Doctors for Enlarged Prostate in Hyderabad

Enlarged prostate, commonly known as Benign prostatic hyperplasia (BPH), is a condition that is prevalent among aging men. The prostate gland, situated below the bladder and surrounding the urethra, experiences non-cancerous growth in BPH. As the gland grows, it can cause compression of the urethra, leading to urinary symptoms such as difficulty starting a stream, urinating at night, difficulty emptying the bladder completely, and a weak or interrupted flow of urine. The exact cause of BPH is still unknown, but medical professionals suggest that changes in hormone levels that occur as men age might be responsible for this condition. The increase in levels of certain hormones, such as testosterone and dihydrotestosterone, can stimulate the growth of the prostate gland. BPH is a non-cancerous condition, but it can significantly impact a patient's quality of life and may require medical or surgical intervention to manage the symptoms effectively.

Numerous treatment options are available to assist in controlling this condition. Here are some of the most common treatment options;

• Medications: There are several medications available that can help manage the symptoms of BPH. Medications can be prescribed to help manage the symptoms of BPH, which work by relaxing the muscles in the prostate and bladder neck, making urination easier. Alpha blockers, 5-alpha reductase inhibitors, and combination medications are among the most commonly prescribed medications for this condition.
• Minimally Invasive Therapies: Minimally invasive therapies are non-surgical procedures that can help treat BPH. Patients undergoing these procedures can expect to be discharged on the same day and can return to their daily activities without any significant downtime. Some examples of minimally invasive therapies for BPH include laser therapy, microwave therapy, and the UroLift system.
• Radioactive Seed Implantation: It is a form of radiation therapy that involves inserting small radioactive seeds directly into the prostate gland, also known as brachytherapy. This course of treatment may aid in reducing prostate size and easing symptoms related to the urinary system.
• Open Prostatectomy: In severe cases of BPH, open prostatectomy may be necessary. The prostate gland may be eliminated wholly or partially in this procedure. While it is effective at reducing symptoms, it is also the most invasive treatment option and requires a longer recovery time.
• Prostate Massage: Prostate massage involves the manual stimulation of the prostate gland to promote urination and alleviate symptoms of BPH. While temporary relief can be obtained from certain treatments, they may not be suitable for everyone in the long term.
• Transurethral Microwave Thermotherapy (TUMT): It is a minimally invasive treatment that utilizes microwave energy to destroy excess prostate tissue, reducing the size of the prostate and relieving BPH symptoms.

The decision to recommend surgery for BPH depends on several factors. Generally, it is considered when a patient experiences significant symptoms that impact their quality of life and other treatments have not been effective or suitable. Factors that may lead to surgery include;

• Urinary retention: If the patient is unable to empty their bladder completely, leading to discomfort and the risk of urinary tract infections.
• Recurrent urinary tract infections: BPH can lead to incomplete emptying of the bladder, increasing the risk of urinary tract infections.
• Bladder stones: BPH can increase the risk of bladder stones, which can cause pain and discomfort and may require surgical removal.
• Kidney damage: If BPH leads to blockage of urine flow from the kidneys, it can cause damage to the kidneys, which may require surgical intervention.

A thorough diagnosis is crucial before considering surgery for an enlarged prostate in Hyderabad. To ensure the best outcome for each patient, the diagnostic process usually involves a range of tests and examinations, including;

• Physical Examination: A physical examination is the first step in the diagnostic process, where the urologist assesses the patient's overall health and looks for any signs or symptoms of an enlarged prostate.
• Imaging Tests: Imaging tests such as X-rays, MRI, or CT scans may be conducted to evaluate the size, shape, and condition of the prostate gland. These tests provide detailed images of the prostate and surrounding tissues, enabling the urologist to identify any abnormalities or potential complications that may impact the surgical procedure.
• Blood Tests and Other Laboratory Tests: Blood tests and other specific laboratory tests may be conducted to evaluate the overall health of the patient and identify any underlying conditions that may impact the surgical procedure or recovery process. These tests may include a complete blood count (CBC), urinalysis, prostate-specific antigen (PSA) test, and other tests to assess the patient's kidney and liver function, as well as their blood glucose and electrolyte levels.

Surgery for an enlarged prostate is typically performed while the patient is under general anesthesia in a hospital or surgical facility. The goal of the surgery is to remove the excess prostate tissue that is causing urinary symptoms and restore normal urine flow. Below mentioned are the Enlarged Prostate operation in a step-by-step manner, so patients can better understand the process;

• Anesthesia: The patient will be given general anesthesia to ensure they are comfortable and unconscious throughout the surgery.
• Incision: The surgeon will choose between two locations for the incision - in the lower abdomen or between the anus and scrotum - depending on the type of surgery.
• Accessing the prostate: Once the incision is made, the surgeon will access the prostate gland.
• Removing the excess tissue: To alleviate the urinary symptoms caused by an enlarged prostate, the surgeon will extract the excess prostate tissue during the surgery. This can be accomplished using a variety of methods, including;
1. Transurethral resection of the prostate (TURP): A resectoscope is introduced through the penis to perform a transurethral resection of the prostate (TURP), which involves utilizing an electric current to cut away any extra tissue.
2. Open prostatectomy: This type of surgery involves removing the prostate tissue through an incision made in the lower abdomen.
3. Laser surgery: In this technique, the extra prostate gland tissue is burned off or removed by the physician using a laser. After the tissue has been taken out, the incision is stitched or stapled shut.
• Closing the incision: The surgeon will use stitches or staples to close the incision after the extra tissue has been removed.
• Recovery: The patient will be monitored in a recovery room and may need to stay in the hospital for a day or two. To facilitate the healing process, a catheter may be inserted to assist in draining urine from the bladder.

