|Discussion in 'All Categories' started by Naiyer iqbal Razzaqui - Aug 6th, 2012 3:14 am.|
Naiyer iqbal Razzaqui
|Have bhp Grade 2,prostrate 46gm,prevoid 385mg,pvr 99mg. pSA 0.83.On urimax 0.4, and duta0.5mg for nearly 5 months. No great improvement so far.Advise if surgery required?.If so which Turp, Green stic/ Hoep.?...? Also cost at you Hospital. Age 68. Male. On Bp medication since 2008, after placement of one stent at RR Hospital. Otherwise in good health.
re: bhp by Dr M K Gupta - Aug 6th, 2012 12:09 pm
Dr M K Gupta
|Dear Mr Iqbal
If you are symptomatic due to your BHP you should get your surgery for prostate done. During transurethral resection of the prostate (TURP), an instrument is inserted up the urethra to remove the section of the prostate that is blocking urine flow.
TURP usually requires hospitalization and is done using a general or spinal anesthesia.
Patients who are not bothered by their symptoms and are not experiencing complications of BHP should be managed with a strategy of watchful waiting.
Prostatic enlargement generally depends on the potent androgen dihydrotestosterone (DHT) in Male. In the prostate gland, type II 5-alpha-reductase metabolizes circulating testosterone into DHT, which works locally, not systemically.
The main function of the prostate gland in the male is to secrete an alkaline fluid that comprises approximately 70% of the seminal volume.
Nerves inside the prostate and bladder could also may play a role in causing the following common symptoms:
Urinary frequency - The necessity to urinate frequently during the day or night, usually voiding only small amounts of urine with each episode.
Urinary urgency - The sudden, urgent need to urinate, because of the feeling of imminent lack of urine without control.
Hesitancy - Difficulty initiating the urinary stream; interrupted, weak stream.
Incomplete bladder emptying - The feeling of persistent residual urine, regardless of the frequency of urination
Straining - The requirement strain or push (Valsalva maneuver) to initiate and keep urination to be able to more fully evacuate the bladder.
Decreased force of stream - The subjective loss of force from the urinary stream with time.
Dribbling - Losing small quantities of urine as a result of poor urinary stream
A sexual history is essential, as epidemiologic research has identified as an independent risk factor for erectile dysfunction and ejaculatory dysfunction
So in this case you should evaluate yourself and then decide for surgery. At our hospital this surgery will cost you 65000 rupees as complete package.
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