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Benign Prostatic Hypertrophy: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Benign Prostratic Hyperplasia

How is the treatment done?

Benign prostratic hypertrophy or BPH is a condition, which generally occurs with age. In this condition, the prostrate gets bigger than normal. This leads to the urethra getting squeezed and limiting the flow of urine from the body. An enlarged prostrate is often the underlying cause for older people to wake up frequently at night to visit the washroom.

BPH is not a very serious condition and may often go away on its own. However, there are certain treatments available for people suffering from chronic forms of the disease. Most people suffer from the misconception that BPH is a form of prostate cancer or that the disease increases the risk for the same. However, BPH is a very common disorder that does not have any connection with cancer or the chances of getting afflicted with cancer of the prostrate.

There is no consensus when it comes to the question of what causes the disorder. Most doctors feel that the hormonal changes related to old age bring about the enlargement of the prostrate. The prostate in men starts to grow by the age of 25 and continues to grow till their death. However, BPH is caused in only some men and not all.

Who is eligible for the treatment? (When is the treatment done?)

The treatment for BPH includes several options and not every course of treatment is suitable for all patients. Primarily, BPH is treated by three courses, which include watchful waiting, medication and surgery. Watchful waiting is chosen for patients with mild enlargement and symptoms, while the medications are used for people with moderate symptoms. Surgery is the very last option and is only used if medications are unable to offer any relief.

Watchful waiting is the procedure where you ask a physician to keep an eye on your prostate if you suspect that you suffer from BPH. Under such a condition, yearly examination of the prostate is recommended. However, you may need to visit the doctor sooner, if you feel a shift in the symptoms of the disorder. Doctors also recommend making some lifestyle changes in such instances. These changes may involve drinking less fluids before bedtime and ingesting less caffeine and alcohol.

If the problem does not go away with lifestyle changes, you may need medications and supplements. Alpha blockers and 5-alpha reductase inhibitors reduce the size of the prostate and facilitate the movement of urine through the urethra. Supplements such as Beta-sitosterol and rye grass are also used often to help deal with BPH.

Surgery is the last option, in case the condition is not alleviated by the medications and the supplements. In most instances, a minimally invasive surgery is conducted to help the urine pass from the urethra even when the prostate is large in size.

Who is not eligible for the treatment?

If you develop an issue where you need to go to the bathroom often or feel that your bladder is still full just after visiting the loo, you may be suffering from BPH. In such a case, visit a doctor and start the watchful waiting procedure. If this does not alleviate the symptoms, you may be eligible for the medications and supplements treating the same.

Are there any side effects?

People who do not show any symptoms of BPH, do not require the treatment. Often, older men may have a large prostate, but may not suffer from any of the symptoms commonly found in men with BPH. In these cases, treatment is not recommended.

What are the post-treatment guidelines?

There can be many side effects of the BPH medications. For instance, the Alpha blockers used to relax the muscles in the urethra can lead to dizziness, fainting, fatigue, retrograde ejaculation and even nasal congestions. These drugs can also lead to erectile dysfunction and reduction of libido.

Similarly, the 5-alpha reductase inhibitors can also lead to erectile dysfunction and reduced sexual prowess. So, consult a doctor prior to taking any medication for the BPH. If you feel that any particular medicine is causing complications, talk to the physician and try to find an alternative medication that does not have the same side effect.

What is the price of the treatment in India?

There are no guidelines as such that you need to follow after the treatment for BPH. However, doctors usually recommend avoiding fluids before sleep at night. Patients are also asked not to drink too much caffeine and alcohol if they suffer from the condition.

Are the results of the treatment permanent?

The cost for treatment usually depends on the course followed. So, if you suffer from moderate symptoms, you may have to spend anywhere between Rs. 500 and Rs. 1,500 for the treatment. However, in case of surgery, the cost may range anywhere between Rs. 10,000 and Rs. 25,000 in India.

What are the alternatives to the treatment?

