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HelloMD.com: UROLOGY (URINARY AND
GENETAL SYSTEMS)

PROSTRATE ENLARGEMENT

When should one suspect enlargement?
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Because the gland trends to obstruct the urinary
passage, so the person will have a weak stream of urine and there
will be difficulty in initiating the act of urination
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The person will have to strain a lot to urinate.
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Night frequency of passing the urine increases
and the patient is unable to sleep properly at night.
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There is sense of incomplete evacuation of
bladder and the patient generally looks for a place to pass his
urine wherever he goes.
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Later on as the symptoms progress in severity,
there may be complete obstruction/ retention of urine.
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If the patient delays treatment for a long time,
he may develop kidney damage due to back pressure of incompletely
passed urine.
What are the treatment modalities available ?
Medical treatment by giving various drugs may relieve the symptoms
temporarily but mostly all the patients have to undergo surgery sooner
or later.

How is surgery carried out?
It is carried out under local anesthesia. A cystoscope (small tube
with optical illumination and a facility to introduce various
instruments) is introduced through urethra and the prostrate gland
obstructing the flow of urine is cut out in small pieces.
What are the usual complications?
Immediate complication is that urine which comes out in the tube can
be slightly blood stained but usually it does not last for more than a
day or two. Other complication is infection which if occurs, can be
managed with antibiotics. Sometimes after removal of catheter (which
is mostly taken out after a week or so) there may be some loss of
control over the act of urination for a few days and it can be managed
by teaching the patient a few exercises.

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NOTE: SINCE
UROLOGY IS A VERY VAST FIELD, IT IS NOT WITHIN THE SCOPE OF THIS
WEBSITE TO DISCUSS EACH AND EVERY PROCEDURE IN DETAIL, SO A
BRIEF OUTLINE OF VARIOUS PROCEDURES IS GIVEN BELOW. IT MAY BE
STATED THAT ALMOST EVERY KIND OF PROCEDURE IS BEING SUCCESSFULLY
UNDERTAKEN BY THE TEAM OF DOCTOR OF AMS. PLEASE LET US KNOW IF
YOU HAVE ANY SPECIFIC QUERY.
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