Table Of Index

BPH

What is BPH?

Benign Prostatic Hyperplasia, or BPH, is a condition associated with the enlargement of the prostate gland. The prostate gland in males is located below the urinary tract surrounding the urethra. The primary function of the prostate gland is to produce the fluid that nourishes and transports sperm (seminal fluid).

However, people with an enlarged prostate find it difficult to empty their bladder properly due to the narrowing of the urethra. This results in the frequent urge to urinate, especially at night. It is estimated that more than 70% of men are likely to have an enlarged prostate over 50 years, out of which 25% require surgical procedures. 

The condition is referred to as benign, suggesting it is not cancerous. The term ‘prostatic’ is associated with the prostate gland, and ‘Hyperplasia’ refers to the enlargement of the gland.

Pristyn Care provides advanced surgical procedures for the treatment of enlarged prostates with a very high success rate. Contact Pristyn Care to book an appointment with some of the best urologists in India. 

Benign Prostatic Hyperplasia formation

How does BPH occur?

The leading cause of BPH or enlarged prostate is still under debate. However, prostate gland enlargement mainly occurs due to hormone changes that trigger prostate cell growth. Some studies have revealed that high levels of dihydrotestosterone (DHT), which is found mostly in men older than 50 years supports prostate development. Other reasons for BPH can be lifestyle, eating disorders, obesity, heredity, etc.

Causes

  • Aging
  • Infection in the urinary tract
  • Inflammation of the prostate
  • Change in male sex hormones
  • Damage or injury to the testicles

Symptoms

  • Increased frequency of urination at night (nocturia)
  • Difficulty starting urination
  • Inability to urinate (in severe cases)
  • Weak urine stream
  • Blood while urinating
  • Dribbling at the end of urination
  • Inability to completely empty the bladder

Diagnosis

The doctor will recommend 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 helps determine 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 an enlarged prostate. This helps the urologists to detect signs of prostate cancer. 
  • Urinary flow test – This test is done to measure the strength and amount of your urine flow and 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 your bladder. 
  • 24-hour voiding diary – The doctors 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 indicate any infections in the kidneys and indicate abnormal functioning. 
Test of Benign Prostatic Hyperplasia

SEVERITY

The severity of BPH is categorized into three grades based on the comprehensive review of the lower urinary tract symptoms, digital rectal examination, urinalysis, and PSA measurement. The scores are given with respect to AUA (American Urological Association) symptom index after careful observation.

Risks & Complications

The surgical procedures for BPH surgery are safe and efficient to treat enlarged prostate. However, like any other surgery, there are several risks involved with the procedure that can lead to several complications. It all depends on the medical condition of the patient and the surgical expertise of the surgeon.

 

Some of the risks associated with the different surgical procedures of BPH are as follows –

  • Abnormal bleeding during the surgery that may require transfusion
  • Improper fluid absorption 
  • Retrograde ejaculation; when semen flows into your bladder
  • Erectile dysfunction
  • Infection around the surgical site
  • Urinary incontinence
  • Urethral stricture that results in ‘split-stream’ of urine
  • Post TURP syndrome; symptoms include shortness of breath, seizures, and coma

When to consult a Urologist for BPH treatment?

It is important to seek medical attention if you’re having issues related to the urinary tract. Patients who experience symptoms associated with an enlarged prostate, such as improper emptying of the bladder, nocturia, or any obstruction in the urinary tract, are at risk of BPH. Consult a urologist if you are experiencing the following symptoms – 

  • Nocturia 
  • Frequent urination
  • Blood in urine
  • Erectile dysfunction
  • Having trouble urinating

Questions to ask your Enlarged Prostate Doctor

Will I need medication for my treatment?
What is the chance of recurrence of BPH?
I am currently suffering from a (health condition). How can I manage them together?
How often do I need a follow-up visit?
How many surgeries have you performed?
Should I get a second opinion?
How long does it take to recover fully after the treatment?

Treatment options & cost

Non-surgical methods for BPH include various medications, dietary changes, and lifestyle modifications. However, these medications mostly reduce symptoms associated with the enlarged prostate and do not cure the disease. 

