BPH (Benign prostatic hyperplasia ) or an enlarged prostate can cause problems passing urine and incontinence. Our urologists in MASSH Delhi offer Minimally Invasive BPH (enlarged prostate) Treatments including TURP, TUIP, TUMT, and laser surgery for enlarged prostate (such as PVP, ThuLEP, and HOLEP).
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What is Benign Prostate Hyperplasia BPH (enlarged prostate)?
Benign Prostatic Hyperplasia, or BPH (enlarged prostate), is a condition associated with the enlargement of the prostate gland. The prostate gland in males is located below the urinary tract surrounding the urethra. The main function of the prostate gland is to produce the fluid that nourishes and transports sperm (seminal fluid). However, people with an enlarged prostate find it difficult to empty their bladder properly due to the narrowing of the urethra. This results in the frequent urge to urinate, especially at night.
As per Study, It is estimated that more than 70% of men are likely to have an enlarged prostate over the age of 50 years, out of which 25% require surgical procedures.
The condition is referred to as benign suggesting it may not be cancerous. The term ‘prostatic’ is associated with the prostate gland and ‘Hyperplasia’ refers to the enlargement of the gland. Signs and symptoms may include urinary blockage, urinary tract infections (UTIs), and urinary incontinence. These issues may cause discomfort and affect normal bladder functioning.
MASSH Hospital offers a range of advanced surgical procedures specifically designed to treat enlarged prostates. With cutting-edge technology and highly skilled surgeons, the hospital ensures a high success rate in relieving symptoms and improving quality of life for patients. Our approach focuses on personalised care, ensuring each patient receives the most effective treatment tailored to their condition.
BPH (Enlarged Prostate) Diagnosis & Treatment in Delhi
The diagnosis for an enlarged prostate involves a combination of physical examination and diagnostic tests to confirm BPH. Since heredity/genetics is a risk factor for BPH (enlarged prostate), the doctor will analyse your family history report. The doctor recommends the following tests to rule out the possibility of enlarged prostate due to other conditions. Some of the diagnostic tests include: –
- Ultrasound Screening: Doctors generally recommend an ultrasound of the prostate gland to detect any abnormal growth within the prostate using 3D imaging. This test helps determine the amount of enlargement around the prostate.
- Prostate-Specific Antigen (PSA) Blood Test: Doctors usually recommend a PSA blood test to check for any increased PSA levels in case of enlarged prostate. This helps the urologists to detect signs of prostate cancer.
- Urinary Flow Test (Uroflowmetry): This test is done to measure the strength and amount of your urine flow and determine if the condition is stable or getting worse with time.
- Post-Void Residual (PVR) Test: Postvoid residual volume test. Sometimes, when the patient is unable to empty the bladder completely, this test is recommended to measure the amount of urine left in your bladder after the urination. This is done via ultrasound or inserting a catheter into the bladder.
- 24-hour Voiding Diary: The doctors recommend this test to record the frequency and amount of urine expelled, especially if more than one-third of your daily urinary output occurs at night.
- Urine Test: The doctor analyzes a sample of your urine to rule out any signs of infection or other conditions that can lead to similar symptoms.
- Blood Tests: Blood tests indicate any infections in the kidneys and indicate abnormal functioning. In case of moderate or complex cases, the doctor may also recommend the following diagnostic tests.
Digital rectal exam: The doctor inserts a finger into your rectum to check for any signs of prostate enlargement.
Cystoscopy: A light, flexible scope called a cystoscope is inserted into your urethra to allow the doctor to see inside your bladder.
Prostate biopsy: The doctor uses needles guided by a transrectal ultrasound to take a tissue sample of the prostate and analyse the tissue to rule out the chances of prostate cancer.
BPH (Enlarged Prostate) Surgery:
There are several surgical as well as non-surgical methods for BPH (enlarged prostate) treatment which include various medications, dietary changes, and lifestyle modifications. However, non-surgical methods such as medications, home remedies, etc are effective to manage the symptoms of BPH (enlarged prostate) and surgical treatment is the only method to treat enlarged prostate.
Minimally invasive surgeries: These surgical techniques involve minimal invasion that can often be done as outpatient surgery, meaning the patient may not require a hospital stay. Recovery is generally quicker, but it depends on the medical condition of the patient and the surgical expertise of the surgeon. Minimally invasive techniques such as HoLEP, TURP, etc., help the patients relieve symptoms quickly and may nullify the need for medications. Minimally invasive procedures are recommended in case of the following situations.
- Your symptoms are moderate to severe.
- Medications are ineffective
- Chronic urinary tract obstruction
- bladder stones, or blood in your urine
- Preference of the patient
There are different techniques to perform minimally invasive BPH surgeries-
- Transurethral Resection of the Prostate (TURP): This technique uses a light scope called a resectoscope. It is inserted into the urethra through the penis. TURP surgery uses electric current or laser light to remove the outer tissue of the prostate. The patient is generally under the influence of anesthesia to ensure a comfortable procedure. The resectoscope provides light, irrigating fluid, and an electrical loop that cuts the tissues and seals the blood vessels. Finally, the removed tissue is expelled out of the body through a catheter.
- The UroLift: The UroLift procedure is generally recommended for men with mild to moderate BPH who have not responded well to medication and want to avoid more invasive surgical options. It may not be appropriate for men with severe BPH, a very large prostate gland, or other medical conditions that could affect the safety or effectiveness of the procedure. A urologist can evaluate a patient's individual situation and recommend whether the UroLift procedure is appropriate for them.
- HoLEP: HoLEP Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate. A separate instrument is then used to cut the prostate tissue into easily removable fragments. HoLEP is similar to open prostate surgery but requires no incisions. HoLEP removes the entire portion of the prostate that can block urine flow. It can be an option to treat a severely enlarged prostate.
- Prostatectomy: This surgery aims to remove the entire prostate gland with either laparoscopic or robot-assisted technique. The surgeon makes an incision in your lower abdomen to reach the prostate and remove the surrounding tissues. It is generally done for very large prostate or other complicating factors. However, it has long-term benefits that may require a few days hospital stay after the surgery depending on the medical condition of the patient.
You can visit our best Prostate Doctors in Delhi and nearby cities such as Noida, and Ludhiana. Our Clinics in Delhi and outside Delhi.
Estimated BPH Treatment Costs for different procedures in Delhi.
- Transurethral Resection of the Prostate (TURP): From ₹60,000 to ₹1,00,000
- Holmium Laser Enucleation of the Prostate (HoLEP): From ₹1,00,000 to ₹1,50,000
- Simple Prostatectomy: From ₹1,50,000 to ₹5,00,000
- Prostatectomy: From ₹55,000 to ₹2,20,000
Note: This is not the actual cost of treatment, The actual cost may differ according to the patient’s conditions and requirements.
Why MASSH Hospital for BPH (enlarged prostate)?
At MASSH Hospital, we prioritize your health and privacy, offering a range of services designed to make your treatment journey smoother. From expert consultations to advanced treatment options, our dedicated team ensures you receive the best care available.
- Confidential consultation.
- Zero Cost EMI
- 20% off on diagnostic tests.
- Assistance with insurance claims.
- Cashless Insurance Facility
- Highly skilled Doctors.
- Advanced treatment options.
- Free follow-ups after the surgery.
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