What is Benign Prostatic Hyperplasia?

Benign Prostatic Hyperplasia is a terminal ailment, caused due to enlargement of the prostate gland. It is generally seen in elderly men. This medical ailment can cause many urinary problems such as blockage, bladder infection, and other kidney and urinary tract issues. This condition can even lead to urinary tract infections, prostatitis, kidney stones, and even cancer in the bladder or the prostate gland.

SYMPTOMS & DIAGNOSIS

There are several urinary issues that mark Benign Prostatic Hyperplasia. So if you have any aches or problems in the urinary tract, consult your physician or medical professional immediately. The intensity of this ailment may vary from patient to patient varying on the symptoms, prostate size, and the tenure of the illness. Here are some symptoms of the chronic urinary ailment-

Urination Discrepancies

Numerous urinary problems show the initial and intermediate stages of benign prostatic hyperplasia. Some of the most general urinary symptoms are- high urine frequency or urgency, nocturia (frequent and heavy urine flow especially at night), difficulty in urination, fluctuating urine, dribbling urine, and partial urination.

UTI

Urinary tract infection, also known as UTI is the most widely seen symptom of benign prostatic hyperplasia. It is a condition wherein the urinary tract of the patient is highly affected creating various urinary difficulties, inflammation, and pain. It can be due to both, excessive urination and inability to urinate at all.

UTI

Urinary tract infection, also known as UTI is the most widely seen symptom of benign prostatic hyperplasia. It is a condition wherein the urinary tract of the patient is highly affected creating various urinary difficulties, inflammation, and pain. It can be due to both, excessive urination and inability to urinate at all.

Bloody urine

This is a symptom that marks the later or the more chronic stage of BPH( Benign Prostatic Hyperplasia). Blood vessels of droplets of blood in the urine can even be a symptom of this ailment. So be sure that the dripping of blood isn’t due to any injuries. Come down to Banker’s Vascular Centre and we will help you with the best-suited treatment for you.  
The size of the prostate doesn’t always mark the fatality of the situation. Some men with less enlargement can also have severe symptoms or men with a highly-enlarged prostate might have minor symptoms. So, get your prostate diagnosed as you feel uneasy with your bladder or urinary situation.  

Diagnosing Benign Prostatic Hyperplasia

Every practitioner has his own way of figuring out this ailment. Get a flawless and intricate diagnosis of benign prostatic hyperplasia, only with Banker’s Vascular Centre. We dig deep into the patient’s history and present condition with the ailment. Not just that, we also check the severity of the condition with a screening of the prostate gland and the entire urinary tract to look for the symptoms and different signs directing the ailment.  

Diagnosing Benign Prostatic Hyperplasia

Every practitioner has his own way of figuring out this ailment. Get a flawless and intricate diagnosis of benign prostatic hyperplasia, only with Banker’s Vascular Centre. We dig deep into the patient’s history and present condition with the ailment. Not just that, we also check the severity of the condition with a screening of the prostate gland and the entire urinary tract to look for the symptoms and different signs directing the ailment.  

Treatment

There are several treatments available for prostate gland enlargement such as medication, that can be taken in the initial stages, non-invasive therapy for intermediate & chronic stages, and also surgeries for fatal situations. We at Banker’s Vascular Centre get you the most sure-shot method to clear your prostatic problem forever.

Prostatic Artery Embolization

There are two prostatic arteries that help the prostate function, the anterior-lateral prostatic pedicle and the posterior-lateral prostatic pedicle. Minor embolizing particles are injected into the suffering artery, wherein the damaged and infected or affected blood vessels and tissues are blocked and the normal healthy vessels are intact. This procedure reduces the inflammation and damage from 60-80% rapidly.

The Procedure

Advantage

How do I know if Prostatic Artery Embolization is right for me?

The PAE procedure is for candidates who are either ineligible or not interested in traditional surgery. An exam with an interventional radiologist can determine if you are a candidate for PAE. At this appointment, you may be asked how often you have urinary symptoms of BPH, how severe they are, and how much they affect your quality of life.

Pre-procedure workup may include:

What are the risks of Prostatic Artery Embolization?

PAE should only be performed by knowledgeable and trained interventional radiologists. Patients may experience “post-PAE syndrome” for days following the procedure, which can include nausea, vomiting, fever, pelvic pain, or painful or frequent urination.
Other risks include hematoma at the incision site; blood in the urine, semen, or stool; bladder spasm; or infection of the puncture site or prostate.

