UROLOGY · CONDITIONS
Benign Prostatic Hyperplasia (BPH)
Non-cancerous enlargement of the prostate gland causing progressive urinary obstruction. The most common urological condition in men over 50.
ABOUT THIS CONDITION
What is Benign Prostatic Hyperplasia (BPH)?
Benign prostatic hyperplasia is the non-cancerous growth of the prostate gland that gradually compresses the urethra, causing lower urinary tract symptoms (LUTS). Symptoms include weak stream, frequency, urgency, nocturia, and incomplete bladder emptying. Dr. Vipin offers the complete spectrum of BPH treatment , from optimised medical therapy to HoLEP laser enucleation , choosing the procedure best matched to prostate size, patient fitness, and symptom severity.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Ageing , natural hormonal changes after 40
- Rising oestrogen-to-testosterone ratio
- Family history of prostate enlargement
- Obesity and sedentary lifestyle
- Metabolic syndrome and type 2 diabetes
- Chronic inflammation of the prostate
CLINICAL DETAILS
KeyFacts
IPSS score and prostate volume guide the choice of medical vs. surgical treatment.
Gold standard endoscopic resection , no external incision, 1–2 day hospital stay.
Size-independent laser enucleation , the most durable long-term surgical option.
Catheter removed day 1–2. Back to normal activities within 1–2 weeks.
BPH does not cause prostate cancer but both can coexist , PSA testing is recommended.
Covered by most major health insurance plans and government schemes.
HOW WE TREAT IT
Treatment Approach
HoLEP (Holmium Laser Enucleation of Prostate)
The most durable endoscopic BPH treatment , holmium laser enucleates the entire adenoma regardless of gland size, with minimal bleeding and lasting relief.
- 1
Assessment
IPSS questionnaire, uroflowmetry, post-void residual ultrasound, and PSA establish symptom severity and guide the treatment pathway.
- 2
Medical Optimisation
Alpha-blockers and 5-alpha reductase inhibitors are trialled for moderate symptoms before surgical intervention is recommended.
- 3
Endoscopic Procedure
TURP, Bipolar TURP, or HoLEP is performed through the urethra , no external incision. Prostatic tissue is resected or enucleated under direct vision.
- 4
Recovery
Catheter is removed on day 1 or 2. Most patients are discharged within 1–2 days and notice immediate improvement in urine flow.
AVAILABLE TREATMENTS
Treatment Options
TURP (Transurethral Resection of Prostate)
Gold standard monopolar endoscopic resection of obstructing prostatic tissue , 1–2 day hospital stay, no external incision.
Bipolar TURP
Saline-based bipolar resection eliminating TUR syndrome risk , preferred for patients with cardiac or metabolic comorbidities.
HoLEP (Holmium Laser Enucleation of Prostate)
Size-independent laser enucleation of the entire adenoma , the most durable long-term BPH procedure available.
GreenLight / ThuLEP Laser Vaporisation
Laser vaporisation of prostatic tissue with excellent haemostasis , ideal for anticoagulated or high-anaesthetic-risk patients.
Open Prostatectomy (Millin's)
Open retropubic enucleation of the adenoma for very large glands (>100 mL) not suited to endoscopic approaches.
Common Questions
Frequently Asked
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