Prostate enlargement
Prostate enlargement
Benign Enlargement of Prostate
It is the commonest cause of urinary symptoms also known as LUTS (lower urinary tract symptoms) after the age of 50 years. There is enlargement of prostate gland which encircles the bladder neck. By involving the urethra, an enlarged prostate can directly block the passage of urine.
It is also known as Benign prostatic hyperplasia (BPH)
BPH is present in 10% of all men by the age of 40, rising to 90% by the age of 80 years. Inspite of enlarged prostate, not every person develops symptoms.
Most men with BPH and mild symptoms do not suffer any complication related to their condition. Moderate to severe symptoms with accompanying impairment of quality of life is significant problem in around 50% of men with enlarged prostate.
Symptoms
➾ A weak urinary stream
➾ Need to pass urine more often, especially at night
➾ Feeling that the bladder does not empty well
➾ Difficulty in starting urination
➾ Urine Dribbling
➾ Requirement to run for the bathroom and leakage of urine sometimes before reaching there.
Complications of disease
➾ Acute retention of urine
➾ Chronic retention of urine
➾ Recurrent urinary tract infections
➾ Bladder calculi (stones)
➾ Renal failure or renal insufficiency
➾ Bleeding in urine
Evaluation of patient
A detailed symptom assessment lies in excluding other diseases like prostate cancer and stricture of urethra. Factors like water intake, bladder volume, emotions and medications influence the final conclusion by the urologist. Nocturia is particularly troublesome symptom to treat.
DRE (Digital rectal examination – examination of prostate through back-passage using lubricated finger) is the most important investigation. The other tests include investigations like sonography, urinalysis, urodynamic study, PSA and cystoscopy .
Many men with small prostate sizes are highly symptomatic and some men with large glands report minimal symptoms.
Medical Treatment
The patient’s perception of symptom severity and the degree to which it interferes with quality of life determines the choice of therapy. The quality of life of the partner is also taken into consideration. Frequent urination at night results in sleep deprivation and significantly impacts quality of life. For patients with bothersome symptoms, medications called alpha-blockers are prescribed by the urologist. Around 70 % respond favourably to these medicines. Addition of certain other group of medicines like alpha reductase inhibitors and anti-cholinergics may be beneficial in some patients.
Complications of medical treatment
Inspite of medications 30% all treated patients will report back to doctor with complications of prostate enlargement. Most of them will have non-responsiveness to therapy.
Surgical Treatment
Surgery for enlarged prostate is indicated and effective in patients with any of the complications due to enlargement of prostate or those in whom medicines have not worked.
Types of surgery
• TURP- transurethral resection of prostate
• Open prostatectomy – still valid for small number of patients with very large prostates.
• Laser enucleation of prostate
• Laser vaporization of prostate
Complications of Surgery
• Bleeding
• Infection
• Strictures
• Rarely incontinence
Related reading
Testimonials
Real reviews from our patients on Google
Swati Shinde
1 week ago
I had a very good experience at Mitr Hospital. The overall workflow was smooth and well-organized. The staff were helpful, supportive, and cooperative throughout the process. Special appreciation to the front desk team and the ward assistants for their polite behaviour, prompt assistance, and excellent coordination. They guided me properly and made the entire experience comfortable and hassle-free. Thank you to the entire team for your kind support and good service. Highly recommended!👍🏻😇
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Pushpa Kothari
2 weeks ago
Dr G Bharat Kumar done my mother’s robotic total knee replacement surgery. Fore surgery Dr Bharat guided so well. We are very much confident for surgery after counselling by doctor. Post surgery care is as excellent. All staff from top to bottom are good and helpful. Special thank you to Dr. Bharat.
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Asiino Tetso
1 month ago
My son's hypospadias surgery in Delhi was not successful and we opted for MITR Hospital Navi Mumbai and it was so good for us. Doctors Ashwitha Shenoy and AK Singal are very professional and friendly. In Delhi they don't allow my boy to move for 7 days before dressing. However, here they discharged us on the second day of the surgery. Doctors explained to us everything about the surgery which was never done in the previous hospital. Nurses and other staffs are friendly too and greet us with a smile on their faces which is another bonus too. My son didn't find any difficulty and we as parents are so much at peace too when the doctors are readily available everytime we try to contact them. We are from Nagaland and we came home so satisfied and happy.
