What is Prostate Enlargement
Prostate enlargement, also known as benign prostatic hyperplasia (BPH) is a common condition in men with higher age. This situation arises when the prostate gland situated below the bladder and surrounds the urethra, gets enlarged. This is a common condition in aging men. This enlargement compresses the urethra.
BPH is believed to be related to hormonal changes associated with aging. When the levels of testosterone and dihydrotestosterone (DHT) changes in men with age and leads to Prostate enlargement. While BPH is generally not a serious condition but it sometimes affects the quality of life in men.
Signs & Symptoms of Prostate Enlargement
The signs and symptoms of prostate enlargement, or benign prostatic hyperplasia (BPH), develops with age among different individuals. Some common signs and symptoms include:
Key Symptoms
- Increased frequency of urination: Prostate enlargement or BPH in men leads to frequent urination especially during the night.
- Difficulty starting urination: BPH can cause a weakening of the urinary stream or difficulty initiating urination.
- Intermittent urine flow: The urine stream may start and stop involuntarily, making it difficult to empty the bladder fully.
- Weak urine stream: The flow of urine may become weak, and it may take longer to empty the bladder completely.
- Sensation of incomplete emptying: Even after urination, men with BPH may feel that their bladder is not completely empty.
- Urinary urgency: There may be a sudden and intense urge to urinate, which can be difficult to control.
- Urinary retention: In severe cases, BPH can lead to urinary retention, where the bladder is unable to empty completely. This can cause discomfort, pain, and an increased risk of urinary tract infections.
- Urinary tract infections (UTIs): Obstruction of the urinary tract due to BPH can increase the risk of UTIs, which may present with symptoms such as burning during urination, frequent urination, and cloudy or foul-smelling urine.
It's important to note that while these symptoms are common in BPH, they can also be indicative of other medical conditions such as urinary tract infections, urinary stones, or prostate cancer. If you are experiencing any of these symptoms, it's essential to consult Dr. Aditya P.S. Sengar best urologist in lucknow for Prostate Enlargement treatment.
Cause of Prostate Enlargement
The exact cause of prostate enlargement, also known as benign prostatic hyperplasia (BPH), is not fully understood, but it is believed to be related to hormonal changes and aging. Several factors may contribute to the development of BPH:
Possible Causes
- Hormonal Changes: The prostate gland is sensitive to hormonal fluctuations, particularly changes in levels of testosterone and dihydrotestosterone (DHT), a hormone derived from testosterone. As men age, the balance of these hormones may shift, leading to an overgrowth of prostate cells.
- Age:BPH is most commonly seen in older men, typically starting around age 40 and becoming more prevalent with increasing age. By age 60, more than half of men have some degree of prostate enlargement, and by age 85, the prevalence exceeds 90%.
- Family History: There appears to be a genetic predisposition to developing BPH. Men with a family history of the condition are more likely to develop it themselves.
Why Choose Dr. Aditya P.S. Sengar for Prostate Enlargement Treatment
Choosing the right doctor for prostate enlargement treatment is important. Dr. Aditya P.S. Sengar is the best urologist in lucknow for prostate enlargement treatment. Dr. Aditya P.S. Sengar is a preferred choice for prostate enlargement treatment for several reasons:
- Dr. Aditya P.S. Sengar is a specialist in the field of urology and men's health, with extensive experience in diagnosing and treating prostate enlargement (BPH).
- Dr. Aditya P.S. Sengar offer a range of advanced treatment options for prostate enlargement, including medications, minimally invasive procedures, and surgical interventions.
- Dr. Aditya P.S. Sengar provide comprehensive care for patients with prostate enlargement.
- Positive reviews and recommendations from previous patients speaks volumes about Dr. Aditya P.S. Sengar
Treatments Offered by Dr. Aditya P.S. Sengar for Prostate Enlargement
Alpha reductase inhibitors
These medications help shrink the prostate gland by blocking the conversion of testosterone to dihydrotestosterone (DHT)
Transurethral resection of the prostate (TURP)
A surgical procedure in which excess prostate tissue is removed using a special instrument inserted through the urethra.
Transurethral incision of the prostate (TUIP)
A procedure in which small incisions are made in the prostate gland to relieve pressure on the urethra and improve urine flow.
Prostate laser surgery
Various laser-based techniques, such as photoselective vaporization of the prostate (PVP) or holmium laser enucleation of the prostate (HoLEP), may be used to remove or shrink prostate tissue.
Prostatic Urethral Lift (UroLift)
This minimally invasive procedure involves the placement of small implants to lift and hold the enlarged prostate tissue away from the urethra.
Prostate Artery Embolization (PAE)
Dr. Aditya P.S. Sengar offer prostate artery embolization, a minimally invasive procedure in which small particles are injected into the arteries supplying the prostate, leading to a reduction in blood flow and shrinkage of the prostate gland.
BPH Care Planning for Men in Lucknow
Prostate enlargement treatment depends on symptom severity, prostate size, urine flow, residual urine, infection status, medicines, and overall health. The goal is to improve urine flow, reduce obstruction, and prevent complications such as retention, bladder stones, infection, or kidney strain.
IPSS and History Review
Frequency, urgency, nocturia, weak stream, straining, incomplete emptying, and quality-of-life impact are reviewed before choosing treatment.
Uroflow and Residual Urine
Urine-flow testing, ultrasound, residual urine check, urine test, PSA review, and kidney function help define obstruction severity.
BPH Medical Treatment
Selected patients may benefit from alpha-blockers, prostate-size medicines, infection control, and lifestyle changes after urology evaluation.
