The prostate is a gland that produces some of the fluid that carries sperm during ejaculation. This gland surrounds the urethra, the tube through which urine leaves the body.
An enlarged prostate means that the gland has become larger and happens to almost all men as they age.
An enlarged prostate is usually called benign prostatic hyperplasia (BPH). It is not cancer and does not increase the risk of prostate cancer.
The actual cause of an enlarged prostate is not known. Factors linked to aging and changes in testicle cells can play a role in gland growth, as can testosterone levels. Men who have their testicles removed at an early age (for example, as a result of testicular cancer) do not have BPH.
Similarly, if the testicles are removed after the man has BPH, the prostate begins to decrease in size. However, this is not a standard enlarged prostate treatment in Rohini.
Some data about enlarged prostate include:
- The likelihood of developing an enlarged prostate increases with age.
- BPH is so common that it has been said that all men will have enlarged prostate if they live long enough.
- A small degree of enlarged prostate is present in many men over the age of 40. More than 90% of men over the age of 80 have this condition.
- No risk factors have been identified, in addition to having testicles that function normally.
Less than half of men with BPH have symptoms of the disease. Symptoms may include:
- Dripping at the end of urination
- Inability to urinate (urinary retention)
- Incomplete emptying of the bladder
- Need to urinate two or more times a night
- Painful urination or bloody urine (may be signs of infection)
- Difficulty or delay in starting urination
- Make strength when urinating
- Strong and sudden urinary urgency
- Weak urine jet
Tests and exams
Your urologist in Pitampura will ask questions about your medical history. A digital rectal exam may also be done to feel the prostate gland. Other tests may include:
- Urinary flow rate
- Post-empty residual urine test to see how much urine is left in the bladder after urination
- Pressure flow studies to measure bladder pressure while urine
- Urine tests to check for blood or infection
- Uroculture to look for infection
- A PSA blood test for prostate cancer
- Blood urea nitrogen (BUN) and creatinine tests
You may be asked to fill out a form to assess the severity of your symptoms and their impact on your daily life. Your urologist in Rohini may use this score to determine if the condition is getting worse over time.
The choice of prostate treatment in Pitampura is based on the severity of your symptoms and how they affect you. Your provider will also consider other health problems you may have.
Treatment options include “carefully monitored waiting,” lifestyle changes, medications, or surgery.
If you are older than 60, you are more likely to develop symptoms. But many men with enlarged prostates have only mild symptoms. Self-care measures are usually enough to make you feel better.
If you have BPH, an annual test should be done to monitor the progress of symptoms and determine if changes are needed in prostate treatment in Rohini are needed.
For mild symptoms:
- Urinate when you barely feel like it. Also go to the bathroom when you have the chance, even if you don’t feel the need to urinate.
- Avoid alcohol and caffeine, especially after dinner.
- DO NOT drink excessive amounts of liquid at once. Distribute fluid intake during the day. Avoid your intake 2 hours before bedtime.
- Try NOT to take over-the-counter cold medications or sinusitis that contain decongestants or antihistamines. These drugs can increase BPH symptoms.
- Stay warm and exercise regularly. Cold weather and lack of physical activity can worsen symptoms.
- Reduce stress. Nervousness and tension can lead to urination more frequently.
Alpha 1 blockers are a class of drugs also used to treat high blood pressure. These medications relax the muscles of the bladder neck and prostate. This allows for easier urination. Most people treated with alpha 1 blockers notice an improvement in their symptoms, usually within 3 to 7 days after starting the drug.
Finasteride and dutasteride decreased levels of hormones produced by the prostate. These drugs also reduce the size of the prostate gland, increase urine flow and decrease BPH symptoms. You may need to take these medicines 3 to 6 months before you notice an improvement in symptoms. Potential side effects include decreased sexual drive and impotence.
Antibiotics may also be prescribed for the treatment of chronic prostatitis (inflammation of the prostate), which may accompany BPH. BPH symptoms improve in some men after a cycle of antibiotics.
Prostate surgery in Rohini may be recommended if you have:
- Blood in recurrent urine
- Inability to completely fill the bladder (urinary retention)
- Recurrent urinary tract infections
- Decreased kidney activity
- Kidney stones
- Annoying symptoms that don’t respond to medications
The choice of a type of surgical procedure is almost always based on the severity of symptoms and the size and shape of the prostate gland. Most men who have prostate surgery in Pitampura show improvements in urinary flow rates and symptoms
Transurethral resection of the prostate (TURP): This is the most common and most proven surgical treatment for BPH. TURP is performed by inserting an endoscope through the penis and removing the prostate partly from the inside.
Simple prostatectomy: is a procedure to remove the inside of the prostate gland. It is done through an incision in the abdomen. This prostate treatment in Rohini is almost always done in men who have very large prostate glands.
Other, less invasive procedures use heat or a laser to destroy prostate tissue. There is another, a less invasive procedure in which the prostate is “rotated” without removing or destroying tissue. None have proven to be better than TURP. People who receive these less invasive procedures are more likely to need prostate surgery in Rohini again after 5 or 10 years. However, these procedures may be an option to:
- Younger men (many of the less invasive procedures carry a lower risk of impotence and incontinence than RTUP, although the risk with RTUP is not very high)
- People with serious conditions, such as uncontrolled diabetes, cirrhosis, alcoholism, psychosis and serious lung, kidney and heart disease
- Men who are taking blood thinners
- Men who otherwise have a higher surgical risk