Best Enlarged Prostate Treatment - Prostatomegaly

Treatment Options for Enlarged Prostate

There are several types of surgery available to treat an enlarged prostate, each with its own benefits and considerations.

1. Transurethral Resection of the Prostate (TURP): TURP is the most common surgical procedure for BPH. It involves removing excess prostate tissue using a resectoscope inserted through the urethra. This procedure is performed under general or spinal anesthesia and is highly effective in relieving urinary symptoms. TURP may be suitable for men with moderate to severe bph symptoms and an enlarged prostate.
2. Laser Surgery: Laser surgery for an enlarged prostate includes various techniques such as photoselective vaporization of the prostate (PVP), holmium laser enucleation of the prostate (HoLEP), and thulium laser enucleation of the prostate (ThuLEP). These procedures use laser energy to vaporize or remove excess prostate tissue. Laser surgery offers less bleeding, shorter hospital stays, and faster recovery compared to traditional surgery methods like TURP.
3. Transurethral Incision of the Prostate (TUIP): TUIP involves making small incisions in the prostate gland and bladder neck to relieve the pressure on the urethra. This surgery is typically recommended for men with a small to moderately enlarged prostate and milder urinary symptoms. TUIP may be associated with fewer side effects such as retrograde ejaculation compared to other surgical options.
4. Open Prostatectomy: Open prostatectomy is a traditional surgical procedure used for men with very large prostates. It involves making an incision in the lower abdomen to remove the excess prostate tissue. Open prostatectomy is highly effective in relieving urinary symptoms, but it is associated with a longer hospital stay, more blood loss, and a longer recovery period compared to minimally invasive techniques.
5. Robotic-Assisted Prostate Surgery: Robotic-assisted prostate surgery, also known as robot-assisted laparoscopic prostatectomy, is a minimally invasive procedure performed using robotic instruments. This technique offers improved precision, smaller incisions, less blood loss, and faster recovery compared to open surgery. Robotic-assisted surgery is typically recommended for men with localized prostate cancer but can also be used for BPH in select cases.

Benefits of Laser Surgery for Enlarged Prostate

Laser surgery has emerged as an effective and minimally invasive treatment option for men suffering from an enlarged prostate. This advanced surgical technique utilizes laser energy to precisely remove or vaporize the excess prostate tissue that is causing urinary symptoms.

1. Long-lasting relief from urinary symptoms: By targeting and eliminating the obstructing prostate tissue, laser surgery can significantly improve urinary flow and reduce the frequency and urgency of urination. This can greatly enhance the quality of life for men who have been struggling with the bothersome bph symptoms.
2. Minimally Invasive: Laser techniques such as holmium laser enucleation of the prostate (HoLEP) and photoselective vaporization of the prostate (PVP) are performed through small incisions or natural body openings, reducing the risk of complications and shortening the recovery time. This means that patients can often return to their normal activities within a shorter period, resulting in less disruption to their daily lives.
3. Minimal risk of damage to surrounding tissue: Laser surgery offers precise and controlled tissue removal, minimizing the risk of damage to surrounding structures. The laser energy can be precisely delivered to the specific areas of the prostate, ensuring effective removal of the obstructing tissue while preserving the integrity of the urinary sphincter and other nearby structures. This precision reduces the likelihood of complications such as urinary incontinence and erectile dysfunction, which can be associated with other surgical procedures.
4. Lesser chances of UTI: Laser surgery also eliminates the need for prolonged catheterization, which is often required after traditional prostate surgeries. This can greatly improve the patient’s comfort and reduce the risk of urinary tract infections. 
5. Long-term relief: Laser surgery has been shown to have a low retreatment rate, meaning that majority of patients experience long-term symptom relief without the need for additional interventions.

In conclusion, laser surgery for enlarged prostate offers several significant benefits. These advantages make laser surgery the best treatment option for men suffering from an enlarged prostate, improving their quality of life and overall well-being.

Preparation Tips Before BPH Laser Surgery

Before undergoing laser surgery for an enlarged prostate, there are a few important steps that need to be taken in order to ensure a safe and successful procedure. These preparations are crucial and should be followed closely to minimize any potential risks or complications. The following guidelines outline the necessary preparations that need to be made before undergoing laser surgery for an enlarged prostate:

1. Inform your doctor about any medical conditions, allergies, or medications you are taking.
2. Follow the fasting instructions provided by your doctor to ensure an empty stomach during the procedure.
3. Arrange for transportation to and from the hospital, as you may not be able to drive immediately after the surgery.
4. Stop taking blood-thinning medications, such as aspirin or warfarin, if advised by your doctor.
5. Complete any necessary pre-operative tests recommended, such as blood tests or imaging, to assess your overall health.
6. Discuss any concerns or questions with your surgeon to ensure a clear understanding of the surgical procedure.
7. Arrange for someone to assist you at home during the recovery period, as you may experience temporary discomfort or pain.
8. Wear loose, comfortable clothing on the day of the surgery to ensure ease during the admission process.

