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Last Updated: Dec 22, 2019
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Enlarged Prostate - How To Administer It?

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Dr. Sudhir KhannaUrologist • 42 Years Exp.MNAMS - Urology, MCh - Urology, DNB - General Surgery, MS - General Surgery, MBBS
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The prostate gland in a man when begins to grow in size is known as benign prostatic hyperplasia abbreviated as BPH. Now the symptoms arise when the gland enlarges Enlarged prostate gives rise to some noticeable symptoms which suggest that you need to consult a Urologist to get it treated. 
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 an 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 by 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 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. Onset of action is fast. Another group of drugs known as 5-alpha reductase inhibitors can help in shrinking an enlarged prostate. The drugs work by reducing the levels of the male hormone called dihydrotestosterone. The onset of action is slow. Enlargement starts usually after 50 years. Surgery, when indicated the gold standered, is 'Transurethral resection of the prostate (TURP)' either by monopolar or bipolar electrocautery. Enucleation of the prostate by laser is also an option.
  • 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, 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 the prostate (TURP)' either by monopolar or bipolar electrocautery. Enucleation of the prostate by laser is also an option.

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