BHP or benign prostate hyperplasia
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.
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.
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.
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.
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.
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.
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.
The cost of surgical treatment for enlarged prostate varies. The cost may range between Rs.1,00,000 to Rs.3,00,000.
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.
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:
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:
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:
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!
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
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!
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!
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.
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!