What are the treatment options used for prostate enlargement in India?
It is estimated that 50 percent of the men suffering from BPH eventually need a medical or surgical intervention to get relief from the symptoms of prostate enlargement. The initial stage BPH that has just spread around the urethra is typically treated with the help of medications, while more intensive BPH that has spread to the inside of the urethra is treated surgically. Here are the different treatment options for prostate enlargement available in India:
In a typical drug therapy session, two types of drugs are used to treat prostate enlargement. The first drug works by relaxing the muscles around the prostate, while the second drug shrinks the size of the growth around the prostate gland. This drug therapy for prostate enlargement treatment helps relieve the symptoms that may be present.
Surgery for an enlarged prostate:
There are different types of surgeries that may be conducted to remove the prostate or the non-cancerous growth around the prostate that results in constriction of the urethra. Surgery is primarily conducted in cases wherein the growth has reached the inside of the urethra. The following are some of the types of surgical interventions used for the treatment of prostate enlargement:
Transurethral resection of the prostate is the most common form of surgery in which an endoscope is passed through the urethra to reach the prostate and remove the extra growth from it. It helps prevent impotence and incontinence. Recovery after TURP takes a shorter time than any other surgical intervention.
Transurethral incision of the prostate is used to make cuts on the prostate to relieve the pressure on the urethra. This procedure does not remove any tissue and is conducted usually in the case of the prostate that is only slightly enlarged.
In transurethral needle ablation, radio waves are used to burn away extra tissues that surround the prostate. It is a short and simple procedure that results in fewer side effects.
In transurethral microwave thermotherapy, microwaves are used to destroy the extra tissues around the prostate. This is often regarded as the best option for patients who cannot undergo major surgery.
Open Prostate Surgery (Prostatectomy):
Open prostatectomy is used when a transurethral procedure cannot be used. In this procedure, a large incision is made in the lower abdomen to completely remove the prostate gland. It is performed only in case of severe obstruction.
Open prostatectomy is typically done in following cases:
- The prostate gland is greatly enlarged,
- Bladder damage,
- If there are bladder stones,
- the urethra is narrowed.
This surgery is done under general or spinal anesthesia. The recovery from prostatectomy can take a few weeks to several months. Side effects includes:
- It can cause blood loss requiring a transfusion,
- There may be urinary incontinence,
- You could face erection problems,
- retrograde ejaculation.
Prostate laser surgery:
Also known as holmium laser enucleation of the prostate (HoLEP), prostate laser surgery is a minimally invasive procedure that makes use of the laser to destroy the cells around the prostate. During the procedure, Holmium Laser machine is used to remove the extraprostatic tissue and then seal the blood vessels. Depending upon the size of the gland, the procedure may take up to 90 minutes. Laser surgery procedures include:
- Transurethral holmium laser ablation of the prostate (HoLAP)
- Transurethral holmium laser enucleation of the prostate (HoLEP)
- Holmium laser resection of the prostate (HoLRP)
- Photoselective vaporization of the prostate (PVP)