1. DEPARTMENT OF UROLOGY EDUCATION.
BENIGN PROSTATIC HYPERPLASIA
(BPH)
also called Enlarged Prostate
Production Team
Dr Abraham Benjamin - Manager Medical Informatics
Mr. Naresh Kumar - Coordinator Medical Informatics

2. What is a Prostate ?
● It is a male organ situated below the urinary bladder.
● Prostate is classically slightly larger than a walnut.
● The average weight of the healthy prostate is about 10 grams
but when diseased it can increase to more than 100 grams.

3. What is a Prostate ?
● The prostate secretes fluid that nourishes and
protects sperm.
● During ejaculation, the prostate squeezes this
fluid into the urethra, and it’s expelled with
sperm as semen.
● The organ doesn't have any function in old
age.

4. What is a BPH ?
● BPH is part of the natural aging process, like
getting gray hair or wearing glasses.
● BPH can be prevented by leading a healthy
lifestyle but 50% of all males above the age of
50 years are likely to get BPH.
● BPH can be treated.

5. PROSTATE
● Benign Prostatic Hypertrophy is not precursor
for prostate cancer.
● Surgical treatment for BPH doesn't ensure the
patient freedom from prostate cancer.

6. How Does it look?
Normal Enlarged

7. What are the symptoms of Prostate Enlargement
● Hesitancy ( difficulty in starting to pass urine)
● Weak Stream
● Prolonged time to pass urine
● Feeling of incomplete bladder emptying.
● Urinary infection
● Blood in Urine
● Urinary Retention (Inability to pass urine)
When you have any of the above symptoms Consult an Urologist
Immediately for investigations and treatment

8. When should BPH be treated?
BPH needs to be treated ONLY IF:
● Symptoms are severe enough to bother the
patient and affect his quality of life.
● Treatment can take the form of Medical
Treatment or Endoscopic Surgery (Laser)

9. Medical Management
● Medical management takes form of tablets.
● They should be taken once a day and consists
of Alpha blocker and Alpha 2 reductase
blockers.
● Alpha Blockers should be taken at bedtime.

10. Medical Management
● Medical Management should not be
discontinued and should be taken as long as it
is effective.
● 50% of patients suffering from BPH on
medical treatment respond and can avoid
surgery.

11. LASER PROSTATE SURGERY

12. Endoscopic Surgery with LASER
● Safer.
● No need to stop blood thinning drugs that are must
for heart patients.
● Lesser blood loss.
● Fewer complications

13. Laser Prostate Surgery

14. Endoscopic Surgery with LASER
● Less pain after operation.
● Earlier discharge from hospital (24 – 48 hrs).
● Earlier resumption to work (3-5 days).

15. BPH
Enlarged Prostate After LASER Prostate Surgery

16. Ramayya Pramila LASER PROSTATE experience
● Pioneered Laser Surgery in prostate way back
in 1992.
● Currently using the most advanced type of
LASER (Holmium Continuous wave also called
Thulium) since 2008.
● 1200 successful Laser procedures since 2008 – Lar
Series in India

17. Superior and Compassionate care