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Overview

Enlarged Prostate: Treatment, Procedure, Cost and Side Effects

What is the treatment?

BHP or benign prostate hyperplasia

How is the treatment done?

Enlarged prostate also known as BHP (benign hyperplasia prostate) is commonly experienced by elderly man. It is a urological problem where the prostate become enlarged. It is a walnut shaped gland part of the reproductive system that produces seminal fluid and helps in the sperm ejaculation and urination. It is not a cancerous condition.

As the prostate gets enlarged, it puts pressure on urethra and cause obstruction in the bladder. These results in various symptoms that include- urinary tract infection, you are unable to urinate properly, bleeding from prostate, having bladder stones, difficulty to start urination, weak or slow urine and dribbling after urination. Enlarged prostate is most common among men aged 60 years and above. Moreover, the exact cause for this enlargement is unknown. It may due male hormones like estrogen or cell signaling pathways.

The diagnosis for enlarged prostate may include digital rectal examinations, PSA (Prostate-Specific Antigen) tests, urine examination, transcrectal ultrasound and cystoscopy etc. If your condition is bad and needs immediate treatment or further number of tests, you may be referred to an urologist. There are number of treatment options available for enlarged prostate. Your treatment will depend on your condition and the severity of the symptoms you are experiencing.

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

Enlarged prostate has various treatment options. The type of treatment will depend on the condition of the enlarged prostate and the difficulties you are facing in urination or dong other physical activities. Drug therapy is one of the options available where certain medications are prescribed to the patients that might help in relieving the symptoms experienced by you.

Surgery is another option for BHP or enlarged prostate. It is mainly done for severe cases where surgery becomes mandatory.

Transurethral resection of prostate (TURP)-It is one of the most common BHP surgery. It involves removal of the tissue growth around a urethra. It does the job of relieving the patient of their symptoms and requires very little recovery time.

Transurethral incision of prostate (TUIP)-This procedure involves making incisions or cuts on the prostate to relieve pressure on the urethra. It generally takes time for symptoms to subside and return to normalcy is much slower.

Other surgery treatment options include Transurethral microwave thermotherapy (TUMT) and Transurethral needle ablation (TUNA). Both of these treatments require microwave or ultrasound energy to destroy the prostate tissue.

There are newer surgery options that are being researched and performed in clinical trials that range from water therapy to laser treatments. In laser therapy high energy frequency is used to destroy prostate tissue and generally requires general anesthesia. Mention should also be made about Rezum therapy and Urolift procedures.

Who is not eligible for the treatment?

Men having BHP or enlarged prostate showing symptoms such as suffering from urinary tract infections, unable to urinate, bleeding from the prostate, urinating from slowly and having bladder stones along with enalrged prostates.

Are there any side effects?

Any person who is suffering from mild case of enlarged prostate or BHP should not undergo any surgery. Also if your symptoms subside from having only medicines,then surgery is not needed.

What are the post-treatment guidelines?

There are various side effects for the surgeries performed on enlarged prostate. The most common procedure which is TURP has fewer side effects compared to other procedures. One of the main risks is having retrograde ejaculation. In retrograde ejaculation you ejaculate backwards instead of front. Other side effects include blood loss requiring transfusion, urinary tract infection and erection problems. However, with laser therapy and water therapy the problem of erection does not arise.

How long does it take to recover?

After an minimally invasive surgery, your urologists may ask you to follow up for weekly chekups and monitoring your urination. You may need to stay at the hospital for 1 to 2 days. You can resume your daily activities after a week or so. Strenuous activity or sexual activities are not to be resumed immediately and ideally begin after 6-8 weeks. Also your symptoms may continue to persists for 4-6 weeks and you may need to take things slow in terms of doing work whether it is sitting or standing. Have plenty of fluids and try not to put any pressure or scratching on the surgery site. Avoid drinking alcohol and coffee for sometime and also try to do pelvic-strengthening exercises.

