Enlarged Prostate Treatment
The prostate is a tiny muscular gland in the male reproductive system. The muscular action of the prostate helps propel the semen and fluid from the penis during the sexual climax. However, many men (especially above 50 years of age) experience prostate enlargement that leads to various complications over time.
What is BPH?
The enlargement of the prostate gland is known as benign prostatic hyperplasia (BPH). This happens when the cells of the prostate gland start multiplying. The additional cells further lead to swelling in the prostate gland and squeezing the urethra, restricting the urine flow. This condition is not the same as prostate cancer and not even increases the risk of cancer. However, it may affect an individual’s quality of life.
The prostate gland is underneath the bladder. The tube that passes urine from the urinary bladder out of the penis (urethra) goes through the middle of the prostate gland. When the prostate enlarges, it narrows down the passage of the urinary tube. Hence, it blocks the urine flow.
Many men experienced continued growth of the prostate throughout their life. On the other hand, some men experience this continued growth that enlarges the prostate and causes certain urinary symptoms or blocks urine flow.
It is not clear what leads to prostate enlargement. However, it may occur due to the changes caused by an imbalance of sex hormones as men age. The changes in male sex hormones also come with many ageing factors, such abnormalities in testicles or family history of prostate issues may increase the risk of BPH. However, men who have got their testicles removed during their young age won’t experience BPH.
The symptoms of BPH are mild in the beginning but increase if it’s not treated. Some common symptoms are:
- Nocturia – increased urination frequency at night
- Urgent or frequent need to urinate
- Problem to start urination
- Dribbling at the end of urination
- Not being able to empty the bladder completely
Less Common Symptoms of BPH are
- Inability to urinate
- Urinary tract infection
- Blood in urine
The size of the prostate gland does not determine how severe the symptoms are. Some men with a slightly enlarged prostate can also experience significant symptoms, whereas sometimes men with extremely large prostates may only experience minor urinary symptoms.
Other conditions that may lead to signs and symptoms caused by the enlarged prostate are as follows:
- Inflammation of prostatitis
- Urinary tract infections
- Narrowing of the urethral stricture (urethra)
- Scarring in urinary bladder neck due to previous surgery
- Problems with nerves controlling the bladder
- Kidney or bladder stones
- Cancer of the bladder or prostate
Consult the doctor if any of these symptoms persist.
Ageing: Enlargement of the prostate gland rarely causes any specific signs and symptoms in men less than 40 years of age. Around one-third of men notice moderate to severe symptoms around the age of 50 and some do so around the age of 80.
Family history: If any blood relative, such as brother or father, has prostate issues, you’re also likely to have them.
Heart disease and diabetes: According to the studies, heart disease and diabetes can also enhance the risk of BPH.
Obesity: Being overweight can also increase the risk of prostate enlargement, whereas exercising can lower this risk.
Enlarged Prostate Surgery Hospital in Delhi NCR
SCI Hospital is one of the leading healthcare centres in Delhi NCR. Our highly experienced urologists, Dr. Vishal Dutt Gour and Dr. Gautam Banga, are experts in this field and have successfully treated thousands of patients suffering from an enlarged prostate. With our advanced equipment and the latest technological support, our surgeons are determined to offer the best treatment to patients.
Besides surgical procedures like open (surgery) prostatectomy, Transurethral resection of the prostate (TURP) and Transurethral incision of the prostate (TUIP), we also treat patients with advanced laser surgeries that are minimally invasive or non-invasive. Hence, if the patient is not willing to undergo surgical treatment, they may opt for the advanced laser surgery, provided their condition is not severe.
- BPH natural treatment: Some natural treatment methods for treating BPH are:
- Urinating whenever you feel the urgency
- Avoiding over-the-counter antihistamine or decongestants medications that may make the bladder hard to empty
- Avoiding caffeine and alcohol, especially after dinner
- Exercising regularly to lower the symptoms
- Keeping warm, as being cold could worsen the symptoms
- BPH drugs: When lifestyle changes don’t relieve the symptoms, the doctor would prescribe certain medications.
- Alpha-1 blockers: These medications are used to relax prostate and bladder muscles. These medications relax the neck of the bladder for convenient urine flow. Some examples of alpha-1 blockers are:
- Hormone reduction medications: These medications are used for reducing the hormonal levels released by the prostate gland. Finasteride and dutasteride are usually prescribed to decrease the levels of testosterone. This is done because sometimes lowering hormone levels can also make the prostate smaller, enabling convenient urine flow.
- Antibiotics: Even antibiotics can be used for the treatment of the prostate has become severely inflamed due to bacterial prostatitis. Taking antibiotics for treating bacterial prostatitis can improve BPH symptoms by reducing inflammation. However, antibiotics cannot relieve the inflammation or prostatitis caused due to bacterial infection.
Surgical Treatment Options
There are many surgical procedures for treating BPH when drugs are not effective. These procedures require hospitalization for up to 10 days or more, depending on the procedure and recovery process.
- Transurethral resection of the prostate (TURP): The doctor inserts a small instrument through the urethra into the prostate to remove tissues piece by piece.
- Simple prostatectomy: Abdomen is cut just behind the scrotum to remove the inner part of the prostate.
- Transurethral incision of the prostate (TUIP): Just like TURP, a small incision is done in the prostate to enlarge urethra and bladder outlet and urethra for improving urine flow.
Types of Enlarged Prostate Surgery
Laser surgery: For enlarged prostate, laser surgery is done by inserting a scope from the urethra into the prostate. Then, the laser beam is passed from the scope to remove prostate tissues by ablation (melting) or cutting. Holmium laser ablation of the prostate (HoLAP) is quite similar; however, a different laser type is used in this procedure.
Open simple prostatectomy: It is the open surgery that is done in complicated cases of the highly enlarged prostate. In Open Simple Prostatectomy, the doctor makes an incision under the navel via laparoscopy to remove a small part of the prostate that’s blocking the urine flow.
What are the Advantages of Laser Surgery for Prostate?
- Lower risk of blood loss: Since there is a lower risk of blood loss with laser surgery, it is a good option for men who have a bleeding disorder that won’t allow blood to clot or men who take medicine for thinning the blood.
- No or shorter hospital stay: All thanks to laser surgery for enlarged prostate, the patients no longer have to stay in the hospital for days. Laser surgery is done on an outpatient basis or needs only an overnight stay for just one day.
- Quicker recovery time: It takes very little time to recover from laser surgery compared to TURP or open surgery.
- Quicker results: After laser surgery, you can notice improvements in urinary symptoms right away.