Doctors for Enlarged Prostate in Pune

An enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a condition that is most frequently observed in elderly men. It is a non-cancerous (benign) growth of the prostate gland and can cause urinary symptoms such as difficulty starting a stream, urinating at night, difficulty emptying the bladder completely, and a weak or interrupted flow of urine.

Some treatment options for an enlarged prostate include:

• Medications: When treating an enlarged prostate, medications are frequently used as the initial course of treatment. The smooth muscle in the prostate and the bladder neck can be relaxed with the help of alpha-blockers like terazosin, which can help reduce symptoms. 5-alpha reductase inhibitors, which include finasteride and dutasteride, have been shown to reduce symptoms while also reducing the size of the prostate.
• Minimally Invasive Therapies: BPH can be treated with TURP, TUNA, and laser therapies like HoLEP. These treatments involve inserting a scope into the urethra to position it near the enlarged prostate.
• Radioactive Seed Implantation: This is another minimally invasive treatment for small prostates to relieve blockages. Tiny seeds are implanted directly into the prostate to shrink tissue.
• Open Prostatectomy: For severe cases, an open prostatectomy may be recommended. This procedure involves surgically cutting out the excess prostate tissue to relieve urinary blockage.
• Prostate Massage: Prostate massage is said to help with urinary issues caused by an enlarged prostate by helping to break down and drain prostatic fluid.
• UroLift System: The UroLift System is a new minimally invasive treatment. It involves placing tiny implants around the urethra to hold it open so it can empty more easily and help reduce frequent urination.
• Transurethral Microwave Thermotherapy (TUMT): TUMT is another minimally invasive procedure. It uses microwaves that heat up the prostate to reduce the amount of tissue in the prostate and relieve blockages.

While many men with BPH can manage their symptoms with lifestyle changes and medications, surgery may be necessary in some cases. In cases where the following apply, a recommendation for prostate enlargement surgery may be made:

• Symptoms are severe and affecting the quality of life: If BPH symptoms are significantly impacting a man's daily life, despite other treatment options, surgery may be recommended.
• Medications are not effective or are causing significant side effects: While medication can help manage BPH symptoms, they may not work for everyone, or they may cause side effects that are difficult to tolerate.
• An enlarged prostate can, in some instances, result in complications such as infections of the urinary tract, bladder stones, or damage to the kidneys. For the treatment of these complications, surgery might be required.

Diagnosis and tests for Enlarged Prostate surgery may include physical examination, imaging tests such as X-rays, MRI, or CT scans, and blood tests and other specific important laboratory tests. The followings are the diagnosis and tests that must be done before Enlarged Prostate surgery:

• Physical exam and medical history: The doctor will perform a physical exam to assess the prostate size and check for any abnormalities. Additionally, a medical history will be taken to determine any underlying illnesses or prescription drugs that might affect the anesthesia or surgery.
• Digital rectal exam (DRE): The purpose of a DRE is to examine the prostate by feeling its size, texture, and any abnormalities with the doctor's gloved, lubricated finger inserted into the rectum.
• Urine tests: An examination of the urine can identify abnormalities such as inflammation, infection, and others.
• Urodynamic testing: The bladder and urethra's ability to store and release urine is assessed during a diagnostic procedure called urodynamic testing.
• Imaging tests: Imaging tests, such as an ultrasound, MRI, or CT scan, may be performed to assess the size and shape of the prostate and to check for any abnormalities.
• Cystoscopy: A cystoscopy is a procedure that involves inserting a small camera into the urethra in order to view the interior of the urinary bladder and the urethra.
• CBC (Complete Blood Count): Prior to undergoing surgery for an enlarged prostate, a patient must first have a blood test, which assists in evaluating the patient's overall health. It measures the number of red and white blood cells and platelets in the blood, which helps to determine if there are any underlying medical conditions that can interfere with the surgery.
• LFT (Liver Function Test): This test is important for the diagnosis of enlarged prostate surgery as it helps to identify any liver-related problems that can affect the success of the surgery. It measures the levels of different enzymes and proteins in the blood, which can indicate any liver damage or disease.
• KFT (Kidney Function Test): This test is important to determine the functioning of the kidneys before undergoing enlarged prostate surgery. It assesses the levels of creatinine, urea, and electrolytes in the blood, which helps to identify any kidney-related issues that can affect the success of the surgery.
• Viral Markers: This test helps to detect any viral infections that can increase the risk of complications during enlarged prostate surgery. It helps to identify any viral infections such as HIV, hepatitis B and C, and herpes, which can increase the risk of the surgery not being successful.
• Blood Grouping: This test helps to determine the blood type of the patient before undergoing enlarged prostate surgery. It is beneficial to find out if there are any underlying illnesses that could affect the outcome of the procedure, such as blood type incompatibilities that could result in complications.

