iTIND

REZUM

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

  • Unclear
  • Might be coming with age, related to hormonal changes (testosterone)

  • 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 

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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