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What is Benign Prostate Hyperplasia (BPH)?

BPH is known by many alternative titles like- Benign Prostatic Hyperplasia, Benign Prostatic Hypertrophy, Benign Prostatomegaly, and enlarged prostate gland. It is a benign condition of the prostate gland that occurs in most men naturally due to aging. The prostate is a small walnut-sized gland located just beneath the urinary bladder wrapped around the urethral opening. It forms essential enzymes and hormones present in the seminal fluid that help nourish and transport sperm.

BPH is the most common prostate issue among men and is present in over 70% of men over 50 years of age. It involves non-cancerous enlargement of the prostate gland, which then constricts the urethral opening and restricts the urine flow.

Contact Pristyn Care for consultation with the best urologists in Bangalore for BPH treatment.

Overview

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Cost of BPH Surgery in Bangalore

TURP (Transurethral Resection of the Prostate) surgery is a minimally invasive treatment for prostate enlargement that costs about INR 60,000- INR 1 lakh in Bangalore.

HoLEP (Holmium Laser Enucleation of the Prostate) surgery is a laser treatment for enlarged prostate that costs about Rs 1 lakh- 1.5 lakh in Bangalore.

Foods to avoid in BPH

Soda

Coffee

Alcohol

Saturated fats

Caffeinated beverages

Complications of untreated or severe enlarged prostate

Bladder stones

Kidney damage

Bladder damage

Urinary tract Infection

Sudden inability to urinate

Risk factors of enlarged prostate [BPH]

Obesity

Diabetes

Heredity

Age factor

Erectile dysfunction

Causes

  • Changes in hormone levels
  • Prostate cancer
  • Aging

Symptoms

  • Frequent urge to urinate
  • Inability to empty the bladder
  • Recurrent respiratory infections
  • Need to put strain to urinate
  • A urine stream that starts and stops

Treatment

Male patient consulting doctor for prostate enlargement

Treatment for Enlarged Prostate

The treatment for BPH primarily depends on the severity of the symptoms and the prostate size. If the symptoms are mild, the prostate doctor will suggest medical management and lifestyle modification. However, if the symptoms are severe, the best recourse of treatment is surgery.

Medical management- Although there are a few FDA-approved drugs for BPH treatment, such as Alpha-Blockers, 5-Alpha Reductase Inhibitors [5-ARIs], and Tadalafil, unfortunately, they are only effective in mild to moderate cases and can cause side-effects such as infertility, erectile dysfunction, etc.

Surgical management- Surgical management for prostate enlargement is done by removing part or whole of the prostate gland. Surgical treatments for prostatomegaly include:

  • Transurethral Incision of the Prostate (TUIP): TUIP is performed for patients who have a relatively small prostate gland but severe symptoms. The surgeon widens the urethra by making its connection with the bladder wider.
  • Photoselective Vaporization (PVP): In PVP, the surgeon vaporizes extra prostate tissue by a high powered laser beam.
  • Transurethral Resection of the Prostate (TURP): TURP is the most commonly performed surgery for BPH. The surgeon incises excessive prostate tissue through a tool called a resectoscope. A resectoscope provides light, irrigation and electric cauterization for the surgery.
  • Holmium Laser Enucleation of Prostate (HoLEP): In a HoLEP procedure, the surgeon uses a laser instead of the electrical loop on the resectoscope to cut the enlarged prostate gland.
  • Thulium Laser Enucleation of the Prostate (ThuLEP): ThuLEP procedure is carried out the same as a HoLEP procedure but with a different kind of laser.
  • Transurethral Vaporation of the Prostate (TUVP): In this procedure, the surgeon uses a modified resectoscope with an electric tool to destroy the prostate tissue.
  • Prostatectomy: The procedure can be open, laparoscopic or robot-assisted. In this procedure, the surgeon removes the entire prostate gland.
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Frequently Asked Questions

What does the prostate do?

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Why does the prostate get enlarged?

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When should someone seek treatment for BPH?

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What is the difference between prostate enlargement and prostate cancer?

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Can BPH lead to cancer?

