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BPH - Benign Prostatic Hyperplasia (Enlarged Prostate) in Yeshwanthpur

BPH - Benign Prostatic Hyperplasia (Enlarged Prostate)

BPH - Benign Prostatic Hyperplasia Treatments in Yeshwanthpur

Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland, common among ageing men. TURP, or Transurethral Resection of the Prostate, is the most commonly used surgery method that helps with problems caused by BPH. TURP is a treatment that takes out extra prostate tissues to help with urine problems like going out often, weak flow, and having trouble while starting to urinate. While TURP has been the standard treatment for BPH for years, new, minimally invasive procedures like Holmium Laser Enucleation of the Prostate  (HoLEP) are gaining popularity.

TURP Procedure

  • During the TURP operation, you will be put on an operation table for surgery under anaesthesia.
  • A thin tube-like tool called a resectoscope will be put in through the urethra to get to the prostate by a surgeon. 
  • The doctor uses this tool to carefully cut away the blocking prostate tissue, making more room for urine to pass through. 
  • A strong electric current can be used to remove extra flesh accurately. After the steps, a tube called a catheter is put in for a while to facilitate urine flow out. 
  • Usually, getting better just takes a little time in the hospital. You might see your urinary functions work better within some weeks. 

HoLEP Procedure

  • Once you’re under anaesthesia, the surgeon will place you on your back and raise your legs.
  • Your surgeon will use a special tool called a resectoscope through your urethra to view the tissue blocking the urine flow in your prostate gland. 
  • A laser is inserted into the resectoscope that pulses laser beams into your prostate to cut the tissue that’s blocking the flow of urine. 
  • A morcellator is used to suction out the prostate tissue left behind in your bladder and remove it from your body. 
  • Your surgeon will send pieces of prostate tissue to the lab for analysis to check for any abnormalities like prostate cancer.
  • Once the tissue removal is complete, your surgeon takes the resectoscope out and puts a urinary catheter in place.

 

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FAQ's

 Common symptoms of BPH include

  • Frequent urination, especially at night (nocturia)
  • Difficulty starting or stopping urination
  • Weak urine stream
  • Hesitancy before urination
  • Feeling of incomplete bladder emptying
  • Dribbling of urine after urination
  • Urgent need to urinate
  • Painful urination

The exact cause of BPH is unknown, but it is thought to be related to changes in hormone levels, particularly testosterone and estrogen. As men age, their testosterone levels gradually decline while estrogen levels remain relatively constant. This imbalance may stimulate prostate cell growth. Some of the common risk factors include:

  • Family history of BPH
  • Obesity
  • Diabetes
  • Heart disease
  • High blood pressure

BPH is diagnosed through a combination of physical examination, medical history, and diagnostic tests. These may include:

  • Digital rectal exam (DRE): This test allows the doctor to feel the size and shape of the prostate gland.
  • Prostate-specific antigen (PSA) test: This test measures the level of PSA, a protein produced by the prostate gland. Elevated PSA levels may indicate BPH or prostate cancer.
  • Urinalysis: This test checks for signs of infection or other abnormalities in the urine.
  • Ultrasound: This imaging test can help visualise the prostate gland and bladder.
     

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