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    Enlarged Prostate Surgery

    Enlarged Prostate Surgery

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      What is an enlarged prostate?

      Enlarged prostate, also known as Benign prostatic hyperplasia (BPH) or prostatic hypertrophy or benign prostatic obstruction is a medical condition in men, where the prostate gland gets enlarged. The prostate is a gland which helps in semen production, is situated beneath the bladder and frequently increases in size with age.

      The prostate experiences two primary periods of growth as a man gets older. The initial phase happens during early puberty, resulting in a doubling of the prostate's size. The second phase of growth typically starts at around 25 years old and persists throughout most of a man's life, often coinciding with the occurrence of benign prostatic hyperplasia.

      As the prostate grows larger, it applies pressure on and constricts the urethra. This action leads to thickening of the bladder wall. Over time, the bladder might lose strength and fail to completely expel urine, resulting in some remaining in the bladder. The constriction of the urethra and the difficulty in fully emptying the bladder are the primary issues linked with benign prostatic hyperplasia.

      BPH has been categorized into 4 stages:

      • Stage I: A patient without significant blockage or troublesome symptoms.
      • Stage II: A patient experiencing troubling symptoms without significant blockage.
      • Stage III: A patient experiencing significant obstruction, regardless of symptoms.
      • Stage IV:A patient facing BPH complications like urine retention, recurring visible blood in urine, urinary infections, and the formation of bladder stones.

      Symptoms

      The below mentioned are the signs and symptoms of BPH:

      • Abnormal urine color or odor
      • Pain after ejaculation or during urination
      • Urinary incontinence (Loss of bladder control)
      • Urinary retention (Inability to empty bladder completely)
      • Urgency to pee
      • Nocturia (frequent urination during periods of sleep)
      • Dribbling at the end of urination
      • Weak urine flow
      • UTI (Urinary tract infection)

      When and how to identify you need a treatment?

      Signs of benign prostatic hyperplasia can also indicate more severe conditions, such as prostate cancer. Men experiencing these signs should promptly seek medical attention:

      • Urinary retention (Inability to empty bladder completely)
      • Painful, frequent, and urgent urination accompanied by fever and chills
      • Blood in urine
      • Severe discomfort or pain in the lower abdomen and urinary system

      Treatment options and utilities of treatment options at TaCa

      Healthcare providers treat benign prostatic hyperplasia considering symptom severity, impact on daily life, and patient preferences. Swollen prostate treatment is not always necessary for a mildly enlarged prostate unless symptoms significantly affect man’s quality of life.

      Some options for prostate hypertrophy treatment may include:

