Research shows that the majority of men over 60 will have an enlarged prostate which may affect their urinary system and quality of life and for which treatment ranges from medicine through to minimally invasive surgery.
And men often think frequent trips to the bathroom are a natural part of ageing, when, in most cases, this is due to an enlarged prostate. In some cases, the solution is a minimally invasive procedure known as Transurethral resection of the prostate (TURP), a common procedure with patients back home after two to three days in the hospital, says The Urology Hospital’s Dr Francois Duvenage.
Dr Duvenage recently teamed up with NPO, Operation Healing Hands (OHH) — which helps those who can’t afford life-saving operations — to offer a free TURP procedure on a 73-year-old man who had an indwelling catheter for six months and who had been unable to get immediate help from a public hospital.
“TURP, in many ways is the ultimate procedure in that we can operate without cuts by going in through the penis, removing enlarged parts of the prostate and thereby allowing patients to urinate freely again. Through his operation, we solved the problem of the 73-year-old patient effectively.”
Duvenage explained that an enlarged prostate (benign prostatic hyperplasia) places pressure on the urethra, affecting urination. He said TURP is recommended when an enlarged prostate fails to respond to medication. Symptoms include:
- Difficulty starting to urine or being unable to empty the bladder fully
- Having to strain to pass urine, having a weak urine flow or stopping and starting
- Sudden urges to urinate or a frequent need to urinate including at night (known as nocturia)
“Not all men with enlarged prostates require this procedure. Medication helps if diagnosed early. I recommend all men over 40 should see a urologist annually to check for a cancerous or enlarged prostate,” said Dr Duvenage.
He urged men to call The Urology Hospital, Pretoria, to set up an appointment with a urologist.
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The Urology Hospital, Pretoria
The Urology Hospital, Pretoria, is the only urology centre of excellence in Africa. With more than 20 urologists under one roof, using the latest in highly specialised technology as well as specialised urology trained nursing staff, it offers unparalleled expertise in its field. In addition, the hospital maintains its association with the academic world to ensure ongoing research, medical education and training and development in the field of urology.
The hospital prides itself on being at the forefront of technology. It was the first hospital in South Africa to perform robotic surgery, implement a robotic pharmacy picking system and now has one of only a handful of 3D laparoscopic surgical units in South Africa. The hospital has undergone major renovations and now offers 127 beds and eight theatres.
The Urology Hospital not only cares about patients and staff, but also for the community, undertaking numerous Corporate Social Investment initiatives throughout the year. The hospital and staff work together to assist selected charities, including donations to The Clothing Bank, uniforms for Sunnyside Primary School and stationery for Balebogeng Primary School.