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Enlarged Prostate Treatment in Delhi

Are you frequently waking up at night to urinate or experiencing a weaker urine stream? If you're over 50, these could be signs of benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate. Don't worry—SCI Hospital Delhi offers advanced enlarged prostate treatments in Delhi to help you regain control over your urinary health.

At SCI Hospital, our expert urologists provide personalized BPH treatment plans, including medications, minimally invasive procedures, and surgical options tailored to your condition.

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What is benign prostatic hyperplasia?

BPH is when the prostate gland grows larger, squeezing the urethra and causing urinary symptoms. Think of your prostate like a donut around a straw. As the donut gets bigger, it can narrow the straw, making it harder for the liquid to flow through. Prostate gland enlargement is a natural part of ageing for many men. Still, it can lead to a range of symptoms, including frequent urination, difficulty starting urination, and weak urine stream.

Causes of Enlarged Prostate (BPH)

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 and requires enlarged prostate treatment.

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.

The exact cause of prostate enlargement (BPH) is unclear, but it may result from hormonal imbalances as men age. Factors like testicular abnormalities or a family history of prostate issues can increase the risk. However, men who had their testicles removed at a young age do not develop BPH. Treatment options are available for those affected.

When Should You See a Doctor for Enlarged Prostate Treatment in Delhi?

If you're experiencing any of these symptoms, it’s time to consult a BPH specialist in Delhi:

  • Frequent Urination: Are you rushing to the bathroom more often than usual? BPH symptoms like frequent urination can disrupt your daily routine and make it difficult to sleep at night.
  • Difficulty Starting Urination: Are you having trouble starting your urine stream? BPH treatment options can help alleviate this symptom and improve your overall urinary health.
  • Weak Urine Stream: Is your urine stream weaker than usual? Enlarged prostate treatment options can help strengthen your urine stream and improve your overall urinary health.
  • Dribbling at the End of Urination: Are you experiencing dribbling at the end of your urine stream? BPH symptoms like dribbling can be embarrassing and uncomfortable, but there are effective treatments available.
  • Feeling That Your Bladder Isn't Empty After Urinating: Do you feel like your bladder isn't empty after you've used the bathroom? BPH treatment options can help alleviate this symptom and improve your overall urinary health.

Don't be embarrassed to discuss these issues with your doctor – they've heard it all before, and early treatment can make a big difference in your quality of life. BPH treatment options include medication, lifestyle changes, and surgery, and your healthcare provider can help you determine the best course of treatment for your specific needs.

What is the best treatment for benign prostatic hyperplasia?

For severe cases or when other treatments haven't worked, surgery might be the best option. The most common procedure is called transurethral resection of the prostate (TURP). It involves removing part of the prostate tissue to relieve pressure on the urethra.

Watchful Waiting

For mild BPH symptoms, your doctor might suggest a "wait and see" approach. This involves regular check-ups to monitor your condition. In the meantime, you can try some lifestyle changes:

Lifestyle Changes for Mild BPH Symptoms

  • Limit fluids in the evening: Avoid drinking too much water close to bedtime to reduce nighttime trips to the bathroom.
  • Avoid caffeine and alcohol: Both can irritate the bladder and worsen BPH symptoms.
  • Practise double voiding: Urinate, wait a few moments, then try again to ensure you're fully emptying your bladder.
  • Maintain a healthy weight: Excess weight can put pressure on your bladder and worsen BPH symptoms.

Benign prostatic hyperplasia medication

If your BPH symptoms are more bothersome, medications can help. There are two main types:

  • Alpha-Blockers: These medications relax the muscles in the prostate and bladder neck, improving urine flow.
  • 5-Alpha Reductase Inhibitors: These drugs shrink the prostate by preventing hormone changes that cause prostate growth.

Your doctor might prescribe one or both types, depending on your situation.

