Benign Prostatic Hyperplasia (BPH)

Hi,

I am Dr. Sudhir Khanna, Urologist. Aaj mai aap se baat karunga Benign Prostatic Hyperplasia (BPH). BPH kya hai? Ye bahut common problem hai. Normally, 40-50 mariz humare paas is problem ke aate hain. In patients ko symptoms kya ho sakte hain? Inko jaldi jaldi peshab ke liya jana hota hai. Normal person ko 7 times ki toilet jana chahiyai. Agar person 7 times se jyada jaa rha hai iska matlab hai ki use BPH hai. Isi tarah 50-60 saal ki umar mein raat mein uthana nahi chahiyai. Agar koi person raat mein uth raha hai aur umar ke hisab se jayada uth raha hai toh use BPH hai and use urologist se consult karna chahiyai. Jab vo peshab karne jaate hain toh unhein thoda wait karna hota hai. Toilet mein burning ho sakti hai, ruk ruk ke aata hai toilet, toilet karne ke baad tasali na hona, peshab karne mein zor lagana, ye sare lakshan BPH ke hain. Agar kisi kisi ko lakshan jyada ho jaaye toh urinary tract infection bhi ho sakta hai.

Toilet mein blood bhi aa sakta hai. Situation kharab hone pe toilet band bhi ho sakta hai. Jaruri nahi hai ki patient ko sare symptoms hon. Agar inmein se koi bhi symptom hai toh person ko Dr se milna chahiyai. Kabhi kabhi urine aane pe tezi se bhagana bhi pad sakta hai. Ab next question hai ki bimari ka ilaj operation hai? Nahi, aisa nahi hai. 90% patient medicines se manage ho sakte hain. Aur baki cases mein hum operation suggest karte hain jahan medicines nahi di ja sakti hain. Patient mein ye bimari aane se iske kya diagnosis hain? Hum ek urine routine test karate hain jismein ye dekha jata hai ki koi infection ka element hai ya nahi. 2nd test mein hum patient ko kehte hain ki paani jyada pee ke aayen taki bladder full hona chahiyai and us se hum ek machine pe peshab karate hain jis se ki speed check ki jati hai and fir graph se pata chalta hai ki obstructive hai ya normal hai.

Agar obstructive hai toh hum medicines start karte hain. 3rd test hai ultrasound jismein kidneys chekc ki jaati hai ki koi swelling toh nahi hai. Bladder mein kitna urine reh jata hai peshab karne ke baad. Iske baad hum decision lete hain. Patient medicines se 90% thik ho jaate hain. Operation mein darne ki jarurat nahi hai. Koi tanka ya chira nahi lagta hai. Rid ki haddi ko hum sun karte hain aur durbin daal ke operation kiya jata hai. 24 hours ke baad hum patient ko discharge kar dete hain. Uske baad patient ke most of the symptoms thik ho jaate hain. Iske alawa laser se bhi operation ho sakta hai. But gold standard ko bola jata hai TORP. Ismein darne ki koi jarurat nahi hoti hai. Painless hota hai and patient ki sari problems khatam ho jaati hain.

Thank You!