What is the price of the treatment in India?

Recovery for surgical treatment of enlarged prostate or BHP is minimal and ususally takes a week or two. A personcan return to normal process of urination and work after two weeks.

Are the results of the treatment permanent?

The cost of surgical treatment for enlarged prostate varies. The cost may range between Rs.1,00,000 to Rs.3,00,000.

What are the alternatives to the treatment?

The results of the surgical treatment of enlarged prostate varies depending upon the surgery you have opted for. However, the symptoms for enlarged prostate alaways subsides with every surgical option.

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

Rs.1,00,000-Rs.5,00,000

Popular Health Tips

Overactive Urinary Bladder - What Can Possibly Help Manage It?

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Overactive Urinary Bladder - What Can Possibly Help Manage It?

Overactive bladder (OAB) is a set of symptoms that causes a sudden urge to urinate to an extent that can negatively affect a person’s life. OAB incidence increases with age but it is not part of the normal aging process. Many affected people may feel embarrassed and isolate themselves from work and social activities. During normal urination, the detrusor muscle of the bladder contracts when the bladder is full and relaxes when empty. A normal adult bladder contains up to 600cc of urine, in OAB, as little as 200cc of urine can trigger bladder contraction. Certain neurological conditions like stroke, multiple sclerosis, Alzheimer’s disease, tumors, diabetes, bladder stones, enlarged prostate and other abnormalities that obstruct bladder outflow can lead to an overactive bladder. Excessive consumption of caffeine or alcohol could also obstruct the process of normal urination.

While sometimes one may have an urgent urge to urinate due to diet or lifestyle modification, but mentioned below are few symptoms mentioned below should not be ignored:

  • Urgency to urinate for a longer period of time, however, a patient may or may not urinate after feeling this urge.
  • Patients may leak urine after feeling a sudden urgency. They find it unable to control the flow leading to leakage of few drops or sometimes a gushing large amount of urine.
  • Frequent urination, more than 8 times in 24 hours.
  • Nocturia i.e waking up one or more times at night to urinate.

Treatment

  1. Diet, lifestyle modification should be the first line of treatment

    • Weight loss in obese patients reduces episodes of incontinence
    • Avoiding caffeine and alcohol can do the trick.
    • Kegel exercises are exercises of pelvic muscle, which strengthen the muscles of the pelvis and the urethra which support the opening to the bladder. Recommended 30-80 times every day for 8 weeks.
    • In women, vaginal weight training can be really helpful. In this small weights are held by the vagina by tightening the vaginal muscles. It should be practiced for 15 minutes twice daily for 4-6 weeks.
    • Bladder training is generally done with the help of physical therapist or urologist. It also uses pelvic floor muscle contractions to expand the intervals between voiding and to suppress the urge to void.
  2. Medications: Used as the second line of treatment as the drugs in most cases are only moderately helpful.
    • Anticholinergics act by relaxing the bladder, they decrease the hyperactivity of the detrusor muscle. There are several other medications that may be prescribed by the doctor depending upon the severity of the condition.
  3. Other procedures: third line of treatment
    • Botox injections can be given directly into the bladder wall. It suppresses involuntary bladder contractions by blocking nerve signals.
    • Neuromodulation uses electrical stimulation to reorganize spinal reflexes involved in bladder control.
    • Reconstructive bladder surgery enlarges the size of the bladder by using part of the intestine.

Symptoms Of Enlarged Prostate - An Insight!

MCh Urology, MS - General Surgery, DNB (General Surgery), MBBS
Urologist, Chennai
Symptoms Of Enlarged Prostate - An Insight!

A man’s prostate enlarging after he reaches 40 years is considered typical. Affecting millions of men every year, the condition is treatable by a urologist. When the prostate has grown to be substantially large, the urethra is tightly squeezed, and this makes it difficult for the bladder to compensate for the problem and empty entirely.

