Benign Prostatic Hyperplasia treatment In Mumbai under Dr. Soumyan Dey:
When a person comes to me with a complaint of difficulties in passing urine, Blood in urine, Recurrent urinary tract infections, Retention of urine. we evaluate the cause by taking a history, doing relevant clinical examination and performing tests. As symptoms similar to of BPH also occurs in many other diseases like stones, infection and tumor
Benign enlargement of the prostate, or benign prostatic hyperplasia (BPH), is the most common prostate problem in men that affects almost all men as they age. Treatments include surgery, including lasers and steam to destroy excess tissue.
To simplify, Prostate is a gland, which encircle the first few centimetres of the urethra.
With age the gland enlarges in size and compresses the lumen of the urethra (This is BPH). It’s a noncancerous enlargement of the prostate gland.
This enlargement causes obstruction to flow of urine.
Benign Prostatic Hyperplasia(BPH) Symptoms, Causes & diagnosis
What are the symptoms of benign prostatic hyperplasia?
Common signs and symptoms of BPH include:
- Poor stream
- Difficulty starting urination(hesitancy)
- Weak urine streamor a stream that stops and starts ( intermitancy )
- Frequent or urgent need to urinate.
- Increased frequency of urinationat night (nocturia)
- Inability to completely empty the bladder.
THE ABOVE SYMPTOMS ARE KNOWN AS LUTS, they may also be caused by diseases other than BPH.
What are the causes of BPH?
The cause of prostate enlargement is unknown, but it occurs as a man gets older.
One thing that is known is that, testosterone; the male hormone drives its growth. BPH is unknown in men, who have low testosterone level due to disease/surgical castration
How is BPH Diagnosed?
When a patient comes to me with a difficulty in passing urine we evaluate him with
- Clinical examination
- Urine for routine examination
- Serum PSA
- USG Kidney ureter and bladder with residual urine
benign prostatic hyperplasia Treatment In Mumbai
Once BPH (Benign Prostatic Hyperplasia) is diagnosed, the treatment is initially medical with drugs and behavioral changes, unless there are complications like retention of urine with failure to void after catheter removal, when surgical treatment becomes the first line
Non-surgical treatment for Benign Prostatic Hyperplasia:
BEHAVIORAL modifications like
- avoiding drinking excess fluids,
- avoiding liquids 2 hours before sleep,
- timed voiding 3 hourly,
- avoiding smoking,
- avoiding excess tea and coffee,
- Regular exercise and weight management.
- Use of DRUGS like
- Alpha blockers (Tamsulosin / Alfuzocin)
- Anticholinergics like solifenacin
Surgical treatment for Benign Prostatic Hyperplasia
It involves removing the obstructing element of prostate gland endoscopically.
It can be achieved with procedures like Laser prostatectomy HOLEP/THULEP, BIPOLAR TURP, MONOPOLAR TURP
An endoscope is inserted through penis to visualize the obstructing prostate gland which is then removed with a laser or bipolar resection.
- urinary retention(acute and chronic) : inability to pass urine requiring cauterisation of bladder , putting a tube
- blood in urine,
- urinary tract infection,
- bladder stones,
- rarely renal failure due to long term unrelieved obstruction
- When, one has the sign and symptoms of BPH/LUTS, as mentioned above.
- Blood in urine
- Recurrent urinary tract infections
- Retention of urine
It’s not preventable, it happens with age.
However if we lead a healthy lifestyle (diet, exercise, avoid smoking) and follow the behavioural modifications as stated, medical treatment with drugs can be delayed