      • Minimally invasive procedures: Several minimally invasive procedures are available to alleviate symptoms of benign prostatic hyperplasia when medications are not effective.
      • Transurethral needle ablation: In this method, radiofrequency energy generates heat to eliminate prostate tissue. A urologist inserts a cystoscope through the urethra to access the prostate. Small needles inserted through the cystoscope’s end deliver radiofrequency energy that heats and destroys specific sections of prostate tissue.
      • Transurethral microwave thermotherapy: In this procedure, microwaves are employed to eliminate prostate tissue. A urologist inserts a catheter through the urethra to reach the prostate. An antenna device within the catheter sends microwaves, heating specific areas of the prostate for tissue destruction.
      • High-intensity focused ultrasound: In this method, a unique ultrasound probe is placed close to the prostate via rectum. Ultrasound waves emitted by the probe are used to heat and eliminate enlarged prostate tissue.
      • Transurethral electrovaporization: In this process, a resectoscope (tube-like device) is inserted through the urethra to access the prostate. An electrode on the resectoscope moves along the prostate’s surface, transmitting an electric current to vaporize prostate tissue.
      • Water-induced thermotherapy: In this method, heated water is utilized to eliminate prostate tissue. A catheter is placed into the urethra, positioning a treatment balloon at the center of the prostate. Heated water is then directed through the catheter into the treatment balloon, causing it to heat and eliminate the nearby prostate tissue.
      • Prostatic stent insertion: This process involves inserting a small device called a prostatic stent through the urethra to the region narrowed by the enlarged prostate. Once inserted, the stent expands similarly to a spring, exerting pressure on the prostate tissue, which widens the urethra. Prostatic stents can be either temporary or permanent.
      • Surgery: For long-term prostate gland enlargement treatment, a urologist might suggest either removing enlarged prostate tissue or performing incisions in the prostate to widen the urethra.
      • Transurethral resection of the prostate (TURP): In this procedure,a resectoscope is placed through the urethra to access the prostate and uses a wire loop to cut sections of enlarged prostate tissue. A unique fluid carries these tissue pieces into the bladder, and the urologist flushes them out at the end of the procedure. TURP is the primary surgery for benign prostatic hyperplasia and is widely regarded as the standard treatment for urethral blockage caused by BPH.
      • Transurethral incision of the prostate (TUIP): This surgical procedure aims to expand the urethra by using a cystoscope and a tool that utilizes either an electric current or a laser beam through the urethra to access the prostate. The urologist enlarges the urethra by making minor incisions in both the prostate and the bladder neck. Some urologists suggest that TUIP provides comparable relief to TURP but with lower chances of side effects.
      • Laser surgery: A high-energy laser is used to eliminate prostate tissue. Using a cystoscope, the urologist guides a laser fiber through the urethra into the prostate, where it eradicates the enlarged tissue. Compared to TURP and TUIP, there’s a reduced risk of bleeding as the laser seals blood vessels while cutting through the prostate tissue. However, laser surgery may not be as effective for treating significantly enlarged prostates.
      • Open prostatectomy: During an open prostatectomy, a urologist makes a cut in the skin to access the prostate and can remove either the entire prostate or a portion of it. This surgery is used most often when the prostate is greatly enlarged, complications occur, or the bladder is damaged and needs to be repaired.

      Treatment options at TaCa

      TaCa is offering several treatment options as per the need and condition of the patient. When the patient does not get relief from other treatment options, then surgery becomes necessary for prostate swelling and doctor might explore the following options:

      BPH treatment may include:

      • Minimally invasive procedures: Several minimally invasive procedures are available to alleviate symptoms of benign prostatic hyperplasia when medications are not effective.
      • Transurethral needle ablation: In this method, radiofrequency energy generates heat to eliminate prostate tissue. A urologist inserts a cystoscope through the urethra to access the prostate. Small needles inserted through the cystoscope’s end deliver radiofrequency energy that heats and destroys specific sections of prostate tissue.
      • Transurethral microwave thermotherapy: In this procedure, microwaves are employed to eliminate prostate tissue. A urologist inserts a catheter through the urethra to reach the prostate. An antenna device within the catheter sends microwaves, heating specific areas of the prostate for tissue destruction.
      • High-intensity focused ultrasound: In this method, a unique ultrasound probe is placed close to the prostate via rectum. Ultrasound waves emitted by the probe are used to heat and eliminate enlarged prostate tissue.
      • Transurethral electrovaporization: In this process, a resectoscope (tube-like device) is inserted through the urethra to access the prostate. An electrode on the resectoscope moves along the prostate’s surface, transmitting an electric current to vaporize prostate tissue.
      • Water-induced thermotherapy: In this method, heated water is utilized to eliminate prostate tissue. A catheter is placed into the urethra, positioning a treatment balloon at the center of the prostate. Heated water is then directed through the catheter into the treatment balloon, causing it to heat and eliminate the nearby prostate tissue.
      • Prostatic stent insertion: This process involves inserting a small device called a prostatic stent through the urethra to the region narrowed by the enlarged prostate. Once inserted, the stent expands similarly to a spring, exerting pressure on the prostate tissue, which widens the urethra. Prostatic stents can be either temporary or permanent.
      • Surgery: For long-term prostate gland enlargement treatment, a urologist might suggest either removing enlarged prostate tissue or performing incisions in the prostate to widen the urethra.
      • Transurethral resection of the prostate (TURP): In this procedure,a resectoscope is placed through the urethra to access the prostate and uses a wire loop to cut sections of enlarged prostate tissue. A unique fluid carries these tissue pieces into the bladder, and the urologist flushes them out at the end of the procedure. TURP is the primary surgery for benign prostatic hyperplasia and is widely regarded as the standard treatment for urethral blockage caused by BPH.
      • Transurethral incision of the prostate (TUIP): This surgical procedure aims to expand the urethra by using a cystoscope and a tool that utilizes either an electric current or a laser beam through the urethra to access the prostate. The urologist enlarges the urethra by making minor incisions in both the prostate and the bladder neck. Some urologists suggest that TUIP provides comparable relief to TURP but with lower chances of side effects.
      • Laser surgery: A high-energy laser is used to eliminate prostate tissue. Using a cystoscope, the urologist guides a laser fiber through the urethra into the prostate, where it eradicates the enlarged tissue. Compared to TURP and TUIP, there’s a reduced risk of bleeding as the laser seals blood vessels while cutting through the prostate tissue. However, laser surgery may not be as effective for treating significantly enlarged prostates.
      • Open prostatectomy: During an open prostatectomy, a urologist makes a cut in the skin to access the prostate and can remove either the entire prostate or a portion of it. This surgery is used most often when the prostate is greatly enlarged, complications occur, or the bladder is damaged and needs to be repaired.

