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STONE & PROSTATE CENTRE

Enlarged Prostate
The prostate is a gland that produces the fluid that carries sperm during ejaculation. The prostate gland surrounds the urethra, the tube through which urine passes out of the body. An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men as they get older. As the gland grows, it can press on the urethra and cause urination and problems. An enlarged prostate is often called benign prostatic hyperplasia (BPH). It is not cancer, and it does not raise your risk for prostate cancer.
What are prostate problems?
For men under 50, the most common prostate problem is Prostatitis. For men over 50, the most common prostate problem is prostate enlargement. This condition is also called benign prostatic hyperplasia (BPH). Older men are at risk for prostate cancer as well, but this disease is much less common than BPH.
What is Prostatitis?
Prostatitis means the prostate might be inflamed or irritated mostly due to infection.
Causes:
  • Infection
  • Instrumentation
  • Urethral Catheterization
  • Trauma
Symptoms:
  • Burning feeling while urinating
  • Frequent urination
  • Fever
  • Fatigue
Exams and Tests:
Some kinds of prostatitis are caused by bacteria, tiny organisms that can cause infection or disease. Bacterial prostatitis can be tested in a sample of urine through a microscope by the doctor.
Treatment:
Doctor gives you an antibiotic, a medicine that kills bacteria.
If you have urinary problems, the doctor will look for other possible causes, such as a kidney stone or cancer.
If no other causes are found, the doctor may decide you have a condition called nonbacterial prostatitis.
What is Prostate enlargement, or BPH?
If you are a man over 50 and have started having problems urinating, the reason could be enlarged prostate or BPH.As man get older, their prostate keeps growing.
Symptoms:
  • A frequent and urgent need to urinate.
  • Trouble starting a urine stream. Even though you feel you have to rush to get to the bathroom, you find it hard to start urinating.
  • A weak stream of urine.
  • Incomplete emptying of your bladder. A small amount of urine each time you go.
  • Pain with urination or bloody urine.
  • Leaking or dribbling urine.
  • Strong and sudden urge to urinate.
  • The feeling that you still have to go, even when you have just finished urinating.
Exams and Tests:
Your doctor will ask you questions about your medical history and do a digital rectal exam to feel the prostate gland. Other tests you may include:
  • Urine flow rate.
  • Pressure flow studies to measure the pressure in the bladder as you urinate.
  • Urinalysis to check for blood or infection.
  • Urine culture to check for infection.
  • Prostate Specific Antigen (PSA): Blood test to screen for prostate cancer.
  • Cystoscopy: You may be asked to fill out a form to rate how bad your symptoms are and how much they affect your daily life. Your doctor can use this score to judge if your condition is getting worse over time.
  • USG to check prostate size.
Treatment:
The treatment you choose will be based on how bad your symptoms are and how much they bother you.
  • Watchful waiting
  • Medicines
  • Surgical treatment
    Indication for surgery:
  • Retention (stoppage) of urine
  • Recurrent urinary infection
  • Stone formation in bladder
  • Urinary symptoms not relieved with medication
  • Abscess formation in prostate
Surgical treatment options:
  1. TURP
  2. HOLEP (Removal of prostate using Holmium laser)
  3. THULVP (Vaporisation of prostate using Thulium laser)
  4. Open surgery- Not done now a days
Surgical treatment options:
By itself, BPH is not a serious condition, unless the symptoms are so bothersome that you cannot
enjoy life. But BPH can lead to serious problems. One problem is urinary tract infections.
If you cannot urinate at all, you should get medical help right away. Sometimes this happens
suddenly to men after they take an over the counter cold or allergy medicine.
In rare cases, BPH and its constant urination problems can lead to kidney damage.
Is BPH a sign of Cancer?
No. It is true that some men with prostate cancer also have BPH, but that does not mean that the two conditions are always linked. Most men with BPH do not develop prostate cancer. However, because the early symptoms are the same for both conditions, you should see a doctor to evaluate these symptoms.

To know more please contact :

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com