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Last Updated: November 01, 2019

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 enlarged prostate problem 1913 on-wards. I consulted the urologist of aig, hyderabad in sept. 2019. As advised, I have been taking silodal-d8 (combipack of silodosin hard gelatin capsules and dutasteride capsules ip) per night for 3 months. As supportive diets can I take pumpkin seeds and omega3 side by side for speedy recovery?

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Aim for a healthy eating pattern instead of focusing on specific foods, dietitians, physicians, and researchers tout an overall pattern of healthy eating — and healthy eating is easier than you might think. In a nutshell, here's what experts recom...
1 person found this helpful

Since from 15 days I am suffering from'yellow urine'and body weakness. I am also having enlarged prostate problem since from 2 years. I am taking urimax 0.4 mg tab daily at night as per urologist's prescription. Now I ask whether I should consult a Dr. And to which? Or do you advice any medicine for my urine (yellow) problem. I also take one metpure tel 40 tab for bp. My age is 65.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Your symptoms are suggestive of bph (enlarged prostate) with urinary tract infection, kindly get the following investigations done 1) urine routine 2) urine culture 3) ultrasound kub with post void residue send me the reports for further treatment.
1 person found this helpful

I have am enlarge prostrate problem. At present I sm taking alfoo 10 1 tablet in night. In night frequency of going for urination is once if twice. prostrate is of 1 st grade. My age is 67 yrs. Is there any medicine to increase flow of urine.

D.N.B.-SS Urology, MS - General Surgery
Urologist, Jaipur
Alfoo is used to increase urinary flow. Prostate treatment doesn't depend on size of prostate. Depends more on symptoms. If medicine is not increasing flow than endoscopic surgery is advisable.

My age is 84 years, due to enlarged prostate l have to urinate 4 to 5 times at night which disturbs my sound sleep. I am taking urimax f 1 capsule at every night as suggested by doctor. How shall I improve my sound sleep?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, MCh - Urology, Fellowship in Minimal Access Surgery.
Urologist, Ernakulam
First check with ultrasound abdomen and urine routine whether he treatment is right or not

I have taken alfuzosin 10 mg tab from 3 years, my prostate 25-27 mg. What's medicine side effects for future? Please advise me immediately. Thanks, regards.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, MCh - Urology, Fellowship in Minimal Access Surgery.
Urologist, Ernakulam
Only mild retrograde ejaculation.

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