Medications – Doctors generally prescribe medications to treat men with mild to moderate symptoms of BPH. These medicines ease the symptoms by calming the muscles in the prostate and bladder. However, there may be some side effects related to corresponding medications depending on the condition and severity of the disease. Here are the categories of different medications prescribed by the doctor for BPH- 

  • Alpha-Blockers – These medications help relax the muscles around your prostate and bladder and help with the urine flow without changing the size of the prostate. This makes it easier for the patient to pee. Such medicines are generally ideal for men with high blood pressure and BPH. Several Alpha-blockers prescribed by the doctor are- 
    • Alfuzosin (Uroxatral)
    • Doxazosin (Cardura)
    • Prazosin (Minipress)
    • Silodosin (Rapaflo)

However, there are some side effects associated with Alpha-Blockers that can cause long-term effects. Some of them are – 

  • Dizziness
  • Fainting 
  • Headaches 
  • Low blood pressure

 

  • 5-Alpha Reductase Inhibitors [5-ARIs] – These medications prevent the hormonal change that causes prostate growth. 5-ARIs prevent prostate growth in some patients and even reduce the size of the prostate, thus, being beneficial for men with an enlarged prostate. These medications include – 
    • Finasteride (Propecia, Proscar)
    • Dutasteride (Avodart)

However, again, there may be some side effects associated with 5-ARIs that can cause long terms effects such as-

  • Erectile dysfunction
  • Lower sex drive
  • Retrograde ejaculation
  • Congenital disability in male babies if exposed to pregnant women

 

  • Tadalafil (Cialis) – Doctors prescribe these medications to smoothen the muscles in the bladder and prostate, which can help ease the BPH symptoms. These medicines are usually used to treat erectile dysfunctions. Several side effects of these medications include – 
    • Muscle pain
    • Headaches
    • Redness or burning sensation on the face, neck, and upper body
    • Stuffy nose
    • An upset stomach
    • Vision problems

 

Home remedies – Home remedies are not the treatment methods for an enlarged prostate because they can only help you control the symptoms that can progress the condition. It usually involves lifestyle changes, exercises, yoga and may even some dietary changes. Some of the home remedies involve- 

  • Limiting beverages in the evening 
  • Following healthy diet
  • Limiting  decongestants or antihistamines
  • Yoga or kegel exercises 
  • Homeopathy medications
  • Herbal therapies (however, the FDA does not approve any herbal medications for the treatment of enlarged prostate).
Insurance coverage for Benign Prostatic Hyperplasia
Insurance coverage for Benign Prostatic HyperplasiaInsurance coverage

The surgeries for BPH are done to reduce symptoms that cause great discomfort due to enlarged prostate. Lack of treatment can cause severe complications that may require surgical procedures. Therefore, a surgical procedure to treat BPH is deemed a medical necessity.

So, some medical insurance companies cover the cost of surgical procedures for BPH partially or entirely. However, the insurance claim will depend on the type of your insurance policy and the terms and conditions set by the insurance provider. There are also other payment options to pay for the BPH surgery. A few of the insurance providers that may cover the cost of enlarged prostate are as follows:

  • Star Health Insurance
  • New India Health Insurance
  • Bajaj Allianz
  • Religare
  • ICICI Lombard
Recovery rate

The recovery from enlarged prostate surgery can vary depending on the patient’s health condition and the surgical expertise of the surgeon. The post-recovery tips provided by the doctor also depend on the type of surgical technique used for the procedure. However, it is important to consult with your doctor regularly to avoid any complications and ensure a faster recovery. Some of the post-operative care after your BPH surgery are-

  • Do not lift heavy equipment for around a week after your surgical procedure. 
  • Restrict heavy exercises for about 6 weeks after prostatectomy. 
  • Drink plenty of fluid during the first 2 weeks after the surgery to flush any new bleeding from the bladder.
  • Avoid alcohol and coffee for the first few weeks after the procedure. 
  • Avoid food that can cause constipation or force you to strain during bowel movements.