We are specially grateful to Dr Ashwitha Shenoy for her motherly love and care for our little hero. We will remain grateful to her. My son had so much traumatic experiences with doctors and nurses in his previous treatments that he doesn't like any of them but here he says Dr Shenoy is "our friend"😍May God grant enough wisdom and good health to our doctors and nurses that they continue to serve us with love and care. God bless their families.
Read moreWe are specially grateful to Dr Ashwitha Shenoy for her motherly love and care for our little hero. We will remain grateful to her. My son had so much traumatic experiences with doctors and nurses in his previous treatments that he doesn't like any of them but here he says Dr Shenoy is "our friend"😍May God grant enough wisdom and good health to our doctors and nurses that they continue to serve us with love and care. God bless their families.
NISHIT JOSHI
1 month ago
I had consulted Dr. Manish Dubey for kidney stone and prostate-related issues, and my experience was excellent. Dr. Dubey performed the procedure using a minimally invasive approach, making the entire process virtually painless and comfortable.
What impressed me most was his patience in explaining every aspect of the condition, treatment options, and expected outcomes. He ensures that patients are well-informed and confident throughout their treatment journey.
I would also like to appreciate MITR Hospital for its professionalism, ethical medical practices, and patient-centric approach. The hospital offers high-quality healthcare services at very competitive pricing, making it truly value for money.
I highly recommend Dr. Manish Dubey and MITR Hospital to anyone seeking expert and compassionate urological care.
Nishit Joshi
Read moreWhat impressed me most was his patience in explaining every aspect of the condition, treatment options, and expected outcomes. He ensures that patients are well-informed and confident throughout their treatment journey.
I would also like to appreciate MITR Hospital for its professionalism, ethical medical practices, and patient-centric approach. The hospital offers high-quality healthcare services at very competitive pricing, making it truly value for money.
I highly recommend Dr. Manish Dubey and MITR Hospital to anyone seeking expert and compassionate urological care.
Nishit Joshi
Pritirekha P Nandeshwar
1 month ago
A heartfelt thank you to Dr. Bharat Kumar
We had heard a lot about Dr. Bharat Kumar, but after experiencing his treatment personally, we truly understood why he is so highly respected.
Last year, my mother met with an accident and suffered a serious knee injury. Her initial surgery was done in Guwahati, but unfortunately, her condition became worse afterwards. We were very worried and then decided to consult Dr. Bharat Kumar at MITR Hospital.
His advice and treatment were a true blessing for my mother. He explained everything patiently, gave us confidence, and treated her with great care and expertise. We have had multiple experiences with him, and every time, we have been extremely satisfied.
Thank you, Dr. Bharat Kumar, for your dedication, guidance, and compassionate care. You are truly an asset to MITR Hospital. 🙏
Read moreWe had heard a lot about Dr. Bharat Kumar, but after experiencing his treatment personally, we truly understood why he is so highly respected.
Last year, my mother met with an accident and suffered a serious knee injury. Her initial surgery was done in Guwahati, but unfortunately, her condition became worse afterwards. We were very worried and then decided to consult Dr. Bharat Kumar at MITR Hospital.
His advice and treatment were a true blessing for my mother. He explained everything patiently, gave us confidence, and treated her with great care and expertise. We have had multiple experiences with him, and every time, we have been extremely satisfied.
Thank you, Dr. Bharat Kumar, for your dedication, guidance, and compassionate care. You are truly an asset to MITR Hospital. 🙏
Kranti Tandel
3 months ago
From the moment I walked into the hospital until the day I was discharged, I felt genuinely cared for.
A heartfelt thank you to Dr. Manish Dubey for making such a stressful time feel so much easier. His calm nature, patience, and the way he explains everything instantly put me at ease. They say half the healing begins when you trust your doctor, and that’s exactly how I felt with him. The procedure was far less painful than I had imagined, and I truly believe that’s because of his skill and the confidence he gives his patients.
