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Treatments for enlarged prostate – all you need to know

Enlarged prostate, depending on the severity, might need a surgery or can be treated with just medication. Read this to know more.

Written by Debjani Arora |Updated : July 25, 2016 9:25 AM IST

Enlargement of the prostate is a problem that every man has to face after the age of 50 or 60. While this is a normal process of ageing, it isn t a harmful condition. However, sometimes the gland might interfere with a man s lifestyle and lead to some uncomfortable symptoms like

  • Frequent urination
  • Uncontrollable urge to urinate
  • Poor stream of urine
  • Inability to empty the bladder

For some men, these problems could seem minor issues but for some these could take a toll on their quality of life. This also depends on how much the gland has enlarged. According to Dr Anup Ramani, Uro-Oncological & Robotic Surgeon, Lilavati, Breach Candy and Saifee Hospital, for some men the prostate gland, that weighs 18 gms normally, might increase to 25 gm and in some cases, it can go up to 100 gms as one ages. On an average, there is a growth of up to 60 gm in most men.

Treatment for enlarged prostate is usually suggested after a detailed check-up and diagnosis.

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Diagnosis of an enlarged prostate

Here are some medical procedures that one needs to undergo before starting on a treatment for enlarged prostate:

Sonography of abdomen and pelvis: To check whether there are complications other than the enlargement of the gland or whether it is only a benign condition.

PSA blood test: PSA is the protein specific antigen, a protein secreted by the prostate gland. The level of PSA in the blood is a good indicator to detect prostate cancer early. Usually, if PSA level is high in the blood, it signifies an onset of prostate cancer. This test is done as a precautionary measure.

Urine routine: A urine culture is done as a part of the diagnosis procedure to check for urinary tract infections.

Treating an enlarged prostate

The treatments advised for an enlarged prostate are as follows:

Medications: Medications like Alpha-1 blockers are usually prescribed to be taken daily lifelong for people who have mild enlargement (where the gland partially blocks the urethra). These medications relax the muscles of the bladder and prostate, relieving the symptoms.

Surgery: Surgery is often advised for those who fail to respond to medications and have moderate to severe enlargement. A laser surgery is recommended for surgical removal of a part of the prostate the presses on the urethra. This is a bloodless, painless procedure that requires a two-day hospital stay and a person recovers completely a week after the surgery.

image source: Shutterstock


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