Nonsurgical Enlarged Prostate Treatment In Mumbai, India

Enlarged prostate is one of the health conditions specific to men. As men grow older, they will likely develop an enlarged prostate. The enlargement of the prostate happens throughout the lives of men. There are no known reasons for the same – and the speculation is that it is related to the changing balance of sexual hormones. In India, individuals dealing with this condition can explore advanced Enlarged Prostate Treatment options, including Enlarged Prostate Treatment in India. Both surgical and non surgical treatment of enlarged prostate are available.

In most cases, it is just benign prostatic hyperplasia (BPH). In fact, according to scientific estimates, BPH is found in about four out of five men. Of those who develop it, two out of every five will need treatment of enlarged prostate. Non surgical prostate treatment is not as intrusive as surgical procedures. We shall discuss both surgical and non surgical prostate treatment in detail here. 

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About Prostate

The prostate is gland-sized and shaped like a walnut between men’s bladder and penis.  The prostate sits just in front of the rectum and the urethra runs through its centre from the bladder to the penis. It has the vital function of secreting a fluid that is required for the protection of sperm. When men ejaculate, it is released with sperm as semen. Another thing to know about here- Vas deferens. A vas deferens is meant to bring sperm from tests to the duct of these seminal vesicles, which, in turn, contribute fluid to semen for ejaculation.

Risk factor of Enlarged Prostate (BPH):

Enlarged prostate treatment in India is witnessing significant advancements, providing hope for those dealing with benign prostatic hyperplasia (BPH). Some of the risk factors that tend to increase the chances of getting benign prostatic hyperplasia (BPH) include the following:

  • Family history – If you have a family relation such as a father, uncle, or brother with this problem, you are more likely to face it.
  • Where you’re from – prostate enlargement is far more common in American and Australian men, whereas it is relatively less prevalent among men in China, India, and Japan. Either way a knowledge of non surgical prostate treatment can be greatly helpful

Is Prostate Enlargement same as of Prostate Cancer

It is easy to confuse prostate enlargement with prostate cancer – as both these conditions share several common symptoms; however, as its name suggests, benign prostatic hyperplasia (BPH) is harmless and not cancerous. The two states are entirely different, and one occurrence doesn’t exclude the possibility of the other occurring. 

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Symptoms of Enlarged Prostate (BPH):

Benign prostatic hyperplasia (BPH) rarely shows symptoms among men younger than forty years though it is not always the case, and by the age 55, one out of four men start reporting symptoms. The number increases to half of the men by the age of 75. 

Some of the most common signs that you have an enlarged prostate include the following:

A weakened or slow urinary stream

Persistent urination

A feeling of incomplete bladder emptying - often making you want to return.

Feeling an urgency to urinate

Facing difficulty in starting urination

A urinary stream that keeps starting and stopping

Straining to urinate

Continuous dribbling of urine

It is crucial to identify these symptoms early in order to seek treatment for an enlarged prostate in India. The country offers innovative solutions and medical expertise that can help effectively manage benign prostatic hyperplasia and enhance the quality of life for those affected.

Though the condition may seem only annoying from a look at the symptoms mentioned above, it can lead to severe complications. When your bladder does not empty, you are at increased risk of developing urinary tract infections. There may also be other serious problems – these include bladder stones, incontinence, blood in the urine, and inability to urinate (acute urinary retention). That last – a sudden and complete inability to urinate can be a severe medical emergency, and one should see your doctor immediately. In rare cases, bladder and kidney damage can also result from benign prostatic hyperplasia (BPH). It is this critical to get surgical or non surgical treatment for BPH if you are facing any of the symptoms mentioned above.