In some cases, it may lead to blockage from prostate enlargement and subsequent stagnation and backing up of urine. This, in turn, increases the chances of urinary tract infections, bladder diverticula and bladder stones, and kidney damage.

Signs and symptoms of enlarged prostate
The signs and symptoms of an enlarged prostate are quite mild at first but can turn into a serious problem if left untreated. The common symptoms of enlarged prostate include:

  1. Incomplete emptying of the urinary bladder
  2. Need to urinate two or more times in the night
  3. Dribbling at the end of the stream
  4. Leakage of urine or incontinence
  5. A weak stream of urine
  6. A slowed and delayed stream of urine
  7. Presence of blood in the urine
  8. Finding it difficult to start urinating
  9. Having a weak flow of urine

Leaking of urine can take place when there is a sudden urge for urinating that cannot be controlled. It may also take place when a person strains owing to cough, sneeze or lifting a heavy object all of a sudden. This phenomenon is known as stress incontinence.

The most common form of leaking happens when a little amount of urine dribbles in the underwear after urinating. It is important to consider these symptoms and consult a nephrologist without further delay. This is because even though the symptoms are mild, they may be triggered by some underlying conditions that need to be treated.

What is the next step?
Your doctor may recommend you to get certain tests done in order to determine whether the prostate gland is enlarged. Some of these tests include:

  1. Urinary frequency-volume: The test gives you a record of the amount of water consumed and how much urine you pass and how often you are required to empty your bladder on a day to day basis along with any leakage you have.
  2. IPSS questionnaire: This test refers to International Prostate Symptom Score questionnaire which allows the doctor to comprehend how serious the symptoms are.
  3. Digital rectal examination: Through the test, the doctors can feel the prostate gland through the wall of the rectum.

Besides these diagnostic tests, the doctor may ask you to undergo a blood test for checking that the kidneys are functionally alright. The treatments for the enlarged prostate gland depend on the severity and intensity of the symptoms, and the treatments include medication, catheters, lifestyle changes and surgery. Thus, being aware of your body and taking the necessary steps can help solve the issue.  In case you have a concern or query you can always consult an expert & get answers to your questions!

2980 people found this helpful

Enlarged Prostate - How Can It Be Managed?

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
Enlarged Prostate - How Can It Be Managed?

The prostate gland in a man begins to grow in size on reaching 25 years of age quite naturally, and this is known as benign prostatic hyperplasia abbreviated as BPH. Now the problem arises when the enlargement of the prostate is more than normal.

In men, the urine flows through the urethra from the bladder. An abnormally enlarged prostate blocks the flow of urine through the urethra. The cells of the prostate slowly multiply to cause it to enlarge. This puts pressure on the urethra thereby giving rise to a number of problems, most of which manifest as symptoms.

Common Symptoms of an Enlarged Prostate Gland
The condition of enlarged prostate gives rise to some noticeable symptoms which provide the signs that you need to visit a doctor to get it treated. A weak or slow urinary system is one of the most common symptoms of being affected with an enlarged prostate. This includes urinating more often, an increase in the urgency to urinate, difficulty in starting urination and a feeling of incomplete bladder emptying immediately after urinating. At times, it is seen that passing urine becomes very strenuous. All these above symptoms indicate that there is an enlargement of the prostate gland and medical help should be sought immediately to prevent the condition from worsening.

