Benign Prostatic Hyperplasia (BPH) is a common condition in aging men, where the prostate gland enlarges, causing urinary difficulties such as frequent urination, weak flow, and nocturia (nighttime urination). While medications help in the early stages, surgery becomes necessary when complications arise.
Dr. Shrinivas Narayan, Director of Urology & Renal Transplantation at Fortis Hospital, Kolkata, emphasizes that timely intervention can prevent severe urinary and kidney complications.
When Does BPH Require Surgery?
If BPH is left untreated, it can lead to serious complications. Surgery is advised when you experience –
Recurrent urinary retention – Inability to urinate properly, requiring catheterization.
Blood in the urine (Hematuria) – Persistent bleeding due to prostate enlargement.
Recurrent urinary tract infections (UTIs) – Blocked urine flow increases infection risk.
Bladder stones – Caused by urine stagnation in the bladder.
Kidney damage – Due to prolonged bladder dysfunction and urine retention.
Advanced Surgical Options for BPH
With modern advancements, minimally invasive prostate surgeries offer faster recovery, less pain, and better outcomes.
HoLEP (Holmium Laser Enucleation of Prostate):
- A cutting-edge laser procedure that removes obstructive prostate tissue through the urethra.
- Minimally invasive, with less bleeding and faster recovery (24-48 hours hospital stay).
- Suitable for all prostate sizes and patients with cardiac conditions.
- Permanent relief with no need for repeat procedures.
TURP (Transurethral Resection of the Prostate):
- Traditional endoscopic surgery where excess prostate tissue is removed using an electric loop.
- Effective for moderate to severe BPH cases.
UroLift & Prostatic Artery Embolization:
- Less invasive techniques that lift or shrink the prostate, improving urine flow.
Early Diagnosis is Key
Dr. Shrinivas Narayan advises men over 50 to undergo regular prostate check-ups to detect BPH early. Surgery is often the best solution when medications fail to control symptoms.
