BPH or enlarged prostate can cause problems passing urine and incontinence. Our urologists in Hyderabad offer Minimally Invasive BPH Treatments including TURP, TUIP, TUMT and laser procedures (such as PVP, ThuLEP and HOLEP).Consult the best BPH doctor near you.
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What is BPH?
Benign Prostatic Hyperplasia, or BPH, is a condition associated with the enlargement of the prostate gland. 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 enlarged prostate over the age of 50 years, out of which 25% require surgical procedures.
The condition is referred to as benign suggesting it may not be cancerous. The term ‘prostatic’ is associated with the prostate gland and ‘Hyperplasia’ refers to the enlargement of the gland.The condition is referred to as benign suggesting it may not be cancerous. The term ‘prostatic’ is associated with the prostate gland and ‘Hyperplasia’ refers to the enlargement of the gland.
The diagnosis for an enlarged prostate involves a combination of physical examination and diagnostic tests to confirm BPH. Since heredity is a risk factor for BPH, the doctor will analyze your family history report. 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 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 case of 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 the 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.
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.
Best Treatment for Enlarged Prostate
Medicine for Enlarged Prostate – 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. Some categories of medications prescribed by the doctor for BPH include-
5-Alpha Reductase Inhibitors [5-ARIs]
There are several surgical as well as non-surgical methods for BPH treatment which include various medications, dietary changes, and lifestyle modifications. However, non-surgical methods such as medications, home remedies, etc are effective to manage the symptoms of BPH and surgical treatment is the only method to treat enlarged prostate.
Minimally invasive surgeries – These surgical techniques involve minimal invasion that can often be done as outpatient surgery, meaning the patient may not require a hospital stay. Recovery is generally quicker, but it depends on the medical condition of the patient and the surgical expertise of the surgeon. Minimally invasive techniques such as TURP, TUIP, etc., help the patients relieve symptoms quickly and may nullify the need for medications. Minimally invasive procedures are recommended in case of the following situations-
Your symptoms are moderate to severe
Medications are ineffective
Chronic urinary tract obstruction, bladder stones, or blood in your urine
Preference of the patient
Based on these conditions, there are different techniques to perform minimally invasive procedures-
Transurethral Resection of the Prostate (TURP)- TURP surgery uses a light scope called a resectoscope that is inserted into the urethra through the penis. Electric current or laser light is then used to remove the outer tissue of the prostate. The patient is generally under the influence of anesthesia to ensure a painless procedure. The resectoscope provides light, irrigating fluid, and an electrical loop that cuts the tissues and seals the blood vessels. Finally, the removed tissue is expelled out of the body through a catheter.
Transurethral Incision of the Prostate (TUIP)- TUIP is used to widen the urethra in case the size of the prostate is not significant but causes blockage. After the patient is administered with general anesthesia, the surgeon inserts a light scope to cut the tissues around the prostate gland to release the pressure of the prostate on the urethra. The patient generally finds it easier to urinate after the procedure. The surgeon may choose to leave the catheter in the bladder for a day or two after the surgery to drain the bladder.
Transurethral microwave thermotherapy (TUMT)- In this procedure, the urologist inserts a catheter through the urethra to reach the prostate. An ‘antenna’ then sends microwaves through the catheter to heat the parts of the prostate that destroys the enlarged tissues to ease the flow of the urine. The surgeon uses a cooling system around the urinary tract that protects it from heat damage. TUMT is a low-risk procedure that may take time before the patient notices any results.
Prostatectomy- This operation aims to remove the entire prostate gland with either laparoscopic or robot-assisted technique. The surgeon makes an incision in your lower abdomen to reach the prostate and remove the surrounding tissues. It is generally done for very large prostate or other complicating factors. However, it has long-term benefits that may require a few days hospital stay after the surgery depending on the medical condition of the patient.
Laser surgeries – These are advanced surgeries that use high-energy lasers to destroy or remove the tissues around the enlarged prostate. Patients who undergo laser therapy procedures often feel instant relief. Moreover, laser surgeries have a lower risk of side effects than minimally invasive surgeries. Some of the advanced laser techniques for laser BPH procedures are-
Photoselective Vaporization (PVP) – PVP is an advanced method to vapourize prostate tissues using a high-powered laser. It is an outpatient procedure which means the patient can go home on the same day of surgery after consulting with the doctor. This method causes minimal blood loss and the patient can recover quickly to resume his daily routine.
Holmium Laser Enucleation of Prostate (HOLEP) – In this procedure, the urologist inserts a thin, tube-like instrument called a resectoscope through the penis and into the urethra. A laser is used to destroy the excess prostate tissue without the need for any incision or cuts. The patient is administered with general anesthesia for a painless procedure. The surgeon may choose to use a catheter which is usually removed the next day of the surgery.
