Enlarged Prostate Treatment in Mumbai
Benign Prostatic Hyperplasia (BPH) is a common condition in older men characterized by the non-cancerous enlargement of the prostate gland. This enlargement can lead to urinary symptoms due to the pressure exerted on the urethra, which restricts urine flow.
Advanced Enlarged Prostate Treatment in Mumbai by Uro-Surgeon Dr Amit Gala
Causes of Enlarged Prostate (BPH)
The exact cause of BPH is not fully understood, but it is believed to be related to hormonal changes as men age. Factors contributing to BPH include:
- Hormonal Changes: Increased levels of dihydrotestosterone (DHT) and estrogen may promote prostate growth.
- Age: The likelihood of developing BPH increases with age.
- Family History: Genetics may play a role; men with a family history of BPH are at higher risk.
- Lifestyle Factors: Obesity, lack of physical activity, and certain dietary habits may influence the development of BPH.
Symptoms of Enlarged Prostate (BPH)
Difficulty Starting Urination
Difficulty starting urination, weak urine stream, dribbling after urination
Incomplete Bladder emptying
Incomplete Bladder emptying
Increased frequency of urination
Blood in urine or semen
Nocturia
Waking at Night to Urinate
Painful Urination
Persistent pain in the back, hips, or pelvis
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Diagnostic Procedures
Diagnosis typically involves several tests:
- Digital Rectal Exam (DRE): A physician assesses the size and texture of the prostate.
- Prostate-Specific Antigen (PSA) Test: Measures PSA levels in the blood to rule out prostate cancer.
- Urinalysis: Checks for signs of infection or other urinary issues.
- Urodynamic Studies: Assess how well the bladder and urethra are functioning.
- Cystoscopy: A thin tube with a camera is inserted into the urethra to visualize the prostate and bladder.
Enlarged Prostate Treatment in Mumbai
Laser prostatectomy is an innovative treatment for benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate. This procedure utilizes laser technology to alleviate urinary symptoms associated with BPH, offering several advantages over traditional surgical methods.
Overview of Laser Prostatectomy
Laser prostatectomy involves the use of focused laser energy to remove or vaporize excess prostate tissue that obstructs urine flow. The procedure is typically performed through the urethra, meaning no external incisions are required. This minimally invasive approach allows for quicker recovery and less discomfort compared to traditional surgeries like transurethral resection of the prostate (TURP) or open prostatectomy.
Types of Laser Techniques
- Photoselective Vaporization of the Prostate (PVP): This technique uses a laser to vaporize excess prostate tissue, effectively enlarging the urinary channel.
- Holmium Laser Enucleation of the Prostate (HoLEP): In this method, a laser is used to cut and remove obstructive tissue from the prostate, allowing for significant volume reduction.
- Holmium Laser Ablation of the Prostate (HoLAP): Similar to HoLEP but focuses on ablating the tissue rather than enucleating it.
Advantages Over Traditional Surgery
- Minimally Invasive: The procedure is performed through the urethra, resulting in no external cuts and less postoperative pain.
- Lower Risk of Complications: Laser surgery tends to have a lower risk of bleeding and infection, making it safer for patients with cardiovascular issues or those on anticoagulant medications.
- Shorter Hospital Stay: Patients often experience shorter hospital stays, with many able to go home the same day or after just one night.
- Rapid Symptom Relief: Improvements in urinary symptoms are often noticeable almost immediately after the procedure, unlike medications that may take weeks to show effects.
- Less Need for Catheterization: Catheters are typically removed sooner compared to traditional methods, reducing discomfort and risk of infection.
TURP for Enlarged Prostate Treatment in Mumbai
During TURP, a specialized instrument called a resectoscope is inserted through the urethra to reach the prostate. The resectoscope contains a light, camera, and an electrically charged wire loop. This loop is used to cut away excess prostate tissue that is obstructing urine flow. The procedure is performed under general or spinal anaesthesia, ensuring that the patient does not feel pain during the operation.
Why TURP is Performed
TURP is typically recommended when BPH symptoms become troublesome and do not respond to medication. Indications for TURP may include:
- Difficulty fully emptying the bladder
- Frequent urinary tract infections
- Significant urinary urgency or frequency
- Inability to urinate or severe urinary retention
- Bladder stones associated with prostate enlargement
Procedure Details
The TURP procedure usually takes about 1 to 2 hours and involves:
- Insertion of the resectoscope through the urethra.
- Cutting away of obstructive prostate tissue using the wire loop.
- Irrigation of the bladder to flush out removed tissue and blood.
After the procedure, a catheter is placed to help drain urine and may remain in place for 1 to 3 days.
Recovery for Enlarged Prostate
Patients typically stay in the hospital for 1 to 3 days post-surgery, although some may be discharged on the same day. Initial recovery may include:
- Blood in urine for a few days, which usually resolves.
- Mild discomfort or burning sensation during urination.
- Temporary urinary incontinence or urgency.
Most patients can return to normal activities within a few weeks but are advised to avoid strenuous activities and heavy lifting during recovery.
Consult us for Uro-Cure Treatment
If you suspect any symptoms of Enlarged Prostate symptoms seek medical advice promptly from Dr Amit Gala’s – UROCURE, Urology Clinic Situated at Kandivali West, in Mumbai. Early diagnosis and treatment are crucial for effective management of these conditions.
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