The prostate gland is part of the male reproductive system located underneath the bladder and in front of the rectum. The prostate gland produces fluid for semen. It is about the size of a walnut and weighs about an ounce.
BPH is a noncancerous enlargement of the prostate gland that can affect men as they get older. BPH is common. Men between ages 45and 80 are prone to BPH.
It can manifest with urinary symptoms or be asymptomatic. It is important to seek treatment early for this condition because if left untreated it can lead to urinary retention and poor bladder and kidney function.
The causes of enlarged prostate or BPH are not well understood. As per a few studies and on the basis of many patients treatment, factors related to aging and family history may cause BPH. Some factors like obesity, lack of activeness, and erectile dysfunction might increase risk.
First line treatment for BPH is dietary and lifestyle modification. If these fail to improve symptoms then medical therapy can be started. Medications can either help shrink the prostate gland or help relax the prostate and bladder. If medical therapy is ineffective, there are surgical options from which the patient may benefit.
Minimally Invasive Surgeries and Interventions that ARE NOT recommended
When medical therapy fails or when BPH symptoms are severe, surgery can be done to remove obstructing prostate tissue. The following types of surgeries can be performed for BPH:
It is carried out in General anesthesia.
The Urologist inserts a thin, tube-like instrument called as a resectoscope through the tip of the penis into the urethra. The resectoscope has a light, a thin wire loop, and valves for irrigating fluid. An electrical current is passed along the wire, which is used by the Urologist to cut away prostate tissue that is blocking the urethra and seal blood vessels. The removed tissue is flushed into the bladder and then out of the body from there.
This treatment is well known for its long-term outcomes.
No incisions (cuts) are needed.
The hospital stay is 1 to 2 days.
In HoLEP, the Urologist places a resectoscope through the penis into the urethra. A laser is passed through the resectoscope destroying the enlarged prostate tissue.
ThuLEP is similar to HoLEP but uses a different type of laser.