Recovery After Laser Surgery for Enlarged Prostate

After undergoing laser surgery, it is important to follow certain guidelines and take proper care of yourself during the enlarged prostate recovery period. Here are some important pointers to keep in mind:

1. Rest and Relax: The first few days after surgery are crucial for your recovery. Make sure to get plenty of rest and avoid any strenuous activities. Take it easy and allow your body to heal.
2. Pain Management: It is normal to experience some discomfort after the surgery. Your doctor may prescribe pain medication to help manage the pain. Take the medication as instructed and inform your doctor if the pain becomes severe or persistent.
3. Fluid Intake: Drink plenty of fluids to stay hydrated. Water is the best choice, but you can also have clear soups, herbal teas, and diluted fruit juices.
4. Urination and Bladder Control: After the catheter is removed, you may experience some difficulty with urination and bladder control. This is normal and should improve over time. It is important to practice and strengthen your pelvic floor muscles to regain control.
5. Diet and Nutrition: Follow a healthy and balanced diet to support your recovery. Include plenty of fruits, vegetables, whole grains, and lean proteins. Spicy and acidic foods to avoid with enlarged prostate that may irritate your urinary tract.
6. Physical Activity: Gradually increase your physical activity as you start feeling better. Start with light exercises, such as walking, and gradually progress to more strenuous activities. However, avoid heavy lifting or any activities that put strain on your pelvic area.
7. Follow-up Appointments: Attend all scheduled follow-up appointments with your doctor. These appointments are important for monitoring your progress and addressing any concerns or complications that may arise.
8. Sexual Activity: It is common to experience changes in sexual function after enlarged prostate laser surgery. Talk to your doctor about any concerns or questions you may have. They can provide guidance and recommend appropriate treatments or therapies if necessary.

Each person’s recovery may vary, and it is important to follow your doctor’s specific instructions for a successful recovery after enlarged prostate laser surgery. If you have any questions or concerns during your recovery period, do not hesitate to contact your doctor.

Risk Factors For Enlarged Prostate

The below mentioned are some risk factors that may increase the risk of the prostate gland enlargement in men. 

• Age: The risk of developing an enlarged prostate increases with age. It is more common in men over the age of 50.
• Family history: Having a family history of enlarged prostate or prostate cancer can increase the risk.
• Hormonal imbalances: Changes in hormone levels, specifically a decrease in testosterone and an increase in estrogen can contribute to the development of an enlarged prostate.
• Obesity: Being overweight or obese has been linked to an increased risk of enlarged prostate.
• Ethnicity: Studies have shown that certain ethnic groups, such as African-American and Caribbean men, are more prone to developing an enlarged prostate.
• Lifestyle factors: Certain lifestyle choices, such as a sedentary lifestyle, lack of physical activity, and poor diet, may increase the risk.
• Smoking: Smoking has been associated with an increased risk of enlarged prostate.
• Medical conditions: Certain medical conditions, such as diabetes and heart disease, have been linked to an increased risk of enlarged prostate.
• Medications: Some medications, such as certain alpha-blockers used to treat high blood pressure, can increase the risk of developing an enlarged prostate.
• Other factors: Other factors that may contribute to the risk of an enlarged prostate include chronic inflammation, urinary tract infections, and exposure to certain chemicals or toxins.

These risk factors can increase the likelihood of developing an enlarged prostate, but it is important to note that not all men with these risk factors will develop BPH. Regular check-ups and discussions with a doctor can help identify any potential issues and determine the best course of action for prevention or treatment.