The nursing staff was absolutely wonderful
kind, compassionate, attentive, and always there whenever I needed help. Every member of the hospital and hospitality staff treated me with warmth, respect, and genuine care, which made all the difference during my recovery.
It’s rare to find a team that is not only excellent at what they do but also so humane and compassionate. Thank you to Dr. Manish Dubey and the entire team for making my journey so comfortable. I will always be grateful and would wholeheartedly recommend this hospital to anyone looking for exceptional medical care.
Read moreA heartfelt thank you to Dr. Manish Dubey for making such a stressful time feel so much easier. His calm nature, patience, and the way he explains everything instantly put me at ease. They say half the healing begins when you trust your doctor, and that’s exactly how I felt with him. The procedure was far less painful than I had imagined, and I truly believe that’s because of his skill and the confidence he gives his patients.
The nursing staff was absolutely wonderful
kind, compassionate, attentive, and always there whenever I needed help. Every member of the hospital and hospitality staff treated me with warmth, respect, and genuine care, which made all the difference during my recovery.
It’s rare to find a team that is not only excellent at what they do but also so humane and compassionate. Thank you to Dr. Manish Dubey and the entire team for making my journey so comfortable. I will always be grateful and would wholeheartedly recommend this hospital to anyone looking for exceptional medical care.
Shilpa Nair
4 months ago
I had an excellent experience and am very grateful for the care and support I received. The entire staff was professional, friendly, and attentive, making me feel comfortable throughout the process.
A special thank you to Dr. Vijaykumar Yadav for his expertise, patience, and compassionate approach. He took the time to explain everything clearly and ensured that all my concerns were addressed. His dedication to patient care is truly commendable.
I highly recommend this place to anyone seeking quality treatment and outstanding service. Thank you once again, Dr. Vijaykumar Yadav, for your exceptional care!
Read moreA special thank you to Dr. Vijaykumar Yadav for his expertise, patience, and compassionate approach. He took the time to explain everything clearly and ensured that all my concerns were addressed. His dedication to patient care is truly commendable.
I highly recommend this place to anyone seeking quality treatment and outstanding service. Thank you once again, Dr. Vijaykumar Yadav, for your exceptional care!
Mahendra Patil
4 months ago
My 3 years 11 month year old daughter was diagnosed with 10 mm kidney stone Dr.A.k.Singhal,Dr.Manish Dubey,and Dr.Ashwita Shenoy performed the surgery to remove the stone on May 30th with immense success. I am deeply grateful for the exceptional care and professionalism demonstrated by this entire team.
From the very beginning,the doctors explained every detail of the treatment process with great patience and clarity, this provided us as parents with immense relief and put our minds completely at ease. The surgery proceeded very smoothly and thanks to the doctors expertise and dedication my daughter is now completely healthy and in excellent health
I would also like to extend my special thanks Dr.A.k. Singhal , Dr. Ashwita Shenoy for providing us with constant support and guidance throughout this entire process.they were always available to answer our questions and ensured that our daughter received the very best treatment . Thank you mitra hospital. Thank you so very much for taking such excellent care of my daughter and for making this difficult time for our family SO much more bearable.
और
मेरी बेटी को left inguinal harniya भी hua था उसकी भी सर्जरी करणी जरुरी थी और DJ स्टेट removal भी करना था june 20 th को मेरे बेटी का Dr. Ashwita Shenoy मॅडम ने left inguinal harniya की surgery बहुत आछी तरह की और DJ स्टेट भी निकाली मेरे बेटी का सब अच्छा हुवा thank you mitr hospital All team thanks Dr. Ashwita Shenoy मॅडम मेरे परिवार के तरफ से आपको और आपके पुरे टीम को धन्यवाद.
excellent treatment my daughter
Thank you mitr hospital
Read moreFrom the very beginning,the doctors explained every detail of the treatment process with great patience and clarity, this provided us as parents with immense relief and put our minds completely at ease. The surgery proceeded very smoothly and thanks to the doctors expertise and dedication my daughter is now completely healthy and in excellent health
I would also like to extend my special thanks Dr.A.k. Singhal , Dr. Ashwita Shenoy for providing us with constant support and guidance throughout this entire process.they were always available to answer our questions and ensured that our daughter received the very best treatment . Thank you mitra hospital. Thank you so very much for taking such excellent care of my daughter and for making this difficult time for our family SO much more bearable.
