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Prostate Enlargement (BPH) Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow offers specialised and stepwise treatment for prostate enlargement (BPH – Benign Prostatic Hyperplasia) under the care of Dr. Aditya Sengar (Urologist). From mild urinary symptoms managed with medicines to severe obstruction requiring endoscopic or laser surgery, we provide personalised treatment plans focused on symptom relief, protection of bladder and kidney function and improvement of overall quality of life.
What is Prostate Enlargement (BPH)?
Prostate enlargement or Benign Prostatic Hyperplasia (BPH) is a
non-cancerous increase in the size of the prostate gland that commonly occurs as
men
grow older. The prostate is a small gland located just below the bladder and
surrounds the first part of the urethra – the tube that carries urine out of the
body.
As the prostate enlarges, it can compress the urethra and obstruct the flow of urine. This leads to lower urinary tract symptoms (LUTS) such as weak stream, frequent urination and urgency.
BPH is not cancer, but if left untreated, significant obstruction can cause complications like urinary retention, recurrent infections, bladder stones and even damage to the kidneys. Early evaluation and proper management help avoid these problems and maintain good urinary function.
As the prostate enlarges, it can compress the urethra and obstruct the flow of urine. This leads to lower urinary tract symptoms (LUTS) such as weak stream, frequent urination and urgency.
BPH is not cancer, but if left untreated, significant obstruction can cause complications like urinary retention, recurrent infections, bladder stones and even damage to the kidneys. Early evaluation and proper management help avoid these problems and maintain good urinary function.
Slow, Weak or Interrupted Urine Stream
One of the most typical symptoms of enlarged prostate is a slow or weak
urine stream. Men may feel that they need to strain to start urinating,
the flow may stop and start, or it may take longer than usual to empty
the
bladder. These symptoms often gradually worsen over time.
Frequent Urination & Night-Time Urination (Nocturia)
Men with BPH often need to pass urine frequently, especially at night.
Getting up multiple times from sleep to urinate (nocturia) can be very
disturbing and tiring. Daytime frequency and urgency can also interfere
with
work and social activities.
Urgency, Dribbling & Incomplete Emptying
Many patients with prostate enlargement feel a sudden, strong urge to
pass
urine and sometimes may not reach the toilet in time. There may be
dribbling of urine after finishing and a persistent sensation that the
bladder has not emptied completely. These symptoms indicate obstruction
and
need evaluation.
Urinary Retention, Infection & Blood in Urine
In advanced cases, the enlarged prostate may cause acute urinary
retention, where the patient suddenly cannot pass urine and
develops severe lower abdominal pain and distension. Recurrent urinary
infections, burning urination or blood in urine can also occur due to
long-standing obstruction and stagnation of urine and must be treated
promptly.
Causes & Risk Factors for Prostate Enlargement (BPH)
Prostate enlargement is primarily related to ageing and hormonal changes, but
certain factors may influence its development and severity:
1. Ageing – BPH is very common in men above 50 years and becomes more frequent with advancing age.
2. Hormonal Changes – Alterations in the balance of male hormones (androgens) and other growth factors with age contribute to prostate growth.
3. Family History – Having close male relatives with BPH can increase the likelihood of developing significant prostate enlargement.
4. Lifestyle Factors – Obesity, lack of physical activity, high intake of junk or processed foods and excess caffeine or alcohol may aggravate urinary symptoms.
5. Associated Medical Conditions – Diabetes, hypertension and some neurological diseases may worsen urinary complaints or interfere with bladder function.
A thorough evaluation with history, examination, urine tests, PSA blood test, ultrasound (prostate size and residual urine) and uroflowmetry helps to assess the severity of obstruction and plan the most appropriate treatment for symptom relief and organ protection.
1. Ageing – BPH is very common in men above 50 years and becomes more frequent with advancing age.
2. Hormonal Changes – Alterations in the balance of male hormones (androgens) and other growth factors with age contribute to prostate growth.
3. Family History – Having close male relatives with BPH can increase the likelihood of developing significant prostate enlargement.
4. Lifestyle Factors – Obesity, lack of physical activity, high intake of junk or processed foods and excess caffeine or alcohol may aggravate urinary symptoms.
5. Associated Medical Conditions – Diabetes, hypertension and some neurological diseases may worsen urinary complaints or interfere with bladder function.
A thorough evaluation with history, examination, urine tests, PSA blood test, ultrasound (prostate size and residual urine) and uroflowmetry helps to assess the severity of obstruction and plan the most appropriate treatment for symptom relief and organ protection.
Why Choose Swastik Urology Clinic for Prostate Enlargement (BPH) Treatment?
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow is
committed to safe, effective and patient-centred management of prostate
enlargement:
• Experienced Urologist – Dr. Aditya Sengar
Extensive experience in evaluating urinary symptoms, differentiating BPH from other causes (including prostate cancer) and offering evidence-based treatment.
• Comprehensive Evaluation & Monitoring
We assess symptom scores, urine flow (uroflowmetry), residual urine, prostate size, PSA and other factors before advising any treatment, ensuring that therapy is appropriate and safe.
• Range of Treatment Options – From Medicines to Surgery
We provide lifestyle advice and medical treatment for mild to moderate symptoms and offer endoscopic TURP and laser prostate surgery for men with severe complaints or complications, using modern equipment and protocols.
• Focus on Bladder & Kidney Protection
Our goal is not only to relieve urinary symptoms but also to prevent long-term complications such as recurrent infections, bladder damage and kidney dysfunction due to chronic obstruction.
