Dr Vipin Sharma

My Prostate Is Enlarged—Do I Really Need Surgery? 

Enlarged Prostate Treatment

The term “enlarged prostate” often conjures fears of surgery. The good news is that most men with benign prostatic enlargement (BPH) do not require an operation. The right option will depend on your symptoms and complications and not merely on the size of the gland. Whether you are looking for enlarged prostate treatment in Indore or prostate surgery in Indore, 

 Size is not the only factor in treatment. 

One man with a large prostate may have only mild symptoms, while another with a modest increase in prostate size may be severely affected. Doctors are concerned about how much it interferes with your life and whether it threatens your bladder or kidneys.  

Non-surgical options are first  

  • Lifestyle changes: Reducing evening fluids, caffeine and alcohol and not holding on to urine for too long. 
  • Alpha-blocker medicines relax the muscle at the outlet of the bladder to improve flow. 
  • 5-alpha reductase inhibitors: These help the prostate slowly shrink over months. 
  • Combination therapy for more significant symptoms.  

Regular follow up with symptom scores and ultrasound checks to keep things on track.  

When surgery is recommended  

  • Recurrent urinary retention 
  • Recurrent urine infections 
  • Bladder Calculi 
  • Chronic blood in the urine from the prostate 
  • Kidney damage with poor emptying 

Medications that do not control symptoms or cause intolerable side effects  

Types of procedures 

Modern options include TURP (resection through the urethra), laser procedures including HoLEP and minimally invasive procedures which open up or cut down prostate tissue. Your choice depends on how big your prostate is, your age, other health problems, and what’s important to you about recovery time and sexual function.  

Questions for your doctor  

  • What are the pros and cons of each for me? 
  • Will it change ejaculation or continence? 
  • Period of Recovery: What is it? 

Surgery is a tool, not the next step. A consultation with a qualified urologist in Indore for proper tests helps you make an informed, unhurried decision. 

Share This Post: