BENIGN PROSTATIC HYPERTROPHY (BPH) OR PROSTATE GLAND ENLARGEMENT

 

As a result of aging, the Prostate gland enlarges & compresses the urethra, resulting in obstructed flow of urine.

In many patients, the bladder is not emptying, as the enlarged prostate pushes the bladder base upward.



SYMPTOMS

Frequency

Urgency

Nocturia

Hesitancy – Difficulty starting urination

Weak urine stream

Intermittency – the stream that stops and starts

Dribbling at the end of urination

Incomplete emptying

INVESTIGATIONS

Ultrasonography (USG)

Serum Prostate-Specific Antigen (PSA) to rule out malignancy

POST TURP STATUS

Many patients suffer bladder neck stenosis, urethral stricture, or incontinence after TURP.

Symptoms:

Varying degree of lower urinary tract symptoms (LUTS) are seen

Investigations:

Ascending urethrogram

USG

Cysto-urethroscopy

Modern Urological treatment:

Clean Intermittent Self Catheterization (CISC)

Redo TURP

Bladder Neck Incision (BNI)

Urethral Dilatation

Visual Internal Urethrotomy (VIU)

Ayurvedic Urological treatment:

Uttarbasti

Calibration

Oral medication

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