An enlarged prostate is often called benign prostatic hyperplasia (BPH). It is not cancer, and it does not enhance your risk to develop prostate cancer.
An enlarged prostate means the gland has grown bigger and it occurs in almost all men as they get older. As the gland grows, it can press on the urethra and cause urination and bladder problems.
The likelihood of developing an enlarged prostate increases with age. A small incidence of prostate enlargement has been seen in men over age 40. On the other hand, more than 90% of men over age 80 have the condition.
Less than half of all men with BPH have symptoms of the disease, which may include:
The diagnosis will be accurately put by a urology specialist based on several tests that include the severity of the sysmptoms and careful examination and tests.
The treatment you choose for prostate enlargement will be based on how bad your symptoms are and how much they bother you. Your doctor will also take into account other medical problems you may have.
If you are over 60, you are more likely to see symptoms, however, the majority of men with an enlarged prostate have only minor symptoms. If you have Benign Prostatic Hyperplasia BPH, you should have a yearly exam to monitor your symptoms and see if you need changes in treatment.
Medicines for Prostate Enlargement
Prostate surgery may be recommended if you have:
The choice of a specific surgical procedure is usually based on the severity of your symptoms and the size and shape of your prostate gland.
Transurethral resection of the prostate (TURP)
This is the most common and most proven surgical treatment for BPH. Transurethral resection of the prostate or TURP is performed by inserting a scope through the penis and removing the prostate piece by piece.
There are several types of prostatectomy:
The less-invasive procedures for prostate surgery use heat to destroy prostate tissue or cold - such as:
Patients who receive these procedures are more likely to need surgery again after 5 or 10 years. However, these procedures may be a choice for:
Men who have had BPH for long time with slowly worsening symptom may develop:
BPH may come back over time even after having surgery.
The average cost of a TURP procedure in the United States is roughly between $5,000 and $6,000, (without including urologist and anesthesiologist fees). For those men who are traveling abroad for TURP - to India, the procedure can cost around $3,000, while trained and certified urologists in Thailand, Costa Rica or Croatia charge an average of around $3,500. In Mexico TURP prices is around $2,800.
The cost of prostatectomy procedures will depend on the type of surgical approach. USA prices of radical prostatectomy may be as much as $10,000, though cost may vary depending on geographical location. Robotic technologies such as da Vinci may cost up to $24,000. However, medical travelers to Mexico, Thailand or India may save up to 50% of costs, paying an average of $4,000 for non- robotic prostate removal, while patients in Turkey may pay approximately $6,000 for the same procedure.
The cost of HoLEP can be significantly higher compared to TURP, averaging just over $11,000 depending on the location of the facility. Because the treatment is not yet mainstream, a handful of facilities around the world perform the procedure.
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