Test and diagnosis of Enlarged Prostate (BPH):

The following are the tests done for diagnosing the enlarged prostate:

  • You will be questioned in detail about your symptoms.
  • A digital rectal exam may be held to determine whether a person’s prostate is enlarged or not.
  • A urine test or urinalysis is another test that can help rule out an infection or other conditions that may result in similar symptoms.
  • Transrectal ultrasound – Another ultrasound test that will provide measurements of one’s prostate and reveals the particulars about the anatomy of the prostate.
  • Prostate-specific antigen (PSA) blood test – In its normal functioning, a prostate gland produces Prostate-specific antigen (PSA), and it helps liquefy semen. However, with an enlarged prostate, PSA levels in semen increase too. Please note that increased PSA doesn’t necessarily mean enlarged prostate as the levels may also get elevated by other reasons like prostate cancer, surgery, recent tests, or prostatitis (an infection).
  • Urinary flow test – As the name suggests, the test measures the strength and overall amount of your urine flow.
  • Post-void residual volume test – This test checks whether a man can completely empty his bladder. The test involves using an ultrasound to measure the urine left in your bladder.
  • Prostate biopsy – The prostate biopsy involves using transrectal ultrasound to guide the movement of a needle that takes tissue samples of your prostate. Examining the tissues from a biopsy using a microscope can help diagnose or rule out prostate cancer.
  • Urodynamic and pressure flow studies – These medical procedures involve using a catheter threaded through a person’s urethra into your bladder. Water or air is slowly injected into the bladder to allow the physician to measure the bladder pressures and to determine how well your bladder muscles are working.
Once the diagnosis has been made, there is a choice between surgical and non surgical treatment for BPH.

Prostate Surgery Non-Cancerous Prostate Enlargement Treatment Options: 

With prostate surgery, non-cancerous prostate enlargement can be treated. There are many good options for doing this.

Firstly, we must mention that getting treatment is not necessary as long as the enlarged prostate doesn’t also result in symptoms. A prostate surgery non cancerous might result in some undesirable side-effects. Now let us consider the various surgical options:

  •     Transurethral Resection of the Prostate (TURP)

Transurethral Resection of the Prostate (TURP) is the most common medical procedure used over the years to treat this problem. However, it can only be performed when prostates are no more than 60 cubic centimetres in size. The surgery is often the default practice, and other less common options are often compared with it. The surgery involves the surgeon placing a unique lighted scope called a resectoscope into one’s urethra. He then uses small cutting tools to remove all but the outermost part of the prostate – the procedure is called prostate resection. TURP will generally provide relief from symptoms quickly.

Unfortunately, this surgery is not without possible complications, including heavy bleeding for a few days afterward. There may be a chance of infection, and you might be forced to need a caterer to detail your bladder. And you can’t do any heavy activities till the bleeding completely stops. Erectile dysfunction, urinary incontinence, and water intoxication are other common complications.

  • Open Prostatectomy

Transurethral Resection of the Prostate (TURP) is only done where prostates are not too large. An open prostatectomy might be necessary if the prostate is too large or if bladder damage or other factors like bladder stones are involved. Openness means the surgeon will make an incision in the patient’s lower abdomen to reach his prostate. Open prostatectomy has been considered the most effective treatment for men with severe prostate enlargement issues, but it also has several high risks of side effects and complications. The patient is typically expected to stay in the hospital for a few days, and there is an increased risk of blood transfusion.

  • Laser Therapy

Laser therapy or laser surgery, as its name suggests, involves using high-energy lasers to destroy or remove the overgrown prostatic tissue. Laser surgery is generally likely to relieve the symptoms right away, and one may have a lower risk of side effects than one does Transurethral Resection of the Prostate (TURP). Laser surgery can be used in men who otherwise can’t have other prostate procedures because they are taking blood-thinning medications for some reason or other.

Laser therapy, too, is without its potential side effects, including the semen flowing backward into the bladder instead of out through the penis during ejaculation – called retrograde ejaculation, the loss of bladder control, or incontinence and even impotence by erectile dysfunction. And these side effects are pretty standard, too – that’s why laser therapy is not generally recommended to patients.

