{"id":845,"date":"2019-10-07T10:07:33","date_gmt":"2019-10-07T09:07:33","guid":{"rendered":"https:\/\/www.medfin.in\/blog\/?p=845"},"modified":"2024-07-22T14:45:27","modified_gmt":"2024-07-22T09:15:27","slug":"enlarged-prostate-which-is-the-best-treatment-option","status":"publish","type":"post","link":"https:\/\/www.medfin.in\/blog\/urology\/enlarged-prostate-which-is-the-best-treatment-option\/","title":{"rendered":"Enlarged Prostate: Which is the best treatment option?"},"content":{"rendered":"<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">After you are diagnosed with Benign Prostatic Hyperplasia (Enlarged Prostate), you might be looking for treatment options for the enlarged prostate. If so, then you have wide options to choose from. Benign Prostatic Hyperplasia Treatment options will depend on multiple factors, some of the major factors are<\/span><\/span><\/p>\n<ol>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Your Prostate size<\/span><\/span><\/li>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Age<\/span><\/span><\/li>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Your health<\/span><\/span><\/li>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">How much are the symptoms causing discomfort for you<\/span><\/span><\/li>\n<\/ol>\n<div id=\"attachment_8089\" style=\"width: 763px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8089\" class=\"wp-image-8089 size-full\" src=\"https:\/\/blog-revamp.s3.ap-south-1.amazonaws.com\/wp-content\/uploads\/2019\/10\/13094107\/Benign-Prostatic-Hyperplasia.jpg\" alt=\"Benign prostatic hyperplasia\" width=\"753\" height=\"636\" srcset=\"https:\/\/blog-revamp.s3.ap-south-1.amazonaws.com\/wp-content\/uploads\/2019\/10\/13094107\/Benign-Prostatic-Hyperplasia.jpg 753w, https:\/\/blog-revamp.s3.ap-south-1.amazonaws.com\/wp-content\/uploads\/2019\/10\/13094107\/Benign-Prostatic-Hyperplasia-300x253.jpg 300w, https:\/\/blog-revamp.s3.ap-south-1.amazonaws.com\/wp-content\/uploads\/2019\/10\/13094107\/Benign-Prostatic-Hyperplasia-150x127.jpg 150w\" sizes=\"(max-width: 753px) 100vw, 753px\" \/><p id=\"caption-attachment-8089\" class=\"wp-caption-text\">Benign prostatic hyperplasia, vector illustration (for basic medical education, for clinics &amp; Schools)<\/p><\/div>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">It is advisable to consult doctor to get treatment for an enlarged prostate. Depending on the stage or symptoms of BPH, doctor might suggest one of the following:<\/span><\/span><\/p>\n<ul>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Lifestyle changes and wait and see approach<\/span><\/span><\/li>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Medical Management of BPH (Medical Treatment)<\/span><\/span><\/li>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Surgical Management of BPH (Surgical Treatment)<\/span><\/span><\/li>\n<\/ul>\n<h2 class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">Lifestyle changes and wait &amp; see approach<\/span><\/strong><\/span><\/h2>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">If the symptoms are not predominant then the doctor might suggest self-care. The doctor might postpone the treatment till he\/she thinks it is appropriate. This is because, in some cases, symptoms can ease without treatment.<\/span><\/span><\/p>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Meanwhile, the doctor might ask you to make simple lifestyle changes. These include timed urination and decrease in the consumption of alcohol and caffeine.<\/span><\/span><\/p>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">When the doctor things it is appropriate, he\/she might suggest medical or surgical treatment options.<\/span><\/span><\/p>\n<p>Also Read : <a href=\"https:\/\/www.medfin.in\/kidney-stones\/\">Kidney Stones<\/a><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">Medical Management of BPH<\/span><\/strong><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">The doctor might opt for enlarged prostate or BPH medications for the followings reasons:<\/span><\/span><\/p>\n<ul>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Your symptoms are moderate and they are getting worse instead of getting better.<\/span><\/span><\/li>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Adoption of lifestyle changes didn\u2019t show any results.<\/span><\/span><\/li>\n<li class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Your BPH might be causing complications.