By Dr. Pawan Mittal, Urology
The prostate gland which is about the size of a walnut can continue to grow throughout your life. However, after the age of 50, the prostate can become enlarged and block the urethra which results in problems in urination. This is known as Benign Prostatic Hyperplasia and can lead to further problems such as urinary tract infections and kidney problems and others.
Some Treatment options for Benign Prostatic Hyperplasia:
1. Primary medication of alpha blockers – These are commonly prescribed when the prostate is mildly enlarged. This medication helps relax the muscles so that prostate gland relaxes and allows for proper urination to happen.
2. Prostate size control with 5-alpha reductase inhibitors – These medications control hormones which may affect the growth of the prostate. It also works to reduce the size of the prostate by reducing the hormones to an extent where the prostate may shrink in size and relieve symptoms of benign prostatic hyperplasia.
3. Combination of the inhibitors and blockers – In such scenarios, the doctor may prescribe a combination of the two medications mentioned above to both relax the muscles and shrink the size of the prostate to reduce symptoms and problems occurring due to prostate enlargement.
4. Minimally invasive surgical procedures – There are multiple types of minimally invasive surgical procedures where healing is quicker and relieves the symptoms quickly. Some of these procedures are:
i. TURP or Transurethral Resection of the Prostate: Partial removal of prostate with the help of a lighted scope inserted into the urethra.
ii. TUIP or Transurethral Incision of the Prostate: Surgical widening of the prostate to relieve pressure on the urethra without removal.
iii. TUMT or Transurethral Microwave Thermotherapy: This is where the enlarged prostate is destroyed and removed with the help of microwave radiation.
5. Prostatectomy - This is the complete or partial removal of the prostate with an extensive surgery via conventional means and only done in specific cases where other options aren’t viable.