Recently, many middle-aged men have begun experiencing urinary problems that interfere with daily life. When such symptoms occur, it is common for people to search online for hospitals specializing in benign prostatic hyperplasia (BPH) and explore possible tests and treatment options. BPH is indeed one of the most common urologic conditions affecting middle-aged and older men, which is why it is often the first condition people suspect when urinary symptoms appear.
However, not all urinary problems are caused by BPH. Urinary symptoms can arise from a variety of urologic conditions. For example, interstitial cystitis, urethral stricture, and decreased bladder function can also lead to difficulties with urination. For this reason, it is important not to self-diagnose BPH simply because urinary symptoms are present. Instead, a thorough medical evaluation is necessary to determine the exact cause.
When urinary symptoms occur, the most important step is to undergo a comprehensive examination at a urology clinic. Based on the findings, appropriate treatment options such as medication, UroLift, HoLEP surgery, or Rezūm therapy may be considered. The diagnostic process usually begins with a questionnaire and medical interview to assess the patient’s current symptoms and medical history. Urine tests are then conducted to check for inflammation, blood in the urine, or protein abnormalities. Uroflowmetry and post-void residual urine tests are also performed to measure urinary flow rate, voiding time, and the amount of urine remaining in the bladder after urination.
A digital rectal examination and prostate ultrasound are important for evaluating the prostate itself. These tests help determine the size, shape, and condition of the prostate. In particular, prostate-specific antigen (PSA) testing is essential for assessing the possibility of prostate cancer. Additional diagnostic procedures may include cystoscopy to examine the bladder and urethra, as well as urodynamic studies to analyze bladder and urinary function in more detail.
If BPH is confirmed through these examinations, treatment options can be selected based on factors such as the patient’s age, general health condition, and severity of symptoms. In elderly patients, surgery may sometimes pose a greater burden due to potential risks such as bleeding, infection, and anesthesia complications. In such cases, medication or less invasive procedures may be considered first. If symptoms fail to improve with medication or if residual urine volume increases, surgical treatment may become necessary.
One commonly performed minimally invasive procedure is holmium laser enucleation of the prostate (HoLEP). This surgery uses a laser to remove enlarged prostate tissue and relieve pressure on the urethra, improving urine flow. Because the procedure allows both cutting and coagulation at the same time, it is performed in a minimally invasive manner with relatively short recovery time and a lower risk of complications.
When considering surgery for BPH, it is important not to focus solely on treatment cost but rather to choose the most appropriate treatment for one’s condition. Instead of selecting a surgical method based only on general information, patients are encouraged to consult with a urology clinic that offers multiple treatment options and develop a personalized treatment plan.
Dr. Na Jun-chae of Goldman Urology Clinic’s Jamsil branch emphasized that urinary symptoms can significantly affect quality of life. He noted that it is important not to assume that urinary problems are automatically caused by BPH or to begin treatment without proper evaluation. Determining the exact cause through accurate testing and selecting the most suitable treatment based on the patient’s individual condition are the key steps toward effective management.