Benign Prostate Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland, common in older men. The prostate, located below the bladder and surrounding the urethra, can grow larger with age, potentially causing urinary issues.
At what age does BPH typically occur?
BPH commonly affects men over the age of 50, with prevalence increasing with age. It is rare in younger men but becomes increasingly common as men age.
Symptoms & Causes
What are the main symptoms of BPH?
Frequent urination, especially at night (Nocturia)
Difficulty starting urination (hesitancy)
Weak or interrupted urine stream
Inability to completely empty the bladder
Urgency to urinate
Dribbling at the end of urination
What causes BPH?
The exact cause of BPH is not well understood, but it is believed to be related to hormonal changes as men age. An increase in dihydrotestosterone (DHT) levels, a hormone linked to prostate growth, may contribute to the enlargement of the prostate.
Are there any risk factors for developing BPH?
Aging: The risk increases with age.
Family history: A family history of prostate problems can increase the risk.
Diabetes and heart disease: These conditions and their treatments may contribute to the risk.
Lifestyle: Obesity, lack of physical activity, and erectile dysfunction are associated with a higher risk of BPH.
Diagnosis & Tests
How is BPH diagnosed?
Digital Rectal Exam (DRE): The doctor feels the prostate through the rectum to check for enlargement.
Prostate-Specific Antigen (PSA) test: Measures the level of PSA in the blood, which can be elevated in BPH.
Urinalysis: Tests for infection or other conditions that may cause similar symptoms.
Postvoid Residual Volume Test: Measures the amount of urine left in the bladder after urination.
Uroflowmetry: Measures the speed of urine flow.
Cystoscopy: A thin tube with a camera is inserted through the urethra to examine the bladder and prostate.
What imaging tests are used for diagnosing BPH?
Imaging tests such as ultrasound or MRI can help assess the size of the prostate and evaluate the urinary system for any obstructions or other issues.
Management & Treatment
What are the treatment options for BPH?
Watchful waiting: Monitoring the condition without immediate treatment, suitable for men with mild symptoms.
Medications: Alpha-blockers (e.g., tamsulosin) to relax prostate muscles and improve urine flow, and 5-alpha-reductase inhibitors (e.g., finasteride) to shrink the prostate.
Minimally invasive procedures: Transurethral microwave therapy (TUMT) and transurethral needle ablation (TUNA) use heat or radiofrequency to reduce prostate tissue.
Surgery: Transurethral resection of the prostate (TURP), laser surgery, and open or robotic prostatectomy are options for severe cases.
Are there lifestyle changes that can help manage BPH symptoms?
Reducing fluid intake in the evening: Minimizes nighttime urination.
Limiting caffeine and alcohol: These can irritate the bladder.
Maintaining a healthy weight: Helps reduce pressure on the bladder.
Avoiding certain medications: Such as decongestants and antihistamines, which can worsen symptoms.
Prevention
Can BPH be prevented?
There is no sure way to prevent BPH, but some measures may help reduce the risk or delay the onset, such as maintaining a healthy lifestyle, regular exercise, and monitoring for early symptoms. Early detection and management can help prevent complications.
Outlook / Prognosis
What is the prognosis for men with BPH?
The prognosis for men with BPH is generally good. While BPH can cause discomfort and affect quality of life, it is not life-threatening. With appropriate treatment and management, most men can find relief from symptoms and lead normal lives.
Can BPH lead to other complications?
Yes, if left untreated, BPH can lead to complications such as urinary retention, bladder stones, recurrent urinary tract infections, and kidney damage. Prompt treatment can help prevent these issues.
Living With
How can men with BPH manage their condition on a day-to-day basis?
Follow doctor's recommendations: Stick to the prescribed treatment plan.
Make lifestyle changes: Such as those mentioned earlier.
Track symptoms: Discuss any changes with a healthcare provider.
Stay informed: Learn about the condition and treatment options.
Seek support: Join support groups or talk to others with BPH for advice.
What should men with BPH discuss with their doctor?
Men with BPH should discuss their symptoms, treatment options, potential side effects of medications, and any lifestyle changes they can make to improve their condition. Regular follow-ups with their doctor are essential to monitor the condition and adjust treatment as needed.
Why Tender Palm Super-Specialty Hospital for Benign Prostate Hyperplasia (BPH) treatment in Lucknow, India?
Tender Palm Hospital has the most experienced team of Urologists and diagnostics with the latest and International standard infection control measures in Lucknow, India. The Urology team has decades of experience in successfully treating Benign Prostate Hyperplasia (BPH) in Lucknow, India.
To seek an expert consultation for Benign Prostate Hyperplasia (BPH) Treatment in Lucknow, India-