Lifestyle Changes For Enlarged Prostate

While medical treatments are available, making certain lifestyle changes can also help manage the symptoms of an enlarged prostate. Here are some pointers to consider:

1. Maintain a Healthy Weight: Excess weight can put extra pressure on the bladder and worsen urinary symptoms. Therefore, it is important to maintain a healthy weight through regular exercise and a balanced diet. Include plenty of fruits, vegetables, whole grains, and lean proteins in your meals. Avoiding high-calorie, sugary foods and beverages can also help in managing your weight.
2. Stay Active: Engaging in regular physical activity can improve overall health and help manage symptoms of an enlarged prostate. Activities such as walking, jogging, swimming, and cycling can all be beneficial. Aim for at least 30 minutes of moderate-intensity exercise most days of the week, as recommended by healthcare professionals.
3. Limit Fluid Intake: Drinking excessive amounts of fluids, especially before bedtime, can lead to more frequent urination during the night. To reduce nighttime trips to the bathroom, it is advisable to limit fluid intake, especially alcohol and caffeine, in the evening. However, make sure to stay adequately hydrated throughout the day.
4. Practice Bladder Control Techniques: Delaying urination when you feel the urge to go can help strengthen the bladder muscles and improve control over urinary symptoms. It is also recommended to double void, which involves urinating, waiting a few seconds, and then urinating again. This helps ensure the bladder is emptied more fully.
5. Prevent Constipation: Straining during bowel movements can put pressure on the prostate gland and worsen urinary symptoms. To prevent constipation, include fiber-rich foods in your diet, such as whole grains, fruits, vegetables, and legumes. Drinking plenty of water and staying physically active can also help regulate bowel movements.
6. Manage Stress: Stress can exacerbate urinary symptoms and impact overall well-being. Finding healthy ways to manage stress, such as practicing relaxation techniques, exercising regularly, and engaging in hobbies, can be beneficial. Consider incorporating activities like yoga, meditation, or deep breathing exercises into your daily routine.

Follow a Healthy Diet: Consuming a well-balanced diet that is low in saturated fats and high in fruits, vegetables, and whole grains can be beneficial for managing benign prostatic hyperplasia symptoms. Some studies suggest that certain foods, such as tomatoes, broccoli, green tea, and fish rich in omega-3 fatty acids, may have a positive effect on prostate health.

Enlarged Prostate Surgery Cost

The cost of enlarged prostate treatment in India may lie between the range of INR 70,000 to 2,50,000. The cost of enlarged prostate treatment can vary for each individual depending on various factors such as doctor’s fee, type of surgery, hospitalization charges, cost of diagnostic tests required, post operative complications, medications, insurance coverage etc. 

Enlarged Prostate Treatment Insurance Coverage

Since prostate issues cause genuine urinary pain and discomfort and severely impact the lifestyle, their management is usually covered under most insurance policies. 

Some medical insurance companies cover the cost of surgical procedures for BPH partially or entirely. However, the insurance claim will depend on the type of your insurance policy and the terms and conditions set by the insurance provider. There are also other payment options to pay for the BPH surgery. A few of the insurance providers that may cover the cost of enlarged prostate are as follows:

• Star Health Insurance
• New India Health Insurance
• Bajaj Allianz
• Religare
• ICICI Lombard

Non-Surgical Treatments for enlarged prostate

Here are some non-surgical techniques to get relief from the symptoms of enlarged prostate gland.

1. Medications: One of the non-surgical treatments for an enlarged prostate is the use of medications. There are different types of drugs that can help manage the symptoms of an enlarged prostate, such as alpha blockers and 5-alpha reductase inhibitors. Alpha blockers relax the muscles in the prostate and bladder, making it easier to urinate. On the other hand, 5-alpha reductase inhibitors work by shrinking the prostate gland over time. These medications can be prescribed by a healthcare professional and should be taken as directed.
2. Urethral Stents: Urethral stents are small mesh tubes that are inserted into the urethra to help keep it open and allow for improved urine flow. This can be an option for individuals who are not suitable candidates for surgery or other non-surgical treatments. Urethral stents can be placed in a minimally invasive procedure and are designed to provide relief from urinary symptoms caused by an enlarged prostate. However, it is important to note that stents may have limitations and potential complications, which should be discussed with an experienced urologist.
3. Lifestyle Modifications: In addition to medical treatments, making certain lifestyle modifications can also help manage the symptoms of an enlarged prostate. These modifications may include avoiding caffeine and alcohol, limiting fluid intake before bedtime, and practising pelvic floor exercises. Maintaining a healthy weight and staying physically active can also be beneficial. It is important to consult with a healthcare professional to determine the most appropriate lifestyle changes for individual circumstances.