Steps to Manage an Enlarged Prostrate

  • Effective medication is usually the first step in the management of an enlarged prostate gland. Alpha blockers are the drugs that are most commonly used in this situation. These drugs do not reduce the size of the prostate, but they are great in relieving the symptoms to allow free and painless passage of urine. Another group of drugs known as 5-alpha reductase inhibitors can help in shrinking an enlarged prostate. The drugs work by the reducing the levels of the male hormone called dihydrotestosterone.
  • In some advanced stages of prostate enlargement, minimally invasive treatments are used for the effective management of the condition. Transurethral Microwave Thermotherapy or TUMT is used to treat mild blockages that reduce the frequency of urination, the urgency, and straining. However, it is not able to correct the bladder emptying issues. Transurethral Radio Frequency Needle Ablation or TUNA helps in the destruction of the prostate tissues resulting in an improvement in the flow of urine.
  • Prostatic stents are also sometimes used for the management of the condition of an enlarged prostate. In this treatment procedure, a small metal coil is inserted into the urethra for widening it and keeping it open. In most severe case of prostate enlargement, only surgical methods remain as the opted method of treatment. Laser surgeries are performed to destroy the tissues of the prostate for easing of the condition. Ultimately, an open prostate surgery is performed when the transurethral procedure cannot be used. In this surgery, the tissues of the prostate are removed by the surgeon in case of great enlargement.
  • The condition of an enlarged prostate gland requires medical attention and treatment for the most effective management, and it is best that a medical professional is consulted as soon as any of the symptoms surface.

Enlargement starts usually after 50 years. Surgery 'Transurethral resection of prostate (TURP)' either by monopolar or bipolar electrocautery. Enucleation of prostate by laser is also an option. In case you have a concern or query you can always consult an expert & get answers to your questions!

3548 people found this helpful

Prostate Biopsies - Ways You Can Avoid It!

Urologist
Urologist, Gurgaon
Prostate Biopsies - Ways You Can Avoid It!

One of the most common issues with old age in men is the enlarged prostate. Any difficulty with urination (no constant stream, difficulty initiating, or incomplete emptying of the bladder for instance), and the first suspect is an enlarged prostate. These symptoms are followed by a digital rectal exam to check for an enlarged prostate. Once confirmed, the next step is to check for levels of prostate-specific antigen (PSA). If both the exam and the PSA are positive, it could mean prostate cancer. As with any cancer, it is believed that sooner it is diagnosed and the treatment is started, the better.

Historically, the best way to rule out the prostate cancer had been to do a prostate biopsy. This is a minor invasive procedure, wherein biopsies are taken from various regions of the prostate which are known to develop cancer (about 12). A disadvantage of this procedure includes missing out on the front part of the prostate which can also develop cancer. Secondly, it is not a very pleasant experience and given a chance, most men would not want to have it done.

There is good news for these men who would like to avoid prostate biopsies. The first is the multiparametric MRI which uses no x-rays and is considered very safe with extremely accurate results. This MRI exam requires about an hour, and once the images are obtained, the doctor will analyse these images and check for several parameters to assess for prostate cancer. The absence of cancer can be confirmed with up to 90% accuracy, which is far greater than with usual biopsies. If there is a possibility of cancer, then a biopsy can be done to confirm it.

Also, these images indicate the exact region where cancer likely is, and this guides the doctor to biopsy only where absolutely essential. The chances of false positive and false negative results are reduced drastically. The one disadvantage here is that MRI detected biopsies usually tend to be of a higher grade which requires immediate treatment.

Another way to reduce chances of the biopsy by 30% to 50% is by the 4K test. It helps detect a variety of prostate issues including cancer. It can be used once higher levels of PSA is identified and before going for a biopsy. It combined 4 prostate-specific biomarkers with clinical information to accurately provide men with a risk of developing prostate cancer. It can be used even after negative biopsies to confirm the diagnosis of prostate cancer.

These two measures can drastically reduce the incidence of prostate biopsies, which is neither pleasant for the patient nor very effective for the doctor.

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

3400 people found this helpful

Prostate Enlargement - 5 Signs You Are Suffering From it!

M.Ch - Urology/Genito-Urinary Surgery
Urologist, Guwahati
Prostate Enlargement - 5 Signs You Are Suffering From it!

As men enter their middle age, many of them develop issues with their prostate gland. There are certain symptoms that would tell you that your prostate glands have stopped functioning smoothly. It is recommended that you opt for a thorough check up when you suspect something wrong. This is because untreated prostate issues can lead to prostate cancer later in life. To avoid such a situation, it is best to get it treated as soon as possible.

