Prostate Treatment

The prostate is a sexual accessory gland situated just below the urinary bladder, surrounding the proximal part of urethra in males.

It serves to produce secretions which are meant to help in maturation of sperms, and providing micronutrients to sperms.

Prostate can get affected by infection, benign enlargement or cancerous enlargement. Enlargement of prostate usually happens in age beyond 50 years. Enlargement causes obstruction to urinary flow and causes difficulty in passing urine.

Prostate Disease Symptoms

Enlargement of the prostate occurs in majority of males above the age of 50 years. The enlargement goes on increasing as the age advances. It is an age related disease. All patients with enlargement of prostate do not require treatment. Only patients who face complaints attributable to it require treatment.

Usually initial treatment consists of medical line of management. But in presence of severe enlargement or in presence of symptoms of complications of enlargement, patient may be advised surgical treatment soon or at index presentation. This clinical decision is best left for the Urologist who is treating the patient.

Symptoms of prostate enlargement include the following:

  • Hesitancy : Urinary stream does not start soon after reaching toilet. It takes finite time and patient has to wait for the stream to start.
  • Poor Stream: Even after the stream starts, it is poor in caliber and flow.
  • Time taken to complete urination takes progressively longer and longer.
  • Feeling of incomplete evacuation of urinary bladder, at the end of urination.
  • Frequency of urination. Duration of less than 2 hours, between urination
  • Nocturia: waking up more than 1-2 times at night to pass urine.
  • Urgency: the warning period once patient feels the urge to pass urine, till he actually can pass urine gets lesser and lesser.
  • Urge Incontinence: Urgency may precipitate leakage of urine before one can reach toilet.
  • Bothersome effect of these complaints: due to lack of sleep or too much frequency of urination, patient lifestyle gets affected.

In cases with severe enlargement or complications of enlargement of prostate, patients may have following additional symptoms:

  • Recurrent urinary tract infection
  • Recurrent bleeding in urine
  • Fever with chills
  • Acute retention of urine
  • Retaining progressively larger quantity of urine in the bladder even after passing urination. This may lead to chronic retention of urine with overflow incontinence.
  • Presence of Urinary Bladder Calculi
  • Backpressure changes in the bladder and upper tracts
  • Kidney dysfunction or azotemia

Prostate Related Problems

  • In younger patients, prostate infection called prostatitis can occur.
  • In elderly men, age related prostate enlargement can occur, called BPH ( Benign Enlargement of Prostate)
  • Occasionally in elderly men. Enlargement of prostate may occur due to malignancy of prostate, called carcinoma of prostate.
  • Occasionally, a calculus may get impacted into the prostatic urethra, causing sudden acute retention of urine. This is different than calcification of prostate, which may be seen within prostate due to chronic infection of prostate.

Urological Services For Prostate

A full spectrum of the most contemporary urological services are offered to patients suffering from prostate disease.

  • Cystoscopy
  • Extraction of calculus from prostatic urethra
  • Endoscopic treatment for BPH, including monopolar, bipolar resection, Greenlight Laser Ablation of Prostate. If indicated, holmium laser enucleation of prostate.
  • Robot Assisted Radical Prostatectomy for carcinoma of prostate.
  • Robot assisted Simple Prostatectomy for very large non-cancerous enlargement of prostate.
  • MR Guided HIFU Ablation of prostate
  • Most detailed workup for patients suffering from Carcinoma of prostate
  • The latest targeted ablation of metastases from carcinoma of prostate.