WHO IS AT RISK
An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men, as they get older.
The severity of symptoms in people who have prostate gland enlargement varies, but symptoms tend to gradually worsen over time.
The patients are always seen by a urologist who makes the diagnosis of BPH and excludes underlying cancer.
Treatment for Enlarged Prostate
Benign Prostatic Hyperplasia BPH – (An enlarged prostate) is the most common noncancerous prostate problem, occurring in most men by the time they reach their 60s. Symptoms of BPH can include slow, interrupted, or weak urinary stream; urgency with leaking or dribbling; and frequent urination, especially at night.
Prostate Care is focused on offering treatment for enlarged prostate in South Africa, offering patients first-hand expert care.
Prostatic Artery Embolization in South Africa
Prostatic artery embolization (PAE) is a cutting-edge procedure performed to help improve urinary symptoms caused by an enlarged prostate without the risk of sexual side effects.
The treatment users a catheter threaded into an artery in the leg which is guided to the artery that supplies blood to the prostate. The blood supply becomes temporarily blocked which causes the prostate to shrink, relieving symptoms.
“Prostatic artery embolization in South Africa has become a realistic alternative for men who are experiencing benign prostatic hyperplasia” says Dr Lawson.
Who is at risk of Enlarged Prostates?
The prostate gland surrounds the urethra, the tube through which urine passes out of the body. An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men, as they get older.
Enlarged Prostate Symptoms and Treatment
Enlarged prostate symptoms and treatment for benign prostatic hyperplasia – The severity of symptoms in people who have prostate gland enlargement varies, but symptoms tend to gradually worsen over time. Thanks to embolization which allows minimally invasive treatment to treat enlarged prostate
To learn more about enlarged prostate common signs, symptoms of BPH and treatment including:
- Frequent or urgent need to urinate
- Increased frequency of urination at night (nocturia)
- Difficulty starting urination
- Weak urine stream or a stream that stops and starts
- Dribbling at the end of urination
- Straining while urinating
- Inability to completely empty the bladder
- Less common signs and symptoms include:
- Urinary tract infection
- Inability to urinate
- Blood in the urine
The size of your prostate doesn’t necessarily mean your symptoms will be worse. Some men with only slightly enlarged prostates can have significant symptoms, while other men with very enlarged prostates can have only minor urinary symptoms.
The only accredited facility offering prostate embolization for enlarged prostate treatment in South Africa and Africa. Netcare Sunninghill Hospital, Johannesburg.
Prostate artery embolization is performed by Drs. Andrew Lawson and Farrel Spiro and their interventional team. They work hand-in-hand with Dr Steve Cornish, the resident urologist at Sunninghill Hospital in Johannesburg.
Dr Lawson is a radiologist with a particular interest in prostatic artery embolization in South Africa. He has been trained by the international pioneers in PAE and has facilitated local workshops in South Africa where international experts attend and oversee the procedures thereby offering his patients first-hand expert care.
Dr Lawson and his team’s training has been such that potential complications are minimized, with the most favourable success rate possible. For enlarged prostate treatment in Cape Town and enlarged prostate treatment in Johannesburg Request a consultation here.
Frequently Asked Questions
How painful is the PAE procedure?
It is minimally invasive and performed under local anesthesia without pain or other side effects, with short hospitalization, immediate improvement, and short recovery.
Some pain might be experienced after the procedure which responds well to moderate strength oral pain killers.
How long will it take?
The procedure takes between 2 – 3 hours. Most patients leave the hospital 4 – 6 hours after the procedure. Patients with hypertension (high blood pressure), may spend the night in the hospital and be released the next morning. All patients can return to their normal life the next morning, but can’t drive for 1 day. After discharge from the hospital, the patient can contact the team with any questions.
Risk and Complications
The most frequent complication are:
1) Urinary tract infections (treated with antibiotics) and blood in urine (self limited) occur in about 8 – 10%
2) Blood in semen (self limited) is about 5%
3) Blood is stool in 3% (self limited)
4) Burning in anus and urethra for some hours (self limited)
5) Urinary retention during the procedure (1%) treated with a bladder catheter for a couple of hours.
Will PAE affect Fertility (ability to have children)?
No. PAE does not affect fertility or the ability to have children. The sexual performance improves in about one third of treated patients.
How much it Cost?
Currently the funding for PAE by medical aids is under review. For private patients, the feeing is as follows:
• Hospital, consumable and Dr’s fee – Please contact us for a quotation
• CT scan – R10 000
• Urology fee – charged at rate determined by the urologist who you see