Long term outlook of the treatment

Patients who undergo treatment for BPH often experience significant improvement after the treatment. There may be some side effects associated with different procedures, however, by following post-operative care, the patients can expect a faster recovery. It may take some time for the patients to return to their normal sexual activity, with no change in the orgasm patterns. After the BPH surgery, patients often feel relief from symptoms that induce urine flow by restoring the size of the prostate gland.

Pristyn Care for the treament

FAQ

How can BPH affect my life?

BPH can get worse with age leading to improper emptying of the urinary bladder. This can result in infection, bladder damage, and blood in urine which can cause kidney damage. 

What are the risk factors that can lead to an enlarged prostate?

Some risk factors that contribute towards the progression of enlarged prostate are- 

  • Diabetes 
  • Obesity 
  • Age factor 
  • Heredity 
  • Erectile dysfunction

What is the difference between prostatitis and BPH?

Prostatitis refers to the inflammation of the prostate due to traumatic injury to the prostate or due to the bacteria that entered the prostate from urine or during sex. Benign prostate hyperplasia or BPH refers to the enlargement of the prostate gland that squeezes the urethra, making it hard to empty the bladder completely.

What medications should I avoid if I have BPH?

Inform your doctor of any pre-existing medications before your BPH treatment. These medicines can worsen your BPH symptoms. Avoid following medications if you have any symptoms related to an enlarged prostate – 

  • Diuretics
  • Antidepressants
  • Antihistamines
  • Decongestants
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

Advantages of choosing Pristyn Care for BPH surgery.

Pristyn Care is associated with a few of the best hospitals and multi-specialty hospitals across the country. We aim to ease the process of accessing all urological surgeries for every patient at affordable costs. Our urologists are highly qualified to perform advanced surgeries with a success rate of over 95%. Advantages of choosing Pristyn Care for enlarged prostate surgeries are –

  • Highly experienced urologists- We have a team of highly skilled urologists with years of experience performing complex surgeries like TURP and HOLEP with great precision. Our surgeons are fully trained to perform surgeries using cutting-edge technology for a very high success rate. In addition, doctors at Pristyn Care offer comprehensive treatment to all our patients, guide them through the procedure, and make them aware of the risks involved during the surgery. 
  • Personal Care Buddy– Pristyn Care has a unique concept of a ‘personal care buddy’ who is present with the patient on the day of the surgery. This care buddy handles all the paperwork and miscellaneous formalities from admission to the hospital to the discharge of the patient.
  • Insurance approval ENT diseases are covered under insurance if they are deemed medically necessary. However, the insurance approval depends on the type of your insurance policy and the terms and conditions set by the insurance provider. 
  • Flexible payment options– Pristyn Care offers various modes of payment for different surgeries at no cost EMI. In addition, we accept credit cards and cash payments for the procedure.
  • Private consultation: Pristyn Care provides private consultations and procedures without sharing your identity or medical information with any third party or individual during or after the course of the procedure. 
  • Free pick-up and drop facility Pristyn Care provides free cab services for pick-up and drop-off to each patient within the city on the day of surgery.
  • Free follow-up consultation- Pristyn Care provides free follow-up consultation along with proper diet charts to all the patients after their surgery for a fast and smoother recovery. 
  • COVID-19 safe environment – Pristyn Care ensures proper sanitization of all operation theaters and clinics before each surgery to curb the spread of the COVID. It is our top priority to maintain excellent hygiene and social distancing while providing a seamless patient experience.

Booking an appointment with the urologists for the BPH procedure at Pristyn Care. 

  • You can fill out the patient form on our website. Once your appointment form is submitted, our medical coordinators will reach out to you at the earliest and gather the necessary inputs from your end. An appointment with the nearest urologist for your BPH diagnosis will be fixed according to your schedule. 
  • You can also directly connect with our medical coordinators through the contact number on our website. The medical coordinator will listen to your query and connect you with the urologists near your area and book an appointment consecutively. 
  • You can also book an appointment through our Pristyn Care app. Our team of medical coordinators will arrange an offline or online video consultation from doctors near your area, charging a nominal consultation fee.
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