The severity of symptoms of BPH, shape, and size of the prostate / other organs, the age of the patient, overall health and other aspects are carefully evaluated to decide the best course of treatment. Some patients have very mild symptoms so that they do not bother much and these patients may wait a while and see how it actually goes.
For very mild symptoms, lifestyle changes may be adequate in some cases. Patients are advised certain exercises that can strengthen the muscles of the pelvic floor area. They should also drink and consume less alcohol and caffeine and should avoid fluids at the time they go to sleep.
Medicines can be used for treating the moderate to mild prostate enlargement condition. The medications can directly shrink the prostate so that it assumes a more normal size. Some medications also relax the bladder and the urethra so that urination is more comfortable.
Surgical Procedure and Techniques
When medications and lifestyle changes do not work, surgery is the only resort available to the physician. The new minimally invasive surgical procedures ensure that no large cuts are made to the body, and these can be carried out through probes and scopes.
TUMT (Trans-Urethral Microwave Therapy)
Use of cold and heat for killing excess prostate cells and tissues. A catheter is entered inside the prostate and has instruments for generating and delivering microwave heat/energy.
TUNA (Trans-Urethral Needle Ablation)
A Cystoscope (a surgical and visual instrument is inserted via the penis into the urethra. Tiny radio-frequency (RF) needles are also passed through the Cystoscope and these deliver heat and cause necrosis, thereby shrinking the prostate issues.
Procedures including Laser Therapy and Transurethral Resection of Prostate (TURP) are more involved surgical procedures and are carried out to remove a part of the prostate gland.
A scope is inserted via the penis tip into the urethra. As the urethra is surrounded by the prostate gland, the heat/energy (passed through the scope subsequently) cuts the excessive tissues of the prostate or melts the
TUIP (Transurethral Incision of Prostate)
The method involves making some small incision on the prostate so that the pressure on urethra can be released.
A Robotic Surgery or an Open Surgery may also be performed if all these measures are incapable of treating the enlarged prostate condition.
Open surgery for enlarged prostate (or open prostatectomy) is usually carried out if the prostate is excessively large, or when TURP cannot be done because of some reason. It may also be carried out if bladder stones are there, or the bladder wall has pouches (bladder diverticula).
Surgery for treating BPH may also have certain complications and side effects. Erectile dysfunction, incontinence, stricture/ narrowing of the urinary tube, and bleeding may be some of the side effects of a surgery. While some of the conditions may heal themselves naturally, others may require medical intervention.
A number of treatment methods are available for the treatment of the disease BPH. But it is important for the patient to reach out to the doctor early so that the symptoms do not aggravate and worsen over a period of time and cause damage to other vital organs of the body. A prompt medical intervention will avoid the complications and may improve the condition easily.
Holmium Laser is a new treatment modality in urology that has extensive role in the treatment of many urological ailments. It is used to fragment urinary calculi, enucleate enlarged prostate, excise urethral and ureteric strictures, ablate bladder tumors and for endopyelotomy for pelvi-ureteric junction obstruction