Relieving urinary problems associated with BPH

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Introduction

Benign prostatic hyperplasia (BPH), or prostate adenoma, is a common condition after the age of 50. It often manifests itself through urinary problems that affect one’s comfort of life.

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

The objective: to support you towards lasting relief, adapted to your profile, while minimizing unwanted effects.

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 a variety of symptoms—but is not necessarily linked to cancer.

Over time, BPH can lead to complications: acute urinary retention, infections, bladder stones, and even repercussions on the kidneys if bladder emptying is seriously 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 management.

Prostate adenoma

What are the symptoms associated with BPH?

You may experience one or more of these signs:

Thin, jerky, or interrupted urine stream
Difficulty starting urination
Feeling of not completely emptying the bladder
Need to urinate frequently, especially at night (nocturia)
Urgency to urinate, sometimes overflow leakage
Burning or discomfort when urinating
Recurrent urinary tract infections
Sometimes there is blood in the urine

These symptoms can develop gradually and fluctuate. It is important not to ignore them, especially if the discomfort worsens.

Diagnosis: the assessment before any action for urinary disorders

Why choose REZUM treatment?

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

Medical interview and symptom collection
(urinary scores, history, comorbidities)
Clinical examination
In particular, digital rectal examination to assess the prostate
Urine analysis
To detect infection or the presence of blood
Urine flow meter / uroflowmetry
To measure the speed of the urinary stream
Post-void residual measurement
Amount of urine remaining in the bladder after urination
Prostate ultrasound / vesicoprostatic ultrasound
To estimate the volume, the presence of a median lobe, the morphology
PSA Testing
In cases of suspicion or before certain interventions
Additional examinations (MRI, cystoscopy, urodynamics)
If the context or the standard balance sheet requires it

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

Relief Strategies: Therapeutic Options

The goal is to reduce discomfort, restore satisfactory urinary flow, and prevent complications. Several approaches are possible, adapted according to the patient’s age, comorbidities, and preferences.

1️⃣ Hygiene and dietary measures and lifestyle habits

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 too long
Monitor body weight, fight obesity
Practice regular physical activity
Control cardiovascular factors (hypertension, diabetes)

2️⃣ Drug treatment

Alpha-blockers: fast-acting, relax the bladder neck and muscle fibers around the urethra, facilitating flow
5α-reductase inhibitors: gradually reduce prostate volume; particularly useful for large prostates
Therapeutic combinations: alpha-blocker + 5α-reductase, as appropriate
Anticholinergics or muscarinic modulators: to treat irritative symptoms (frequency, urgency), sometimes in combination
Other medications (phosphodiesterase-5, herbal therapies depending on the context)
Each drug has its indications, advantages and possible side effects: the decision is made in consultation.

3️⃣ Minimally invasive procedures
Transurethral resection of the prostate (TURP)

These techniques offer a good compromise between efficacy, recovery and reduction of side effects, depending on the anatomy and experience of the surgeon.

4️⃣ Open surgery (rare, for very large or complex cases)
When other options are insufficient or if there are complications (very massive hypertrophy, bladder injury, stones), open surgery may be considered.

Why consult a specialized 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, adjusting treatment, monitoring side effects
To take into account your preferences, your tolerance, your priorities

A well-chosen treatment is more effective, better tolerated, and maximizes the preservation of sexual and urinary function.

Treatment of prostate adenoma

Do you suspect a prostate adenoma?

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Are you experiencing bothersome urinary problems related to BPH?

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

📍 Urology Clinic Paris Opéra – Paris 17th
💻 Consultation and management of urinary symptoms
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