WHAT IS BPH?
Benign Prostatic Hyperplasia
or Enlarged Prostate occurs when the cells of prostate multiply. Prostate gland gets bigger which squeezes the urethra and limits the flow of urine.
CAUSES AND EFECTS
Causes
- Unclear
-
Might be coming with age, related to hormonal changes (testosterone)
SYMPTOMS
- Get up at night to urinate > 2 times
- Frequent urination
- Sudden need to urinate
- Have to strain to pass urine
- Weak urine flow
- Post-micturition dribbling
TREATMENTS
Medicines
There are 2 types of medicine available to treat the symptom of BPH
1. Alpha adrenergic blockers: Formerly used as hypertension drugs relax prostate, open channel
(+) Fast acting medicine, feel the improvement within 3 days
(-) Symptoms will recur quickly if patients stop medicine
2. 5-ARI: Help to reduce the production of DHT – a hormone which is necessary for the growth of the prostate
(+) Able to reduce the size of prostate at some levels; Helpful with large prostate cases
(-) Slow-acting medicine
Surgery
- Transurethral resection of the prostate – TURP
- Laser
VIDEOS
UROLOGISTS TEAM
Dr. Suntchai Wirotsaengthong
Medical School
– MD, Chulalongkorn University
Board Certifications
– Diplomate Thai Board of Urologic Surgery, Chulalongkorn University
Special Clinical Interests
• Endourology
• Retrograde intrarenal surgery
• Erectile Dysfunction treatment
• Penile Surgery
Language Spoken: Thai, English
Dr. Sakolrat Titaram
Medical School
– MD, Siriraj hospital, Mahidol University
Board Certifications
– Certificate of Proficiency in Urology Mahidol University 2016
– International preceptorship urologic program, Cleveland Clinic, Ohio 2019
Special Clinical Interests
• Laparoscopic Surgery
• Endourology
• Prostate Surgery
Language Spoken: Thai, English
Dr. Pakkpol Bamrungphuet
Medical School
– MD, Chiang Mai University
Board Certifications
– Thai Urology, Chiang Mai University
Special Clinical Interests
• Minimally Invasive Urologic Surgery
• Endourology
Language Spoken: Thai, English
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