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Urology

Prostate Enlargement

Urology

Best Treatment for Prostate Enlargement in Kphb| Kukatpally | Hyderabad

My health hospitals has best urologists with 10 + years of experience in the field of urology in treatment of prostate enlargement and symptoms due to prostate (simple and complicated) with advanced technology including LASERS(Holmium and Thulium )with best results and less hospital stay duration.

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Dr Jayanth Reddy
Dr. Jayanth Reddy
MBBS, MS, DNB - UROLOGY, FMAS
(Fellowship in Minimal Access Surgery)
UROLOGIST & ANDROLOGIST
Timings : 10 am - 6 pm
4.8 : hospital
based on 950 reviews
---- Overview ----

Enlarged Prostate (BPH)-

Benign prostatic hyperplasia (BPH) is a medical condition in which prostate gland (in males) is enlarged with age and may produce symptoms of urinary flow. The prostate is a small gland that is found just below the bladder and enlarges with age.

An enlarged prostate can cause urinary symptoms poor flow, Incomplete emptying, Urinary retention. It may also can cause kidney problems due to backflow of urine secondary to enlarged prostate gland.

Many treatments are available for treatment of BPH . These include medical or surgical treatment. The Treatment option depends on -

  • Your symptoms
  • The size of your prostate.
  • Other health problems you might have.

What are the causes of BPH ?

Risk factors for an enlarged prostate include:

Age related - Men beyond the age of 40 years have chances of prostate symptoms secondary to prostate gland enlargement.

Family history - Having a family member with prostate cancer makes you likely to have prostate enlargement and symptoms.

Diabetes and heart disease - Studies show that diabetes and any history of heart disease might raise the risk of BPH.

Lifestyle - Obesity raises the risk of BPH. Exercise can help lower the risk.

enlarged-prostate

What are the symptoms of BPH?

The SIZE of the prostate DOESNOT always determine how serious the symptoms are. Some people with slightly enlarged prostates can have major symptoms and on the contrary people with large glands may not have any or present with minor symptoms.

Common symptoms of BPH include:

  • Frequent or urgent need to pee( FREQUENCY & URGENCY).
  • Peeing more often at night(NOCTURIA).
  • Trouble starting to pee(HESITANCY).
  • Weak urine stream, or a stream that stops and starts(POOR FLOW).
  • Dribbling at the end of urination(POST URINARY DRIBBLING).
  • Not being able to fully empty the bladder (INCOMPLETE EMPTYING)

Less common symptoms include:

  • Urinary tract infection(UTI).
  • Not being able to pee(URINARY RETENTION).
  • Blood in the urine(HAEMATURIA).
symptoms-bph

How do we Diagnose Enlarged Prostate?

Ultrasound abdomen and pelvis - It is done to know the approximate prostate size and pre and post void volumes which help to determine the treatment option either medical or surgical.

Digital rectal exam (DRE) - The UROLOGIST may insert his finger into your rectum to check if your prostate is enlarged and any pain in the enlarged prostate.

Complete Urine Examination – the doctor may advice to check your urine sample to find out if you have any urinary tract infection that can cause the same symptoms as those of BPH.

Blood test – It is done to rule out the effects of enlarged prostate on your kidneys .

After that, you might need other tests that can help confirm an enlarged prostate and rule out other possibilities of urinary symptoms. These tests include:

Prostate-specific antigen (PSA) blood test - PSA levels go up when the prostate becomes enlarged and can also be seen in other conditions related to prostate such as infection, cancer .

Uroflowmetry- It is a machine measured pattern of your urinary flow based on your flow ,amount and duration.

Prostate biopsy(TRUS guided) - Transrectal ultrasound (TRUS) guides needles into prostate that are used to take tissue samples of the prostate (12 core biopsy). Checking the tissue can help your find urologist if you have prostate cancer.

Urodynamic and pressure flow studies- A catheter is inserted through the urethra into the bladder. Water is slowly sent to fill the bladder gently to measure bladder pressure and check how bladder muscles respond to artificial filling.

Cystoscopy - A lighted, flexible tool is placed into the urethra under local anaethesia and used to see enlargement of prostate and any secondary bladder changes.

enlarged-prostate-treatment-and-symptoms

What is the treatment of BPH?

Many treatment options are available for enlarged prostate. The best treatment option depends on:

  • The size of your prostate.
  • Your age.
  • Your overall health.
  • How serious your symptoms are.
Medicines for an enlarged prostate –(only on prescription)

Medical Treatment is the most common treatment for mild to moderate symptoms of an enlarged prostate. Options include:

  • Alpha blockers- Alpha blockers act by relaxing the bladder outlet that is smooth muscle of the bladder neck and prostate. This makes peeing easier. Alpha blockers include alfuzosin, tamsulosin, silodosin, and terazosin.
  • 5-alpha reductase inhibitors- These medicines reduce the size of the prostate but may take 6 months or more to show their effect. Examples include finasteride and dutasteride.
  • Combination therapy- Your urologist might suggest that you take an alpha blocker and a 5-alpha reductase inhibitor at the same time if either medicine alone doesn’t help enough.
  • Tadalafil - This is often used to treat erectile dysfunction(ED). Recent studies have shown its minimal advantage in treatment of prostate symptoms.
Surgery for enlarged prostate