TURP or Laser Planning
Surgery may be discussed when symptoms are severe, medicines fail, or retention, stones, bleeding, or kidney effects develop.
Catheter and Follow-Up Care
Post-procedure guidance covers catheter care, urine color changes, activity limits, infection warning signs, and follow-up timing.
Medication Risk Review
Blood thinners, diabetes, heart conditions, infections, and anesthesia fitness are checked before a procedure.
When Prostate Symptoms Need Urgent Care
Seek urgent review if you cannot pass urine, develop fever with urinary symptoms, pass clots, have severe lower abdominal pain, or are told that kidney function is affected by urinary obstruction.
Tests for prostate enlargement
Before deciding on treatment, the doctor usually asks for a few simple tests to see how much the prostate is affecting your urine flow and kidneys.
- Urine routine and culture: checks for infection, blood or sugar in the urine.
- Ultrasound of the kidneys, bladder and prostate: shows the size of the prostate and whether the kidneys are under pressure.
- Post-void residual urine: measures how much urine is left in the bladder after you pass urine.
- Uroflowmetry: you pass urine into a special machine that records how strong and steady your stream is.
- PSA blood test: a blood test that helps the doctor decide whether the prostate needs further checks to rule out other problems.
- Kidney function test (creatinine): shows whether the kidneys are working normally.
How prostate enlargement is treated
- Mild symptoms may only need simple changes, such as drinking less fluid in the evening and cutting down on tea, coffee and alcohol at night.
- Many men are first given medicines that relax the prostate or slowly shrink it, with regular review of how they are working.
- If medicines do not help, or problems like urine blockage, repeated infection, bleeding or bladder stones occur, surgery may be advised.
- Surgery such as TURP or laser prostate surgery is done through the urine passage, so there is no cut on the belly.
- The operation is done under spinal or general anaesthesia, and the extra prostate tissue blocking the urine flow is removed.
- A urine catheter (a thin tube) is usually kept for a short time after surgery to let the area heal, then removed before or soon after discharge.
Recovery after prostate enlargement treatment
- First 24-48 hoursYou usually stay in hospital with a catheter. Some blood in the urine is common and the bladder may be gently washed through the catheter.
- First weekThe catheter is usually removed in the first few days. You may feel burning, urgency or need to pass urine often for a while. Drink plenty of water unless told otherwise.
- 2-4 weeksMost men return to light work and daily routine. Avoid heavy lifting, straining and long bike or scooter rides during this time.
- 4-6 weeks onwardsUrine flow usually feels clearly better. Small spots of blood can still appear now and then while healing finishes. Keep your follow-up visits.
Every patient heals at a different pace, so the doctor will give you a recovery and follow-up plan made for your case.
Cost of prostate enlargement treatment in Lucknow
The cost of prostate treatment depends on what you need. Medicines alone cost much less than surgery. If surgery is needed, the cost depends on the type of operation (TURP or laser), the size of the prostate, the tests needed before surgery and how many days you stay in hospital. Most families find it is not as costly as they feared.
Precision Urology Hospital accepts almost all health insurance and cashless schemes, so most prostate treatment is usually covered. You will get a clear estimate before anything is done, so there are no surprises. You can also send your reports on WhatsApp for a free first opinion. Cover depends on your own policy, and the team can check it with your insurer before treatment.
Send reports for a free opinionWhy see Dr. Aditya P.S. Sengar for prostate enlargement
- Prostate surgery including endoscopic and laser options
- 5000+ surgeries across urology
- Send your PSA or ultrasound on WhatsApp for a free first opinion
Patient story
“My husband was suffering from severe urinary blockage and was diagnosed with prostate enlargement. … He patiently listened to all our problems, understood our concerns, and explained everything to us calmly and clearly. … My husband was initially extremely anxious and hesitant about undergoing surgery. Dr. Aditya handled him with remarkable patience and empathy.”“आदरणीय डॉ. आदित्य पी.एस. सेंगर जी, प्रोस्टेट ऑपरेशन को सफलतापूर्वक सम्पन्न करने के लिए आपको बहुत बहुत धन्यवाद। आपकी विशेषज्ञता, कुशलता और समर्पण के लिए हम सभी आपके आभारी हैं।”Watch: Dr. Aditya P.S. Sengar explains
Prostate enlargement (BPH): frequently asked questions
Is prostate enlargement the same as prostate cancer?
No. Benign prostate enlargement or BPH is not prostate cancer, but urinary symptoms, PSA level, examination, and imaging may need review to separate different prostate conditions.
When is prostate surgery needed for BPH?
Surgery may be considered when medicines do not help, symptoms are severe, urine retention happens, bladder stones or repeated infections occur, bleeding recurs, or kidney function is affected.
Which tests are useful before prostate enlargement treatment?
Common tests include urine routine, urine culture when infection is suspected, ultrasound, residual urine measurement, uroflowmetry, kidney function tests, PSA review, and clinical examination.
Can prostate enlargement cause frequent urination at night?
Yes. BPH can contribute to nocturia, urgency, weak stream, incomplete emptying, and repeated night-time urination, though diabetes, sleep, medicines, and bladder problems can also contribute.
Book a consultation for prostate enlargement
OPD Mon to Sat, 12:00 PM to 6:00 PM at Precision Urology Hospital. Book on WhatsApp and the team will confirm your time.
Send your report on WhatsApp for a free opinionPrecision Urology Hospital, 652B/37 Pratap Nagar, Tedhi Pulia Ring Road, Lucknow 226022. Get directions
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