Urology · Aktobe

Treatment of Prostatic Adenoma in Aktobe

Prostatic adenoma (BPH) is a common condition in men over 50. Urologist-andrologist Amanzholova Sh.K. provides diagnostics and effective treatment in Aktobe.

Symptoms

How to Recognise the Condition

Difficult Urination

  • Weak or intermittent urine stream
  • Feeling of incomplete bladder emptying
  • Straining to urinate

Frequent Urges

  • Getting up 2–4 times per night
  • Urgent, difficult-to-control urges
  • Post-void dribbling

Possible Complications

  • Acute urinary retention
  • Chronic renal insufficiency
  • Urinary tract infections
Diagnostics

How Diagnosis Is Made

  • Ultrasound of prostate and bladder
  • PSA test (prostate cancer marker)
  • Uroflowmetry — urine flow assessment
  • Complete urinalysis and blood test
Treatment

Treatment Methods

  • Drug therapy (alpha-blockers, 5-ARIs)
  • Physiotherapy procedures
  • Laser therapy
  • Active surveillance for early-stage disease
General Information

What Is Prostatic Adenoma

Prostatic adenoma, or benign prostatic hyperplasia (BPH), is a gradual enlargement of the prostate that obstructs urine outflow from the bladder. The condition affects 50% of men over 50 and 80% of men over 70. Despite being widespread, most cases can be managed well without surgery.

The enlarged prostate compresses the urethra passing through it, progressively impairing urine flow. The earlier treatment begins, the better the chances of managing it with medication and avoiding surgery.

Stage I (Early)

Symptoms are minimal or absent. The prostate is only slightly enlarged. Treatment involves active surveillance and lifestyle changes. Regular PSA monitoring is mandatory.

Stage II (Compensated)

Urination symptoms appear. The bladder still manages to empty. Drug treatment with alpha-blockers and 5-ARIs is effective.

Stage III (Decompensated)

The bladder can no longer empty completely; residual urine accumulates. Risk of acute urinary retention is high. Surgical treatment may be required.

BPH and Prostate Cancer

Adenoma is a benign condition and does not transform into cancer. However, both conditions can coexist. A PSA test at every check-up rules out malignancy.

Causes

Why the Prostate Enlarges

  • Age-related hormonal changes — the main cause
  • Declining testosterone levels with age
  • Shifting ratio of androgens to estrogens
  • Hereditary predisposition
  • Sedentary lifestyle and obesity
  • Chronic prostatitis
  • Poor diet (excess fat, alcohol)
Complications

Dangers of Untreated BPH

  • Acute urinary retention — a medical emergency
  • Chronic renal insufficiency
  • Recurrent urinary tract infections
  • Bladder stones
  • Hydronephrosis — dilation of renal pelvis
  • Irreversible bladder damage

📌 After age 50 — annual PSA check

Men over 50 are advised to have annual PSA testing and a urologist check-up. This enables early detection of adenoma and prostate cancer at a stage that responds well to treatment.

Amanzholova Sholpan Kenzhegalievna — Urologist-Andrologist Aktobe
Your Doctor

Amanzholova Sholpan Kenzhegalievna

Urologist-Andrologist-Gerontologist · Highest Medical Category · 43 years of experience

Over 5,000 patients. Sensitive approach, full confidentiality. Invivo Medical Center, Aktobe.

FAQ

Frequently Asked Questions

Is prostatic adenoma cancer?+
No. BPH (benign prostatic hyperplasia) is a benign tissue overgrowth unrelated to cancer. However, regular PSA testing is necessary to rule out malignancy.
At what age does adenoma begin?+
Symptoms usually appear after 50, but the process of prostate growth starts earlier. After 60, adenoma is present in some form in the majority of men.
Is surgery always necessary?+
No. In early and moderate stages, drug therapy works well. Surgery is recommended for severe symptoms or complications that do not respond to medical treatment.

Book an Appointment

First consultation with 40% discount · Invivo Medical Center, Aktobe
Abulkhair Khan Ave., 71 · Mon–Fri 9:00–18:00, Sat 9:00–14:00