Prostate Enlargement (BPH) Treatment in Sangareddy
Expert Urology (Urinary & Male Health Care) care at KBR Life Care Hospitals, Sangareddy
Prostate Enlargement (BPH) Treatment in Sangareddy
Benign prostatic hyperplasia (BPH) is the non-cancerous enlargement of the prostate gland that occurs as men age. By the age of 60, over half of men have some degree of prostate enlargement, and by 80, the proportion rises to around 90 percent. The enlarged prostate squeezes the urethra (the tube carrying urine from the bladder), leading to the characteristic lower urinary tract symptoms that many men accept as inevitable ageing.
BPH is not cancer and does not increase the risk of prostate cancer, but its symptoms can significantly impact quality of life, sleep, and daily function. Getting up multiple times at night, rushing urgently to the toilet, and waiting a long time for the stream to start are common complaints that patients in Sangareddy often defer presenting for years.
At KBR Life Care Hospitals, we take BPH symptoms seriously. Treatment is matched to symptom severity: lifestyle advice and watchful waiting for mild symptoms, medical therapy for moderate symptoms, and surgical options for severe or complicated BPH. A PSA test is also offered to exclude concurrent prostate cancer as a contributing cause of the symptoms.
Types & Causes
Age-Related BPH
Hormonal changes over decades cause progressive prostate enlargement; affects the majority of men over 60
Obstructive BPH
Prostate enlargement that predominantly squeezes the urethra, causing a slow, intermittent, or hesitant stream
Irritative BPH
Prostate enlargement triggering bladder overactivity, causing frequency, urgency, and nocturia even with less severe obstruction
BPH with Acute Urinary Retention
Sudden complete inability to pass urine; a urological emergency requiring catheterisation
BPH with Chronic Retention
Gradual large residual urine build-up, sometimes painless, that can silently damage kidney function
Symptoms to Watch For
Weak or slow urine stream, sometimes stopping and starting
Difficulty initiating urination (hesitancy), waiting for the stream to begin
Frequent urination during the day, often passing small volumes
Nocturia: waking 2 or more times per night to urinate
Urgency: a sudden strong need to urinate that is difficult to defer
Feeling of incomplete bladder emptying after finishing urination
In severe cases: complete inability to pass urine (acute retention)
When to See a Doctor
- Urinary symptoms significantly affecting sleep, work, or quality of life
- Sudden complete inability to pass urine (acute retention), requires emergency catheterisation
- Blood in the urine alongside urinary symptoms
- Repeated urinary tract infections in a man, suggesting urinary stasis from incomplete emptying
- Any man over 50 with lower urinary tract symptoms, to confirm BPH is the cause and exclude prostate cancer
- Symptoms that have worsened significantly over a short period
How We Diagnose
- International Prostate Symptom Score (IPSS) questionnaire to quantify symptom severity
- Urine flow rate (uroflowmetry): measures the speed and pattern of urine flow
- Post-void residual ultrasound: measures how much urine remains in the bladder after voiding
- PSA blood test to exclude prostate cancer as a contributing factor
- Renal function blood tests in men with suspected chronic urinary retention to check for kidney impairment
Our Treatment Approach
- Watchful waiting and lifestyle advice for mild symptoms: reducing caffeine and alcohol, timed voiding, and fluid management
- Alpha-blockers (tamsulosin, alfuzosin): relax the prostate and bladder neck smooth muscle; rapid symptom improvement within days
- 5-alpha reductase inhibitors (finasteride, dutasteride): shrink the prostate over months; best for larger prostates; also reduce long-term risk of acute retention
- Combination medical therapy for moderate to severe symptoms with a larger prostate
- Transurethral resection of the prostate (TURP): the standard surgical procedure; removes obstructing prostate tissue through the urethra using a resectoscope
- Laser prostatectomy (HoLEP or GreenLight): alternatives to TURP with less bleeding risk; suitable for very large prostates or patients on anticoagulants
Why Choose KBR Life Care Hospitals?
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