  • Nonsurgical Treatment of Enlarged Prostate

So far, the discussion should suggest that all surgical treatments have varying side effects. Fortunately, a new procedure has recently been developed that provides results comparable to Transurethral Resection of the Prostate (TURP) in recovery from the symptoms but without any side effects. It is called Prostatic Artery Embolization or PAE and is available as a non-surgical treatment for enlarged prostate in Mumbai. During this non surgical treatment of enlarged prostate, the patients have first admitted to the hospital after all basic investigations. Some pain medication, anti-inflammatory drugs, and antibiotics are given during the embolization procedure.

Embolization is performed under local anaesthesia by a unilateral approach, usually in the right radial artery in the wrist. 

Initially, pelvic angiography is performed to evaluate the prostatic arteries. Then, another four or 5-Fr angiography catheter is introduced to reach the prostatic artery, while a 2-Fr coaxial microcatheter is advanced in the ostium of the prostatic artery. For embolization, non spherical PVA particles or embospheres are used. 

The endpoint chosen for embolization is slow flow or near-stasis, which occurs in the prostatic vessels with an interruption of the arterial flow and a prostatic gland opacification. After the embolization of both prostatic arteries is finished, the healthcare provider will remove the catheter. After a few hours (four to six), the patient can start walking around the room without needing a urinary catheter. By the end of the day, he can generally resume his normal activities. The Whole procedure will be done through a small nick around the skin in the groin region and will leave no ugly scars.

After embolization, the shrinkage of the enlarged prostate should occur in 2-3 weeks. Thus, it is an effective non surgical treatment for BPH.

About Dr Gaurav Gangwani

Dr. Gaurav Gangwani - Interventional Radiologist in Mumbai

Dr Gaurav Gangwani had 10+ years of experience. Build valuable relationships with patients

I am an Interventional Radiologist In Mumbai, India. My speciality is a unique one where I offer minimally invasive interventions which can treat complex medical conditions without the need for surgery.

With a rich academic and research experience, I am hoping to add the same services for a variety of interventions in Mumbai now. My strength is understanding the patient mindset and being transparent with the counselling explaining everything.

So that the patients are empowered with the knowledge to choose or reject treatment decisions wisely.

Benefits of Prostatic Artery Embolization (PAE):

There are several excellent advantages of PAE involving:

  • It can be performed on any size of enlarged prostate.
  • Fast recovery and no need for a hospital stay
  • No side effects or complications will result from it.
  • No blood loss or risks of blood transfusion.
  • No ugly surgical scars. 
  • No pain or very light pain.
  • No risk of incontinence (loss of bladder control)
  • No sexual dysfunction like retrograde ejaculation and erectile dysfunction (impotence). On the contrary, at least one in every patient claims their sexual function improved significantly after the procedure.
  • No need for general anaesthesia
  • Inexpensive.
  • Successful in 49 out of every 50 cases

Your Best Treatment Solution

Prostatic Artery Embolization (PAE) is the best option for treating an enlarged prostate. Its advantages make it the go-to procedure in most cases. Moreover, it is nonsurgical, which means there is minimal trauma to the body and no scars. Furthermore, it has far fewer complications than surgeries. If you believe you have symptoms of prostate enlargement, you should go for this nonsurgical treatment of enlarged prostate in Mumbai.

Prostate enlargement is a fairly common problem among men. Fortunately, with innovative procedures like Prostatic Artery Embolization (PAE), it is now possible to get it treated without undergoing surgery with potential complications. Dr Gangwani offers the best non surgical treatment of enlarged prostate in Mumbai as well as several other treatments such as thyroid nodule removal surgery in Mumbai. He is also the best vein doctor. Our non surgical treatment of enlarged prostate in Mumbai, much like our other treatments is affordable as well.

Thus, if you or your loved ones are looking a non surgical treatment of enlarged prostate in Mumbai, contact us now. 

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