Minimally invasive treatments

For moderate to severe symptoms, several procedures can help without major surgery:

  • Transurethral needle ablation (TUNA): This uses radio waves to reduce excess prostate tissue.
  • Transurethral microwave therapy (TUMT): Microwave energy is used to destroy excess prostate tissue.
  • Prostatic urethral lift: Tiny implants are used to lift and hold the enlarged prostate out of the way.
  • Water vapor thermal therapy (Rezūm):Uses water vapor therapy to safely eliminate excess prostate tissue.
  • Transurethral incision of the prostate (TUIP):Involves making precise incisions in the prostate to relieve pressure on the urethra.

These treatments can often be done in an outpatient setting, meaning you can go home the same day.

Surgical treatment for benign prostatic hyperplasia

  • Transurethral resection of the prostate (TURP): This is the most common surgical treatment for BPH. It involves removing the excess prostate tissue through the urethra using a resectoscope.
  • Laser prostatectomy: This uses a laser to remove the excess prostate tissue.
  • Open prostatectomy: This involves making an incision in the abdomen to remove the excess prostate tissue. This is usually only necessary for very large prostates.
  • High-intensity focused ultrasound (HIFU): This uses ultrasound waves to destroy the excess prostate tissue.

What are the complications of benign prostatic hyperplasia?

If left untreated, BPH can lead to several complications:

  • Urinary tract infections (UTIs): The enlarged prostate can block urine flow, causing urine retention in the bladder. This stagnant urine becomes a breeding ground for bacteria, leading to frequent UTIs.
  • Bladder stones: Incomplete bladder emptying can result in concentrated urine, promoting the formation of bladder stones.
  • Bladder damage: Chronic urine retention can stretch and weaken the bladder muscles over time, potentially leading to a condition called decompensated bladder.
  • Kidney damage: Prolonged pressure in the bladder from urine retention can damage the kidneys or allow bladder infections to spread to the kidneys.
  • Urinary retention: In severe cases, BPH can lead to complete inability to urinate, which is a medical emergency requiring immediate intervention.
  • Overactive bladder: The enlarged prostate pressing on the bladder can cause increased sensitivity and involuntary contractions, leading to frequent and urgent urination.
  • Kidney stones: Similar to bladder stones, the concentrated urine resulting from incomplete bladder emptying can promote kidney stone formation.
  • Hematuria (blood in urine): The enlarged prostate's increased vascularity can lead to bleeding, resulting in blood in the urine.
  • Recurrent infections: The inability to fully empty the bladder can lead to recurring UTIs and other infections.
  • Detrusor hypotonicity: The bladder muscles may become weak and lose their ability to contract effectively.
  • Incontinence: Paradoxically, severe BPH can sometimes lead to urinary incontinence due to overflow or bladder instability.

What Factors Should You Consider When Choosing BPH Enlarged Prostate Treatments?

  • Severity of Symptoms:The intensity of your urinary symptoms and how much they impact your quality of life is a key consideration. Mild symptoms may only require watchful waiting, while more severe symptoms often necessitate active treatment.
  • Prostate Size:The size of your prostate gland can influence treatment options. Larger prostates may require more invasive treatments for effective symptom relief.
  • Overall Health:Your general health status and any underlying medical conditions play a role in determining suitable treatments. Certain options may pose higher risks for people with specific health issues.
  • Potential Side Effects: It's crucial to understand the possible side effects associated with each treatment option, including impacts on sexual function, bladder control, and other aspects of health.
  • Recovery Time and Procedure Risks: Consider the recovery period and potential risks associated with different procedures. Minimally invasive options typically offer shorter recovery times but may have different long-term outcomes compared to traditional surgery.
  • Personal Preferences and Lifestyle: Your personal values, lifestyle, and treatment preferences should align with the chosen option. Some treatments may be more compatible with your daily activities and life goals.
  • Age and Life Expectancy: Your age and overall life expectancy may influence the choice between short-term symptom relief and long-term disease management.
  • Effectiveness and Durability: Consider how effective each treatment is likely to be in relieving your symptoms and how long the effects are expected to last.

The cost of BPH treatment will vary depending on the type of treatment you choose. Medication is typically the least expensive option, while surgery is the most expensive. However, the cost of surgery may be offset by the fact that it is a more permanent solution.