और
मेरी बेटी को left inguinal harniya भी hua था उसकी भी सर्जरी करणी जरुरी थी और DJ स्टेट removal भी करना था june 20 th को मेरे बेटी का Dr. Ashwita Shenoy मॅडम ने left inguinal harniya की surgery बहुत आछी तरह की और DJ स्टेट भी निकाली मेरे बेटी का सब अच्छा हुवा thank you mitr hospital All team thanks Dr. Ashwita Shenoy मॅडम मेरे परिवार के तरफ से आपको और आपके पुरे टीम को धन्यवाद.
excellent treatment my daughter
Thank you mitr hospital
Purva Shingare
4 months ago
Had kidney stone surgery done by Dr Manish Dubey. All staff was cooperative. Doctor Dubey made me so much relaxed that I was not at all worried about the procedure. Other doctors in the OT were also very sweet. The staff is very nice, hospital is clean ,no smell of medicines, housekeeping services are very good. Hospital food is also very nice,tasty and healthy. Insurance procedure is also very easy. The surgery procedure went so smoothly. I would surely recommend Mitr Hospital and special thanks to Dr Dubey.
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Nikita Ghodke
7 months ago
I had an amazing experience at the hospital, which offers excellent facilities and truly stands out in terms of care and support. I was under the treatment of Dr. Vijaykumar Yadav, who is exceptional in his field. His kindness, compassion, and dedication to his work made a significant difference throughout my journey.
He is highly detail-oriented and experienced, ensuring I felt confident and well-informed at every step. I underwent two surgeries, and he consistently reassured me and focused on my recovery and well-being. What truly sets him apart is his availability, he was always there whenever needed, even late at night.
Overall, the hospital is outstanding and undoubtedly one of the best in Navi Mumbai. I’m truly grateful for the care I received.
Read moreHe is highly detail-oriented and experienced, ensuring I felt confident and well-informed at every step. I underwent two surgeries, and he consistently reassured me and focused on my recovery and well-being. What truly sets him apart is his availability, he was always there whenever needed, even late at night.
Overall, the hospital is outstanding and undoubtedly one of the best in Navi Mumbai. I’m truly grateful for the care I received.
Dimple Choudhary
1 year ago
Very polite staff N great service ☺️
Ketan Bhagat
1 year ago
Excellent,
We had a nice experience with Mitr hospital. Dr.A.K.Singal is such a talented Child urologist and nice person. Staff are good. Thank you so much Dr.A.K.Singal sir and Dr.Ashvitha Mam for treating our daughter so well and saving her life.. We w'l be gratful to you throughout our life..
Read moreWe had a nice experience with Mitr hospital. Dr.A.K.Singal is such a talented Child urologist and nice person. Staff are good. Thank you so much Dr.A.K.Singal sir and Dr.Ashvitha Mam for treating our daughter so well and saving her life.. We w'l be gratful to you throughout our life..
Pankaj Choudhary
1 year ago
Very experienced Doctor and cooperative staff. They give full time to patients for there Query and problems.
Blood test Camp organised for Woman's day was support and very helpful
Read moreBlood test Camp organised for Woman's day was support and very helpful
Sneha Omale
1 year ago
डॉ. अमित घरत इंडॉस्कॉपी खूप छान पध्दती ने केली . धन्यवाद डॉक्टर आणि त्यांची टीम . वेळोवेळी मदत केली बद्दल.
prathamesh palkar
1 year ago
“I am extremely grateful for the excellent service provided by Mr.Aditya Sir from the hospital TPA insurance team. He was incredibly professional, patient, and thorough in explaining my insurance coverage and guiding me through the entire process. His prompt assistance and dedication made everything smooth and hassle-free. I truly appreciate his kindness and efficiency in handling my queries. Thank you, Aditya Sir, for your outstanding support!”
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