Prostate Enlargement Treatment in Mumbai | Expert urologist for BPH
Synonyms – (Benign Prostatic Enlargement, BPH, Enlargement of Prostate, Benign Hyperplasia, Prostatitis)
Dr. Dilip Raja offers expert Prostate Enlargement Treatment in Mumbai and is a leading Urologist for BPH. If you’re experiencing frequent urination, a weak urine stream, difficulty emptying your bladder, or nighttime trips to the bathroom, an enlarged prostate (Benign Prostatic Hyperplasia – BPH) could be the cause. Dr. Raja specializes in advanced laser surgery, minimally invasive procedures, and effective medical treatments to provide long-term relief. With decades of experience in prostate health, urinary tract disorders, and men’s urological care.
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Diagnosis and treatment of Prostate enlargement
The patient may first notice irritative or obstructive symptoms of outflow obstruction (LUTS) secondary to BPH, or a routine health check-up may detect it. When BPH is suspected, a urologist examines the patient; a urologist treats problems of the urinary tract and the male reproductive system.. The urologist will evaluate the symptoms and advise:-
Diagnostic tests for prostate enlargement
- Physical Examination-to palpate kidney and the bladder.
- Digital rectal examination of prostate –to look for size, consistency, and nodules in the prostate. The urologist performs this examination in the clinic. He inserts a gloved finger into the rectum and feels part of the prostate next to the rectum. This examination helps him to evaluate the size, consistency and nodules in the prostate.
- Routine Urine Analysis to look for urinary infection.
- Serum Creatinine.
- Prostate specific antigen (PSA)– The prostate gland or prostate cells produce PSA, a protein found in the blood. PSA levels in the blood usually rise in men who have prostate cancer. However, severe urinary tract infections, prostate abscesses, or a large, voluminous prostate gland can also increase PSA levels. In addition, PSA levels help monitor men with prostate cancer after they undergo treatment.
- Ultrasonography- – Ultrasonography of the abdomen and pelvis with a full bladder and post-void residual urine assesses any secondary pathology in the kidneys, ureters, and bladder and also measures post-void residual urine.
- TRUS for Prostate and Seminal Vesicle –To directly evaluate any nodularity in irregularity of prostate.
- Uroflowmetry- The patient passes urine into a special commode connected to a computerized device that measures the quantity and flow of urine. Reduced or obstructed flow indicates outflow obstruction secondary to BPH or urethral stricture.
- Cystoscopy- The urologist inserts a small tube through the opening of the urethra into the penis. They perform this procedure under local or general anesthesia. The cystoscope uses a lens and light system to visualize the inside of the urethra and the bladder. It also helps assess the size of the prostate gland and rule out any other cause of obstruction.
Four Types Of Prostatitis
- Acute Bacterial Prostatitis: A severe and sudden bacterial infection that requires immediate medical attention .
- Symptoms: Pain around the base of the penis Painful urination and ejaculation Weak urine stream and difficulty urinating Fever, aches and chills treatment is mainly antibiotics as well as lifestyle modification to relieve symptoms
- Chronic Bacterial Prostatitis: 1. A milder bacterial infection that can linger for months2. Often happens to people who have had Acute Bacterial Prostatitis, or recurring UTIsSymptoms:
- Frequent and painful urination
- Lower back and rectal pain
- Blood in semen or urine
- Chronic Prostatitis / Chronic Pelvic Pain Syndrome : 1. It’s a most common type of prostatitis2. An inflammation where no bacteria are presentSymptoms:
- Persistent (>3 months) pain in the penis, scrotum, rectal area, lower back and/or lower abdomen
- Painful urination and ejaculation
- Frequent urination and weak urine stream
- Asymptomatic Prostatitis: 1. An inflamed Prostate without any symptoms2. No treatment needed
Treatment Of Benign Prostate Hyperplasia (BPH)
- The symptoms of outflow obstructions or LUTS secondary to Benign prostate hyperplasia (BPH) usually waxes and vanes with time. These symptoms can be described as mild, moderate or severe.
Conservative Or Medical Treatment For BPH
- There has been constant research to find a newer drug for the treatment of BPH. These drugs are either aimed at shrinking the prostate gland and/ or prevent the growth of the prostate or facilitate the passage of urine by relaxing the obstructed passage which is been caused by BPH.
Commonly used drugs are
Researchers continuously work to find newer drugs for the treatment of BPH. These drugs either shrink the prostate gland, prevent its growth, or facilitate the passage of urine by relaxing the obstruction caused by BPH.
- Alpha Blockers – Like Tamsulosin, Alfuzosin, Silodosin etc which act by relaxing the smooth muscles of the prostate and bladder neck to improve urine flow and to reduce bladder outlet obstruction.
- 5 Alpha Reductase inhibitors like – Dutasteride which can gradually shrink the enlarged prostate gland if taken for a long time period.
- Though the medical treatment may give relief in some selected cases it is important not to prolong the medication just to escape surgical treatment.
Surgical Treatment For Benign Prostate Hyperplasia (BPH)
- Most urologists recommend removing the enlarged, symptomatic part of the prostate. Transurethral resection of the prostate (TURP) serves as the gold standard for the surgical treatment of benign prostatic hyperplasia (BPH). They offer this treatment to patients with signs and symptoms of outflow obstruction/LUTS secondary to BPH.
- In this surgery, only the enlarged tissue that is causing obstruction to the urethra is removed. The rest of the peripheral tissue which is outside the capsule are left intact. This usually helps them in relieving the obstructions and other symptoms of Benign prostate hyperplasia (BPH).
Trans Urethral Resection Of Prostate ( TURP)
- Trans Urethral Resection of Prostate (TURP) treats benign prostatic hyperplasia (BPH). Surgeons perform more than 90% of prostate surgeries through this transurethral route. The TURP technique uses an instrument called a resectoscope, which passes through the urethra. This resectoscope carries a light source and a lens connected to a camera. An electrical loop passes through the resectoscope, cuts the prostate tissue, and controls bleeding, thereby creating a tunnel for easy passage of urine. hence, creating a tunnel for easy passage of the urine.
- urologist consider transurethral resection of the prostate (TURP) the gold standard for treating benign prostatic hyperplasia (BPH). In selected cases, surgeons use dual-energy transurethral resection of the prostate (TURP) as a good option.
Laser Surgery
- Holmium lasers enucleate the obstructing prostate lobe. The surgeon passes the laser fibre through the urethra into the prostate using a cystoscope and then delivers the holmium laser. The laser energy cuts and coagulates the prostate tissue.
- Surgeons generally use laser technology to enucleate larger prostates measuring approximately more than 100 to 150 grams.
- Laser surgery requires anesthesia and a hospital stay.
Open Surgery
- In a few cases when surgeons cannot use a transurethral procedure, they perform open surgery, which requires an external incision. They often use open surgery when the gland is greatly enlarged, when complicating factors exist, or when the bladder has suffered damage and needs repair. The location of the enlargement within the gland and the patient’s general health help determine which of the three open procedures to use.
- With all open procedures, the surgical team first administers anesthesia and then makes an incision. Thereafter, once the surgeon reaches the prostate capsule, they carefully scoop out the enlarged tissue from inside the gland.
Our approach focuses on providing the best prostate enlargement treatment based on each patient’s individual needs, covering all stages of benign prostatic hyperplasia (BPH). Patients seeking non-surgical prostate enlargement treatment in Mumbai or expert urologist consultation can benefit from our comprehensive care.