The results of the treatment are not permanent, as medications cannot cure BPH. The treatment only helps to control the symptoms and deal with them. So, if a patient stops the medication, they may relapse and their symptoms may return.

Safety: Condition Effectiveness: High Timeliness: High Relative Risk: Very Low Side Effects: Very High Time For Recovery: Medium Price Range:

Rs. 500-Rs. 2,500

Popular Health Tips

Benign Prostatic Hyperplasia - Tips That Can Help You Prevent It!

MBBS, MS - Urology, DNB
Urologist, Guwahati
Benign Prostatic Hyperplasia - Tips That Can Help You Prevent It!

The prostate, a small walnut-shaped gland located under the bladder. Its main function is to add fluid to the semen produced by the reproductive system. It does not cause any problems in men till later in life when it begins to grow. Benign Prostatic Hyperplasia or BPH can affect some men, but you can reduce your risk of this condition.

Risk factors for BPH
Knowing and understanding factors that cause BPH will help you avoid or reduce your risk of this condition. In addition to age the other risk factors of BPH are:

  1. Family history: If a close family member such as father or brother has had BPH you are more likely to have this condition
  2. Ethnic background: According to a study published in the Journal of Urology, Black and Hispanic men are at a high risk of being affected by BPH than white men.
  3. Diabetes: A study published in the journal Differentiation has suggested that diabetes can cause the prostate growth.
  4. Obesity: Men who are overweight or have a high amount of body fat could also have high levels of the female hormone estrogen which causes the prostate to grow
  5. Inactivity: Inactive men or those that do little or no exercise are at a higher risk of BPH. Exercising will help you keep blood pressure and cholesterol levels in check and keep your heart healthy which reduces the risk of BPH. Heart disease which can be caused due to inactivity or obesity is known to cause BPH

Preventing BPH
Although certain risk factors such as family history, age and ethnic background, are beyond your control, you can control a few others.

  1. Exercising such as swimming, cycling and walking for just half an hour can help lower your risk of BPH. Diet too plays an important role in keeping your weight in check and preventing conditions such as diabetes which can cause BPH.
  2. Certain foods too are said to slow the rate of prostate growth. A diet low in sugar and saturated fats but rich in healthy fats such as that found in nuts and oily fish is usually recommended.
  3. Supplements can also help. If you feel you are not getting all the nutrition you require from your diet it might be advisable to take supplements. There are many different types of natural supplements available. Ensure that you discuss this with your doctor before starting on a daily supplement.
  4. Limiting or reducing your intake of caffeine can be beneficial for not only the prostate but also the bladder. Drink plenty of water instead.
  5. Stress can trigger and worsen symptoms of BPH such as the frequency to urinate and pain
  6. Discussing the risk factors of BPH with your doctor and working with them to set up diet or meal plans will help you reduce your risk of this condition.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2849 people found this helpful

Men Urinary Incontinence Treatment

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Men Urinary Incontinence Treatment

Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

  1. Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
  2. Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
  3. Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
  4. Total Incontinence– when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.

It's also possible to have a mixture of both stress and urge urinary incontinence.

What causes urinary incontinence in men?

Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.

A man may have factors that increase his chances of developing UI, including

  1. birth defects—problems with development of the urinary tract
  2. a history of prostate cancer—surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men

UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man’s life. Conditions or events that may increase a man’s chance of developing UI include

  1. benign prostatic hyperplasia (BPH)—a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
  2. chronic coughinglong-lasting coughing increases pressure on the bladder and pelvic floor muscles.
  3. neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
  4. physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
  5. obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
  6. older age—bladder muscles can weaken over time, leading to a decrease in the bladder’s capacity to store urine.

