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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

My age is 27, height 5 ft 11 inch, weight 82 kg, unmarried. On 29 may ,i got 104f for 3 days. Urine report showed pus cell 18-25, rbc 10-12, bacteria 1+. I was having body ache all over. I took nitrofurantoin and levofloxacin for 15 days. On 1 july, my usg was normal and shown prostate size 21 cc. On 7 and 13 july, I got bleeding in semen. But after that there was no bleeding but I was having chillness in body and bone pain in hips and femur. On 14 aug 2020, my total psa was 2.06 ng/ml. Doctor did prostate ultrasound showing prostate volume 14. 8 cc. The prostate is normal in size, shape and shows ill defined parenchymal areas if increased echogenicity mainly limited to the anterior stromal zone and transitional zone of the prostate. The echogenic areas are seen extending and surrounding the opening of ejaculatory ducts on both side and there is preserved zonal differentiation noted in both lobes elsewhere. Possibility of chronic prostatitis needs to be ruled out. And my semen analysis showed 10-12 pus cell and also volume wqs very less around 1.5 ml.then he gave me ofloxacin 400 mg (bd, alfuzosin 10 mg (od) for 21 days. 8 days after taking that on 2 and 3 sep again I got bleeding in semen, I went to doc on 16 september after completing antibiotics course. On same day my total psa was done and it was 3.06 ng/ml (increase 1 ng/ml within one month but in 2016 ,it was 0.76 ng/ml ).i am having severe pain all over body specially hips site, femur connecting hip bone, feet arch pain on movement and rib cage pain, shoulder bone pain, joint pain and chillness all over body. My all these problem. Are increasing in daily basis. My body is becoming too painful day by day. I used to feel penis tip pain sometimes and I also have sore throat or something stuck in. Throat below layrnx (for which doc says might be due to acid reflux without checking. Can I have prostate cancer though rare at this age but my psa is increasing and having uncommon bone pain at uncommon bone sight?

DNB - urology
Urologist, Pune
No it's very very unlikely to have prostate cancer at your age. It seems to prostate infection which requires longer treatment. Don't worry.

Hello sir, my age is 23, I have problems of frequent urination, weak erections and trembling. Pleas recommend something.

MS - Obstetrics and Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Shimla
I am sorry to hear about your concern but will be happy to assist you. The study shows that urinary tract problems caused by an enlarged prostate, such as getting up many times during the night to urinate, may be associated with erectile dysfuncti...

I got some small tiny red colored on my penis since 2 weeks back. And when I am pulling my foreskin back I am getting little pain and total skin inside penis became red color. After that I consulted skin doctor regarding this issue, doctor prescribed azithromycin and clotrimazole ointment. I have used the both but still issue not resolved. Please help me.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Balanoposthitis is a condition that affects the penis. It causes inflammation of the foreskin and glans. The foreskin, also known as the prepuce, is a fold of movable skin that covers the glans of the penis. The glans, or head, is the rounded tip ...
2 people found this helpful

I am taking escitalopram 20 and etizolam 0.5 in the morning. I noticed my anxiety problem has been reduced but my sexual desire and erectile dysfunction has been observed since still I am not getting married .what can I do sir.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Etizolam can increase blood prolactin levels and potentially result in a condition known as hyperprolactinaemia. This condition may result in infertility and erectile dysfunction in men. Besides anxiety and depression, other health conditions that...
1 person found this helpful

For a past couple of weeks, I have a redness, swollen and pain in my penis (it has all the indication of having a balanitis, and I have tried using ring guard for a week but the condition only gone worse, now I am using clotrimazole for a couple of days still no improvement, and I also tried some antibiotics, so can someone help me out with this problem please.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Balanitis describes inflammation of the glans penis and posthitis means inflammation of the prepuce. In practice, both areas are often affected together, and the term balanoposthitis then used. It is a collection of disparate conditions with simil...
1 person found this helpful

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