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Last Updated: Nov 01, 2019
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Enlarged Prostate: Treatment, Procedure, Cost and Side Effects

What is Enlarged Prostate? How is the treatment done? Are there any side effects? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent?

What is Enlarged Prostate?

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.

How 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 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.

Who is not eligible for the treatment?

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.

Are there any side effects?

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.

What are the post-treatment guidelines?

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.

How long does it take to recover?

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.

What is the price of the treatment in India?

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

Are the results of the treatment permanent?

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.

Popular Questions & Answers

I have problem sensitive prostate muscles in 2014 doctor sugest me alfoo tablet ,triplet 10, n acorn 75. After 1 to 2 month my problem is solved .now I have a same problem irritation in prostate n tract it’s .m starting same medicine now m feel better. I want to ask how many days I will take this medicine. Pls suggest me.

mbbs, ms general surgery, MCh [Urology & Kidney Transplant]
Urologist, Mangalore
You need to do urine culture test uroflowmetry test usg abdomen pelvis with post void bladder diary documentation for 3 days recurrent symptoms infection to be ruled out.

Prostate is normal in size and in echo texture, measuring 18 cc in volume. No evidence cysts/focal lesions. Pv-20 cc. Mx.flow 15.6 ml/sec, avg.flow 9.8 ml/sec now doctor suggested silofast 8 mg. Three year back I was taking urimax 0.4 mg.which medicine is best for this treatment please?

M.Ch - Urology
Urologist, Guntur
Dear sir, our greetings we understand your anxiety to know the best among you mentioned. But, the better suited can be decided based on many factors like your co-morbidities, prostate gland size, symptoms that bothers you and since how long you ar...

My grandfather has been taking urimax-d for a month now. Should he continue taking the medicine. Due to curfew, we can not go to the doctor. So we need your help. Regards, saurabh raj.

MCh [Urology & Kidney Transplant], MS - General Surgery, Fellowship in Robotic Urology
Urologist, Delhi
If the symptoms for which he had been given the medicines have come under control, it is better to continue taking the medication. Also if he does not have any side effects like dizziness, low bp. It is safe to continue. These medicines need to be...
1 person found this helpful

Psa test shows 0.644. But I find something on the left side and whether it is indication of enlargement of prostrate. O am taking veltam plus for the last one year. Can you please suggedtamy further treatment program.

MBBS, MS - General Surgery, MCh - Urology
Urologist, Bangalore
Hello, prostate enlargement is a age related issue which has multiple treatment options. You can consult personally and share all the reports with me to decide on further assistance.

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