Thulium Laser Enucleation of the Prostate (ThuLEP) – This is a similar procedure to HOLEP, except for the difference in the type of laser used. The surgeon inserts a resectoscope through the penis and into the urethra. A laser inserted into the resectoscope that destroys the enlarged prostate to reduce the pressure on the urethra. There are no incisions and the patient is administered with general anesthesia before the surgery for a painless procedure.
Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.
Assisted Surgery Experience
A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.
Medical Expertise With Technology
Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.
Post Surgery Care
We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.
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Frequently Asked Questions
What does a prostate gland do?
The prostate gland is a walnut-sized gland located right below the urinary bladder in men. It surrounds the top portion of the urethra. It is responsible for the formation of enzymes and hormones in the seminal fluid, which are responsible for the proper function and transport of the sperm.
Is BPH the same as prostate cancer?
Benign Prostate Hyperplasia, also known as benign prostatic hypertrophy or benign prostatic obstruction, is a benign enlargement of the prostate gland that naturally occurs due to aging in men over 40 years of age. Both BPH and prostate cancer involve prostatomegaly (enlargement of the prostate), but BPH does not spread to other parts of the body.
Can BPH lead to prostate cancer?
Prostate cancer is a malignant cancer of the prostate gland. Although both BPH and prostate cancer are prostate gland problems characterised by an enlarged prostate gland, unlike BPH, prostate cancer can metastasize and spread to other parts of the body. While BPH can be treated by removing a small portion of the prostate gland, prostate cancer often needs a complete prostatectomy and chemotherapy for treatment.
Which patients are most likely to develop BPH?
Men who fulfil the following criteria are more likely to develop benign prostate hyperplasia:-
Above 40 years of age
Family history of BPH
Pre-existing medical conditions such as obesity, cardiovascular diseases, Type 2 diabetes, etc.
Can BPH lead to prostatitis?
Both BPH and prostatitis are common prostate problems in men. BPH is a prostate disease that involves benign enlargement of the prostate gland that occurs as a result of aging in men. On the other hand, prostatitis is an inflammation of the prostate gland due to an infection or traumatic injury. Prostatitis, or prostate infection, is usually treated via antibiotics and other medication, but as the reason for prostate enlargement in BPH is unknown, it can only be treated surgically. While both BPH and prostatitis can occur together, BPH does not lead to prostatitis.
How does BPH affect urinary function?
The prostate gland surrounds the upper portion of the urethra. When the prostate gland enlarges, it starts restricting the urethra, which restricts the passage of urine. So men with BPH often have difficulty maintaining a regular urine stream and completely emptying their bladder. Thus, they have higher chances of developing urinary problems such as bladder stones, bladder damage, UTIs, kidney damage, etc.
What does the BPH treatment method depend on?
While deciding the treatment method for BPH patients, the urologist usually considers two factors- their prostate gland size and their symptoms. Sometimes patients with a moderate prostate gland might have worse symptoms as compared to those with a large prostate gland. Therefore, the treatment is usually decided based on the severity of the symptoms.
Can you treat enlarged prostate without surgery?
Although patients can try to manage the early symptoms of Benign Prostatic Hyperplasia by using medicines and lifestyle modifications, they can not decrease the prostate size and, at best, will only slow down the progression of the condition. The only effective and long-lasting treatment for BPH is surgery to reduce the prostate size and relieve the pressure on the urethra.
What is the cost of prostate surgery in Hyderabad?
The cost of the BPH procedure in Hyderabad can range anywhere between Rs. 60,000 to Rs. 1.5 lakhs, depending on certain factors such as the severity of the condition, the technology used, hospitalization fees, the patient’s medical condition, the surgeon’s expertise etc. The cost of Transurethral Resection of the Prostate (TURP) in Hyderabad is around Rs. 60,000 to 1 lakh. The cost of laser procedure (HOLEP) in Hyderabad is around Rs. 1- 1.5 lakhs.
Is prostate operation painful?
Prostate surgery is performed under the influence of general or local anesthesia, depending on the patient’s symptoms. The surgery is completely painless. The patient might feel a mild pain or discomfort post-surgery, which can be easily managed with pain medication.
Can prostate enlargement cause erectile dysfunction?
Although prostate problems don’t cause erection problems themselves, they can lead to erectile dysfunction in other ways. Over 50% of BPH patients have some degree of erectile dysfunction. This is because certain BPH medicines can reduce sexual drive. BPH can also cause pain after ejaculation, which can affect the patient’s sexual drive psychologically.
What is TURP syndrome?
Transurethral Resection of the Prostate (TURP) Syndrome is a very rare but potentially life-threatening side effect of the TURP procedure for BPH. This TURP complication occurs if there is excessive absorption of the irrigation fluids into the prostatic venous sinuses during the procedure.