Treating Urinary Incontinence

Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:

  1. lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
  2. pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist 
  3. bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
  4. You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
  5. Medication may be recommended if you're still unable to manage your symptoms.
  6. Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
  7. Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
  8. Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles. If you wish to discuss about any specific problem, you can consult an urologist.
1956 people found this helpful

Enlarged Prostate - 10 Warning Signs To Watch Out For

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
Enlarged Prostate - 10 Warning Signs To Watch Out For

The prostate gland in males surrounds the urethra, through which urine and sperm are passed out of the body. Its function is to secrete a fluid, which provides nourishment to the sperm. It is about the shape of a walnut and is present between the pubic bone and the rectum.

As a man crosses 40, the prostate gland begins to increase in size due to an increase in the number of cells. This is known as hyperplasia. The condition is usually benign and therefore the name benign prostate hyperplasia (BPH). As it continues to grow, there is an increased pressure on the urethra. Therefore, there can be problems with urination. The bladder, being a muscular organ, compensates to some extent and so the problems with urination are mostly managed. If left untreated, this can continue to be a major problem and the bladder may not be able to compensate. In men who are 60-plus, BPH is very common.

Signs and symptoms 

  1. One of the initial symptoms of BPH is when the urine stream begins to grow weak.
  2. There could also be a reduced speed of passing urine.
  3. Men with BPH never have a feeling of complete emptying of the bladder.
  4. On the other hand, there is also a constant difficulty in initiating a urine stream. There could be intermittent breaks in the urine stream.
  5. The person may feel the need to strain to initiate the stream and to ensure complete emptying.
  6. There could be dribbling of urine after passing urine.
  7. The duration between two bathroom visits can constantly reduce, with the constant urge to urinate.
  8. There is a constant urge to visit the bathroom, which is more common in the night. One of the most annoying features of BPH is the walking up at night to urinate, but with an inability to initiate a stream and an inability to completely empty the bladder, it leaves the person very irritated and frustrated.
  9. There could be blood in the urine. In fact, blood in the urine accompanied by fever, chills, nausea and vomiting are indications of an emergency.
  10. There could be blockage of urine completely, if the enlargement is quite severe.

If you are having any of these symptoms, then the doctor will first test for an enlarged prostate through a digital rectal exam. Then a test is done to check a chemical called prostate specific antigen.  Increased levels of this chemical is almost always indicative of BPH. In addition, X-rays and scanning may be used to confirm diagnosis. 

Though medications are available, confirmatory treatment is through surgical removal. The procedure needs a inimum of 2 to 3 days. If you wish to discuss about any specific problem, you can consult a urologist and ask a free question.

2993 people found this helpful

Causes and Symptoms of Benign Prostrate Hyperplasia

MBBS, D.N.B. (General Surgery), D.N.B. (Genito Urinary Surgery)
Urologist, Mumbai
Causes and Symptoms of Benign Prostrate Hyperplasia

Benign Prostrate Hyperplasia (BPH) is a condition which results in the enlargement of the prostate gland. The prostrate grand is situated near the Urethra (a tube which helps flush out the urine from the bladder). Generally, the chance of developing BPH increases after one crosses the age of 50. But it is yet unknown as to why some men experience more severe symptoms than others.

Causes of BPH
This condition generally occurs because of old age and affects almost all men above the age of 75. It occurs because of the various hormonal changes and changes in cell growth that the body goes through, as one becomes old. Sometimes BPH can set in due to genetics. If BPH sets in due to genetically reasons, it usually is quite severe and affects men before they reach 60.

Symptoms of BPH
Quite a few men who develop BPH, experience no symptoms at all. But when symptoms of BPH, known as lower urinary tract symptoms (LUT) start, they can be either mild or very severe. The severity of the symptoms is not related to the extent of the enlargement. Many a times men with only a mild enlargement complain about severe symptoms, while men with a highly enlarged prostate gland have not complained about any discomfort faced. 

Symptoms of BPH tend to worsen due to cold weather and also because of physical and emotional overexertion. There are certain medicines, which should be avoided if you suffer from BPH, as they have a tendency to worsen your symptoms, for example diphenhydramine, pseudoephedrine, oxymetazoline spray and other antidepressants.

The symptoms of BPH are related to bladder emptying and issues with bladder storage.

