What are the best possible treatment options for patients with an enlarged prostate?

Prostate Cancer

What are the best possible treatment options for patients with an enlarged prostate?

  • January 4, 2021


What Are Your Treatment Options for an Enlarged Prostate?

How do I know I have BPH?

If you feel the urgent need to go to the washroom or you face problems urinating, then you may have an enlarged prostate. Studies have shown that around 50% of men in the age of 50 get diagnosed with an enlarged prostate. The gland results in fluid production which carries sperm. With age, its growth becomes large. If you are worried about your urological health, then we would recommend you to seek timely assistance from the best urologist in Ludhiana.

 BPH treatment options

Patients will be prescribed medications and surgery. Your doctor is going to take into consideration different things while making the final choice. Some of the factors are mentioned below:

  • Effect of symptoms on a daily regime
  • Prostate size
  • Age
  • Overall well-being
  • Medication issue

Alpha-blockers for BPH

This type of medication will help the bladder neck muscles and fibers muscles to get relaxed. The realization is what helps in urination. The urge to urinate increases and you don’t feel like you need to use the restroom again & again. Alpha-blockers include:

  • Alfuzosin (Uroxatral)
  • Silodosin (Rapaflo)
  • Doxazosin (Cardura)

 Stand the heat

When the medications are not helpful then you need to get minimally invasive surgery. The microwave’s heat will destroy the prostate tissue and the urge to urinate is reduced to a great extent. However, this method will not work best for emptying the bladder. 

TUNA treatment

TUNA ( transurethral needle ablation) uses the radio waves in high frequency and a specific area is burned with this method. By undergoing the procedure, the urine flow is improved and the patient gets relief from the BPH symptoms. The burning sensation is managed with the use of anesthesia as the nerve around and in the prostate are blocked.

Surgical choices

Transurethral surgery

Minimally invasive surgery for BPH in which external incision or open surgery is not required. The surgeon also suggests this option for the patients as the tissue is removed which is creating problems in the urethra. If you have any doubt about what is best for you then you should consult the surgeon right away to make the final choice.

 Laser surgery

With the BPH laser surgery, the scope is inserted into the penis through the urethra. The prostate tissue is removed with melting (ablation) or cutting (enucleation). The excess of the prostate tissue is melted in the PVP (Photoselective vaporization of the prostate).

Are there any self-care tips?

If you are diagnosed with BPH, then it does not mean that your problem is addressed with medication or surgical intervention. Some of the self-care tips which can prove fruitful in managing the initial-stage symptoms are:

  • Follow an active routine
  • Reduce alcohol and coffee consumption
  • You need to urinate when you feel the urge
  • Drink in moderation but stay hydrated.
  • Do pelvic-strengthening exercise.
HOLEPProstate Cancer

Everything you need to know about the Holmium Laser Prostatectomy procedure

  • December 25, 2020


What is HOLEP?

HOLEP is the laser procedure for the prostate. HOLEP stands for ‘Holmium laser prostatectomy’. HOLEP is an advanced approach to the TURP procedure for the prostate.

During the procedure, a holmium laser energy is used to cut the prostatic tissues. The water absorbs the laser energy and heat generation happens in the tissue resulting in blood clotting in vessels. This method allows to control bleeding and ensures cutting is done precisely. The area between the glandular tissue and capsule helps in dissection so that the prostate is taken out which is dropped in the urinary bladder. It is cut into smaller chunks with the help of the instrument named morcellator. Once this is done, the tissue is taken away from the bladder, and then it is checked. If you are having any second thoughts about the treatment then consult the urologist in Ludhiana.


How is it beneficial to get HOLEP?

HOLEP is an advanced and improved procedure as compared to traditional TURP. Most importantly, the issue of bleeding is solved, providing better control over the laser, and the tissue is cut only once. With traditional approaches, there were issues with low sodium levels.


Is the surgery possible on antiplatelet medications?

While HOLEP is performed if you are consuming Clopilet. However, it is important to stop its consumption one week before the treatment is performed.


What happens after the HOLEP?

Once, the surgery is done, a catheter is inserted through the penis opening so that urine is drained from the bladder. This procedure needs to be done till the time the wound has healed completely. In some cases, the bladder needs to be flushed with water so that it is clean. In that case, you might see blood in the urine. Well, this is the normal state after the irrigation. You will be discharged in 2 to 3 days and by that time everything will come back into a normal state.


What are the possible complications?

It is an improved version of doing prostate surgery so it is safe as any other treatment. There are some possible risks like other surgeries:

●     Loss of control over urine (It is solved in a few weeks)

●     Around 1% of patients need a transfusion for bleeding

●     Retrograde ejaculation



What are the tips to take care of yourself after the treatment?

●     Following the procedure, you go through normal discomfort. The patient is prohibited from carrying heavy stuff. If you like to do heavy workouts then you need to put it on halt for 2 to 4 weeks.

●     Following the surgery, the patient might see a pink tinge. In case, the bleeding gets in excess then consult the doctor immediately. During urination, you may experience a burning sensation.

●     For one month, you need to abstain from sexual intercourse. Make sure that you visit for the annual prostate examination.