Relieving urinary problems related to BPH

Home Relieving urinary problems related to BPH

Graduated solutions, from medication to lasers

Relieve urinary problems related to BPH: diagnosis, treatments and personalized solutions with Dr. Olivier Dumonceau in Paris.

Expertises du docteur Olivier Dumonceau, dépistage du cancer de la prostate, expert troubles urinaires

Introduction

Benign prostatic hyperplasia (BPH), or prostatic adenoma, is a common condition after age 50. It often manifests as urinary problems that impair quality of life.

These symptoms are not inevitable. Solutions — medical, minimally invasive or surgical — exist to relieve, stabilize or correct the discomfort.

The goal: to support you towards lasting relief, tailored to your profile, while minimizing side effects.

Expertise in Prostate Adenoma

Expertise Adénome de la prostateExpertise Adénome de la prostateDr Olivier Dumonceau

What is BPH for relieving urinary problems?

BPH refers to a benign enlargement of the prostate gland, which can compress the urethra or the base of the bladder. This compression alters urine flow and causes various symptoms—without being linked to cancer.

Over time, BPH can lead to complications: acute urinary retention, infections, bladder stones, or even kidney damage if bladder emptying is severely impaired.

Each case is unique: the extent of symptoms, the impact on daily life, the size of the prostate, and comorbidities are all factors that guide treatment.

How can I treat my prostate adenoma?

Comment traiter mon adénome de prostate ?Comment traiter mon adénome de prostate ?Dr Olivier Dumonceau

What are the symptoms associated with BPH?

  • Thin, jerky or interrupted stream of urine
  • Difficulty starting urination
  • Feeling of not completely emptying the bladder
  • Frequent need to urinate, especially at night (nocturia)
  • Urgent urge to urinate, sometimes with overflow incontinence.
  • Burning or discomfort during urination
  • Recurrent urinary tract infections
  • Sometimes, there is blood in the urine.

Expertise

Patient journey office

Parcours Patient cabinetParcours Patient cabinetDr Olivier Dumonceau

Diagnosis: the assessment before any action for urinary disorders

Why choose REZUM treatment?

Before proposing a solution, a complete evaluation is necessary to confirm the cause, assess the severity, and rule out other conditions (such as prostate cancer or urethral stricture). This evaluation includes:

  1. Medical interview and collection of symptoms
     (urinary scores, medical history, comorbidities)
  2. Clinical examination
     Specifically, a digital rectal exam to assess the prostate
  3. Urine analysis
     To detect an infection or the presence of blood
  4. Urine flowmeter / flowmeter
     To measure the speed of the urine stream
  5. Measurement of post-void residual
     Amount of urine remaining in the bladder after urination
  6. Prostate ultrasound / bladder-prostate ultrasound
     To estimate the volume, the presence of a median lobe, the morphology
  7. PSA testing
     In cases of suspected infection or before certain interventions
  8. Additional examinations (MRI, cystoscopy, urodynamics)
     If the context or the standard assessment requires it

This assessment helps to categorize urinary disorders — mild, moderate or severe — and to choose a personalized strategy.

Experience

Getting up at night to urinate: is it a prostate problem?

Se lever la nuit pour uriner : est-ce un problème de prostate ? Réponse du Dr Olivier DumonceauSe lever la nuit pour uriner : est-ce un problème de prostate ? Réponse du Dr Olivier DumonceauDr Olivier Dumonceau

Relief strategies: therapeutic options

  • Limit diuretic drinks (coffee, tea, alcohol), especially in the evening
  • Space out fluid intake before bedtime
  • Urinate as soon as you feel the urge: avoid holding it in for a long time
  • Monitor body weight, fight against obesity
  • Regular physical activity
  • Control cardiovascular factors (hypertension, diabetes)
  • Alpha-blockers: fast-acting, they relax the bladder neck and the muscle fibers around the urethra, facilitating flow.
  • 5α-reductase inhibitors: gradually reduce prostate volume; particularly useful for enlarged prostates.
  • Therapeutic combinations: alpha-blocker + 5α-reductase, depending on the case
  • Anticholinergics or muscarinic modulators: to treat irritative symptoms (frequency, emergencies), sometimes in combination
  • Other medications (phosphodiesterase-5, phytotherapeutic therapies depending on the context)
  • Each medication has its indications, its advantages and its possible side effects: the decision is made in consultation.
  • Laser techniques: vaporization, resection or enucleation (Holmium, GreenLight, etc.)
  • Thermotherapy, microwaves, photoelectric vaporization
  • Prostate stents (in carefully selected cases)

Why consult a specialist urologist?

  • For an accurate and complete diagnosis
  • To offer you a personalized strategy (medical, minimally invasive or surgical)
  • To offer you a personalized strategy (medical, minimally invasive or surgical)
  • For structured monitoring, adjust the treatment, and monitor side effects.
  • To take into account your preferences, your tolerance, your priorities

Patient Journey

Let me introduce you to the typical patient journey, my approach to urology, and how I work.

Are you experiencing bothersome urinary problems related to BPH?

Don’t let benign prostatic hyperplasia impair your urinary comfort.

Urology Clinic Paris Opéra – Paris 17th
Consultation and management of urinary symptoms
Book your appointment today

FAQ – Frequently Asked Questions

What are the first-line treatments for urinary problems related to BPH?

The treatment begins with simple rules (limit drinks in the evening, reduce caffeine and alcohol, treat constipation) and, if necessary, drug treatment: alpha-blockers, 5-alpha-reductase inhibitors or herbal medicine.

What are the limitations of medications?

Medications relieve symptoms but do not permanently reduce prostate size. Their effect sometimes diminishes over time, and some cause fatigue, dizziness, or sexual dysfunction, prompting a move towards more permanent treatment.

When should interventional treatment be considered?

When discomfort persists despite medication, when complications arise (retention, infections, bladder stones, kidney problems), or when the patient wishes to discontinue daily treatment, minimally invasive solutions exist before resorting to traditional surgery.

Is it possible to remain without treatment if the discomfort is moderate?

Yes. BPH with few symptoms and no complications can simply be monitored. The important thing is regular follow-up with uroflowmetry and residual urine measurement, to intervene before the bladder becomes strained.

Dr Olivier Dumonceau's expertise

Chirurgien Urologue à Paris

Dr Olivier Dumonceau

Solutions exist: let's talk.

Consultation appointment Surgery appointment