Home Remedies for Prostate Gland Enlargement Treatment

Here are a few home remedies that may help alleviate the symptoms of prostate enlargement:

1. Saw Palmetto: This herb has been traditionally used to treat urinary symptoms associated with prostate enlargement. Saw palmetto extract is believed to reduce inflammation and help shrink the prostate gland, thereby improving urinary flow and reducing frequent urination.
2. Pygeum: Derived from the bark of the African cherry tree, pygeum has been used for centuries to treat urinary problems. It is believed to reduce inflammation in the prostate and improve urinary function.
3. Stinging Nettle: Stinging nettle root extract has been found to have anti-inflammatory properties and may help relieve urinary symptoms associated with prostate enlargement. It is believed to inhibit the production of certain hormones that contribute to prostate growth.
4. Beta-Sitosterol: This natural plant extract is commonly found in fruits, vegetables, and nuts. It has been shown to improve urinary symptoms, reduce inflammation, and help shrink the prostate gland.
5. Green Tea: Rich in antioxidants, green tea has been associated with various health benefits, including the potential to reduce the risk of prostate enlargement. The polyphenols found in green tea are believed to have anti-inflammatory properties that could help alleviate symptoms.
6. Pumpkin Seeds: These seeds are a good source of zinc, which is important for prostate health. Consuming pumpkin seeds regularly may help reduce symptoms associated with prostate enlargement, such as frequent urination and weak urine flow.

There are several home remedies that may help manage the symptoms of prostate enlargement. However, it is crucial to prioritize medical guidance and consult with an experienced urologist before attempting any self-treatment.

What Happens If Enlarged Prostate Left Untreated?

If enlarged prostate left untreated, it can lead to various serious complications such as: 

• Urinary Problems: One of the most common complications of an untreated enlarged prostate is urinary problems. As the prostate gland grows in size, it can begin to press against the urethra, which is the tube that carries urine from the bladder out of the body. This compression can lead to various urinary symptoms, such as frequent urination, difficulty initiating urination, weak urine flow, incomplete emptying of the bladder, and urinary retention.
• Urinary Tract Infections (UTIs): When the flow of urine is obstructed due to an untreated enlarged prostate, it can increase the risk of developing urinary tract infections. Bacteria can multiply in the stagnant urine, leading to infections in the bladder, urethra, and sometimes even the kidneys. Symptoms of UTIs may include pain or burning during urination, increased urinary frequency, cloudy or bloody urine, and lower abdominal pain.
• Bladder Stones: Over time, if an enlarged prostate is left untreated, it can contribute to the formation of bladder stones. These stones can develop as a result of the urine becoming concentrated and stagnant in the bladder due to incomplete emptying. Bladder stones can cause symptoms such as abdominal pain, frequent urination, blood in the urine, and difficulty urinating.
• Kidney Damage: In severe cases, an untreated enlarged prostate can lead to kidney damage. As urine accumulates in the bladder, it can put pressure on the kidneys and interfere with their normal functioning. Over time, this can lead to complications such as kidney stones, urinary tract infections, and even kidney failure.
• Acute Urinary Retention: If an enlarged prostate is left untreated, there is a risk of experiencing acute urinary retention. This condition occurs when the flow of urine is completely blocked, causing a sudden inability to urinate. Acute urinary retention can be extremely painful and requires immediate medical intervention to relieve the obstruction.
• Increased Risk of Prostate Cancer: Although an enlarged prostate itself does not increase the risk of developing prostate cancer, leaving it untreated can lead to complications that may increase the chances of developing prostate cancer. For example, chronic inflammation and urinary retention associated with an enlarged prostate can potentially contribute to developing cancerous cells in the prostate gland.

In conclusion, leaving an enlarged prostate untreated can result in various complications, Therefore, it is important to seek medical attention and appropriate treatment if you suspect you have an enlarged prostate.

Enlarged Prostate vs. Prostate Cancer

Enlarged prostate and prostate cancer are both conditions that affect the prostate gland, which is a part of the male reproductive system. However, they are two distinct conditions with different causes and implications.

An enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a non-cancerous condition that commonly occurs as men age. It is characterized by the enlargement of the prostate gland, leading to symptoms such as frequent urination, weak urine flow, and difficulty emptying the bladder completely.

Prostate cancer, on the other hand, is the abnormal growth of cells in the prostate gland that can spread to other parts of the body. It is one of the most common types of cancer in men. Symptoms of prostate cancer may include urinary problems, blood in the urine or semen, erectile dysfunction, and pain in the back, hips, or pelvis.

While an enlarged prostate is generally a benign condition that can be managed with medication or surgery, prostate cancer requires prompt medical attention and treatment. Regular prostate screenings and early detection are essential in detecting prostate cancer in its early stages when it is most treatable.