WHAT IS PROSTATE ENLARGEMENT?

Benign Prostatic Hyperplasia (BPH) refers to urinary conditions due to enlarged prostate commonly seen in men above 60 years. It can cause severe complications such as kidney damage, inability to pass urine, etc. TURP (Transurethral resection of the prostate) surgery is recommended for those who have moderate to severe urinary problems and doesn’t respond to medications. TURP is the most-effective minimal invasive surgery option for enlarged prostate with fewer complications and quicker recovery. 

SIGNS AND SYMPTOMS

  • Increased frequency of urination at night
  • Difficulty in urinating
  • Dribbling at the end of urination
  • Incomplete emptying of the urine
  • Bleeding in urine 

CAUSES

  • Aging
  • Hormonal issues like raised DHT (Dihydro Testosterone levels)
  • Infections of the urinary tract
  • Inflammation of prostate
  • Injury to testes or the surrounding area 

DIAGNOSIS AND LINE OF TREATMENT 

The diagnosis involves a combination of physical examination and tests.

  • Ultrasound
  • PSA (Prostate-specific antigen blood test) 
  • Urinary flow test
  • Blood test to look for kidney problems
  • USG Abdomen to look for enlarged size & any abnormal growth of prostate

SURGICAL OPTIONS

Minimally invasive procedures


It is the commonest surgery to treat BPH in which portions of the prostate that affects the urine flow are removed. No external scars are seen since a scope is inserted through the urethra to remove the excess tissue.

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This surgery does not involve removing prostate tissue. Small cuts are made in the prostate to reduce the gland's pressure on the urethra which makes urination easier.

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Laser energy is used to kill off prostate tissue and shrink the gland. Laser procedures usually give relief and better urinary flow.

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NON SURGICAL OPTIONS


These medications relax bladder neck muscles and muscle fibers in the prostate making urination a bit easier

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They shrink the prostate by preventing hormonal changes that cause prostate growth.

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Prostate Artery Embolization decreases the blood supply to the prostate, thus reducing its size and symptoms.

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BENEFITS

  • Less painful minimal invasive surgery
  • Minimal bleeding
  • Very fewer chances of complications post-surgery
  • Less operating time
  • No intermingle with sexual function 
  • Faster recovery 

 

RISK AND COMPLICATIONS

  • Urinary tract infection
  • Dry orgasm
  • Heredity
  • Erectile dysfunction 

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Frequently Asked Questions

  • TUIP (Transurethral incision of the prostate)
  • HoLEP (Holmium laser Enucleation of the prostate)
  • UroLift
  • Open prostatectomy
  • Water induced thermotherapy 

The surgery may take around 90 minutes to complete. 

You should not lift or move heavy objects or do any strenuous exercise.

The success rate ranges from 85 to 90 percent as it improvises obstructive voiding symptoms and urinary flow rate. 

TURP is carried out using a device resectoscope which is passed along the urethra until it reaches the prostate. That means no cuts no incisions are made on the skin.

For several days after surgery, you may feel burning when you urinate. Your urine may be pink for 1 to 3 weeks after surgery. You also may have bladder cramps or spasms. Your doctor may give you medicine to help control the spasms.

Yes, TURP surgery is covered under insurance depending on age of the patient and duration of symptoms. Contact our HospiOne Team for further details.

  • Urinary incontinence
  • Erectile dysfunction
  • Urethral Strictures

Thats the precise reason why only experts are required to operate for TURP.

Strenuous activity, constipation, and sexual activity should be avoided for about 6 weeks. Symptoms such as frequent urination will continue for a while because of irritation and inflammation caused by the surgery.

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