Here are certain common symptoms which would make you aware of the issues that might affect your prostate gland.

  1. Bladder Discomfort: When you frequently start experiencing the feeling of your bladder not emptying completely, then it is time to consult an urologist for the problem. Such bladder discomforts are linked to prostate gland malfunctioning.
  2. Increased frequency of urination: Ideally a person urinates around six to eight times a day. Depending on the intake of liquid or water it can even rise up to ten times. But if you are urinating more than ten to twelve times, then it is definitely a matter of concern and you should approach medical help for it.
  3. Dribbling of urine: when you notice that the flow of urine is not stable and it starts dribbling for a long time, then you must understand that the prostate gland is not functioning properly. This is one of the earliest signs of prostate disorders.
  4. Waking up frequently at night to use the washroom: It is not very normal to wake up frequently at night to use the washroom. But when you notice an increase in your trips to the washroom at night, it can be a sign of prostate malfunctioning.
  5. Pain in penis or blood in the flow of urine: If you feel pain when you are trying to empty your bladder or anytime during the day, then it is a matter of concern. Similarly, if there is a flow of blood, even in the slightest, in your urine, then it is time to opt for a check up with your medical practitioner.

Hence, these are the major symptoms which reflect that the functioning of your prostate gland is not as smooth as it is supposed to be. If you can relate with any of these symptoms, ideally you must immediately consult your medical practitioner and take an expert opinion. Medical science has progressed a lot in contemporary times and prostate disorders are very much treated by medicines and procedures. It is a very much curable problem provided you get the right help at the right time.

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

1967 people found this helpful

Popular Questions & Answers

I am taking URIMAX tablet for the last 8 years at bed time. My nipple was slightly itching and slowly the teat is enlarged in due course of 3 years. Any thing I could do to bring it to the original size. Thanks.

MD - Dermatology, MBBS
Dermatologist, Bangalore
Dear Mr. lybrate-user, dryness in the areola (center of the breast, brownish area) and nipple may cause itch. As the teat is enlarged over a period of time (could be hormonal), better to consult a dermatologist in person, till then apply moisturizer twice a day.
1 person found this helpful

I am 60 years old due to urinary infection my prostrate glands enlarged to 40 cc, is there any medicine to shrink my prostrate glands.

MBBS, DNB - General Surgery,DNB - Urology
Urologist, Cuttack
Yes there is medicine to reduce prostate size, but before that do serum PSA, post void residual status in USg report, uroflometry. And consult your urologist with all reports and explain him in details about your urinary problem, do that he/she can prescribe appropriate medicine for you. Thank you.
1 person found this helpful

Dear sir, I am suffering from BPH. Prostate enlargement and I am taking silodosin 8 mg. This leads to erectile dysfunction problem. I have already taken alfoo which causes palpitation. Can you suggest different medicine for BPH which has minimum side effects.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Every medicine for bph will have some side effects. Because you are sexually active for you alfoo is best. Otherwise other common drug is dutas t.it has tamsulosin which causes retrograde ejaculation. If you have completed your family you can try this.

I was having problem as I had to urinate very frequently and I was treated for UTI but after 15 more days my ultrasound showed a little enlarged prostrate and I was prescribed urimax D.But now after 15 days I am feeling ok and fine almost as good as normal. My question is small I continue with urimax D or shall I discontinue? And also since then I am also having black coloured motions. Has OT also to do something with the problem?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
You can continue medicine as long as you are comfortable with it. Usually medicine for prostate continue for longer duration. Meet a gastroenterologist for black stools. Urimax d does not cause this.
1 person found this helpful

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?
How long does it take to recover?
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 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
Enlarged Prostate And Its Treatment
Hello,

I am Dr Kaushik and I am urologist consultant Urologist at Holy Family hospital and I have a clinic where I do concentration at Gurgaon called the complete family clinic.

