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Enlarged Prostate Treatment
Prostatomegaly Treatment - Best Treatment for BPH (Prostate Enlargement)
Krescent Healthcare offers advanced laser procedures for enlarged prostate (BPH) treatment (Prostatomegaly) in India. It can cause several urinary issues in men over 60. Get in touch with us to book a FREE appointment with the best BPH doctor near you and get rid of urinary issues due to enlarged prostate by booking a FREE appointment.
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What is Enlarged Prostate?
A common urological condition among older men is prostate enlargement, or benign prostatic hyperplasia (BPH). The prostate gland surrounds the urethra, which increases in size and puts pressure on the bladder and urethra. Urinary symptoms such as frequent urination, difficulty starting or stopping urination, weak urine flow, and an incomplete bladder emptying can result from this condition.
In BPH, surgery is required; however, medications and home remedies can relieve pain and discomfort associated with an enlarged prostate.
BPH Grading
On the basis of a comprehensive review of lower urinary tract symptoms, digital rectal examination, urinalysis, and PSA measurement, BPH severity is divided into three grades. Based on careful observation, scores are given according to the AUA (American Urological Association) symptom index.
Grade 1 BPH: There is minimal interference with the quality of life of patients with mild benign prostatic hyperplasia symptoms. They may experience occasional urinary symptoms, but can manage them without significant disruption.
Grade 2 BPH: Moderate benign prostatic hyperplasia patients suffer from more bothersome and frequent urinary symptoms. These symptoms can have a noticeable impact on their daily activities and quality of life. Some of these symptoms can be managed by lifestyle changes and medications, while others require surgical intervention.
Grade 3 BPH: Symptoms of severe benign prostatic hyperplasia are characterised by significant obstruction in daily urine flow. Patients with BPH of the 3rd grade usually require surgical intervention. However, the doctor may prescribe some medications to manage symptoms until the surgery is scheduled.
Grade 4 BPH: Their sleep and daily routines may be disrupted by frequent urination, urgency, weak stream, and other symptoms of benign prostatic hyperplasia.
Diagnosis Test
A doctor generally recommends the following diagnostic tests to rule out other causes of enlarged prostate:
Biopsy: To rule out prostate cancer, a tissue sample may be taken from the prostate.
Medical history review: A doctor will first examine the symptoms and medical history to determine whether an enlarged prostate is likely.
Cystoscopy: In order to view the prostate and bladder, a thin tube with a camera is inserted into the urethra.
Physical examination: To assess the size and condition of the prostate gland, the doctor will perform a digital rectal examination (DRE).
Urodynamic tests: In addition to measuring bladder and urethra function, these tests help determine the severity of urinary symptoms.
Urine test: Urine samples can be examined to rule out infection or blood in the urine as other possible causes of urinary symptoms.
Ultrasound: Using transrectal ultrasound, it is possible to evaluate the size of the prostate and detect any abnormalities.
Prostate-specific antigen (PSA) blood test: An enlarged prostate or other prostate conditions can be indicated by elevated PSA levels.
Treatment
An enlarged prostate can be treated with different types of surgery, each with its own benefits and drawbacks.
1. Transurethral Incision of the Prostate (TUIP):
In order to relieve pressure on the urethra, small incisions are made in the prostate gland and bladder neck. In contrast to other surgical options, TUIP may have fewer side effects such as retrograde ejaculation. It is generally recommended for men with a small to moderately enlarged prostate and mild urinary symptoms.
2. Transurethral Resection of the Prostate (TURP):
Most BPH patients undergo TURP surgery, which involves removing excess prostate tissue with a resectoscope inserted through the urethra. It is performed under general or spinal anaesthesia and is highly effective at relieving urinary symptoms. For men with moderate to severe BPH symptoms and an enlarged prostate, TURP may be suitable.
3. Robotic-Assisted Prostate Surgery:
In robot-assisted prostate surgery, also called robot-assisted laparoscopic prostatectomy, robotic instruments are used to perform a minimally invasive procedure. In comparison with open surgery, this technique offers improved precision, smaller incisions, reduced blood loss, and faster recovery. In select cases, robotic-assisted surgery can also be used for men with localised prostate cancer.
4. Laser Surgery:
An enlarged prostate can be treated with laser surgery using various techniques, including photoselective vaporisation (PVP), holmium laser enucleation (HoLEP), and thulium laser enucleation (ThuLEP). As opposed to traditional surgery methods such as TURP, laser surgery uses laser energy to vaporise or remove excess prostate tissue. This results in less bleeding, shorter hospital stays, and faster recovery times.
5. Open Prostatectomy:
A prostatectomy is a surgical procedure used to remove excess prostate tissue from men with very large prostates. The procedure involves making an incision in the lower abdomen. It is highly effective in relieving urinary symptoms, but is associated with a longer hospital stay, more blood loss, and longer recovery time than minimally invasive techniques.
Benefits of Surgery
The use of laser energy to precisely remove or vaporise excess prostate tissue has emerged as an effective, minimally invasive treatment option for men suffering from an enlarged prostate.
Long-term relief:
According to studies, laser surgery has a low retreatment rate, which means most patients experience long-term symptom relief without additional treatment.
Long-lasting relief from urinary symptoms:
In addition to reducing the frequency and urgency of urination, laser surgery can significantly improve urinary flow and improve the quality of life for men struggling with the bothersome symptoms of bph.
Minimal risk of damage to surrounding tissue:
Laser surgery is a highly effective method for removing tissue with minimal risk to surrounding structures. By delivering precise laser energy to the specific areas of the prostate, it effectively removes obstructing tissue while preserving the integrity of nearby structures like the urinary sphincter. This precision greatly reduces the chances of complications such as urinary incontinence and erectile dysfunction, commonly associated with other surgical procedures.
Lesser chances of UTI:
Furthermore, laser prostate surgery eliminates the need for prolonged catheterization, which can greatly improve patient comfort and reduce the risk of urinary tract infections after traditional prostate surgery.
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