Enlarged Prostate (BPH)

Advanced Diagnosis & Minimally Invasive Treatment for Benign Prostatic Hyperplasia

Overview

Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate, is a non-cancerous enlargement of the prostate gland that usually affects men above the age of 50 years. As the prostate grows, it presses against the urethra, leading to urinary symptoms that may gradually worsen over time.

BPH is one of the most common urological conditions in older men. Although it is not cancer, untreated BPH can lead to urinary retention, recurrent urinary infections, bladder stones, and kidney damage in severe cases.

Early diagnosis and appropriate treatment help improve urinary flow, relieve symptoms, and significantly enhance quality of life.

Enlarged Prostate (BPH)

Symptoms

  • Frequent urination
  • Difficulty starting urination
  • Weak urine stream
  • Interrupted urine flow
  • Straining while passing urine
  • Night-time urination (Nocturia)
  • Urgent need to urinate
  • Feeling of incomplete bladder emptying
  • Dribbling after urination
  • Sudden inability to pass urine

Causes

  • Natural ageing process
  • Hormonal changes in men
  • Family history of prostate enlargement
  • Obesity
  • Diabetes
  • Heart disease
  • Lack of physical activity

Risk Factors

  • Age above 50 years
  • Family history
  • Obesity
  • Diabetes
  • High blood pressure
  • Heart disease
  • Physical inactivity
  • Unhealthy lifestyle

Diagnosis

Your urologist will evaluate your symptoms and recommend appropriate investigations to determine the severity of prostate enlargement.

  • Medical History
  • Physical Examination
  • Digital Rectal Examination (DRE)
  • Urine Examination
  • Blood Tests
  • PSA Blood Test
  • Ultrasound KUB & Prostate
  • Uroflowmetry
  • Post Void Residual (PVR)
  • Cystoscopy (when required)

Treatment Procedure

Lifestyle Modifications
  • Reduce caffeine and alcohol intake
  • Limit fluids before bedtime
  • Regular physical activity
  • Maintain a healthy body weight
Medical Treatment
  • Alpha Blockers
  • 5-Alpha Reductase Inhibitors
  • Combination Therapy
Minimally Invasive Surgical Procedures
  • TURP (Transurethral Resection of Prostate)
  • Laser Prostate Surgery
  • HoLEP
  • Bipolar TURP
  • Open or Robotic Simple Prostatectomy (for very large prostates)

Recovery

Recovery depends on the treatment performed. Most patients who undergo minimally invasive surgery recover quickly and resume their daily activities within a few weeks.

  • Short hospital stay
  • Improved urine flow within days
  • Avoid heavy lifting for 4–6 weeks
  • Drink adequate water
  • Take medicines as prescribed
  • Attend scheduled follow-up visits

Benefits

  • Improved urine flow
  • Reduced urinary frequency
  • Better bladder emptying
  • Reduced risk of urinary retention
  • Better sleep
  • Improved quality of life
  • Minimally invasive treatment options
  • Quick recovery

Frequently Asked Questions

BPH is a non-cancerous enlargement of the prostate gland that commonly affects men over the age of 50. It can cause difficulty while passing urine and other urinary symptoms.

No. BPH is a benign (non-cancerous) enlargement of the prostate. However, regular check-ups are important to rule out prostate cancer when appropriate.

Yes. Many patients benefit from lifestyle changes and medications. Surgery is recommended only when symptoms are severe or complications develop.

The best procedure depends on the size of the prostate, your symptoms, and overall health. Common options include TURP, Bipolar TURP, HoLEP, and Laser Prostate Surgery.

Most surgical procedures provide long-term relief. Regular follow-up helps ensure continued urinary health.

When Should You Consult a Urologist?

Seek medical advice if you experience:

  • Difficulty passing urine
  • Frequent urination, especially at night
  • Blood in urine
  • Pain while urinating
  • Complete inability to pass urine