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Diagnosis of an Enlarged Prostate

The diagnosis for an enlarged prostate involves a combination of physical examination and diagnostic tests. Since heredity is a risk factor for BPH, the doctor will analyze your family history report as well. The doctor recommends the following tests to rule out the possibility of enlarged prostate due to other conditions. Some of the diagnostic tests include –

  • Ultrasound – Doctors generally recommend an ultrasound of the prostate gland to detect any abnormal growth within the prostate using 3D imaging. This test is helpful in determining the amount of enlargement around the prostate.
  • Prostate-specific antigen (PSA) blood test – Doctors usually recommend a PSA blood test to check for any increased PSA levels in case of enlarged prostate. This helps the urologists to detect the early signs of prostate cancer.
  • Urinary flow test – This test is done to measure the strength and amount of your urine flow and to determine if the condition is stable or getting worse with time.
  • Postvoid residual volume test – Sometimes, when the patient is unable to empty the bladder completely, this test is recommended to measure the amount of urine left in your bladder after the urination. This is done via ultrasound or inserting a catheter into the bladder.
  • 24-hour voiding diary – The doctor will recommend this test to record the frequency and amount of urine expelled, especially if more than one-third of your daily urinary output occurs at night.
  • Urine test – The doctor analyzes a sample of your urine to rule out any signs of infection or other conditions that can lead to similar symptoms.
  • Blood tests – Blood tests help the doctors to find the abnormality with the kidneys or not. Also, blood tests are very useful to rule out the abnormal functioning of kidneys.

In case of moderate or complex cases, the doctor may recommend the following diagnostic tests-

  • Digital rectal exam – The doctor inserts a finger into your rectum to check for any signs of prostate enlargement.
  • Cystoscopy – A light, flexible scope called a cystoscope is inserted into your urethra to allow the doctor to see inside your bladder.
  • Prostate biopsy – The doctor uses needles guided by a transrectal ultrasound to take a tissue sample of the prostate and analyze the tissue to rule out the chances of prostate cancer.
  • Urodynamic and pressure-flow studies – This test measures the bladder pressure and determines how well your bladder muscles work using a catheter that is inserted through your urethra.
    What are the treatment options for BPH?

Different treatment Options for Enlarged Prostate include:

Medications: Medical management via alpha-blockers, alpha-reductase inhibitors, etc., can help successfully manage the symptoms of early BPH; however, as the condition progress, surgical intervention is inevitable.

Minimally invasive surgery: Minimally invasive surgery is recommended if the patient’s symptoms can’t be managed via medicine and they have developed a urinary tract obstruction, bladder stones, or other urinary conditions due to BPH. Minimally invasive surgery includes:

  • Transurethral resection of the prostate (TURP)
  • Transurethral incision of the prostate (TUIP)
  • Transurethral microwave thermotherapy (TUMT)
  • Transurethral needle ablation (TUNA)
  • Laser ablation/enucleation
  • Prostatic urethral lift (PUL)
  • Embolization
  • Open or robot-assisted prostatectomy

Are there any complications associated with BPH treatment?

Although minimally invasive surgery for BPH treatment is extremely safe and complication-free, in rare cases, you might experience minor complications like:

  • Infection
  • Painful or burning urination
  • The appearance of blood/blood clots in urine
  • Weak urine stream
  • Difficulty in urinating
  • Inflammation or discharge in the surgical site
  • Nausea and vomiting along with low appetite

All these side effects can be easily managed by expert urologists in Bangalore at Pristyn Care. In addition, we take special care to ensure that none of our patients suffers from any discomfort after the surgery. For more information, contact us immediately.

Why get BPH treatment in Bangalore at Pristyn Care?

Pristyn Care is a leading surgery provider in Bangalore. We always make patient’s care and comfort our biggest priority. To ensure maximum comfort for all patients, we provide the following facilities:

  • Treatment by expert urologists and prostate doctors: We are associated with the best urologists in Bangalore who have ample experience in providing complication-free treatment for BPH.
  • Dedicated medical coordinator: We provide a dedicated care coordinator to all patients responsible for documentation and hospital admission to ensure a hassle-free treatment experience for all.
  • Insurance support: We are associated with all major insurance providers and help provide insurance support for all patients, including documentation and claim recovery.
  • No-cost EMI: If patients can’t afford treatment, we also provide financial support in the form of no-cost EMI payment options.
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