BPH or enlarged prostate can cause problems passing urine and incontinence. Our urologists in Pune 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.
What is BPH?
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 Pune 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 Pune. 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.
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
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)- 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.
Medication for Prostate Enlargement:
BPH 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. Some categories of medications prescribed by the doctor for BPH include-
The primary function of the prostate gland is to produce the fluid that nourishes and transports sperm (seminal fluid).
What causes prostate enlargement?
The exact reason for the occurrence of BPH is still unknown. However, enlargement of the prostate is associated with hormone changes that trigger prostate cell growth. The occurrence of BPH is also linked with high levels of dihydrotestosterone (DHT), which is found mostly in older men.
What is the difference between an enlarged prostate and prostate cancer?
BPH is defined as benign prostate hyperplasia referring to the enlargement of the prostate gland due to several factors such as aging which usually occurs in men over 50 years. Prostate cancer is the abnormal cell growth around the prostate gland that can spread to other parts of the body.
Can BPH cause prostate cancer?
The term ‘benign’ in benign prostate hyperplasia (BPH) indicates that the condition is not cancerous. However, other conditions can trigger abnormal cell growth in the prostate resulting in prostate cancer.
How can BPH affect my lifestyle?
Benign prostate hyperplasia can worsen with age leading to improper emptying of the urinary bladder. This can result in UTIs, bladder damage, and blood in urine, and in some cases, even kidney damage.
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 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?
You must inform the doctor of any pre-existing medications before your BPH procedure to reduce the risk of any complications. BPH can be silent in some cases and any ongoing medications can worsen your BPH symptoms. Avoid following medications if you have any symptoms related to an enlarged prostate –
Nonsteroidal anti-inflammatory drugs (NSAIDs)
What is the cost of different surgical procedures for enlarged prostate in Pune?
The cost of the BPH procedure in Pune can range anywhere between Rs. 60,000 to Rs. 1.5 lakhs.
However, this is a general cost and can vary depending on several factors such as the severity of the condition, the medical condition of the patient, and the surgical expertise of the surgeon.
The cost of Transurethral resection of the prostate (TURP) is around Rs. 60,000 to 1 lakh (approx).
The cost of laser procedure (HOLEP) is around Rs. 1 lakhs – 1.5 lakhs (approx).
What is the surgical time for different BPH procedures?
The standard duration of surgery for different BPH procedures are as follows –
However, the standard OT time depends on the medical condition of the patient and the surgical expertise of the surgeon.
TURP – 45 minutes to 1.5 hours
Laser surgery (HOLEP) – 1 hour to 1.5 hours
Is prostate operation painful?
No. Prostate surgery is not painful since they are done under the influence of anesthesia. The patient is either sedated or asleep throughout the surgery for a painless experience. However, there may be some discomfort around the surgical site after the effect of anesthesia wears off.
What are the complications of the TURP procedure?
TURP is a minimally invasive technique that is considered very effective for the treatment of BPH. However, like any other surgery, there may be some complications that usually depend on the medical condition of the patient and the surgical expertise of the surgeon. Possible complications of TURP include –
Improper fluid absorption
Abnormal bleeding during the surgery, which may require a transfusion
Urethral stricture that can lead to a ‘split stream’ of urine
What are the post-surgery requirements after BPH treatment?
Usually, patients are discharged within 1-2 days after the surgery. Patients may still have a catheter inside their bladder to aid them in urination. It also keeps the urethra open during the initial healing process for a few days following these treatments. Doctors at Pristyn Care will provide comprehensive post-treatment instructions and explain the recovery period to you.
Are there any medications for the treatment of enlarged prostate?
Yes, there are several medications for mild to moderate symptoms of BPH. However, surgical procedures are considered one of the most effective ways to treat BPH. Some of the medications for the treatment of BPH are –
5-alpha reductase inhibitors
What are the complications of TUIP procedure?
Transurethral incision of the prostate (TUIP) is usually considered for mild cases of BPH and the probability of complication is very bleak. However, like any other surgery, there are chances of complications based on the health of the patient and the surgical experience of the surgeon. Possible complications of TUIP are –
Retrograde ejaculation (when semen flows into the bladder)
Abnormal bleeding during surgery
Infection around the surgical site
What are the complications of an open prostatectomy?
Possible complications of open prostatectomy are-
Partial or full incontinence
Leaking of urine when feeling the urge to urinate
What are the types of prostatectomy surgeries?
There are two types of prostatectomy surgeries and they are:
Radical prostatectomy where the surgeon removes the entire prostate gland along with the surrounding tissues. It is usually performed in three different ways such as laparoscopic approach, robotic approach and open approach.
Open simple prostatectomy is where the surgeon only removes the problematic part of your prostate rather than the entire gland.
What factors affect the cost of BPH surgery in Pune?
Several factors that can affect the cost of BPH surgery are as follows –
Type of surgery
Consultation fee of the surgeon
Location (the cost may differ from city to city)
Selection of the hospital (private or government)
Experience of the urologist
Cost of anesthesia
What are the different BPH treatment options?
Surgical and non-surgical methods are used to treat BPH
Non-surgical methods for BPH treatment are:
Surgical methods to treat BPH are
Lifestyle and Home Remedies
TURP (Transurethral Resection of the Prostate)
TUIP (Transurethral Incision of the Prostate)
TUMT (Transurethral Microwave Thermotherapy)
TUNA (Transurethral Needle Ablation)
PUL (Prostatic urethral lift)
Prostatectomy (Open or robotic)
Can medications for BPH cause erectile dysfunction?
Not all medications used to treat BPH cause erectile dysfunction. Out of many, certian medications like 5-Alpha Reductase Inhibitors can cause erectile dysfunction. So we recommend you to consult the expert doctor to get tretaed for BPH.
How to prepare for BPH surgery?
Surgical procedures for BPH can be a strange experience for people. Surgeries can be stressful for the patient, but if the patient knows what to expect, it becomes easier for them emotionally and mentally. Here are some tips that can help you prepare for the surgery –
Inform your doctor about any ongoing medications and health conditions before the surgery.
It is also important to make your doctor aware of your history of allergies related to anesthesia.
Stop smoking tobacco a week before the BPH procedure.
Consult your doctor before taking medications as they can hinder the outcomes of the surgery
Patients must not eat or drink 8 to 9 hours prior to the surgery as it can delay the effects of anesthesia.
Complications of prolonged BPH
Enlarged prostate is a serious medical condition that can lead to several health problems in men above 50 years of age. There are several risks and complications that can result due to prolonged BPH. Therefore, it is important to consult your doctor as soon as you experience symptoms of enlarged prostate. Possible complications of BPH are-
Sudden inability to urinate
Urinary tract infections
Post-operative care after BPH surgery
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.
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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