→ Sudden inability to urinate (urinary retention).
→ Urinary tract infections (UTIs).
→ Bladder stones.
→ Bladder damage.
→ Kidney damage.
The size of your prostate doesn’t necessarily determine the severity of your symptoms. Some men with only slightly enlarged prostates can have significant symptoms, while other men with very enlarged prostates can have only minor urinary symptoms.
→ Urinalysis: Your urine is checked for blood and bacteria.
→ Uroflowmetry : Flow rate of urine is tested.
→ Urodynamic test: Your bladder is filled with liquid via a catheter to measure the pressure of your bladder during urination.
→ Prostate-specific antigen (PSA) test: This blood test checks for prostate infections/ cancer of the prostate.
→ Post-void residual: This tests the amount of urine left in your bladder after urination.
→ Cystoscopy: This is the examination of your urethra and bladder with a tiny lighted scope that is inserted into your urethra
→ USG of KUB : ultrasound of kidney, ureter & bladder determines the approximate prostate size , bladder condition , any swelling in the kidneys due to backpressure changes caused by prostate enlargement.
→ TRUS : An ultrasound procedure called transrectal ultrasonography (TRUS) may be used to help the doctor see where to take the needle biopsy. Ultrasound is not effective as a diagnostic tool by itself because it cannot differentiate very well between benign inflammations and cancer.
→ Take your medication as per doctor’s advise
→ Less fluid intake in evening
→ Consume 4 or more servings of vegetables everyday
→ Stay physically active
→ Empty bladder before going to bed
→ Practice kegel exercises
→ Don’t drink any fluids atleast two hours before bedtime
→ Don’t keep water on nightstand
→ Avoid carbonated drinks, coffee , juices , lemon water , chocolate, pineapple , cherries
→ Don’t let your waistline increase
→ Don’t take diuretics at night
→ Don’t smoke
→ Don’t take medicines that aggravate symptoms ( antihistaminics, decongestants)
Transurethral resection of the prostate (TURP) can be used for patients for whom benign prostatic hyperplasia (BPH) affects everyday life. TURP is a commonly used surgical treatment during which a surgeon inserts a resectoscope into the urethra. A resectoscope is a tool that allows a surgeon to see the enlarged prostate gland.
The surgeon will place a cutting loop through the resectoscope to remove a small piece of the prostate gland tissue. He then runs an electrical current through the cutting loop and cuts off small pieces of the prostate gland in “chips.” After finishing cutting away chips, the surgeon will flush the urethra and the bladder to remove the tissue that has been extracted from the prostate.
Finally, a catheter is inserted to allow the passage of urine out of the body. When the catheter is removed a few weeks later, the body has a wider channel to pass urine out of the body. This wider passage alleviates severe symptoms of BPH. Transurethral resection of the prostate (TURP) can be used for patients for whom benign prostatic hyperplasia (BPH) affects everyday life. TURP is a commonly used surgical treatment during which a surgeon inserts a resectoscope into the urethra.
A resectoscope is a tool that allows a surgeon to see the enlarged prostate gland. The surgeon will place a cutting loop through the resectoscope to remove a small piece of the prostate gland tissue. He then runs an electrical current through the cutting loop and cuts off small pieces of the prostate gland in “chips.” After finishing cutting away chips, the surgeon will flush the urethra and the bladder to remove the tissue that has been extracted from the prostate. Finally, a catheter is inserted to allow the passage of urine out of the body.
When the catheter is removed a few weeks later, the body has a wider channel to pass urine out of the body. This wider passage alleviates severe symptoms of BPH.
HOLEP : Holmium laser enucelation of prostate. In this, the prostate gland is enucleated using resectoscope & Holmium Yag laser and chips brought out through morcellation. They are generally associated with less bleeding and quicker recovery than TURP but may not be as effective over the long term in some men.
THULEP : Thulium laser enucleation of prostate. Laser used is thulmium laser and procedure is same as HOLEP.
Dr. Venkatesh Kumar is a highly motivated and compassionate board certified Urologist, Andrologist & Uro-Oncologist in Noida. He has over 10 years of experience in Urology and has been trained in Indraprastha Apollo Hospital, New Delhi, India’s first JCI accredited 750 bedded superspeciality hospital.