iTIND

REZUM

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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