It's crucial to discuss potential side effects thoroughly with your healthcare provider when considering treatment options. The risk and severity of side effects can vary based on individual factors and the specific treatment chosen.

Dr. Gautam Banga

MBBS, MS - General Surgery, MCh, Urologist & Andrologist

  • Urologist & Andrologist
  • 19+ Years Experience
Dr. Vishal Dutt Gour

MBBS, MS - General Surgery, MCh - Urology/Genito-Urinary Surgery, Urologist, Urological Surgeon, Andrologist

  • Urologist, Urological Surgeon, Andrologist
  • 22+ Years Experience

What are the side effects of an Enlarged Prostate Treatment?

Side effects can vary depending on the specific treatment chosen:

General Side Effects:

  • Sexual dysfunction, including erectile problems and changes in ejaculation, can occur with various treatments.
  • Urinary symptoms such as urgency, frequency, or difficulty urinating may persist or temporarily worsen after some procedures.
  • Rare but serious complications can include urinary incontinence or narrowing of the urethra (stricture).

It's crucial to discuss potential side effects thoroughly with your healthcare provider when considering treatment options. The risk and severity of side effects can vary based on individual factors and the specific treatment chosen.

Surgery Options For Enlarged Prostate

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: The abdomen is cut just behind the scrotum to remove the inner part of the prostate.

Transurethral Incision of the Prostate (TUIP): Similar to transurethral resection of the prostate (TURP), a small incision is made in the prostate to widen the urethra and improve urine flow from the bladder outlet through the urethra.

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:

This type of enlarged prostate treatment involves an 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.

Advantages of Laser Surgery for Enlarged 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 treatment, 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. One can observe instant improvement after the enlarged prostate treatment.

How to prevent enlarged prostate?

While it's not always possible to prevent BPH, some lifestyle changes may help reduce your risk or manage symptoms:

  • Maintain a healthy weight: Obesity has been linked to an increased risk of BPH. Keeping your weight in check through a balanced diet and regular exercise can help reduce the likelihood of developing prostate problems.
  • Exercise regularly: Engaging in physical activity, particularly aerobic exercises and strength training, can help improve overall health and potentially reduce BPH symptoms. Aim for at least 150 minutes of moderate-intensity exercise per week.
  • Eat a balanced diet: A diet high in fruits, vegetables, and whole grains may help reduce the risk of BPH. Some studies suggest that foods rich in antioxidants, such as tomatoes and berries, may be particularly beneficial for prostate health.
  • Limit caffeine and alcohol intake: Both caffeine and alcohol can irritate the bladder and increase urinary frequency. Reducing consumption, especially in the evening, may help alleviate BPH symptoms.
  • Manage stress: Chronic stress can exacerbate urinary symptoms. Implementing stress-reduction techniques such as meditation, deep breathing exercises, or yoga may help manage BPH symptoms.
  • Avoid certain medications: Some over-the-counter cold and allergy medications can worsen BPH symptoms. Always consult with your healthcare provider about potential drug interactions.

How is benign prostatic hyperplasia diagnosed?

To diagnose BPH, your doctor may perform several tests:

Digital rectal exam (DRE)

A digital rectal exam is often the first test performed to evaluate the prostate. During this exam:

  • The doctor inserts a gloved, lubricated finger into the rectum to feel the prostate gland.
  • They assess the size, shape, and consistency of the prostate.
  • This exam can help detect prostate enlargement and identify any abnormal areas.

Prostate-specific antigen (PSA) blood test

The PSA blood test measures the level of prostate-specific antigen in your blood. While primarily used to screen for prostate cancer, it can also provide information about BPH:

  • Elevated PSA levels may indicate an enlarged prostate.
  • However, PSA levels can be affected by various factors, so this test is usually considered alongside other diagnostic tools.

Urinalysis

A urinalysis involves examining a urine sample to:

  • Check for signs of infection.
  • Look for blood in the urine.
  • Assess other urinary tract issues that may be causing symptoms.

Uroflowmetry

Uroflowmetry is a non-invasive test that measures urine flow. During this test:

  • You urinate into a special device that measures the speed and volume of urine flow.
  • Reduced flow rates may indicate obstruction due to an enlarged prostate.