Symptoms related to the urine drainage from the bladder are:

  1. Strain while urinating
  2. Weak urine flow
  3. Some dribbling after urination
  4. Sudden urge to urinate
  5. Pain while urinating

Symptoms related to storage of urine in the bladder are:

  1. Waking during the night to urinate
  2. Urinating frequently during the day and at night
  3. Sudden urge to urinate, which may be hard to control

It however, has to be kept in mind that these symptoms may not primarily occur due to prostate enlargement, but are the result of other conditions like urinary tract infections, prostatitis, prostate cancer, neurological disorders and even diabetes. Thus, it is essential that you visit a doctor and get the cause for these symptoms diagnosed properly.

3597 people found this helpful

Benign Prostatic Hyperplasia (BPH) - How Homeopathic Treatment Can Help?

DHMS (Diploma in Homeopathic Medicine and Surgery), M.Sc - Clinical Nutrition & Dietetics, MSc - Psychotherapy & Counselling
Homeopath, Bangalore
Benign Prostatic Hyperplasia (BPH) - How Homeopathic Treatment Can Help?

Benign Prostatic Hyperplasia(BPH) is the enlargement of the prostate gland which can lead to other serious problems of the urinary tract, bladder, and kidneys.

It might be the result of an infection of the urinary tract or a scar in the bladder from an earlier surgery. Prostrate inflammation or urethral narrowing can also cause an enlargement of the gland. Kidney or bladder stones may also be responsible for prostate enlargement.

Age also plays a role in the enlargement of the gland. The hormonal changes that are natural with advances in age can cause the gland to grow in size. The prostate, in fact, doubles in size when men enter puberty, and later when they are about 25 years of age, it begins to grow again. In most cases, this growth continues for the rest of their lives.

Symptoms of BPH
As the prostate gland continues to grow, it can begin to exert pressure on the urethra. This affects the flow of urine and leads to some of the most common symptoms of BPH. These include-

  • A difficulty in starting urination.
  • A weak or irregular stream of urine.
  • A sudden and urgent need to urinate.
  • An inability to empty the bladder completely.
  • An increase in the frequency of urination during the night.
  • Dribbling after one finishes.

Though quite rare, you might find yourself unable to urinate or notice blood in your urine. If you notice one or more of the above-mentioned symptoms, consult a physician at your earliest possible. BPH can lead to a number of serious ailments that include bladder stones, severe damage to the bladder and even damage to the kidneys.

Role of Homeopathy
Given that in most men the prostate gland continues to grow throughout their lives, it is best to take the necessary preventive measures to ensure that it doesn’t progress to a serious health condition. Homeopathy, being both natural and effective, is one of the most popular methods of prevention.

A practitioner of homeopathy will evaluate all aspects of your lifestyle and health and prescribe a combination of medications designed to both reduce the inflammation of the prostate and regulate your urinary problems. You might even be prescribed natural pain relievers that will help manage any pain that you might be experiencing during urination. A pro-active approach is advised when it comes to the treatment of the prostate gland.

The 5 best homeopathic medicines for prostate enlargement or BPH are-

1. Baryta Carb- best medicine for enlarged prostate in old people

2. Digitalis- best medicine for enlarged prostate problem with heart trouble

3. Staphysagria– best medicine for BPH with painful urination

4. Conium-best homeopathic remedy for prostate enlargement with frequent urination

5. Sabal Serrulata- best medicine for prostate gland enlargement in homeopathy

3159 people found this helpful

Popular Questions & Answers

My age is 81 taking urimax D for the last 5 year my PSA is 5.82 doctor ad advise to take zynocin 200 for 7 days and again go for PSA test. If it do not come down what further action is needed to get the PSA down my prostrate is enlarge weight 46grm. Advised.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Nothing else could be done to get psa down. Repeat psa after 3 weeks. If low it's ok if same or high get MRI pelvis as I had already advised you.