Today I want to talk about prostate and its treatment C prostate is basically a problem which 90% people will face by the age of 95 it may start anytime after 50 years any change in your habit of how your passing urine any burning in urination any blood in urine any increase in frequency these are all the warning signs that one should look for and if they are there you should see your position or better or urologist because the evaluation will be a thoro evaluation and treatment if initiated early is very simple in form of few tablets taken everyday.

If it is ignored then yes one my need a surgery or the disease may progress and surprise you in the form of malignancy as well, therefore, any gentleman beyond 55 years of age should have really check up of his serum PSA is rectal examination and any gentleman anytime having change in his urine frequency or any problem while passing urine should see a urologist treatment is if again we talk about surgery requires laser prostatectomy is very safe procedure and we have performed in last couple of years hundreds of prostatectomy with very happy and 30 results glad patients thanking us but the Crux of the whole thing is early detection early initiation of the treatment.

Thank you.

Play video
Urological Diseases
Good Morning!

I am Dr. Vikas Agarwal. I am senior consultant and head at VPS Rockland group of hospitals situated at Manesar, Dwarka and Qutub. In my department, we are doing all kind of Urology and kidney transplant related diseases.

If we talk about urology. Urology means all disease related to kidney. Ureter, bladder, prostate in which the most common is kidney stone. In our day to day practice, many of patients in our OPD are coming for kidney stone. And in the surrounding area also we are having so many patients of kidney stones. We offer, as a urologist at VPS Rockland hospital, the minimal invasive way to treat kidney disease, kidney stones. In which the most common technique is the PCNL and RIRS in which we break the kidney stone with the laser and patient can go home from the next day of the admission, so this is the minimal invasive way to treat the stone worldwide, this is the standard treatment and we offer dedicated urology team and latest laser technology and equipment s for kidney stone at VPS Rockland hospital, Manesar. If we come across another common disease that is enlarged prostate disease in which the patient usually complains of difficulty in passing urine having burning maturation, poor flow and in night he has to wake. So at the age of 50 and above, the prostate glands starts increasing and he diagnose with simple uroflowmetry test and ultrasound, the prostate disease and we offer to our patient the minimal invasive against the TORP or the laser prostate surgery and with minimal complication and patient can go home next day of the surgery. Next focus is our on urology department at VPS Rockland hospital, we do all kind of kidney cancer, prostate cancer, bladder cancer, treatment and possibly with the laparoscopic technique which gives all the benefits of the patient, early out of bed, minimal scar, and good cosmetics. Our main focus is to now the kidney transplant program at VPS Rockland hospital as we know in kidney; the most common cause of kidney failure is diabetes and hypertension which is very much prevalent in our society. The patients who came for end state renal disease, the dialysis or the kidney transplant are the two options. But because of lack of the donor many patients do not get the kidney. So they are dependent on dialysis, but if they got a chance to have a donor , kidney transplant is a definitive, more successful operation and we at VPS Rockland hospital offer to the patient with laparoscopic donor nephrectomy in which the donor is operated through the laparoscopic technique and all kind of complicated kidney transplant including ABO incompatible kidney transplant, swap transplant, cross match positive transplant, we are doing at VPS Rockland hospital. The other group of patients in urology we treat with the reconstructed urology. In which the patient has cut off the fistulas of the urinary tract after any gynecology surgery so we treat with laparoscopic pyeloplasty, laparoscopic reimplantation, laparoscopic ureterectomy, so we at VPS rockland hospital have dedicated urology team, dedicated urology suit and all equipment s to deal with laparoscopic and laser technology of urology.

I am Dr. Vikas Agarwal. Wish you good health. Thank you.
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
Prostate Gland (Human Anatomy)
Main Dr. Shailendra Goel hu, principal consultant urologist, enterologist and renal transplant surgeon. Main Vaishali, Delhi, Noida, NCR chhetra mein max hospital se sammad hoon aur meri training. MCS training jo hai, Sanjay Gandhi PGI Lucknow mein hui hai aur main Delhi rajdhani chhetra ke bade haspatal jis mein Maidanta haspatal, JP haspatal, Kailash haspatal Noida, Delhi aur Metro haspatal se sambandhit raha hoon.