      Cost of treatment at TaCa

      TaCa strives to provide top-notch healthcare services at affordable rates, ensuring accessibility for all. TaCa strongly advocates that minimizing preventable hospital admissions is both a moral obligation and a cost-efficient method for ensuring fair and accessible healthcare. We aim to deliver high-quality surgical care conveniently located near individuals. Collaborating with specialized physicians and healthcare partners, TaCa implements proven innovations and best practices to enhance patient care. Below mentioned are some of the benefits which TaCa is offering to the patients:

      • Free Doctor Consultation
      • Highly Experienced Surgeons
      • No Cost EMI
      • Pick and Drop Service
      • Dedicated Assistance by TaCa Dost
      • Affordable Cost
      • Short Hospital Duration
      • Hassle Free Insurance Support
      • Extensive Hospital Network
      • Surgery Near to Your Location

      Care by TaCa–After treatment

      Post-surgery care initiates right after surgery, extending throughout hospital stay and potentially continuing post-discharge. As an integral aspect of post-operative care TaCa handholds the patients and also helps them in getting free follow-up visits with surgeons, so that it may not be a hassle for them after surgery.

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        FAQ's

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        Enlarged Prostate Surgery

        Benign prostatic hyperplasia (BPH) cannot be transmitted from one person to another; it is non-contagious.

        While there's no definitive cure for BPH, there are various treatment options to help ease your symptoms.

        For the majority of BPH cases, TURP stands out as the most efficacious treatment.

        Some individuals with mild BPH experienced symptom resolution without receiving treatment.

        TaCa is having a team of skilled or good surgeons that are important because they know the significance of determining when surgery is necessary and when it's not. They recognize that the decision-making process holds more significance than the surgical procedure itself. Ultimately, the aim of any surgery is to serve the patient's well-being.

        The outcome of treating benign prostatic hyperplasia is influenced by the specific type of treatment administered.:

        • Blood in urine
        • Urinary retention
        • Bladder stones
        • Kidney damage
        • Urinary tract infections (UTIs)

        Several factors are there which are responsible for the cost of enlarged prostate treatment:

        • Type and severity of enlarged prostate
        • Type of surgery performed
        • Hospital’s type and location 
        • Anesthesiologist fee
        • Medication cost
        • Cost of diagnostic tests

        The recovery period following treatment for an enlarged prostate can vary depending on the type of treatment received.

        • In comparison to surgery, new BPH treatments are less intrusive and harmful to healthy tissue. The majority of these therapies are often performed as outpatient operations, so patients can return home the same day of the procedure. They also enable a quicker recovery, are less expensive, and have less adverse effects.
        • Older patients may experience more difficulties and require more time to recover after surgery.

        After undergoing transurethral resection of the prostate for benign prostatic hyperplasia, 15–20% of patients experience recurrent or chronic voiding problems that require further therapy.