I am Taking Nitrofurantoin bd Cetil250 bd andduonem er300 for ten days but burning and pricking sensations are there pt of Benign PH problem started after catheterization. Three times urine culture negative .what to do to cure and relief.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Is the catheter still there or is it out. What are the medication given for prostate enlargement. Please share the details of USG report also.
1 person found this helpful

I am using a urinary catheter for 30 days till date and also consuming Tasulin D for enlarged prostate and BPH for 7 days now. Can I extend the usage of catheter for another 7 days so that I can consume Tasulin D for another 7 days and then remove it. Please help me with your suggestions Dr. Thanks in advance.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
7 days is enough for tamsulosin to work. Remove catheter if you void continue medicine and if urine stops again then you need prostate surgery.
1 person found this helpful

I am 75 years old. Prostate is 28 gms. My full bladder capacity is 100 cc residual is 86 cc. Please suggest. I am taking urimax /silodal tablets. Is surgery required.

General Surgeon,
Bladder capacity is low. Usually we advice surgery for urinary retention or residual urine 200 cc or more what are your symptoms? It maybe you need surgery as bladder capacity is less.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Benign Prostate Enlargement
Hello friends. I am Dr Saurabh Mishra. I am a senior consultant in Urology in Lajpat Nagar, New Delhi. Now I am going to discuss something about Prostate. As you know prostate is a very common problem and it is not only seen by the urologist but so many other colleagues in the medical specialities, specially the physician. There are lot of myths and confusions about the Prostate in patients as well as the health care professionals. So, I would like to simplify the treatment methods for the prostate specially from the patient's point of view.

For the treatment protocol, we keep the patients into three categories;

Those patients who are asymptomatic and incidently been detected an emlarged prostate. Anything above 20g prostate, we call it as enlarged prostate. So, suppose a patient have some symptoms, he has undergone ultarsound and enlarged prostate was picked up. Such patients lie in Group-1. They do not need any treatment and kept under observation. Once they face any problem, they are given appropriate treatment.
Group-2 are those patients who suffer some urinary problems. Most commonly, they face frequent urine at night. In this category, they can have some obstructive features also. For example, they take long time to pass urine, the last part of the utine comes slowly that is called dribbling of urine. If these symptoms are present, the patient goes to the doctor and doctor evaluates and if no complicated factors are found then the medical treatment is started. So many medicines are available for the medical treatment of the Prostate. But unfortunately, most of them belong to same family. Due to this, if one drug fails to work then the options are least.
Group-3 patients are those who have complications. The complication may include the recurrent urinary tract infection, recurrent blood in urine, either of the kidney or both the kidneys are enlarged, bladder stones etc. If these symptoms are present, then it becomes the complicated factor. If any of tehse factors or all of these are present in the patient, then these patients may directly be planned for the surgery and no medical treatment is incorporated in such patients.
Few things we come to know. I have never dicussed about the size of the prostate. That means the size of the prostate will not tell about the treatment. There are so many patients who took treatment from the physician also. So, to such patients, I want to clarify the thing that the treatment is not that complicated but the treatment should be incorporated. The patient should be clarifies about the problem and the treatment and the group should be evaluated for the patient.

Thank you so much.
Play video
Benign Enlargement Of Prostate
Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate. Complications can include urinary tract infections, bladder stones, and chronic kidney problems.
Play video
Breast Hypertrophy
Breast hypertrophy is a rare medical condition of the breast connective tissues in which the breasts become excessively large. It is a benign progressive enlargement, which can occur in both breasts (bilateral) or only in one breast (unilateral).
Play video
Know More About Prostate Cancer
Hello friends, I am Dr Sajjan Rajpurohit. I am a cancer specialist at Rajeev Gandhi Cancer Institute, South Delhi. Today I will talk about the cancer which affects our senior citizens between the age of 50-60 years. It is the cancer in men. Some people most of teh time ignore it as it is a part of normal lifestyle or ageing. But what happens the cancer to begin withn as the symptoms are quite similar to the prostatic hypertrophy. So, I am going to talk about Carcinoma Prostate.