How Does PAE Differ from Other BPH Treatment Options?

PAE is not the only procedure available to men dealing with an enlarged prostate. Here is a look at two other procedures commonly recommended to those suffering from BPH.
Within a couple of weeks after a PAE procedure, most men experience a significant improvement in urinary tract function.

Prostate Artery Embolization vs. UroLift

An alternative to prostate artery embolization is the UroLift procedure. During this treatment, a doctor uses small implants to hold the prostate tissue away from the urethra. The UroLift System has its limitations, though. It is not a one-size-fits-all remedy to enlarged prostate. The procedure is only suitable for men with smaller prostate glands and not effective for those who have a large median lobe (a part of the prostate that can grow into the bladder, something that affects at least 10% and up to 40% of men).  

Prostate Artery Embolization vs. TURP

Transurethral resection of the prostate (TURP) is a common type of prostate surgery. A doctor inserts a resectoscope (a tool that consists of a wide-angle microscope for exploration and a wire loop that can cauterize and remove tissue) into the tip of the penis and through the urethra. Using that tool, the doctor trims away excess prostate tissue, thereby restoring proper urine flow.
Though TURP is considered a minimally invasive procedure, it is still a form of surgery, which brings with it some downsides, including:
⦁ Temporary difficulty with urination
⦁ Dry orgasms
⦁ Erectile dysfunction (ED)
⦁ UTIs
⦁ Heavy post-operative bleeding
⦁ Low blood sodium levels
⦁ Urinary incontinence
 
 Based on these side effects alone, PAE is a safe and attractive alternative to TURP.

FAQ

In a 2020 study, researchers found that PAE was as effective as TURP at relieving urinary symptoms. Researchers also pointed out two areas in which PAE was a better alternative to TURP:  ⦁ PAE patients had a greater improvement in quality of life scores compared with TURP patients. ⦁ There were fewer adverse events reported in the PAE group than in the TURP group.

In the study mentioned above, one-third of PAE patients experienced mild side effects or urinary retention. No major complications occurred in the PAE group. Conversely, the TURP group experienced three times as many complications as the PAE patients.
Recent studies show that prostate artery embolization patients have significantly fewer adverse reactions than those who undergo TURP surgery.

One of the main concerns men have about various BPH treatment options is how long they will last. Their concern is valid for multiple reasons: ⦁ They want to save money ⦁ They do not want to undergo any more treatments than they absolutely must ⦁ If it is possible, they do not want to deal with the symptoms of BPH ever again Since PAE is a newer form of treatment, there are not any long-term studies. However, a study published in 2019 by João Martins Pisco of St. Louis Hospital in Lisbon, Portugal found that patients were still experiencing good results 12 months after the procedures. Based on their findings, some estimate that the effects of the PAE procedure can last at least five years.

The doctors who perform PAE are called interventional radiologists.
Interventional radiologists use specialized radiology or imaging to perform minimally invasive procedures, like prostate artery embolization. They commonly use:
⦁ Fluoroscopy (a technique that utilizes x-rays to create a real-time “movie” of the insides of a particular body part
⦁ MRI
⦁ CT scans
⦁ Ultrasound technology
⦁ Arteriogram (the x-ray used to examine the arteries in the PAE procedure)

Mild discomfort after the procedure is common and can last for a few days post-op. Some patients feel like they are back to normal within three days of having the procedure and return to work. Others can take up to two weeks to overcome feelings of urinary discomfort.

The best candidates for PAE are men who:
⦁ Suffer from the most common symptoms related to enlarged prostate
⦁ Have tried drug therapy but did not benefit from it
⦁ Have a prostate size over 40 grams
⦁ Cannot have general anesthesia
A patient’s doctor will also determine if they are a good candidate based on the results of various diagnostic tests, including:
⦁ PSA levels
⦁ Prostate ultrasound
⦁ A urodynamic pressure study
⦁ A cystoscopy (to examine the lining of the urethra and bladder)
⦁ Uroflowmetry (to evaluate urine flow)
Patients that are not good candidates include those with:
⦁ A malignant tumor
⦁ Atherosclerosis
⦁ A twisted pelvic floor
⦁ Unusual prostatic vessel anatomy