Before we talk about benign prostatic hyperplasia (BPH) it is important that you know what the prostate is. The prostate is a male-only organ.
It is found in the pelvis, close to the bladder and involves the urine channel. Its function is to produce a large part of the liquid that forms the sperm and that liquid, in turn, has the function of ensuring that the sperm survive.
Now that we know a little more about the prostate, let's talk about benign prostatic hyperplasia (BPH).
As a man ages, the prostate enlarges. It is something so frequent that, at the age of 90, 90% of men will present this picture.
This is NOT prostate cancer; cancer is another disease. The 2 diseases can happen at the same time, but they are different diseases.
But if BPH is not cancer, what problem does it cause? As the urine channel (urethra) passes inside the prostate, as the prostate enlarges, it can compress the urine channel, making it more and more difficult to empty the urine through the bladder.
Symptoms of benign prostatic hyperplasia:
- Thin and weak stream of urine.
- It takes time to start pee.
- Persistent drip at the end of the urination.
- Interruption of the urine stream, making it necessary to “exert force” to restart it.
- Frequent desire to urinate, causing the sensation of not having been able to completely empty the bladder.
- Sudden and intense urge to urinate.
- Pain when urinating.
- Waking up at night more than once to urinate.
- Presence of blood in the urine.
Only the best urologist in Delhi has adequate education and training to diagnose and treat this disease. After all, complex health problems require specialist treatment.
It is up to the urologist in Delhi, together with the patient, to decide which treatment is most appropriate for each case. But for this, we evaluated the intensity of the described symptoms and how much these symptoms are affecting your quality of life.
In addition, the test results requested by the urologist in Rohini may also influence the choice of treatment.
What are the most common treatments used to treat Benign Prostatic Hyperplasia?
Drug Treatment: The best urologist in Rohini prescribes medications that help the patient to urinate more easily. The medications can be alpha-blockers, which relax the muscles of the prostate, decreasing the obstruction of the urine channel and / or 5-alpha-reductase inhibitors, which decrease the size of the prostate.
The Urologist in Pitampura looks for other treatment options when the patient does not show improvement or good response to drug treatment. Whether due to the lack of results, intolerance to side effects.
Main surgical treatments for benign prostatic hyperplasia
Transurethral Prostate Resection (TURP)
T rata up procedure we put a small camera in the channel of urine and "scraped the prostate" internally. This is the standard surgical procedure.
Enucleation of the prostate
It would be something similar to RTU, using, however, the laser for removal of bloc. That is, in a single "piece" of the inner portion of the prostate that compresses the urine channel.
Prostate vaporization
This procedure is also surgery through the urine channel. The difference is that instead of removing the tissue from the prostate, we “evaporate” it, destroying that tissue, with no need for removal. We can use different energy sources like plasma or a special type of laser. It presents results similar to the techniques described above, but the major criticism is that there is no tissue sent for analysis.
Needle transurethral ablation of needle
It is a device inserted in the urine channel, which uses radiofrequency, generating heat and ablation (destruction) of the prostate tissue.
Prostatic stents
A stent is placed in the region of the urine channel compressed by the prostate, "arming" the urine channel and reducing this obstruction. The mechanism partly resembles coronary stents.
Embolization of the prostate arteries
This is an exceptional treatment, in which catheterization of the femoral artery is performed, by inserting a very thin tube, which is guided to the vessels that carry blood to the prostate. Through this tube, a material is injected to block the arrival of blood in the prostate, leading to a reduction in the arrival of oxygen and food to the prostate and a decrease in the organ.
Consult with a specialist beforehand to treat benign prostatic hyperplasia
It is important to note that if any symptoms of Benign Prostatic Hyperplasia are felt, you should seek a Urologist in Pitampura as soon as possible. Any treatment is more likely to succeed when the patient consults a urologist in Delhi in the early stage of the disease.
