Prostate Clinic
BPH
(Benign Prostatic Hyperplasia)
BPH is a leading men's condition that
significantly reduces quality of life.
Through accurate diagnosis,
customized treatment is possible.
significantly reduces quality of life.
Through accurate diagnosis,
customized treatment is possible.
"BPH — a leading men's health condition that significantly reduces quality of life."
What Is BPH?
BPH (Benign Prostatic Hyperplasia) is an extremely common condition in middle-aged and older men, where the enlarged prostate compresses the urethra and bladder neck, narrowing the urinary passage and causing difficulty with normal urination.
Key Symptoms of BPH
| Weak Stream | The urine stream becomes thin and weak. |
|---|---|
| Frequency | An abnormally frequent need to urinate throughout the day. |
| Nocturia | Waking up during the night to urinate. |
| Hesitancy | Difficulty starting the urine stream despite the urge. |
| Intermittency | The urine stream stops and starts repeatedly. |
| Urgency | A sudden, compelling urge to urinate that is hard to delay. |
| Straining | Needing to push or strain to initiate urination. |
| Incomplete Emptying | A persistent sensation that the bladder has not fully emptied. |
Causes of BPH
BPH is extremely common in men over 30, with the prostate continuing to grow through the 70s.
While the exact cause is not fully understood, hormonal metabolism is known to mediate prostate growth.
Westernized diet and genetic factors are also suspected contributors.
Hormonal Changes
Westernized Diet
Genetic Influence
IPSS Self-Assessment
Before visiting the hospital, check your current condition.
Evaluate your symptoms using the internationally standardized 7-question IPSS checklist.
| Question | Not at all | Less than 1 in 5 | Less than half | About half | More than half | Almost always |
|---|---|---|---|---|---|---|
| How often did you feel your bladder was not completely empty after urinating? | 0 | 1 | 2 | 3 | 4 | 5 |
| How often did you need to urinate again within 2 hours? | 0 | 1 | 2 | 3 | 4 | 5 |
| How often did your urine stream stop and start repeatedly? | 0 | 1 | 2 | 3 | 4 | 5 |
| How often did you find it difficult to postpone urination? | 0 | 1 | 2 | 3 | 4 | 5 |
| How often did you have a weak urinary stream? | 0 | 1 | 2 | 3 | 4 | 5 |
| How often did you need to strain to begin urinating? | 0 | 1 | 2 | 3 | 4 | 5 |
| Question | None | 1 time | 2 times | 3 times | 4 times | 5+ times |
| How many times did you typically get up at night to urinate? | 0 | 1 | 2 | 3 | 4 | 5 |
※ Total Score 0–7: Mild / 8–19: Moderate / 20+: Severe
WORLD CLASS UROLOGY CLINIC
Patients from
54 countries worldwide
visit HIGHST Urology.
54 countries worldwide
visit HIGHST Urology.
BPH Diagnostic Methods
Medical History & Physical Exam
Urinalysis
PSA (Prostate-Specific Antigen) Test
Uroflowmetry & Residual Volume
Prostate Ultrasound
Prostate & Bladder Cystoscopy
BPH Treatment Methods
HIGHST Urology provides the most suitable treatment based on extensive experience,
tailored to each patient's condition.
Medication Therapy
Alpha-Blockers / 5-Alpha Reductase Inhibitors
Minimally Invasive Procedures
UroLift / Rezūm
Surgical Treatment
Plasma Vaporization (Prostatectomy)
BPH Q&A
Q.What medications are available for BPH?
A.Alpha-blockers and 5-alpha reductase inhibitors are the two main medication types. Alpha-blockers relax the prostate muscles to widen the urethra and work quickly, but effects diminish if discontinued. 5-alpha reductase inhibitors prevent further prostate growth and can reduce prostate size over 3–6 months of consistent use, with noticeable size reduction after 6 months to 1 year.
Q.Does BPH surgery remove the entire prostate?
A.No. BPH surgery does not remove the prostate entirely. It only removes or reduces the enlarged tissue compressing the urethra, restoring normal urinary flow while preserving the prostate gland itself.
Q.Can BPH recur after surgery?
A.Since the prostate tissue is not completely removed, there is a possibility of regrowth over many years. However, recurrence requiring retreatment is rare, and regular follow-up monitoring can detect and address any changes early.
Q.Can retrograde ejaculation occur after BPH surgery?
A.Traditional surgical methods (TURP) carry some risk of retrograde ejaculation. However, modern minimally invasive options like UroLift are specifically designed to preserve sexual function, including ejaculatory function. Your surgeon will recommend the most appropriate approach based on your priorities.
