Benign Prostatic Hyperplasia (BPH)

About Dr. Deepak Mane

Dr. Deepak Mane is a Genito Urinary Medicine Physician and Urologist in Pimple Saudagar, Pune and has an experience of 21 years in these fields. Dr. Deepak Mane practices at Eras Bharati Hospital in Pimple Saudagar, Pune,7 Orange Hospitals in Pimpri-Chinchwad, Pune and Shree Multispeciality Hospital and ICU in Moshi, Pune.

Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate, is one of the most frequent urological conditions affecting men, especially above the age of 50. As the prostate gland grows in size, it can begin to squeeze or block the urethra, leading to urinary problems that can significantly affect daily life. While BPH is not cancer and does not increase the risk of prostate cancer, the symptoms can be troubling and often require medical attention.

What is BPH?

BPH is the non-cancerous enlargement of the prostate gland. Over time, as the gland grows, it compresses the urethra—the tube that carries urine out of the body—leading to obstruction of urine flow. The exact cause of this enlargement is not known, but hormonal changes with age are believed to play a major role.

Common Symptoms of BPH

Men with BPH may experience one or many of the following symptoms:

  • Difficulty starting urination

  • Weak or interrupted urine stream

  • Frequent urination, especially at night (nocturia)

  • Sudden, urgent need to urinate

  • Incomplete emptying of the bladder

  • Dribbling at the end of urination

  • Burning sensation (if infection develops)

These symptoms may worsen over time, making early evaluation important.

Complications if Untreated

While BPH itself is not dangerous, prolonged obstruction can lead to:

  • Urinary tract infections

  • Acute urinary retention

  • Bladder stones

  • Kidney damage due to back pressure

  • Frequent hospital visits due to urinary problems

Seeking timely treatment prevents long-term complications.

Diagnosis

A complete evaluation includes:

  • Physical examination

  • Digital rectal exam (DRE)

  • Urine test

  • Ultrasound of kidneys and bladder

  • PSA (Prostate-Specific Antigen) test

  • Uroflowmetry (measures urine flow)

These tests help determine the severity of enlargement and the right course of treatment.

Treatment Options for BPH

Treatment depends on the intensity of symptoms and overall health of the patient.

1. Lifestyle Modifications

  • Reducing caffeine and alcohol

  • Avoiding drinking water before bedtime

  • Regular exercise

  • Bladder training techniques

2. Medications

  • Alpha-blockers (relax prostate muscles for easier urine flow)

  • 5-alpha-reductase inhibitors (shrink the prostate over time)

  • Combination therapy for better results

3. Minimally Invasive Procedures

These are preferred because of quick recovery and less pain:

  • TURP (Transurethral Resection of Prostate) – Gold standard treatment

  • Laser Prostate Surgery – Holmium/Thulium laser for bloodless removal

  • UroLift System – Lifts prostate tissue to open the urinary channel

  • Prostatic artery embolization

4. Surgical Options

For very large prostates or severe symptoms, open or robotic prostatectomy may be recommended.

Recovery and Prognosis

Most patients experience quick relief of symptoms after treatment. Minimally invasive procedures allow faster recovery, less bleeding, and reduced hospital stay.

Why Choose Us for BPH Treatment?

  • Experienced urologist with expertise in laser and minimally invasive surgery

  • Advanced diagnostic facilities

  • Personalized treatment according to age, symptoms, and health

  • High patient success rate

  • Comprehensive follow-up care

Early treatment ensures better outcomes and prevents complications. If you experience urinary difficulties, timely evaluation is essential.