Prostate is an organ which is a male sex organ. It helps in generating fluid which is a composition fo Semen and it also helps in protecting the urine from getting infected. But with an advaced age, there is an increase in the size of prostate and sometimes a growing prostate can turn cancerous.

So, Carcinoma prostate usually manifest as symptoms which are quite similar to Benign Prostatic Hypertrophy (BPH).

So, the symptoms will be;

Frequency of urination
Urgency of urination
Difficulty during the urine passage
Nocturia which means incraesing urination at night, the person has to get up 3-4 times for urine
Blood in urine
Pain during urination
These are the earlier signs whereas in the later stages there can be the lower back ache or weight loss. In advanced cases, there can be the involvement of other organs such as liver, lungs whihc can ultimately lead to jaundice, cough, breathlessness.

So, the important thing is to differentiate from the beginning, from the cvery common condition. 1/3rd of the men suffer beyond the age of 60 years, that is, BPH.

It is sometime confused with the very common disease or I can say the physical change in the body which is in the form of Benign Prostatic Hypertrophy. It is very important for your doctor or you to be aware of that these symptoms can be over lapping with the symptoms or with these disease. So, the medicines of BPH should not be started just on teh basis of the symptoms.A patient must undergo a good quality Ultrasound, Serrum PSA levels. If the PSA levels are high or the prostate on ultarsound appears suspicious for cancer, then it should be followed up for MR Imagine or a Magnetic Resonance Imaging (MRI) of the lower abdomen or the Pelvis and depending upon that sometimes the PSA levels are high then the patient should undergo the Biopsy of the prostate.

Once the diagnosis is established, we stage the disease. The staging of disease will depend upon whether it is only confined to the stages of Prostates or it is going beyond the prostate. Most common side of other organ involvement is the lower back ro the back bone. The good thing about these cancers is that more than 80% of the these are low grade and they grow over many years. So, there is no need to immediately panic and if it is organ confined then it can be treated and cured with either surgery or direct with radiations. We have got Robotic surgery, very high resolution as well as very conformal radiation techique available with us whioch can treat the local forms of prostate cancer. Many of the people will be cured of the disease. Even in advanced cases nowadays with the advances and the oncology, the disease can be conbtrolled for many years and the patient can be asymptomatic.

People are living healthy and normal lives as they were living before getting this disease. So you need to be aware of this entity because it is on eof the common cancers in men. But if we and our physician is alert, they will definitely rule this out.

So, this is all I wanted to tell you about Carcinoma Prostate. Do not fear about the cancer. Many advances are happening on every day basis in the cancer managemnety and the future looks very promising to me.

If you need any help for Carcinoma Prostate or if you know someone who need any help for the same, you can contact me on my email which is or you can contact me through Lybrate.

If you want to take an appointment, I sit in Rajeev Gandhi Cancer Institute, South Delhi.

Thank you.

Play video
Benign Anorectal
Hello friends, I am Dr. Sandip Banerjee, and I am a consultant laparoscopic surgeon, bariatric and colorectal surgeon. I am practicing in my clinic, named as Pelvinic. I am also a head surgeon in Apollo Spectra Kailash Colony.

Today I am going to talk about benign anorectal conditions which are problems involving your anus and rectum, and which is involving a large amount of population in our country. So the primary problem arising out of this is because of a constipation. Constipation is affecting almost 13 % of the population, much higher than what diabetes and hypertension are affecting our population. So because of a constipation there are few problems which day in day out in the routine life, and involves any group, any class of patients.

The first thing I m going to discuss is a fissure in anus. Fissure is a painful condition in anus which mostly is because of an ulcer formation, or the breach of skin in the anus which develops due to the passage of hard stool. And the main symptoms of this is a painful difficulty to sit, postural problems, and painful defecation, with a minimum association of passage of minimum amount of fresh amount of blood during defecation. The solution lies in the treatment with medical management mostly. And 70 to 80 percent of the patient benefit out of the medical management. Only the remaining of the patients who develop a chronic fissure, who are not being cured by medical management, they are the one fit for surgery.