Aaj mein aap ko iss video ke dwara, Prostate gland jo gadut kehlate hai jo ki ek common samasya hai uss ke brein mein thoda gyan aap se share karna chahta hoon. Prostate gland ek chhoti ya bade angur ya akhrot ke size ki ek granthi hoti hai jis mein vva banta hai aur yeh peshaap ki theli ke neeche body ke andar peshaap ke raste ke chaaro ore hoti hai. Aur yeh peshaap ke raste ke chaaro ore hota hai aur iss mein vva banta hai aur jab sex karte hai toh vva iss granthi se nikalta hai. Jab age jaise jaise progress karti hai to hiss ka size badhne lagta hai aur yeh peshaap ke raste ko dabane lagti hai toh uski wajah se peshaap mein dikkat hone lagti hai. Mostly patients jo prostate gland ke enlargement ke jo hote hai who mostly 40-50 saal ke baad ke umar ke hote hai. Aur dheere dheere yeh granthi jo badhti jaati hai aur raste ko abati jaati hai toh urine mein dikkat jo hoti hai. Uss mein dikkat kuch rukawat ki wajah se hoti hai, jese ki

Dhara halki hona
Ruk ruk ke hona peshaap hona
Peshap ek baar mein poora na hona
Baar baar peshaap jana
Raat mein kahi baar uthna peshaap ke liye
Peshaap jaldi lagna.
Kahi baari itna jaldi peshaap lagna ki bathroom pahuchne se pehle hi nikal jana.
Toh yeh symptoms is baat ko indicate karte hai ki prostrate kuch trouble kar raha hai aur kahi baar jab yeh prostate zyada badh jaata hai toh kuch yeh dikkat ya complications karta hai jaise KI-

Peshaap bilkul ruk hi jaata hai
Peshap nikal nahi jaata
Nail dalwane ki zaroorat parti hai
Peshaap mein blood aane lagta hai
Itni rukawat hone lagti hai ki kidney ko kharab karne lagta hai
Pet mein itna jor lagana padta hai ki hernia ban jate hai ya rukawat ki wajah se kidney mein ya peshaap ki theli mein pathri ban jaane lagti hai.
Kidney kharab ho jaane lagti hai toh yeh complications hote hai.
Jab yeh complications hone lagte hai tab toh operation bahut zaroori ho jaata hai. Shuruat ke stage mein jab yeh koi complications nahi hai toh prostate ki dikkat ko dawaiyon se treat kiya ja sakta hai. Usually jaise jaise age badhti hai waise prostate ki samasya badhti jaati hai. Yadi hum kahe ki 60 years ki age pe 50% logon ko prostrate ki problem hoti ha. 80 years ki age pe almost 70-90% patients ko prostate ki problem hoti hai.

Prostate ki samasya ka khaane se koi link nahi hai. Aap ko ek normal balanced diet leni chahiye aur aisa koi specific diet ya parihej nahi hoga jiss se hum kahein ki prostate ki samasya nahi hogi. Aur prostate ke check up ke liye jo aap urologist se ya jab aap salah karte hai ki iss mein kya dikkat hai toh uss mein hum jo test karate hai uss mein ek urine test hota hai , ultrasound hota hai ki jiss mein ultrasound peshaap karne se pehle aur peshaap karne ke baad mein dekhte hai, ye check karne ke lie ki kitan percent peshaap ruka reh jaata hai. Ek peshaap ke dhara ki jaach hoti hi jise hum uroflowmetry kehte hai yeh jaach hum usually karate hai aur kidney pe koi jor par raha hai ke nahi par raha hai uss ke liye kidney ka ek blood test, cretinin jiss ko kehte hai, who karaya jaata hai. aur ek prostate ke liye specific test hota hai PSA Test, Prostate Specific Antigen yeh ek test karaya jaata hai ki jiss se hum yeh check karte hai ki koi cancer ki sambhavna toh prostate mein nahi hai. Toh yadi PSA yadi badha hua aata hai, toh uss ke liye hum phir biopsy advise karte hai except ki kuch cases mein jahan humein lage ki infection hai ya koi aur chances ho sakte hai PSA badhne ke. Toh PSA ka badha hona apne aap mein indicate karta hai ki uss mein cancer ki shakh hota hai, cancer ko confirm nahi karta.

