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Overview

Benign prostatic hyperplasia (BPH) is a disease which occurs due to the enlargement of the prostate gland in men. If not treated properly, the disease can cause the urine to flow out of the bladder and result in bladder and urinary tract infections or kidney diseases.

Symptoms

The prominent symptoms of benign prostatic hyperplasia include: Frequent urination especially at night Thin or irregular stream of urine Strained urination Urinary tract infections Restricted urination Blood in the urineDFDAFF


Causes

The causes of benign prostatic hyperplasia include: Urinary tract infections Swelling of the prostate gland Thinning of the urethra Scarring in the bladder Bladder or kidney stones Problems with the bladder nerves Prostate cancer


Diagnosis

This diagnosis of benign prostatic hyperplasia includes the following tests: ... Digital rectal exam Prostate-specific antigen (PSA) blood test Cystoscopy Neurological exam Prostate biopsy Transrectal ultrasound Urine tests Blood tests X-ray CT scan


Treatments

Medications Medications like Alpha blockers, 5-alpha reductase inhibitors, and Tadalafil are commonly used to provide relief to the patient by reducing the symptoms of prostate enlargement and allowing easy urination. Minimally invasive surgical technique Minimally invasive surgical therapy is used when the symptoms are severe and cannot be relieved using medicines. The doctor also opts for this technique in case of urinary tract obstructions, bladder stones or kidney problems. Transurethral resection of the prostate (TURP) A lighted scope is inserted into your urethra, and the surgeon removes all but the outer part of the prostate. TURP generally relieves symptoms quickly, and most men have a stronger urine flow soon after the procedure. After TURP you might temporarily need a catheter to drain your bladder, and you'll be able to do only light activity until you've healed Transurethral incision of the prostate (TUIP) A lighted scope is inserted into the urethra and the surgeon makes one or two small cuts in the prostate gland which makes it easier for urine to pass through the urethra. Transurethral microwave thermotherapy (TUMT) The doctor inserts a special electrode through your urethra into the prostate area. Microwave energy from the electrode destroys the inner portion of the enlarged prostate gland and shrinks it. Laser therapy In this technique, a high-energy laser removes the overgrown prostate tissue. Laser therapy generally relieves the symptoms immediately and has lower side effects than non-laser surgery. Open or robot-assisted prostatectomy The surgeon makes an incision in the lower abdomen in order to reach the prostate and remove the tissues. Open prostatectomy is generally done if the patient has a very large prostate, bladder damage or other complicating factors.


Prevention

Benign prostatic hyperplasia can be prevented by limiting the intake of beverages, caffeine, tobacco and alcohol. Drugs like decongestants or antihistamines should be avoided because they constrict the muscles around the urethra which creates problems while urinating. One should adopt an active lifestyle which includes a healthy diet and regular exercise.


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