Surgery might be required in some circumstances, even though drugs and minimally invasive therapy can help manage symptoms. If you're considering prostate surgery in Hyderabad, it's important to understand the potential benefits of the procedure;

• Improved Urinary Symptoms: Surgery can effectively reduce the size of the prostate, which can alleviate urinary symptoms such as a weak stream, frequent urination, and difficulty emptying the bladder.
• Better Quality of Life: Many men who undergo prostate surgery report an improvement in their quality of life. They may no longer have to plan their daily activities around access to a restroom and can enjoy activities they once avoided due to urinary symptoms.
• Reduced Risk of Complications: If left untreated, an enlarged prostate can result in serious side effects such kidney damage, bladder damage, and urinary tract infections. Prostate surgery can reduce the risk of these complications and promote overall urinary health.
• Improved Sexual Function: In some cases, prostate surgery may improve sexual function by reducing urinary symptoms that interfere with sexual activity.
• Reduction in Medication Usage: After surgery, some men may be able to reduce or stop using medication to manage their urinary symptoms, which can improve their quality of life and reduce the risk of potential side effects associated with long-term medication use.
• Improved Sleep: Having to get up frequently during the night to use the bathroom is a major cause of disrupted sleep for men with enlarged prostates. Surgery to treat BPH can help improve sleep quality by reducing urinary symptoms, allowing for uninterrupted rest.

Enlarged prostate surgery, also known as prostatectomy, is a common procedure performed to alleviate the symptoms of an enlarged prostate. It is important to keep in mind that every surgical procedure carries potential risks and side-effects. It is crucial to have a comprehensive understanding of these risks and side-effects to make an informed decision about undergoing surgery. In Hyderabad, possible side-effects of enlarged prostate surgery are listed below in separate headings;

• Urinary Incontinence: One common side-effect of prostate surgery is urinary incontinence. This is the unintentional leakage of urine from the bladder. Urinary incontinence can range in severity from the odd leak to a total inability to regulate urination. The risk of urinary incontinence is higher for patients who undergo open prostatectomy than for patients who undergo minimally invasive surgery. This condition usually improves with time as the bladder and urethra regain their strength.
• Erectile Dysfunction: There are common side-effects of prostate surgery, including erectile dysfunction. To make an informed choice regarding the procedure, it is imperative to have a thorough grasp of these side effects. The risk of developing erectile dysfunction is higher for patients who undergo open prostatectomy than for patients who undergo minimally invasive surgery. However, the use of nerve-sparing techniques during surgery can minimize the risk of erectile dysfunction.
• Bleeding: Bleeding is a common side-effect of prostate surgery. Patients may experience bleeding from the surgical site or in their urine after the procedure. Usually, this condition gets better on its own and doesn't pose any long-term problems. However, in rare cases, blood transfusions may be necessary to control bleeding.
• Infection: Infection is a potential side-effect of any surgical procedure. Patients may run the risk of getting an infection in their wounds or urinary tract after having prostate surgery. This condition is usually treated with antibiotics.
• Bowel Problems: Some patients may experience bowel problems after prostate surgery. These problems include constipation, diarrhea, or fecal incontinence. These conditions usually improve with time and dietary modifications.
• Pain: Patients may experience pain after prostate surgery. After prostate surgery, patients may experience some pain, which is usually mild to moderate. In some cases, more potent pain medication may be required.
• Other Side-effects: Other potential side-effects of prostate surgery include blood clots, pulmonary embolism, heart attack, stroke, and anesthesia-related complications. Although rare, these side-effects can occur in some cases.

Prostate surgery patients should often plan to stay in the hospital for a few days following the procedure and may need to take several weeks off from work to allow for a thorough recovery. Following your doctor's post-operative instructions is essential during this period to guarantee a quick recovery and lower the likelihood of complications. Here are the steps you can take to recover safely and effectively from enlarged prostate treatment;

• Pain Management: Pain is a common side effect of enlarged prostate treatment, and your doctor will likely prescribe pain medication to help manage any discomfort you may experience. It is essential to take your medication as directed to ensure maximum relief while avoiding any adverse side effects.
• Catheter Care: A catheter is often used following enlarged prostate treatment to help drain urine from the bladder. Your doctor will provide instructions on how to care for your catheter, including how to empty and clean it properly.
• Physical Activity: While it's crucial to relax and avoid heavy activity after treatment for an enlarged prostate, mild exercise, like walking, can aid in the healing process and prevent blood clots. Your doctor will provide specific guidelines regarding physical activity, which you should follow closely.
• Diet and Hydration: Proper nutrition and hydration are essential for a healthy recovery. Your doctor may recommend a specific diet to follow, including foods that are high in fiber to prevent constipation, which can be a common side effect of pain medication.
• Follow-Up Care: It is essential to show up for all scheduled follow-up appointments with your doctor in order to guarantee a successful recovery and prevent any complications. If any issues develop, like an infection or trouble urinating, your doctor can take care of that.