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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

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Popular Questions & Answers

I was diagnosed for enlargement of prostate gland and I was taking urimax table for the last 9 years. Suddenly I felt a sort of itching on the breasts, and soon I noticed that the teat on the breast enlarging. Can it reduced to the original size.

MBBS, MS - Urology, MCh - Urology
Urologist, Kolkata
If you are taking urimax 0.4 it is unlikely to be the cause of your present problem. Some people can have mild breast pain with urimax d or urimax f. Please consult a general surgeon for this problem and he may guide you after examination.
5 people found this helpful

I am 48. For enlarge prostate I have been using silofast d 8 for nearly a year. As a result my conjugal life was affected and is affecting till. I can not satisfy my wife. Please solve my problem.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
If you are feeling ok with urinary symptoms then stop silofast and see the response but if you have to continue then you can add tab tadalafil 5 mg once daily which will improve your erection and also help to resolve urinary symptoms.

Hi, I am taking silodal 8 mg cap. Daily at bed time for my prostate enlargement. But with this usage I am not able to release my sperm. How to get sperm released with usage of silodal 8 mg cap.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
you cannot do that. it is a side effect of this medicine. don't worry nothing will happen. once you stop medicine it will be normal.
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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?
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