<\/span><\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">The doctor might suggest one of the following categories of BPH Drugs to treat your symptoms. It is advisable to take these drugs only if your doctor prescribes you to take them.<\/span><\/span><\/p>\n<ul>\n<li>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Doctors use<b> Alpha Blockers<\/b>\u00a0to relax muscles of the bladder neck muscles and prostate muscles, so that the patient can urinate with ease.<\/span><\/span><\/p>\n<\/li>\n<li>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">5-alpha reductase inhibitors (5-ARIs) <\/span><\/strong><span style=\"font-size: medium;\">prevent hormonal\u00a0changes which cause prostate growth. Therefore, they effectively\u00a0prevent the growth of prostate. 5-ARIs also help to shrink the prostate. <\/span><\/span><\/p>\n<\/li>\n<li>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">It is observed that<strong> Phosphodiesterase 5 inhibitors (PDE5 inhibitors)<\/strong> that are often used to treat erectile dysfunction, improve Benign Prostatic Hyperplasia symptoms and increase flow rate. Therefore, they are sometimes used to treat Prostate Enlargement.<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<p><span style=\"font-family: Mulish;\">*Consumption of medications at the advice of doctor only.<\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\"><b>Combination Drug Therapy<\/b><\/span><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">When neither Alpha Blockers nor 5-ARIs are effective, doctors might suggest you to take both Alpha Blockers and 5-ARIs at the same time. This method of treatment, where men with BPH take more than one medication is called Combination Drug Therapy. It reduces the need for surgery but there is a risk that men taking both drugs may start to experience side effects of both drugs.<\/span><\/span><\/p>\n<p><span style=\"font-family: Mulish;\">*Consumption of medications at the advice of doctor only.<\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\"><b>Hormone Reduction Medications<\/b><\/span><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Sometimes, the doctor might prescribes medications that reduce the levels of hormones produced by prostate gland. These medications may make the prostate smaller and improve urine flow. They also lower the levels of testosterone as a result they may cause side effects like decreased sex drive and impotence.<\/span><\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\"><b>Antibiotics<\/b><\/span><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Chronic Bacterial Prostatitis is a condition where the prostate gets infected, as a result, you can see <\/span><\/span><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">swelling, inflammation and frequent Urinary Tract Infections (UTIs). In such situation, doctor uses Antibiotics to improve the symptoms of BPH by reducing the inflammation.<\/span><\/span><\/p>\n<h2 class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\"><b>Surgical Management of BPH<\/b><\/span><\/span><\/h2>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">If the symptoms persist even after the <a href=\"https:\/\/www.medfin.in\/enlarged-prostate-bph\/\">medical treatment of BPH<\/a>, then doctors might opt for surgical intervention. There are multiple minimally invasive and surgical therapies that you can choose from, they are:<\/span><\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">1. Prostate Artery Embolization<\/span><\/strong><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\"><span style=\"color: #000000;\">Prostatic Artery Embolization (PAE) is a latest minimally invasive treatment for BPH. PAE is a procedure where the surgeon selectively embolisms the prostatic artery with embolic agents. This blocks the blood supply to the prostate. As a result, the prostate shrinks relieving the patient of symptoms.<\/span><\/span><\/span><\/p>\n<p><span style=\"font-family: Mulish;\">PAE is a daycare procedure which means the patient can go home on the same day. Blood loss during surgery and Post-surgical pain is minimal. PAE has minimal recovery time, minimal risks and high success rate.<\/span><\/p>\n<p><span style=\"font-family: Mulish;\">Due to its advantages and minimal risks, PAE is becoming an attractive treatment option for men who are suffering from BPH.<span style=\"color: #000000;\"><span style=\"font-size: medium;\"> <a href=\"https:\/\/www.medfin.in\/prostatic-artery-embolization\/\" target=\"_blank\" rel=\"noopener noreferrer\">Consult an expert doctor<\/a> to know whether PAE is a suitable treatment option for you.