Postvoid residual volume test

This test checks for remaining urine in the bladder after urination:

  • It's typically done using ultrasound or catheterization.
  • A large amount of residual urine may indicate that the bladder is not emptying properly due to BPH.

Prostate ultrasound

A prostate ultrasound, also known as transrectal ultrasound (TRUS), provides detailed images of the prostate:

  • It can accurately measure the size and shape of the prostate.
  • This test may be used to guide prostate biopsies if cancer is suspected.

Cystoscopy

Cystoscopy is a procedure that allows the doctor to visually examine the inside of the urethra and bladder:

  • A thin, flexible tube with a camera (cystoscope) is inserted through the urethra.
  • This test can help identify blockages, bladder stones, or other issues related to BPH.
  • Cystoscopy is typically reserved for cases where other tests are inconclusive or additional information is needed.

Your doctor may not perform all of these tests. The choice of diagnostic tools depends on your symptoms, medical history, and initial examination findings. These tests help create a comprehensive picture of your prostate health and urinary function, allowing for an accurate diagnosis and appropriate treatment plan.

FAQs

While there is no definitive cure for an enlarged prostate, several effective treatments can help manage symptoms and improve quality of life. These include: Medications like alpha-blockers and 5-alpha reductase inhibitors Minimally invasive procedures such as transurethral needle ablation (TUNA) or microwave therapy Surgical options like transurethral resection of the prostate (TURP) The best approach depends on your specific symptoms and overall health. At SCI hospitals, our expert urologists can evaluate your condition and recommend the most appropriate treatment plan tailored to your needs.

An enlarged prostate typically does not shrink back to its original size on its own. However, treatments can help reduce the size of the prostate and alleviate symptoms. Medications like 5-alpha reductase inhibitors can shrink the prostate over time, while surgical procedures can remove excess prostate tissue. The specialists at SCI hospitals use advanced techniques to effectively manage enlarged prostates and improve urinary function.

The most effective treatment varies depending on the severity of symptoms and individual factors. For many men, a combination of medications and lifestyle changes can provide significant relief. In more severe cases, minimally invasive procedures or surgery may be recommended. Transurethral resection of the prostate (TURP) is often considered the gold standard surgical treatment for BPH. At SCI hospitals, our urology team offers a full range of state-of-the-art treatments to address enlarged prostates effectively.

While no specific drink can shrink the prostate, some beverages may help support prostate health: Green tea: Contains antioxidants that may benefit prostate health Pomegranate juice: Rich in antioxidants and may slow PSA doubling time Water: Staying hydrated helps flush the urinary system It's important to note that drinks alone cannot treat an enlarged prostate. A comprehensive treatment plan developed by experienced urologists, like those at SCI hospitals, is essential for managing BPH effectively.

Yes, many men with an enlarged prostate can live long, healthy lives with proper management. While BPH is not life-threatening, it can significantly impact quality of life if left untreated. Regular check-ups, appropriate treatment, and lifestyle modifications can help control symptoms and prevent complications. The dedicated urology team at SCI hospitals is committed to providing comprehensive care to ensure patients with enlarged prostates maintain optimal health and well-being throughout their lives.

BPH has long been treated with medications and procedures including lasers or an electric loop that burns the prostate from the inside out. However, a comparatively new convective water therapy treatment uses steam to shrink the prostate. This treatment is also known as benign prostatic hyperplasia.

The cost of surgery for an enlarged prostate in Delhi may vary depending on the hospital and procedure, but it can range from approximately INR 50,000 to INR 2,00,000.

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Written By: Dr. Gautam Banga
Education: MBBS, Master of Surgery (MS), M.Ch, Urology, Andrology
Experience: 19 Years

Dr. Gautam Banga is a highly respected and accomplished urologist with a strong background in reconstructive urology. He is a renowned urologist specializing in treating various conditions related to urology, including bladder outlet obstruction, prostate cancer, renal surgery, and post-traumatic urethral strictures in children.

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