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Enlarged Prostate (BPH) Treatment in Chennai

Q: 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.

Q: Can benign prostate hyperplasia 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.

Q: How can an enlarged prostate 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.

Q: What is the difference between prostatitis and benign prostate hyperplasia (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.

Q: 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 – Diuretics,Antidepressants,Antihistamines,Decongestants,Nonsteroidal anti-inflammatory drugs (NSAIDs)

Q: What is the cost of different surgical procedures for enlarged prostate in Chennai?

The cost of the BPH procedure in Chennai can range anywhere between Rs. 60,000 to Rs. 1.5 lakhs. 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). 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.

Q: What is the surgical time for different BPH procedures?

The standard duration of surgery for different BPH procedures are as follows – TURP – 45 minutes to 1.5 hours Laser surgery (HOLEP) – 1 hour to 1.5 hours However, the standard OT time depends on the medical condition of the patient and the surgical expertise of the surgeon.

Q: 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 – Incontinence,Improper fluid absorption,Abnormal bleeding during the surgery, which may require a transfusion,Erectile dysfunction,Urethral stricture that can lead to a ‘split stream’ of urine

Q: 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.

Q: 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,Incontinence

BPH or enlarged prostate can cause problems passing urine and incontinence. Our urologists in Chennai 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 Prostate Enlargement (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 Chennai for BPH treatment.

Overview

Cost of BPH Surgery in Chennai

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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 Chennai.

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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 Chennai.

Complications:

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Bladder stones

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Kidney damage

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Bladder damage

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Urinary tract Infection

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Sudden inability to urinate

Risk factors:

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Obesity

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Diabetes

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Heredity

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Age factor

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Erectile dysfunction

Foods to avoid in BPH:

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Soda

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Coffee

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Alcohol

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Saturated fats

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Caffeinated beverages

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

Enlarged Prostate Treatment in Chennai

Male patient consulting doctor for prostate enlargement

Diagnosis of Benign prostatic hyperplasia (BPH):

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.

Enlarged Prostate Surgery

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 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-
- Alpha-Blockers
- 5-Alpha Reductase Inhibitors [5-ARIs]
- Tadalafil (Cialis)

You can visit our best Prostate Surgeons in Chennai and nearby cities such as Bangalore.

Frequently Asked Questions

What is the difference between an enlarged prostate and prostate cancer?

Can benign prostate hyperplasia cause prostate cancer?

How can an enlarged prostate affect my lifestyle?

What is the difference between prostatitis and benign prostate hyperplasia (BPH)?

What medications should I avoid if I have BPH?

What is the cost of different surgical procedures for enlarged prostate in Chennai?

What is the surgical time for different BPH procedures?

What are the complications of the TURP procedure?

What are the post-surgery requirements after BPH treatment?

What are the complications of TUIP procedure?

What are the complications of an open prostatectomy?

Is BPH a serious condition?

Does BPH result in infertility?

What urinary issues does BPH result in?

Can I have sex after prostate surgery?

Can BPH be treated without surgery?

Can people with BPH consume alcohol?

Which drinks benefit prostate health?

Is prostate surgery painful?

Can sitting down for long periods cause prostate issues?

Is the prostate gland essential for fertility?

At what size does prostate surgery become necessary?

What are the types of prostatectomy surgeries?

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What is the difference between prostate enlargement and prostate cancer?

Benign prostate hyperplasia is very common in men above the age of 40 due to increased testosterone levels. It is characterised by high PSA levels and prostate growth in the centre. However, in prostate cancer, the growth occurs in the margins of the prostate gland and leads to an increase in both PSA and alkaline phosphatase levels. Also, unlike BPH, prostate cancer can metastasize and spread to other parts of the body.

Which foods should be avoided by BPH patients?