The second one is in hemorrhoids, which are called piles. So all of us do have an anal cushions normally, and which once gets prolonged due to chronic straining developed pathological piles. Now, the piles were graded according to the size, and the type of problems which patients are facing. It can be graded from grade one to grade four. The initial grade piles, which are grade one and two, in which the patients do have problems related to like bleeding or mucous discharge or some sort of difficulty while passing stool. But there is no history or no complaints of something coming out of the anus. So they are the early grade piles. In early grade piles, either they need some sort of a treatment in terms of medicine, or at times when it is really bothersome, then we do advise some nonsurgical treatment like laser radiofrequency ablation, cryotherapy, and even banding. But for the haemorrhoids which are quite big, like grade three and four, in which the patients mainly complain of something coming out of the anus, and they need to manually reposition it. So, they are the one which needs a definitive surgery. And the surgery which has come late in a high success rate is the stapler surgery for haemorrhoids. The stapler surgery which has been used for last 10-15 years is seen with a lot of success, that has revolutionized the piles surgery, in which the patients only need a day in a hospital, goes back to home, without any pain, without any problems thereafter. The chances of recurrence even less than 0. 001%. Then there are some acute conditions in which you develop an abscess in the anus, and you must know that abscess in the anus should always be drained. It should always be surgically drained, and there is no other way just to linger it on with medication.

Because if an abscess in the anus or the perianal region is being neglected, that abscess may develop into a tract which is called a fistula, and once you have developed a fistula then it s very difficult to treat. Now, fistula in anus is a tract which is connecting the outer skin with the inner anus. So what happens is that a patient, once they develop a fistula, they have typical complaints of persistent perianal discharge in forms of pus, and then suddenly the discharges end, and then patients are quite okay. For few days, the patient may develop some swelling, there is severe pain, and then sudden discharge again comes back. So in this way the cycles goes on and develops into a complex tract.

It s very important to know what is the tract of a fistula. While treating fistula we see whether it san high or a low fistula. So low fistula need not need any further imaging things, because out of experience we can find it out while doing proctological examinations that it s a low fistula. Low fistula has a very high success rate of surgical cure. Whereas in high fistula it requires some sort of an MRI imaging. MRI imaging helps us to know the different kind of tracts, and once knowing the tracts we need to perform some different forms of surgery based on the tract. It can be a laser, it can be radio frequency ablation, it can be a vaaft surgery, it can be a lift surgery. Based on the complex nature of the fistula, the cure rate is quite. The cure rate is having a recurrence rate of 3-7% world over. And I have been using radio frequency ablation for different types of fistulas. Even laser has been applied, and I ve met with a quite a good amount of success in my patients.

The other 2 things which I want to discuss is about rectal prolapse. Now the patients do complain of something coming out as a chunk through the anus while defecation, and it s a quite a big amount as compared to hemorrhoids. Patients do have a problem associated with rectal prolapse, either they have chronic diarrhoea, or constipation. So it can be either constipated prolapse or a diarrheal prolapse, and for that too it needs a treatment, and definitive surgery. Definite treatment is a surgery, and it involves a laparoscopic cure from the abdomen. And the last is pilonidal sinus. And pilonidal sinus develops as a small chronic discharging fissure in between the anus buttocks, and that also needs a very good flap surgery. So hope you will like this information, and for any type of solution, any type of cure, you can contact me either in Pelvinic, or through Lybrate, or in Apollo Spectra Kailash Colony. Thank you.

And the last is pilonidal sinus. And pilonidal sinus develops as a small chronic discharging fissure between the buttocks, and that also needs a very good flap surgery.

I hope you like this information, and for any type of solution or any type of cure, you can contact me either in Pelvinic, or through Lybrate, or in Apollo Spectra Kailash Colony. Thank you.
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