BPH or enlarged prostate can cause problems passing urine and incontinence. Our urologists in Mumbai 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.
Prostate Enlargement Treatment in Mumbai
Benign prostatic hyperplasia (BPH) refers to urinary issues due to enlarged prostate. It is a common disorder in men who are generally over 60 years. While some people choose to ignore the symptoms of an enlarged prostate, it can cause severe complications such as kidney damage, urinary retention (inability to pass urine), etc. Therefore, enlarged prostate treatment becomes necessary. Pristyn Care has some of the best BPH doctors in Mumbai with an average experience of more than 15 years. Our highly reputed doctors provide private and comprehensive consultation for your enlarged prostate (BPH) treatment in Mumbai. Call us to book FREE online or offline consultation with the best BPH doctor near you.
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.
Best Treatment for Enlarged Prostate in Mumbai
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.
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]
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)- This technique uses a light scope called a resectoscope. It is inserted into the urethra through the penis. TURP uses electric current or laser light 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 surgery 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.
You can visit our best Prostate Surgeons in Mumbai and nearby cities such as Pune.
Frequently Asked Questions
Can prostate enlargement cause infertility?
Yes. Prostate size and function directly impact fertility. The prostate gland forms essential hormones and enzymes for sperm transport and function. But, when you have an enlarged prostate gland, these enzymes are not formed. Moreover, the prostate gland restricts the urethra, which can make ejaculation painful and difficult for the patient, leading to erectile dysfunction.
Can benign prostatomegaly lead to prostate cancer?
BPH is also known as benign prostatic hypertrophy, benign prostatomegaly, and benign prostatic hyperplasia. Although both BPH and prostate cancer are symptomatically similar, their etiologies have never been linked. BPH is very different from prostate cancer, and while not getting BPH treatment may severely impact your lifestyle, it will not cause prostate cancer.
Can BPH cause back pain?
The prostate is a walnut-sized gland in the pelvic region in the lower back just beneath the bladder. Prostate enlargement can lead to pain in the lower back, groin, and penis if not treated in time.
What is a PSA test?
PSA, or prostate-specific antigen, is a protein compound formed by the prostate gland. A PSA test result is one of the most reliable markers of prostate dysfunction by measuring PSA levels in the blood. In case of prostate enlargement due to BPH, prostate cancer, etc., PSA levels are high.
Can BPH cause constipation?
BPH does not cause constipation or any other gastrointestinal disorders. The prostate gland is located under the bladder and is wrapped around the urethra. Hence, while prostate enlargement directly impacts urinary function, it does not affect digestive function in any way.
What are the risk factors for prostate enlargement?
Although the exact cause behind prostate enlargement is unknown, BPH is more likely to occur in men with the following characteristics:
Over the age of 40 years
Family history of benign prostatic hypertrophy
Pre-existing medical conditions such as obesity, type 2 diabetes, cardiovascular diseases, etc.
Is BPH common?
BPH is the most common prostate problem in men. Almost 50% of men show some signs of prostate enlargement by the time they turn 60. Nearly 90% of men show signs of BPH by the age of 85 years.
Can BPH lead to hypertension?
Although normally both hypertension and BPH get worse over time, research has shown that this is due to aging and other age-related changes in the body, rather than being affected by each other.
Is BPH related to hernia?
According to some research studies, BPH can lead to an increased risk of inguinal hernia. This is because an enlarged prostate gland blocks the flow of urine, and the patient has to strain harder to empty their bladder.
What size of the prostate gland necessitates surgery?
The urologist considers many factors before recommending surgery to the patient. Generally, surgery is recommended for patients with 40 ml – 100 ml (40 g – 125 g) prostate gland size. However, the decision for surgery also depends on the severity of the symptoms. If the symptoms are severe, the surgeon may recommend surgery even for patients with moderately sized prostate glands.
Which medicines should I take for BPH?
Alpha-blockers, 5-Alpha Reductase Inhibitors, and Phosphodiesterase-5 Inhibitors are usually prescribed to BPH patients. Most urologists prefer prescribing medicines to manage the symptoms of mild to moderate BPH. It doesn’t stop the growth of the prostate gland completely, but it slows down its progression while providing relief from urinary symptoms.
Which doctor should I consult for prostate enlargement?
If you have symptoms of prostate enlargement, you should consult a urologist. Pristyn Care has the best urologists in Mumbai to provide the best prostate enlargement treatment to all patients. Contact us to book an appointment today.
Why does prostate enlargement affect urination?
