UROLOGY CENTER

Thonburi Bamrungmuang Urology Center provides medical services in diagnostics and treatments with state of art technology. Our team of experienced Urology Surgeons are capable of general surgeries and laparoscopic surgeries such as prostatectomy, resection and incision of prostate, treatment of benign prostate hyperplasia (BPH), and urinary incontinence.

With advancement in medical knowledge, surgery on small incisions called Minimally Invasive Surgery (MIS) plays an important role in today’s treatment as opposed to traditional surgery. This will lessen the size of surgical incision, pain, and recovery time.

Benign prostate hyperplasia

What is Benign Prostate Hyperplasia (BPH)?

    Benign prostate hyperplasia (BPH) or enlarged prostate gland is a common condition as men get older and can cause uncomfortable urinary symptoms. When the prostate gland is larger, the urethra is squeezed. (Tube carrying urine and semen) This can further cause problem for bladder, urinary tract, or kidneys.

Risk Factors

• ◼️ Aging
• ◼️ Family history
• ◼️ Diabetes
• ◼️ Heart Disease
• ◼️ Obesity

Symptoms

• ◼️ Increased urination at night (nocturia)
• ◼️ Frequent or urgent need to urinate
• ◼️ Difficulty starting to urinate
• ◼️ Difficulty emptying your bladder
• ◼️ Weak stream of urine and dribbling when finished
• ◼️ Incontinence
• ◼️ Feeling like needing to urinate even after recently urinated
• ◼️ Urinary tract infections

Treatment

    Treatment would be based on the size of the prostate, age, and symptoms you have. There are options of medications and surgical procedures. Presently there are options of minimally invasive surgical options to reduce unpleasant effects, recovery time, and cost.

Medications include:

Alpha blockers: relaxes bladder neck muscle and muscle fiber in prostate to quickly improve urination flow

5-alpha reductase inhibitors: hormonal therapy to shrink prostate and may require up to 3-6 months of treatment before seeing efficacy

Minimally Invasive Surgical options include:

Transurethral resection of the prostate (TURP) – removing most of the prostate gland to allow urine flow

Transurethral incision of the prostate (TUIP) – small cuts in prostate gland for urine to pass and is an option for small-medium enlarged prostate gland or patient with other health risks for surgeries

Transurethral microwave thermotherapy (TUMT) – uses microwave energy to destroy inner portion of prostate gland and shrink it to allow urine flow

Transurethral needle ablation (TUNA) – radio waves are passed through a needle placed on the enlarged tissue to destroy the excess portion and allow urine flow

Laser therapy - Laser therapy generally relieves symptoms right away and has a lower risk of side effects than does nonlaser surgery

Prostatic urethral lift (PUL) - Might be offered to some men concerned about treatment impact on erectile dysfunction and ejaculatory problems

Robot-assisted prostatectomy – generally done if you have a very large prostate

When to see a doctor?

    If you began to have urinary problems that are now bothersome to you, make an appointment with urologist to receive diagnosis and treatment.

Urinary Incontinence

What is Urinary Incontinence

    Urinary incontinence is a condition when you lose bladder control and leak urine that can be very embarrassing issue for many people. People with condition can leak urine when coughing or sneezing or in more severe cases, feeling urge to urinate strongly and unable to go to toilet in time.

Risk Factors

• ◼️ Older age
• ◼️ Obesity
• ◼️ Smoking
• ◼️ Family history
• ◼️ Neurological diseases
• ◼️ Diabetes

Symptoms

    There are several types of urinary incontinence with different symptoms, but all would cause leaking:

• - Stress incontinence – Urine leaks when you exert pressure in your bladder such as coughing, laughing, exercising, or lifting something heavy
• - Urge incontinence – A sudden urge to urinate followed by an involuntary loss of urine
• - Overflow incontinence (chronic urinary retention) – Frequent or constant dribbling of urine because the bladder is not fully emptied
• - Total incontinence – A condition when bladder cannot store urine and pass all urine or frequently leaking
• - Mixed incontinence – You experience more than one type of urinary incontinence

Treatment

    Treatment will depend on the type of incontinence and the underlying cause. There are several approaches for treatment:

• ◼️ Behavioral techniques
  •    - Bladder training to learn ways to wait longer for the time between feeling the need to urinate and passing urine
  •    - Scheduled toilet time instead of waiting for the need to urinate
  •    - Reduction of alcohol, caffeine, or acidic food consumptions
  •    - Double voiding to empty bladder more completely
• ◼️ Pelvic floor muscle exercise to strengthen your pelvic floor muscles by squeezing them
• ◼️ Medications
  •    - Anticholinergics to help overactive bladder
  •    - Alpha-blockers
  •    - Mirabegron
  •    - Topical estrogen
•    - Absorbent pads and catheters
• ◼️ Surgery
  •    - Artificial urinary sphincter
  •    - Sling procedures
  •    - Bladder neck suspension
  •    - Prolapse surgery

When to see a doctor?

    If you have any urinary problems, make an appointment with urologist to receive appropriate treatment as urinary incontinence can greatly affect quality of life and limit your social interactions. Urinary incontinence may also be an indicator of a more serious underlying disease as well.

For more information

UROLOGY CENTER, Thonburi Bamrungmuang Hospital

Thonburi Bamrungmuang Hospital 

Tel: +66 2220 7999