Dr Sandeep Bafna

Dr Sandeep Bafna

Condition

Enlarged Prostate (BPH)

Prostate enlargement care including medicines, UroLift and endoscopic surgery.

Benign Prostatic Hyperplasia (BPH) is a non‑cancerous enlargement of the prostate gland that commonly affects men over 50. As the prostate grows, it squeezes the urethra, causing urinary difficulties such as weak stream, frequent urination and nighttime waking. Left untreated, BPH can lead to urinary retention, bladder stones or kidney problems.

BPH

Specialist

TURP

Surgical Options

50+

Common Age Group

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Enlarged Prostate (BPH)

Disease management

Treatment options

These are the ways this condition can be treated. The right option depends on your case - Dr. Bafna will explain it in simple words.

01

Medicines for enlarged prostate

02

UroLift

A smaller day-care option that lifts prostate tissue to improve flow.

03

Laser / endoscopic surgery (TURP, HoLEP)

Causes / risk factors

  • Age and hormonal changes (elevated dihydrotestosterone levels)
  • Family history of BPH or prostate disease
  • Obesity, sedentary lifestyle and poor diet
  • Diabetes, heart disease and erectile dysfunction
  • Long‑term use of certain medications (e.g., decongestants) and smoking

Symptoms

  • Difficulty starting urination and weak or interrupted stream
  • Urgent or frequent need to urinate, especially at night (nocturia)
  • Dribbling at the end of urination and feeling that the bladder isn’t empty
  • Straining or taking longer than usual to urinate
  • Occasional blood in the urine and recurrent urinary tract infections

When to seek help / emergency signs

  • Acute urinary retention (sudden inability to urinate)
  • Blood in urine or passing clots
  • Recurrent UTIs, bladder stones or kidney problems
  • Persistent severe symptoms affecting sleep and daily activities
  • Pain in the lower abdomen, back or perineum

Diagnosis

We evaluate medical history and perform a digital rectal exam to assess prostate size and texture. Urine and blood tests check for infection and kidney function. Prostate‑specific antigen (PSA) testing helps distinguish BPH from other conditions. Ultrasound and post‑void residual measurements assess bladder emptying, while urodynamic studies or flexible cystoscopy may be ordered for complex cases. MRI or CT scans are reserved for unusual presentations or when planning robotic surgery.

Prevention / aftercare

Maintain a healthy weight, exercise regularly and eat a diet rich in fruits and vegetables. Limit caffeine and alcohol, practise good hydration habits and avoid bladder irritants. After treatment, we provide follow‑up care to monitor symptom improvement and manage any medication side effects.

Trouble peeing? Don’t wait. Book a consultation to discuss modern, minimally invasive BPH treatments, including laser and robotic options.

Watch & Learn

Videos on Enlarged Prostate (BPH)

Dr. Sandeep Bafna explains this condition in plain language - symptoms, treatment options, and what recovery looks like.

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Common Questions

Enlarged Prostate (BPH) - FAQs

Signs include weak or interrupted stream, difficulty starting urination, frequent urination especially at night, urgency, dribbling, and feeling the bladder is not empty. Men over 50 should seek evaluation if symptoms persist.
Treatment ranges from medications (alpha blockers, 5-alpha reductase inhibitors) to smaller procedures such as UroLift, as well as TURP, HoLEP, laser vaporisation and water-jet ablation. The choice depends on prostate size, symptoms and your goals.
See a urologist if you wake multiple times at night to urinate, strain to start urination, experience sudden urgency, have blood in urine, or cannot urinate at all - the last requires emergency care.
No. BPH is non-cancerous prostate enlargement. Prostate cancer requires separate evaluation including PSA, examination, and biopsy when indicated. Both can cause urinary symptoms.
Holmium laser enucleation of the prostate (HoLEP) removes enlarged prostate tissue using a laser, offering effective relief for BPH with durable results and suitability for large glands.
PSA interpretation depends on age, prostate size, and trend over time. Elevated or rising PSA warrants urology evaluation; it does not alone confirm cancer but guides further testing.

Expert Guide

Complete guide: Prostate BPH treatment in Chennai

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Learn More

Prostate BPH - when to see a urologist in Chennai

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Need Expert Care for Enlarged Prostate (BPH)?

Schedule a consultation with Dr. Sandeep Bafna at Apollo Hospitals, Chennai for personalised treatment.

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