• Long-Term Follow-Up & Symptom Control
BPH is a chronic condition that needs periodic review. We guide you on lifestyle changes, medicine use, and follow-up schedules to keep symptoms under control and detect any new problems early.
• Experienced Urologist – Dr. Aditya Sengar
Extensive experience in evaluating urinary symptoms, differentiating BPH from other causes (including prostate cancer) and offering evidence-based treatment.
• Comprehensive Evaluation & Monitoring
We assess symptom scores, urine flow (uroflowmetry), residual urine, prostate size, PSA and other factors before advising any treatment, ensuring that therapy is appropriate and safe.
• Range of Treatment Options – From Medicines to Surgery
We provide lifestyle advice and medical treatment for mild to moderate symptoms and offer endoscopic TURP and laser prostate surgery for men with severe complaints or complications, using modern equipment and protocols.
• Focus on Bladder & Kidney Protection
Our goal is not only to relieve urinary symptoms but also to prevent long-term complications such as recurrent infections, bladder damage and kidney dysfunction due to chronic obstruction.
• Long-Term Follow-Up & Symptom Control
BPH is a chronic condition that needs periodic review. We guide you on lifestyle changes, medicine use, and follow-up schedules to keep symptoms under control and detect any new problems early.
Prostate Enlargement (BPH) Treatment Options at Swastik Urology Clinic
Treatment choice depends on the severity of symptoms, prostate size,
urine
flow, residual urine and complications, along with your age and
overall
health:
1. Lifestyle Measures & Medical Management
• Fluid and diet advice (limiting late-night fluids, caffeine and alcohol)
• Bladder training and timed voiding techniques
• Medicines to relax the prostate and bladder neck (alpha-blockers)
• Medicines to shrink the prostate size over time (5-alpha-reductase inhibitors) in suitable patients
2. Catheterisation & Temporary Relief in Retention
• In acute urinary retention, a catheter is placed to drain urine and relieve pain
• Further evaluation is done to decide on long-term management
• Intermittent self-catheterisation may be advised in some special situations
3. TURP (Transurethral Resection of Prostate)
• Standard endoscopic surgery for moderate to large prostates causing obstruction
• Enlarged obstructing tissue is removed through the urethra using a resectoscope
• No external cut; usually requires short hospital stay and catheter for a few days
4. Laser Prostate Surgery & Other Surgical Options
• Laser procedures (such as HoLEP or laser TURP) may be offered to suitable patients for reduced bleeding and faster recovery
• In very large prostates or complex cases, open or other specialised procedures may be considered in coordination with higher centres
Your urologist will discuss all suitable options and suggest the safest and most effective method based on your reports, expectations and overall clinical condition.
1. Lifestyle Measures & Medical Management
• Fluid and diet advice (limiting late-night fluids, caffeine and alcohol)
• Bladder training and timed voiding techniques
• Medicines to relax the prostate and bladder neck (alpha-blockers)
• Medicines to shrink the prostate size over time (5-alpha-reductase inhibitors) in suitable patients
2. Catheterisation & Temporary Relief in Retention
• In acute urinary retention, a catheter is placed to drain urine and relieve pain
• Further evaluation is done to decide on long-term management
• Intermittent self-catheterisation may be advised in some special situations
3. TURP (Transurethral Resection of Prostate)
• Standard endoscopic surgery for moderate to large prostates causing obstruction
• Enlarged obstructing tissue is removed through the urethra using a resectoscope
• No external cut; usually requires short hospital stay and catheter for a few days
4. Laser Prostate Surgery & Other Surgical Options
• Laser procedures (such as HoLEP or laser TURP) may be offered to suitable patients for reduced bleeding and faster recovery
• In very large prostates or complex cases, open or other specialised procedures may be considered in coordination with higher centres
Your urologist will discuss all suitable options and suggest the safest and most effective method based on your reports, expectations and overall clinical condition.
When should I consult a urologist for prostate enlargement (BPH)?
You should consult a urologist if you notice slow or weak urine stream, straining to pass urine, frequent urination (especially at night), sudden urgency, dribbling after urination or a feeling of incomplete emptying. Immediate consultation is needed if you are unable to pass urine at all, have recurrent infections, blood in urine or if ultrasound shows significant residual urine, bladder changes or effects on the kidneys.
Will I always need surgery for prostate enlargement (BPH)?
No. Many men with mild to moderate symptoms can be managed with lifestyle changes and medicines, provided there are no complications such as retention, recurrent infections, bladder stones or kidney damage. Surgery (TURP or laser prostate surgery) is usually recommended when medicines do not provide adequate relief, side effects are troublesome, or when there is significant obstruction and complications. Your urologist will help you decide the best time and type of treatment.
How long do I need to stay in the hospital for BPH surgery (TURP/laser)?
Hospital stay after TURP or laser prostate surgery usually ranges from 2–4 days, depending on your general health, amount of prostate tissue removed, urine colour and catheter drainage. A urinary catheter is typically kept for a short period after surgery and then removed once it is safe to do so. Your urologist will explain the expected stay, catheter removal plan, activity restrictions and follow-up visits before the procedure.
Can prostate enlargement come back? How can I take care after treatment?
Medicines control symptoms as long as they are taken and may need long-term use. After TURP or laser surgery, the removed tissue does not grow back to the same extent in most patients, but some urinary symptoms may gradually appear again with age or other conditions. Regular follow-up, maintaining a healthy weight, staying physically active, avoiding excess late-night fluids, limiting caffeine and alcohol, and treating infections promptly all help in long-term bladder and prostate health. At Swastik Urology Clinic, we guide you on these measures and schedule periodic reviews tailored to your needs.