The prostate gland is located just below the urinary bladder, wrapped around the entrance to the urethra. When the prostate gland is enlarged, it compresses the urethra and obstructs the urine flow. This leads to urine getting accumulated in the bladder (urinary retention), which can slowly lead to other urinary problems such as urinary tract infections (UTIs), bladder stones, kidney stones, kidney/bladder damage, etc.
How often should I get a prostate exam?
A prostate exam primarily consists of two examinations: a blood test to check PSA level and a digital rectal exam. Men should start getting a routine prostate exam after reaching the age of 40 at least once every two years, once every year if the PSA level is higher than 2.5 ng/mL.
Is prostatitis different from BPH?
Prostatitis is an inflammation of the prostate gland. It usually occurs due to an acute bacterial infection. On the other hand, BPH is prostate gland enlargement due to aging. BPH itself does not cause any pain or discomfort. However, it blocks urine flow and causes urinary symptoms.
Is BPH painful?
BPH itself does not cause any pain. It restricts the flow of urine from the urethra, which leads to dysuria, i.e. painful and difficult urination. It can also cause pain during ejaculation.
What is the cost of BPH treatment in Mumbai?
Though there are many treatments for BPH, the most reliable, effective and long-lasting treatments are TURP and HoLEP surgery. The cost of Transurethral resection of the prostate (TURP) is approximately INR 60,000 to INR 1,00,000. The cost of laser procedure (HoLEP) is approximately around INR 1 lakhs to INR 1.5 lakhs.
What will happen if I do not get treatment for BPH?
Untreated BPH can lead to urinary retention. Urinary retention is a condition in which a person is unable to empty their bladder completely, no matter how hard they try. This is very harmful for the urinary system and leads to a variety of urinary problems such as urinary tract infections, dysuria (painful urination), urinary incontinence, bladder/kidney stones, etc. In addition to this, BPH also makes ejaculation painful and difficult leading to erectile dysfunction. All of these symptoms combined have deep psychological impact and can lead to depression in older men.
If you are exhibiting symptoms of BPH, book a free consultation with the best urologists in Mumbai to seek the best prostate enlargement treatment near you.
How is HoLEP different from TURP?
Both HoLEP and TURP are fundamentally similar and work by reducing the prostate size to relieve the urinary symptoms. However, there are a few basic differences between TURP and HoLEP procedures as explained below:
During the TURP procedure, the surgeon uses a resectoscope with an attached electric loop to incise the extra prostate tissue and cauterize the wound simultaneously. While in the HoLEP procedure, the surgeon uses a modified resectoscope with an attached laser to vaporise the extra prostate tissue using a high-powered laser beam.
There is minimal bleeding in the TURP procedure, while the HoLEP procedure is entirely bloodless.
Since HoLEP procedure is performed through a laser, it is more expensive than TURP surgery.
A TURP surgery takes about 1 to 1 and a half hours, while HoLEP surgery takes about 45 minutes to two hours, depending on the size of the prostate gland.
It may take about 3-4 weeks for the patient to recover fully after TURP procedure while the recovery time is only 1-2 weeks for HoLEP surgery.
There is no difference between the long-term efficacy of either of these procedures.
What are the complications associated with BPH surgeries?
Although minimally invasive surgeries such as TURP and HoLEP for BPH treatment are extremely safe and complication-free, in rare cases, you might experience minor complications like:
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 are mostly temporary and can be easily managed by expert urologists in Mumbai at Pristyn Care.
Why should I visit Pristyn Care for prostate surgery in Mumbai?
Pristyn Care is associated with the best urology hospitals in Mumbai, where you can avail the best treatment for prostate enlargement. Some other facilities provided by Pristyn Care are:
Prostate treatment from the best urologists and urosurgeons near you
Free consultations with BPH specialists near you
Cab and meal service on the day of the surgery
Dedicated medical coordinator for help with documentation and hospital admission
Complete insurance support
Financial assistance through No-cost EMI, cashless payments, etc.
Free follow-up consultation within one week after the surgery
How to book an appointment for prostate treatment in Mumbai?
You can book an appointment at Pristyn Care by:
Fill in the ‘Book an Appointment’ form with your details. Our medical coordinators will reach out to you and book an appointment with the best urologist near you based on your convenience.
Call the number on this page and directly connect with our medical coordinators. Relay your symptoms and location to them so they will book an appointment for you.
Download our patient care app. Look through our database for prostate specialists near you. Book an appointment yourself directly through the app.
Prostate Enlargement Surgery in Other Near By Cities