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Benign Prostatic Hyperplasia (BPH)

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Benign Prostatic Hyperplasia (BPH)

Understanding, Diagnosing & Treating Enlarged Prostate in Germany

 What Is BPH?

Benign Prostatic Hyperplasia (BPH), also called benign prostatic enlargement, is a non-cancerous overgrowth of the prostate gland. It commonly affects men over 50 and can significantly impact quality of life by obstructing the flow of urine.

Though not life-threatening, untreated BPH can lead to complications such as bladder stones, urinary tract infections, or even kidney damage.

 Fast Facts About BPH

  • Affects over 50% of men above age 60

  • By age 80, up to 90% of men show signs of prostate enlargement

  • BPH does not increase cancer risk, but the symptoms may be similar

  • German clinics offer minimally invasive solutions with high success and fast recovery

 Common Symptoms

Urinary Symptoms
Weak or interrupted stream
Urgent need to urinate, especially at night (nocturia)
Difficulty starting urination
Incomplete bladder emptying
Frequent urination
 

These symptoms can range from mild to severely disruptive and should be evaluated by a urologist.

Diagnosis of BPH in Germany

Diagnostic MethodPurpose
Digital Rectal Exam (DRE)Physical assessment of prostate size and texture
PSA Blood TestRules out prostate cancer
UroflowmetryMeasures urine flow rate
Bladder UltrasoundEvaluates post-void residual urine
Transrectal Ultrasound (TRUS)Imaging to measure prostate volume
CystoscopyEndoscopic view of the bladder and urethra
 

 Treatment Options for BPH

Germany provides a tiered and personalized approach, ranging from lifestyle changes to minimally invasive and surgical procedures.

 1. Conservative & Medication-Based Management

Often the first step for mild to moderate symptoms.

TreatmentDetails
Lifestyle ModificationsReducing evening fluids, limiting caffeine/alcohol, bladder training.
Alpha-Blockers (e.g., Tamsulosin)Relax smooth muscles in the prostate and bladder neck, improving urine flow within days.
5-Alpha Reductase Inhibitors (e.g., Finasteride)Shrink prostate over months by lowering DHT hormone. Most effective for larger prostates.
Combination TherapyUsed when both muscle relaxation and prostate volume reduction are needed.
Phytotherapy (Plant-based extracts)Popular in Germany: Saw palmetto, pumpkin seeds, rye pollen extract; mild effect, few side effects.
 

German clinics offer prescription-grade plant-based medicines that are integrated into urological care.

2. Minimally Invasive Procedures (MIST)

Ideal for patients not responding to medication or preferring a non-surgical solution. Germany is a pioneer in these advanced outpatient options.

ProcedureTechnologyAdvantages
Rezum™ Water Vapor TherapyUses targeted water vapor to ablate excess tissuePerformed under local anesthesia, preserves sexual function, fast recovery.
UroLift® SystemTiny implants lift and hold prostate tissueNo cutting or removal of tissue; same-day return to normal activity.
Prostatic Artery Embolization (PAE)Microspheres block blood flow to shrink prostateNon-surgical, catheter-based; suitable for high-risk patients.
iTIND (Temporary Implantable Nitinol Device)Remolds prostatic urethra over 5 daysNo cutting, short implant duration, symptom relief lasts 1–2 years.
 

 These options offer less risk of sexual side effects, shorter recovery, and high patient satisfaction.

3. Laser Therapies (Endoscopic and Bloodless)

Performed by experienced German urologists, laser options remove or enucleate prostate tissue without open surgery.

Laser ProcedureBest ForFeatures
HoLEP (Holmium Laser Enucleation)Very large prostatesComplete tissue removal, low recurrence, catheter-free recovery.
GreenLight Laser (PVP)Moderate BPHVaporizes tissue with minimal bleeding, short hospital stay.
ThuLEP (Thulium Laser)Delicate tissue handlingHigh precision, especially in patients on blood thinners.
 

 Many laser procedures are done in 1 day, with catheter removed within 24 hours and return to work in 3–5 days.

4. Surgical Treatment

Reserved for cases with very large prostates, urinary retention, or failure of less invasive methods.

Surgical OptionIndicationDetails
TURP (Transurethral Resection of Prostate)Traditional gold standardResection of inner prostate via resectoscope; high success rate, short hospital stay.
Open Simple ProstatectomyExtremely large prostates (>100cc)Infrequently needed due to laser alternatives; done under anesthesia.
Robotic-Assisted Simple ProstatectomyComplex cases, concurrent pathologiesOffers precision, lower bleeding, faster healing; available in leading German centers.
 
5. Complementary & Biological Support in Germany

Integrated into the WEGOVITA partner clinics, these therapies improve overall prostate and metabolic health:

Biological & Integrative TherapiesRole
Detox & Lymphatic SupportHelps cleanse accumulated metabolic waste and reduce local inflammation.
Vitamin & Mineral IV InfusionsIncludes zinc, selenium, Vitamin D—support prostate function and immunity.
Hormonal Balancing TherapyOptimizes testosterone/estrogen ratio naturally; monitored via blood profiles.
Gut & Microbiome RestorationReduces systemic inflammation contributing to BPH progression.
Anti-inflammatory Diet & Nutritional CoachingTailored plans to reduce symptoms and metabolic load.
 

 

German clinics focus on whole-body optimization to ensure long-term outcomes and prevent recurrence.

Why Treat BPH in Germany?

  •  Minimally invasive first-line options

  •  Robotic & laser technologies

  •  Fast recovery & short hospital stays

  •  Urologists with global recognition

  •  Integrated biological therapies

WEGOVITA – Your Partner for Prostate Health in Germany

WEGOVITA coordinates your full care journey with Germany’s best urologists and clinics:

Hospital selection and appointments
Second opinion and medical file review
 Travel, visa, and accommodation support
 Language assistance and in-person guidance
 Post-treatment follow-up and rehabilitation options

Summary

Benign Prostatic Hyperplasia is a common yet highly manageable condition. With Germany’s expertise in non-invasive techniques and holistic support, men can regain urinary comfort and quality of life—without major surgery or long recovery.

WEGOVITA is here to make your journey smooth, safe, and supported.

📩

Request Now – Receive expert evaluation from top German doctors in 48 hours and start your treatment journey in just 3 weeks!
 

💡Important for You

WEGOVITA offers medical coordination services by connecting international patients with top hospitals and specialists across Germany. We support access to expert evaluations, facilitate treatment logistics, and present a range of available medical options.

However, WEGOVITA does not provide direct medical treatment, make medical diagnoses, or recommend specific therapies. All final medical decisions—including diagnosis, treatment planning, and cost—are made solely by licensed medical professionals after a full clinical assessment of the individual patient.

This information is provided for informational purposes, based on internationally recognized guidelines and practices used in Germany’s leading medical institutions. It is not a substitute for professional medical advice.

💡 Interested in clinical trial references, treatment innovations, or cost comparisons? Contact our medical coordination team at info@wegovita.com for personalized assistance.

Your Health. Your Journey. With WEGOVITA.