Here are some general steps of transurethral resection of the prostate (TURP), which is a common surgery for an enlarged prostate:

• Anesthesia: A TURP is typically carried out under general anesthesia or spinal anesthesia to ensure that the patient remains relaxed and pain-free throughout the duration of the procedure.
• Insertion of the resectoscope: Resectoscope insertion is a urological procedure that is used to diagnose and treat specific bladder and prostate conditions. A thin, capillary-like instrument with a camera and light must be used to enter the urethra.
• Resection of prostate tissue: The surgeon will take out tiny pieces of prostate tissue one at a time with the help of a specialized tool attached to the resectoscope until tissues enough to free the obstruction are taken out. The lab receives this tissue for additional examination.
• Irrigation: After the prostate tissue has been removed, the surgeon will irritate the bladder and urethra to remove any remaining tissue and to help prevent bleeding.
• Removal of the resectoscope: Once the procedure is complete, the surgeon will remove the resectoscope and insert a catheter, which is a small tube that helps drain urine from the bladder.
• Recovery: After the surgery, the patient will be monitored in the hospital for a few days to ensure that there are no complications. Within a few weeks of the catheter being withdrawn, the patient can usually go back home and resume daily activities.

Surgery for an enlarged prostate can provide several benefits for patients. These are a few advantages of having an enlarged prostate operation:

• Reduced pain and discomfort: Surgical treatment for an enlarged prostate can alleviate symptoms like uncomfortable, frequent urination, trouble initiating and stopping urine, and incontinence.
• Improved mobility and function: Surgery can help to restore normal bladder function, which can improve mobility and overall quality of life.
• Improved quality of life: Surgery can help to reduce the symptoms of an enlarged prostate, which can significantly improve a person’s quality of life by relieving pain and discomfort, restoring normal bladder function, and improving mobility.
• Reduced risk of complications: Surgery can help to reduce the risk of complications associated with an enlarged prostate, such as bladder stones, urinary tract infections, and bladder cancer.
• Long-term relief: Enlarged Surgery typically provides long-term relief from the symptoms of enlarged prostate, and can help to prevent the condition from worsening.

Like any surgical procedure, enlarged prostate surgery can have potential side effects and risks. Here are some possible side effects of an enlarged prostate operation:

• Pain: Mild discomfort, dull aching sensation, and burning can be felt at the sight of surgery.
• Edema: Tenderness and swelling of the affected area is also the most common side effect associated with this surgery.
• Bruising: The patient may feel discoloration, bruising, redness, and warmth in the affected area.
• Urinary incontinence: Some patients may experience temporary or permanent urinary incontinence after the procedure.
• Urinary tract infection: After surgery, the urinary system is susceptible to infection, which may necessitate the use of antibiotics for treatment.
• Bleeding: Excessive bleeding or drainage from the incision site. During the surgery, there is a possibility that you could experience bleeding, the severity of which varies and may necessitate extra treatment.

Recovery after enlarged prostate treatment will depend on the specific type of treatment received. However, the following are some general guidelines for recovery after treatment:

• Rest: Consider taking regular breaks and avoid intense physical activity after Enlarged Prostate treatment.
• Ice/Heat: To reduce pain and swelling, using either cold or heat may help.
• Rehabilitation plan: Create and closely follow a rehabilitation plan prescribed by a healthcare provider. This could include stretching, strengthening, aerobic exercise, and modifying any ergonomic positions or postures.
• Diet: Eating a healthy diet full of fiber, fruits, and vegetables may help to reduce inflammation and speed up the recovery process.
• Medical Follow-up: Regular follow-up visits with a healthcare provider can help monitor your progress and ensure the Enlarged Prostate treatment is successful.
• Stay hydrated: To aid with healing and to help flush out toxins, drink plenty of fluids.

Depending on the procedure used, the patient's general health, and how serious their disease was, the recovery period following surgery for an enlarged prostate may differ. The recuperation period following surgery for an enlarged prostate can often last a few days to a few weeks.