<\/span><\/span><\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">2. Transurethral Resection of the Prostate (TURP)<\/span><\/strong><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Transurethral Resection of the prostate (TURP) is a surgical procedure where the the surgeon removes the excess prostate tissue which is blocking the urine flow. After the TURP surgery, the patient will quick relief from the symptoms. The surgeon might place catheter to drain your bladder after the surgery which will be removed after couple of days.<\/span><\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">3. Transurethral Incision of the Prostate (TUIP)<\/span><\/strong><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Unlike in TURP, In TUIP, There is no removal of tissue. In TUIP, the surgeon inserts a combined visual and surgical instrument (Resectoscope) into urethra through penis. Then the surgeon makes one or two small grooves in the bladder neck area (the area where prostate connects to bladder). This relaxes the opening to the bladder hence allowing for urine to pass more easily.<\/span><\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">4. Holmium Laser Enucleation of the Prostate (HoLEP)<\/span><\/strong><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">HoLEP is a minimally invasive treatment for an Enlarged Prostate. HoLEP can be used effectively to treat even the largest of prostate glands. In HoLEP the surgeon uses LASER to remove all the prostate tissues that are blocking urine flow. Then the surgeon uses another instrument to cut the prostate into smaller removable fragments.<\/span><\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">Other Minimally Invasive Surgical Options<\/span><\/strong><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Other surgical options like Transurethral Microwave Thermotherapy (TUMT), (Transurethral Needle Ablation) TUNA and Ablative Process uses microwave energy, radio waves and high energy laser respectively to remove prostate tissue to increase urine flow and provide relief from symptoms. Another procedure called Prostatic Urethral Lift (PUL) is used to increase the flow of urine by using tags to compress the sides of prostate.<\/span><\/span><\/p>\n<h3 class=\"western\"><span style=\"font-family: Mulish;\"><strong><span style=\"font-size: medium;\">Open Surgery \u2013 Prostatectomy<\/span><\/strong><\/span><\/h3>\n<p class=\"western\"><span style=\"font-family: Mulish;\"><span style=\"font-size: medium;\">Prostatectomy is a surgical procedure where the surgeon removes a part or all of prostate. There are two types of prostatectomy, they are simple prostatectomy and radical prostatectomy. Surgeon usually performs\u00a0<\/span><span style=\"font-size: medium;\">Simple Prostectomy to treat benign conditions like BPH where the surgeon removes a part of the prostate. Where as in Radical Prostectomy the surgeon removes entire prostate gland along with vas deferens and seminal vesicles. Surgeons perform Radical Prostectomy to treat malignant cancer.<\/span><\/span><\/p>\n<p><span style=\"font-family: Mulish;\">We have covered here all treatment options for BPH. Consult your doctor to know which is the most suitable treatment option for you.<\/span><\/p>\n<p><span style=\"font-family: Mulish;\">You can watch videos to know more about BPH and its Treatment Options by visiting <a href=\"https:\/\/www.youtube.com\/watch?v=ucAe4CMK1B4&amp;list=PLUygpLnNqGjtAUPFKyHLxl3haOYRg7MIm?utm_source=blog&amp;utm_medium=blog&amp;utm_term=bph.treatment&amp;utm_campaign=blog&amp;utm_content=blog.bph.treatment.options\" target=\"_blank\" rel=\"noopener noreferrer\">our youtube channel<\/a>.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In men, there&#8217;s chance they&#8217;ll develop BPH (enlarged prostate) with old age. Here are various treatments for relief from its symptoms.<\/p>\n","protected":false},"author":1,"featured_media":8088,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308,203],"tags":[340,336,343,339,341,337,346,347,316,79,328,345,344,332,338,331,333,334,342,348,327,329,330,326,317,335],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Enlarged Prostate: Which is the best treatment option? - Medfin Blog<\/title>\n<meta name=\"description\" content=\"In men, there&#039;s chance they&#039;ll develop BPH (enlarged prostate) with old age. 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