlargement. The recurrence rate is also very low compared to standard prostate surgeries. The HOLEP and TULEP methods are technically the same, only the laser energy used is different. The HOLEP method makes it possible to remove a large amount of tissue without incisions on the body with less risk of bleeding. The HOLEP method can be used in all patients with BPH, especially in patients with a large prostate who require surgical treatment. Once the anesthesia has been assessed, the procedure can be performed under lumbar or general anesthesia. Patients can be discharged on the 1st or 2nd day after surgery by removing the catheter and observing the patient’s urine flow.


Dr. Instructor Member Mustafa Yucel Boz continued his assessments as follows:

“There are two most serious complications that can occur after prostate surgery. Bladder stricture may develop. This probability is about 5 percent. There may also be a problem with urinary incontinence. In this case, it’s very rare. These are the negatives. As a result, prostate surgery is applied to patients who do not respond to medical therapy and cannot relax, that is, patients with surgical indications. The short duration of the operation, the low risk of bleeding and the short postoperative hospital stay make the HOLEP method attractive. After removing the catheter after surgery, the patient urinates and is discharged.”

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