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BPH Management in Yeshawanthpur, Bangalore

BPH Management (Holmium Laser Enucleation of the Prostate (HoLEP) & Bipolar Turp)

BPH Management in YeshawanthpurBPH Management in Yeshawanthpur | Manipal Hospitals

Benign Prostatic Hyperplasia (BPH) is a condition when the prostate and the tissue surrounding the prostate expand. The prostate has two key growth periods in the life of a man. The initial period is early, during puberty, when the prostate pretty much doubles in size. The second period starts around age twenty-five and continues during the entire course of a man’s life. As a man ages, his prostrate could get larger. BPH is a condition when the prostrate gets so large that it causes problems. 

The prostate is typically the same size as a golf ball or a walnut in adult men, and it can increase to the size of an orange. As the gland grows, it can squeeze the urethra, and the bladder wall becomes thicker. With time the bladder can weaken and may not be able to empty completely. Urine then remains in the bladder, which could lead to other problems. BPH is benign, meaning it is not cancer, nor does it lead to cancer.

Treatment for BPH

There are many options for treating BPH Management in Yeshawanthpur, Bangalore, and the patient and their doctor can decide on the right treatment plan suitable for them. Following are the main types of treatments for BPH,

  • Prescription Drugs: Prescription drugs are a suitable option for individuals with BPH.

  • Active Surveillance: Sometimes, BPH only requires only active surveillance. The BPH will be monitored closely but not actively treated in the course of this treatment.

  • Less Invasive Surgery: Less invasive surgical procedures can often be done as outpatient surgery.

  • More Invasive Surgery: Slightly more invasive surgical options include Holmium Laser Enucleation of Prostate (HoLEP) and Bipolar Transurethral Resection of the Prostate (TURP). Individuals undergoing either of these surgeries must stay at the hospital for at least a day or two. 

Difference Between Holmium Laser Enucleation of Prostate (HoLEP) and Bipolar Transurethral Resection of the Prostate (TURP)

Bipolar TURP: This is one of the most common surgical procedures to treat BPH. TURP first uses laser light or electric current to cut and remove the tissue. The patient is administered anaesthesia, and a tube-like, thin instrument known as a “resectoscope” is inserted through the patient’s penis. The resectoscope gives light, irrigating fluid, and also an electrical loop. The loop cuts the tissue and then seals the blood vessels. The detached tissue is then flushed into the bladder and out of the body with the help of a catheter.

HoLEP: In this procedure, the surgeon inserts a resectoscope through the penis into the urethra. A laser is then passed into the resectoscope, and this laser destroys the extra prostate tissue. Incisions (cuts) are not required, and there is minimal bleeding during the procedure. Patients may only need to spend one night at the hospital. A catheter may be used, which is removed the next day.

Patients with bigger prostates who want to avoid more-invasive surgical procedures are great candidates for this treatment. HoLEP is also helpful for men with a higher risk of bleeding, such as patients on blood-thinning medications.

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