Benign prostatic hyperplasia: symptoms, diagnosis, and treatment

Written by: Mr Sarb Sandhu
Edited by: Conor Lynch

Top Doctors recently had the pleasure of speaking to highly regarded and skilled London-based consultant urologist, Mr Sarb Sandhu, to find out what benign prostatic hyperplasia is, how it is managed effectively, and when surgery is required to treat the symptoms that the condition causes.

What is benign prostatic hyperplasia?

This refers to the growth of one’s prostate. As the prostate grows, urination is affected, with some people experiencing a slower flow or urine, or even stopping urinating altogether.


A man, as a result, may feel incomplete emptying, they may have to rush to the toilet, and they may suffer from urinary incontinence.


How is it diagnosed and treated?

Diagnosis involves listening to the man’s symptoms to make sure he doesn’t have prostate cancer by doing a blood test and thorough examination. Then, we will usually perform an ultrasound scan and a flow rate, to determine how much urine he is passing. This will let us know if the patient has benign prostatic hyperplasia or not. 


How is it managed most effectively?

Some patients seek the use of prescribed medication. Minimally invasive surgery is also an option for patients suffering from the condition. RezumHoLEP, and UroLift are the three very effective surgical options.


Is surgery ever required?

Surgery is certainly required for men who stop urinating. Other individuals with a slow flow or who pass urine frequently will also be helped through a surgical intervention, but it is not necessary.


How can men reduce their chances of experiencing this condition?

Having a good lifestyle, a diet that is low in fatty meats, and controlling your weight, will all really help prevent on onset of benign prostatic hyperplasia. There are also some medications people can take to reduce their chances of suffering from the condition.


If you are worried that you may be currently suffering from benign prostatic hyperplasia or if you feel as though you are experiencing any of the abovementioned symptoms, contact Mr Sarb Sandhu today via his Top Doctors profile to book a consultation

By Mr Sarb Sandhu

Mr Sarb Sandhu is a leading consultant urologist who specialises in bladder cancer, bladder problems and prostate cancer alongside vasectomy, vasovasostomy (VV) and prostate treatment. He privately practises at The New Victoria Hospital, Parkside Hospital and Kingston General Hospital Private Health, alongside the BMI Syon Clinic. His NHS base is Kingston Hospital NHS Foundation Trust. 

Mr Sandhu, who also specialises in circumcision, kidney stones and laparoscopic surgery alongside uro-oncology and laser surgery for the prostate, is currently the Chief of Surgery and Planned Care Division at Kingston General Hospital and St George's Hospital. 

Mr Sandhu completed his training at the Royal Free Hospital School of Medicine, London, where he was awarded an BSc (Hons) in Biochemistry with Basic Medical Sciences and MBBS. Following this, he undertook higher surgical training in the North Thames Region and the Royal Marsden Hospital. He has gained international training experience in America, Egypt and Belgium, and has two fellowships from the Royal College of Surgeons. Furthermore, Mr Sandhu has an MD in research into prostate cancer.  

Mr Sandhu's clinical work is a significant point of reference in his field, having been published in various peer-reviewed journals and book chapters. He has also presented his work at international conferences and is a member of many boards and associations, including the British Association of Urological Surgeons (BAUS), European Association of Urological Surgeons (EAUS) and British Medical Association (BMA). He is also a fellow of the Royal College of Surgeons (FRCS). 

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