Just as some foods benefit prostate health, certain foods can damage prostate health. Foods that can negatively affect the prostate gland include:

Red and processed meat: BPH patients should foods that are rich in saturated fats and trans-fats. Hence, they should switch red meat to lean meats and fish in their diets to improve prostate health.
Dairy: Similar to red meat, dairy products are rich in saturated fats. Instead of dairy, they should turn to nutritious foods like salmon, almonds, collard greens, tofu, etc. that are rich in calcium but low in saturated fats.
Caffeine: Caffeine is diuretic and increases the urge to urinate and can irritate the bladder. BPH patients should cut out all sources of caffeine, like tea, coffee, and carbonated drinks, from their diets.
Spicy food: Spicy and acidic foods irritate the bladder and prostate gland. BPH patients should avoid having spicy food too often.
Alcohol: Alcohol is a diuretic and it irritates the bladder. BPH patients should either limit their alcohol consumption or cut it out of their diets altogether.

What are the first signs of prostate disease?

An enlarged prostate gland, or prostatomegaly, is a benign disorder but it can negatively impact the lifestyle in many ways:

Weak urine stream
Inability to completely empty the bladder despite frequent urination
Having to wake up multiple times a night to urinate
Constant urge to urinate
Painful or burning urination
Appearance of blood/blood clots in the urine

If you notice any of these warning signs then you may have prostate disease. Get in touch with the best urologists in Chennai through Pristyn Care for the best prostate treatment near you.

Which foods improve prostate health and stop enlargement?

Since prostate enlargement is such a common disorder in men, it is very important to maintain a nutritious diet that can help mitigate prostate disease. Some nutrients that benefit prostate health are:

Zinc: Nuts such as sesame seeds, almonds, adzuki beans, and pumpkin seeds are rich in zinc, which is often low in patients with prostate disease, so they can help manage prostate disorders.
Omega-3 fatty acids: Omega-3 fatty acids help protect the person from cardiovascular disease, cancer, inflammation, rheumatoid arthritis, etc. The best source for Omega 3s is salmon. You can also consume chia seeds, ground flax seeds, and canola oil for omega-3 fatty acids if you are a vegetarian.
Vitamin C: Vitamin C is very beneficial for mitigating BPH symptoms. Bell peppers, broccoli, cauliflowers, kale and brussels sprouts are very rich in Vitamin C.
Lycopene: Lycopene lowers the risk of developing BPH and slows down the progression of the condition by lowering the level of Prostate Specific Antigen (PSA) in the body, which can directly cause prostatomegaly. Lycopene-rich foods include tomatoes, avocado, nuts, watermelon, apricots, pink grapefruit, papaya, etc.
Beta-sitosterol: Beta-sitosterol is very beneficial for BPH patients. Some doctors suggest Beta-sitosterol supplements to their patients. It helps provide them with the better urinary flow and less urine residual volume in the bladder. Some foods naturally rich in beta-sitosterol are avocados, pumpkin seeds, wheat germs, soybean, and pecans.
Antioxidants: In addition to lowering the risk of BPH and prostate cancer, antioxidants are very beneficial for overall health. They are abundant in green leafy vegetables, cruciferous vegetables, onion, garlic, etc.
Soybean isoflavones: More than one research study has shown that soybean isoflavones can reduce the growth of the prostate gland. Foods rich in soybean isoflavones include tofu, soymilk, tempeh, edamame, roasted soybeans, soy yogurt, etc.

Why get BPH treatment in Chennai at Pristyn Care?

Pristyn Care is the leading provider of BPH treatment in Chennai. It is associated with the best urology hospitals in Chennai and has the best urologists on its panel. Facilities provided by Pristyn Care for all BPH patients are:

Treatment by expert urologists and urosurgeons: We are associated with the best urologists in Chennai who have ample experience in providing complication-free treatment for BPH.
Dedicated care 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.
Free cab and meal facility: We provide free cab and meal facilities to all patients and their attendants on the day of the surgery.
Free follow-up: In order to ensure complete recovery, we provide free follow-up to all patients within the first week after the surgery.
Rigid COVID-19 safety standards: 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 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.

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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