Two different reasons warrant prostate surgery: benign prostatic hypertrophy (BPH) and prostate cancer. The treatment may serve as a lifesaving measure or address urinating problems that have not responded to therapy.
There are several prostate procedures to choose from, some more effective than others. Each system has its advantages and disadvantages. While some less invasive treatments have a faster recovery time, they are unsuitable for cancer treatment. Long-term complications can occur with more invasive procedures, but they are justified by the risk of not treating prostate cancer.
A surgeon’s choice is maybe even more important than the type of procedure you decide to undergo. The more skilled the surgeon is, preferably with a long history of successfully performing hundreds or even thousands of similar techniques, the less likely you will experience nerve damage-induced erectile dysfunction.
In addition to selecting a highly skilled surgeon, work with your physician to choose the most appropriate procedure for your unique situation. Others may remove the prostate or part of it and may be used to treat cancer. Some techniques shrink prostate tissue, and others pull the entire prostate.
BPH (Benign Prostatic Hyperplasia) or enlarged prostate
The prostate is a hollow, small organ about the size of a walnut. UF surrounds the urethra (the tube carrying urine from the bladder) and lies beneath it (where urine is stored). Semen (ejaculatory fluid) is made up of fluids produced by the prostate that nourishes sperm.
Known as benign prostatic hyperplasia (BPH), this is a noncancerous enlargement of the prostate gland that most commonly affects older men. BPH (also known as benign prostatic hyperplasia) can cause unpleasant symptoms.
Enlarged Prostate or Benign Prostatic Hyperplasia symptoms include:
There is a wide range of signs and symptoms associated with BPH or prostate gland enlargement, but the effects gradually worsen over time. Prostate gland enlargement symptoms typically include:
- Having difficulty urinating
- Urination frequently
- The urine stream is weak. There are intermittent bursts of urine.
- The frequency of urination increases during the night (nocturia)
- The bladder cannot be completely emptied
- During urination, there is dribbling
- Urine containing blood
- Urinary incontinence
- Symptoms of urinary tract infections
- Damage to the lungs
- Stones from the Bladder
- Damaged kidneys
Benign Prostatic Hyperplasia or Enlarged Prostate:
- A digital rectal examination detects prostate enlargement by checking the rectum
- Blood test for prostate-specific antigen (PSA)
- A urine test can detect any type of infection
- Ultrasound during the transrectal examination
- Tests to measure bladder pressure and how well your bladder muscles function are known as urodynamics and pressure-flow studies.
- You can undergo a cystoscopy to examine your bladder and urethra. Before the procedure, the doctor will administer a local anesthetic.
- Prostate cancer symptoms are checked with a prostate biopsy
Dr. Dhake & Dr. Mhaske is highly skilled in diagnosing and treating complex conditions related to Benign Prostatic Hyperplasia.
The following are treatment options:
2. Surgery using endoscopes
Holmium Laser Enucleation of the Prostate (HoLEP)
After surgery, you might feel more tired than usual. Take the time to rest. Your recovery time may vary based on the type and length of surgery, your overall health, as well as your ability to follow your doctor’s instructions.
As soon as you wake up from the surgery, your doctor will connect a catheter to your penis to help drain your bladder. You will need to wear the catheter for one or two weeks. Generally, you can go home after 24 hours, even if you need to stay in the hospital for a few days. Additionally, your doctor or nurse will provide you with instructions on caring for the surgical site and handling your catheter.
- Laser surgery for the prostate
- Surgery using endoscopes
- Urethral enlargement