Can I get erectile dysfunction after surgery for BPH?
Most men experience sexual dysfunction right after the surgery, but it usually resolves itself as the patient recovers. In rare cases, the patient might experience long-term erectile dysfunction if nerves are damaged during the surgery. It is much more common during prostatectomy than minimally invasive procedures like TURP and HOLEP.
What are the complications associated with untreated BPH?
Although BPH is not associated with cancer, if left untreated, it can cause some serious urinary problems such as:
urinary tract infections (UTIs)
blood in the urine (Hematuria),
bladder and/or kidney damage
How to manage urinary problems due to mild BPH?
Some simple tips to help relieve the symptoms of mild BPH such as prostate pain in the early stages are:
Try to reduce your stress levels. You can try techniques like exercise, yoga, meditation, etc., for this.
Try to completely empty your bladder when you go to urinate, do not rush. This will reduce your trips to the bathroom.
Make sure to sure your entire medical history with your urologist. Some of the medications you are on may be contraindicated for BPH. Your urologist will prescribe you alternative medicines if that is the case.
Avoid caffeinated and alcoholic beverages, especially during the evening. They are diuretics and increase urine production. This helps decrease nightly trips to the bathroom and help you get a sound sleep.
Which medications should BPH patients avoid?
Certain medications can accelerate prostate growth or worsen the effects of BPH in other ways. Hence, you should be careful about their consumption and consult your urologist to ensure that they are not harming you. Medicines you should avoid during BPH include:
Diuretics: Diuretics increase urine prodution and urge to urinate. Hence, they increase urinary discomfort in BPH patients.
Antidepressants: Tricyclic antidepressants reduce bladder muscle contractions which increases urinary retention and aggravates BPH symptoms.
Antihistamines: Allergic medicines such as diphenhydramine prevent bladder muscle contraction, which can inhibit the flow of urine.
Decongestants: Decongestants like vasopressor adrenergics tighten prostate and bladder muscles which inhibits the flow of urine.
Nonsteroidal anti-inflammatory drugs (NSAIDs): Some NSAIDs can worsen urinary retention, which increases BPH symptoms.
Are there side effects associated with TURP/HOLEP procedures?
Both TURP (Transurethral resection of the prostate) and HOLEP (Holmium Laser Enucleation of the Prostate) are minimally invasive surgical procedures for the treatment of benign prostate hyperplasia. They are normally very safe procedures, but in rare cases, they may be attached to certain complications.
Potential side effects of TURP surgery are:
Retrograde ejaculation: If the nerves or muscles surrounding the bladder neck are damaged, the semen will flow into the bladder instead of going outside the penis. It is not painful and does not limit the ability to orgasm but makes the patient infertile.
Urinary incontinence: Patients may lose the ability to control urination for a few days after the surgery, but it usually resolves on its own as the patient recovers.
Erectile dysfunction: The patient might have trouble forming or maintaining an erection after the surgery, but it is usually temporary.
Urethral strictures: If the urethra is damaged during the surgery, it can lead to the formation of urethral strictures.
Urinary tract infections and urinary retention
Potential side effects of HOLEP are:
Temporary bleeding and burning during urination which resolves on its own once the patient recovers
Injury to the urethra, bladder, or ureteral orifices
Bladder, testes or kidney infection
Why undergo BPH treatment in Hyderabad at Pristyn Care?
Pristyn Care is the leading provider of BPH treatment in Hyderabad. It is associated with the best urology hospitals in Hyderabad and has the best urologists on its panel. Facilities provided by Pristyn Care for all BPH patients are:
We are associated with the best urologists in Hyderabad who have ample experience in providing complication-free treatment for BPH.
We provide a dedicated care coordinator to all patients responsible for documentation and hospital admission to ensure a hassle-free treatment experience for all.
We are associated with all major insurance providers and help provide insurance support for all patients, including documentation and claim recovery.
If patients can’t afford treatment, we also provide financial support in the form of no-cost EMI payment options.
We provide free cab and meal facilities to all patients and their attendants on the day of the surgery.
In order to ensure complete recovery, we provide free follow-up to all patients within the first week after the surgery.
To ensure that our patients are safe from the COVID virus, we follow rigid hygiene standards, including mandatory wearing of PPE kits, masks, using sanitisers, etc.
How to book an appointment for BPH treatment in Hyderabad through Pristyn Care?
To avail expert and affordable treatment for benign prostate hyperplasia, contact Pristyn Care today. Do not wait for the condition to progress.
You can book an appointment with Pristyn Care urologists by either calling the number on top of the page or filling in the “Book an Appointment” form. Our care coordinators will immediately get in touch with you to book your appointment. You can also book an appointment at Pristyn Care through our dedicated patient care app.
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