Surgery might help with BPH symptoms if you :

  • Don’t get enough relief from medicines.
  • Prefer not to try medicine.
  • Aren’t able to pee.
  • Have kidney problems.
  • If you have UTIs, Haematuria or bladder stones
Types of SURGERIES-
Transurethral resection of the prostate (TURP-Monopolar & Bipolar) :

A thin tool with a light, called a resectoscope, is inserted into the urethra. The surgeon removes almost of your obstructing prostate. After surgery, you might need a catheter to drain your bladder for a little while.

Transurethral incision of the prostate (TUIP) :

A lighted scope is inserted into the urethra. The surgeon makes one or two small cuts in the enlarged prostate gland. TUIP is an option if you have a small prostate gland.

Laser therapy

A high-energy laser(holmium or thulium) destroys or removes enlarged prostate. Laser therapy has less side effects than conventional TURP. It is usually done in people who are on blood thinners for any underlying medical illness

Laser therapy options include:

  • Ablative procedures - This procedure destroys enlarged prostate tissue either with holmium or thulium laser or photo selective vaporisation.
  • Enucleative procedures - It includes holmium laser enucleation of the prostate (HoLEP) or ThuLEP. Tthey remove all the prostate tissue blocking urine by laser.
Prostatic Artery Embolization :

In this procedure, the blood supply to the prostate is blocked by embolisation of the prostatic artery under radiologists guidance. This causes the prostate to shrink. Long-term data on this procedure is not yet available .

Open or robot-assisted prostatectomy

This type of surgery is done only if you have a large or very large prostate (>100cc) and only in selected cases.

treatment-bph
---- FAQs ----

Enlarged Prostate (BPH)

The best treatment for enlarged prostate involves minimally invasive as well as laser procedures. While medications can treat mild symptoms of BPH, surgical methods have long-term health benefits. Advanced laser and minimally invasive methods for enlarged prostate treatment offer a high success rate, no complications, negligible chances of recurrence, and a faster recovery. Discuss your medical health with the doctor to know the best treatment for BPH near you.

Medications are usually effective for mild symptoms of enlarged prostate treatment. Medications such as alpha-blockers, and pain relievers can help manage mild symptoms of an enlarged prostate. However, the effectiveness of medicines usually varies depending on the severity of the condition and the medical health of the patient.

TURP surgery cost in India usually starts from Rs. 70,000 and can go up to Rs. 1 lakhs depending on several factors such as selection of hospital, choice of urologist, insurance coverage, etc. Get in touch with us to know more about the TURP surgery cost in India.

You can resume your daily routine within a week after your enlarged prostate (BPH) surgery. However, full recovery may take time and it is generally advisable to consult with your doctor before returning to work.

HOLEP surgery cost in India usually starts from Rs. 1 lakhs and can go up to Rs. 1.5 lakhs. However, the overall cost of BPH treatment varies depending on several factors. Get in touch with us to get a safe and cost-effective treatment for HOLEP surgery in India.

The latest surgical procedures for enlarged prostate treatment in India include laser procedures which offer faster recovery, almost zero complications, and fewer hospital stays. Some of the latest procedures for enlarged prostate treatment include the following –

  • Photoselective Vaporization (PVP).
  • Transurethral Resection of the Prostate (TURP)
  • Transurethral Incision of the Prostate (TUIP)
  • Holmium Laser Enucleation of Prostate (HOLEP)
  • Thulium Laser Enucleation of the Prostate (ThuLEP)
  • Get in touch with us to book an appointment with some of the best BPH doctors for advanced laser procedures for your BPH treatment near you.

    • The cost of BPH surgery in India usually starts from Rs. 60,000 for minimally invasive procedures. BPH surgery cost for laser procedure approximately starts from Rs. 1 lakhs. However, the overall surgery cost can vary depending on several factors. Call us to get a cost estimate of enlarged prostate surgery near you.

    You may experience slight pain around the surgical site after the surgery. In addition, there may be a slight burning sensation while urinating which subsides within 2-3 days. The doctor generally prescribes medications to reduce the pain after the BPH surgery.

    Just like any other surgery, there is a possibility of complications after your BPH treatment. Chances of risks usually depend on the medical condition of the patient, the surgical experience of the BPH doctor, and how strictly the patient follows the post-surgery tips. Possible complications after BPH surgery include the following

    Several home remedies and medications can help shrink an enlarged prostate and manage mild symptoms. Medications such as alpha-blockers, dutasteride, 5-Alpha Reductase Inhibitors (5-ARIs), or a combination of two different medicines can be effective in reducing the size of the enlarged prostate. However, for long-term health benefits, surgical procedures are very effective in treating an enlarged prostate.

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