Shuruat mein prostate ki samsya ko hum dawai se treat kar sakte hai jiss mein do tareeke ki dawai hoti hai alphablocker aur 5ARI inhibitors. Toh jab bada prostate hota hai toh yeh do dawaiya di jaati hai aur inn do dawaiyon ka long term mein koi major side effect nahi hota hai aur yeh dawai prostate ke patients ko lambe samay tak leni hoti hai. Beech beech mein check up karana hota hai. Aur yadi check up mein humein lagta hai ke dawaiyon se proper result nahi mil rahe hai ya humein lagta hai ke prostate badh raha hai aur dikkat kar raha hai, andar complications jaise rukawat ke, kidney kharab hone ke, kidney mein swelling ke ya peshaap zyada rukne ke ya dhaar achhi na hone ke persist kar rahe hote hai toh uss mein operation ki salah di jaati hai.

Aaj ki tareekh mein operation bhi minimal invasive technique se hota hai ki jiss mein koi chira fadi, kaata, kaati nahi hoti even jaise laproscopy mein do teen chhed karte hai toh koi chhed nahi kiya jaata. Yeh keval peshaap ke raste pe kiya jaata hai jiss mein commonest operation jo aaj ki tareekh mein jo hota hai woh TURP kehlata hai jiss mein peshaap ke raste se doorbeen se prostate ko operate kar diya jaata hai. Ab aur zyada advanced technique available hai jise hum bipolar TURP kehte hai. Iss mein risk kam ho jaata hai ya isme laser se kiya jaata hai. Aaj ki tareekh mein laser best technique kehlati hai jo ki jiss mein old age mein hote hai patients ko heart problem hai ya lungs ki problem hai ya woh blood thinner le rahe hote hai ya aur bimaariya hai , diabetes hai, toh uss mein ya sodium kam ho jata hai body mein toh un cases mei laser bahut helpful hota hai uss mein complications kaafi kam ho jata hai. Lekin ye hai ki in ke operations kaafi successful hai. Otherwise yadi aap iska illaj nahi karte hai toh yeh kidney kharab kar sakta hai ya aur dikkat kar sakta hai.

Toh yeh kuch baat mein prostate cancer ke barein mein aur kehna chahunga ki prostate cancer bhi ek samasya hai. PSA tests se iss ko diagnose kiya ja sakta hai. Lekin cancer ke barein mein yeh hai ki prostate cancer ka ilaaj sambhav hai. Chahe yeh advanced stage mein bhi hai toh bhi iss ka bahut accurate ilaaj available hai. Aur yeh saal do saal ilaaj ke baad bhi patients ko koi dikkat nahi hoti hai. Toh woh prostate ki samasya se mera yeh ek salah rahegi jiss ke koi urine mein dikkat hai woh urologist se salah zaroor le aur apna ilaaj karaye aur in sab dikkato se ya apne zindagi ko swasth rakhe.

Dhanyavaad. Aur mein Dr. Shailendra Kumar Goel aap ke liye, salah ke liye lybrate par available hoon ya aap DF-10 Duplex Flora, Sector-108 mein mere Goel Urology clinic mein aap mere se sampark kar sakte hai.

Aur lybrate ki website par ya meri apni website Drshailendragoel.com par mere se appointment ya salah le sakte hai. dhanyavad.
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