Tired of having to get up at night to go to the toilet?

Tired of getting up for the toilet

Prostate enlargement is extremely common in men over the age of 50 and affects many men over 60. At Benenden Hospital we are proud to offer UroLift® to our male urology patients: a minimally invasive, low-risk outpatient procedure.

Our expert Consultant Urological Surgeon, Mr Steve Garnett says: “Any man with urinary symptoms that are due to prostate enlargement could potentially benefit from the Urolift® procedure. We’re not cutting into the prostate it’s a much smaller procedure, which means it can be done as a day case so you can return home the same day.”

What is prostate enlargement?

Continence Care Nurse, Mary Barker, says: “No-one really wants to talk about their bladder problems, but we have found that men can be more reluctant than women to come forward."

However, with an increase in the number of stories circulating in the media about prostate problems, this is bound to change.

Prostate enlargement is usually nothing to do with prostate cancer and is due to benign prostate enlargement (BPE). The prostate sits just underneath the bladder and, as it enlarges, it can block the way out of the bladder making the flow of urine increasingly slow and intermittent when a man passes urine.

In time this can lead to other effects on the bladder, such as wanting to urinate more often and having to get up frequently at night. This can lead to disturbed sleep for both you and your partner. Additionally, some patients find that they’re having to rush to the toilet without much warning as the bladder is trying to empty even when it’s not completely full. Eventually, you can get to the point where you cannot pass urine at all and this is when a catheter would need to be inserted.

For most, things don’t reach this stage, but you have slowly worsening enlarged prostate symptoms that you may put up with for a long time. You may not even realise until things are treated how bad the situation had got.

When should I go to the doctor?

If you’re experiencing troublesome urinary symptoms, you should contact your GP about a further assessment. Once approved, you'll have a full assessment to check on your prostate size and urinary flow rate and assess whether you’re suitable for treatment here.

Assessments for prostate problems are straightforward and can easily be performed at Benenden Hospital in the outpatient department.

What enlarged prostate treatments are available?

There are many treatments for prostate enlargement but some of these do have significant side effects.

For example, the standard treatments for prostate enlargement, such as trans-urethral resection of prostate (TURP) or laser surgery, are very effective - but are bigger procedures with a longer stay in hospital. Drug treatments are often also prescribed in the first place for prostate problems.

All standard procedures, including taking tablets have risks of retrograde ejaculation and erectile dysfunction, and surgery can occasionally cause incontinence. However, these problems are highly unlikely to be experienced with the UroLift® procedure.

What is the UroLift® procedure?

UroLift® is a low-risk outpatient procedure that provides rapid and long-lasting relief from your inconvenient and stressful urinary symptoms associated with Benign Prostatic Hyperplasia (BPH). UroLift® is a proven, minimally invasive treatment that fills the gap between prescription medications and more invasive surgical procedures for prostate problems.

Small, permanent implants are placed into the prostate, pulling the prostate open. In doing this the flow improves, and bladder emptying improves, resulting in fewer urinary symptoms. An enlarged prostate can narrow, or even block the urethra causing bothersome urinary symptoms. The UroLift® delivery device is placed through the obstructed urethra to access the enlarged prostate.

The UroLift® procedure has been around for some time now and there is lots of evidence to support it. The procedure has been recognised and approved by NICE (the National Institute for Health and Clinical Excellence) as a safe and reliable enlarged prostate treatment.

Patient story - Iain Cooper

Iain Cooper, who runs a domestic appliance repair business, was referred to Mr Garnett who recommended several options including the UroLift® procedure.

“I’m really pleased I opted for the Urolift because it’s made such a difference to my life. I was very nervous about it because it was a new procedure and I hadn’t heard of anyone who had it, which made me even more nervous. But I’m so glad I did because I’ve had no side effects and it’s worked for me tremendously.” Read more about Iain's successful UroLift® procedure.

To book a urology appointment, complete our online enquiry form or contact our Private Patient Team on 01580 363158.

Published on 25 October 2021