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Urology

A significant number of male patients above the age of 40 develop urinary problems. One of the common causes for this condition may be Benign Prostatic Hyperplasia (BPH). As life expectancy goes up so does the occurrence of BPH.

The prostate is a walnut sized gland that forms a part of the male reproductive system. It is located just below the urinary bladder (a sac that stores urine) and surrounds the urethra (tube that carries urine from the bladder to the outside). BPH is a non-cancerous (benign) growth of the prostate gland. It is more likely to occur as men age.

COMPLICATIONS OF BPH (Benign Prostatic Hyperplasia)

  • Total inability to urinate.
  • Kidney damage caused by high pressure in the bladder due to urine retention.
  • Bladder damage due to weakening of the bladder walls caused by the pressure of urine on the walls of the bladder.
  • Urinary tract infection.
  • Bladder stones caused by the mineral deposits in the urine.
Benign Prostatic Hyperplasia

SYMPTOMS OF BPH (Benign Prostatic Hyperplasia)

  • Frequent visits to the toilet, especially during night.
  • A feeling of incomplete urination.
  • A weak and interrupted urinary flow.
  • Terminal dribbling of urine.
  • Blood in the urine.
    1. Difficulty in urinating.
    2. An urgent need to urinate.

WAYS TO TREAT BPH (Benign Prostatic Hyperplasia

Typically there are two main treatment options available to treat BPH. (Benign Prostatic Hyperplasia)

SURGICAL TREATMENT:

The common surgical procedure includes Trans-Urethral Resection of the Prostate (TURP) wherein an instrument is passed through the urinary passage to remove the enlarged part of the prostate gland. There are even other surgical procedures.

LASER UROLOGY:

Laser Urology has benefits like less pain, no blood loss, faster recovery and shorter hospital stay. It treats host of urological problems like prostate enlargement, bladder tumors, strictures, kidney and ureteric stones. Laser surgeries include:

LASER TURP, LASER HOLMIUM LITHOCLASS, LASER TURBT, LASER VIU, LASER Ureterotomy.




URO-ONCOLOGY:

Uro-Oncology is concerned with the surgical treatment of malignant genitourinary diseases such as cancer of the prostate, adrenal glands, bladder, kidney and ureter. Some of the procedures offered are:

  • Radical Prostatectomy
  • Radical Cystectomy with Neo-Bladder
  • Partial/Radical Nephrectomy
  • Adrenalectomy.
Uro-Oncology

MEDICAL TREATMENT:

Drugs that provide symptomatic relief These are known as á- blockers. These drugs provide symptom relief as early as first week of the therapy. Drugs that shrink the prostate gland. These are known as 5-á reductase inhibitors. These drugs reduce the size of the enlarge prostate gland, which in turn improves the flow of urine.

FAQ's

  • Can surgery be avoided if medical treatment is taken?
    Ans: Medical therapy is proved to be safe and effective in the treatment of BPH. It can reduce the need for surgery effectively. But if complications develop due to BPH surgery may be necessary.
  • Can I start medical treatment without consulting the doctor?
    Ans: No.
  • Will BPH lead to prostate cancer?
    Ans: BPH will never lead to prostate cancer. But BPH and prostate cancer may be present in the same person at the same time.
    DOs
    1. Keep yourself warm as cold conditions can increase your urge to urinate.
    2. Practice the technique of urinating, waiting for a few seconds and then urinating again. This technique is known as double voiding.
    3. Take your medications regularly as prescribed by the doctor.
    DON'Ts
    1. Don't drink anything about 2 hours before going to bed.
    2. Avoid drinks that contain too-much of caffeine or alcohol.
    3. Don't wait for long if you want to urinate.
    4. Another reason for urinary problem may be kidney stone.

Kidneys are filtration unit of the body. During the process of blood filtration in the kidneys certain chemicals are deposited in the kidneys as crystals. These crystals glow gradually to form kidney stones. Though small stones pass through naturally, large stones need to be removed.

Small stones can be treated by ESWL or LITHOTRIPSY. Large stones are treated by Key Hole Surgery called Per Cutaneous Nephro Lithotomy (PCNL)

LITHOTRIPSY:

The word 'Lithotripsy' means stone disintegration. It's done by a machine called Lithotriptor. Stones less than or equal to 1 cm in size are ideal for this procedure.The first step in this is localization, which is achieved by an isocentric ultra sound imaging system. Once localized, the shock wave therapy wave is activated. The energy is delivered targeted at the kidney stones. In 45 minutes the stone disintegrates under continuous ultra-sound monitoring. The fragments so created are then washed away in normal urination over a period of time.

PCNL

A puncture is made in the loin under anesthesia and a tract is dilated up to the kidney. The stone is disintegrated and the bits are removed through the same tract.