What is Benign Prostatic Hyperplasia?

Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate gland. It's also known as an enlarged prostate.

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Symptoms & Diagnosis

Benign prostatic hyperplasia (BPH) is a health issue that becomes more common with age. It's also called an enlarged prostate. The prostate is a small gland that helps make semen. It's found just below the bladder. And it often gets bigger as you get older.

An enlarged prostate can cause symptoms that may bother you, such as blocking the flow of urine out of the bladder. It also can cause bladder, urinary tract or kidney problems.

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Symptomps 

Frequent or urgent need to pee,also called urination 

Urination more frequent at night

Trouble while urination 

Weak urine stream 

Dribbling at the end of an urination 

Not being able to fully empty the bladder

Less common symptomps 

Urinary tract infection 

Blood in urine 

INVESTIGATION 

USG+KUB+PVR(Post voidal residual volume)

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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.

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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.

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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.  

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Treatment

Many treatments can help BPH. These include medicines, surgery and other procedures. Your health care

provider can help you choose. The right option depends on things such as:

Your symptoms.

The size of your prostate.

Other health problems you might have.

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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.

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The Procedure

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Advantage

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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:

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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.

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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.

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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.
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