Bumrungrad International Hospital
Urology Center
Introduction The prostate is a gland found only in males. Its function is to produce seminal fluid. Of chestnut shape, it wraps around the upper part of the urethra and cannot be seen or felt externally (outside the body). is a common disease and its occurrence is often related to age. Benign Prostatic Hyperplasia (BPH) is a condition in which the prostate gland is abnormally large. Wrapping around the upper part of the urethra, when enlarged, the prostate may press on the urethra and make it narrower, causing patients to experience urinary obstruction. An enlarged prostate may also cause the muscular wall of the bladder to thicken as it needs to work harder to force the urine through the narrowed urethra. The thickened bladder wall means the bladder’s reduced capacity to store urine thus leading to frequent urination and possibly sudden urges to urinate. 50 % 60 80 70 Benign Prostatic Hyperplasia Evidence suggests that BPH occurs in and in of men about of men years old %
years old and over.
Vision and Mission The Urology Center
aims to provide comprehensive treatment for benign prostatic hyperplasia and to achieve the best possible outcomes for patients. The patient-centered care approach focuses on personalized care for the prostate issues with complex and different symptoms of each individual patient. A team of highly experienced urologists who specialize in the treatment of benign prostatic hyperplasia can provide a variety of treatments.
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Frequent urination or sudden urge to urinate
taking long to urinate, weak urine flow, interrupted urination, dripping urine
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03 Painful urination
Blood in the urine Signs Warning of Benign Prostatic Hyperplasia
Frequent urination at night 04
02 01 A detailed history and a digital rectal examination (DRE) to assess the size and abnormalities of the prostate gland Prostatic-Specific Antigen (PSA) blood test; high PSA levels suggests
How is an enlarged prostate diagnosed?
prostate abnormalities such as an enlarged prostate, prostatitis, and prostate cancer
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An ultrasound of the urinary tract to assess the size and abnormalities of the prostate gland
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A urine flow test to calculate the rate and PVR or the amount of urine left in the bladder
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A urinalysis to look for abnormalities in the urine
What are the treatment approaches?
The treatment approaches for enlarged prostate to be considered are based on the symptoms, not on the prostate size. Even if the prostate is very large but the patient has no symptoms, it is not necessary to take medication. The Urology Center provides the following care for over 5,000 patients with enlarged prostate each year: Change water drinking habits: With mild symptoms, patients are advised to reduce the water intake. It’s also good to reduce caffeinated and alcoholic beverages.
Treatment with medications: There are currently 3 main groups of drugs:
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02
01
Third is the Saw Palmetto berry extract, which helps reduce inflammation and makes urination easier. However, it may not be as effective as the other medications.
Second is the drugs that shrink the prostate, which must be taken continuously for about 6 months to work
First is the drugs that relax the smooth muscle of the bladder neck and prostate, making urination easier.
well. If you stop taking the drugs, the prostate can be enlarged again.
Surgical treatment:
In some cases, treatment with medications may not help improve symptoms or causes too many side effects. In other cases, there may be recurring complications in the urinary tract such as infection, high level of post-void residual, causing kidney function to worsen or blood in the urine. In these cases, doctors may consider surgery, of which there are several methods. Our medical team is highly experienced in treating enlarged prostate, having provided surgical treatment for 500 patients per year with surgical methods meeting their needs including the following:
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Holmium laser enucleation of the prostate (HoLEP)
Photoselective Vaporization of Prostate (PVP)
Transurethral Resection of the Prostate (TURP)
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04
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Open prostatectomy for abnormally enlarged prostate
Treatment with Urolift
Water Vapor Therapy
Transurethral Resection of the Prostate (TURP)
Transurethral Resection of the Prostate (TURP) involves removing part or all of the prostate. It is a standard treatment approach for enlarged prostate in Thailand.
Excellent treatment outcomes
51 % USA standards 49%
57 % USA standards 44% y
m
o
65 %
67 % USA standards 51%
Elsevier Journal of Urology 57%
Photoselective Vaporization of Prostate (PVP)
Photoselective Vaporization of Prostate (PVP) uses the laser energy to quickly vaporize and precisely remove part or all of the prostate. It may be cut only partially or completely. The patient may receive local, spinal, or general anesthesia for the surgery which takes approximately 20-50 minutes.
Excellent treatment outcomes
a
46 % USA standards 49%
57 % y
USA standards 44%
70 % m
P
63 % USA standards 51%
Elsevier Journal of Urology 57%
Holmium laser enucleation of the prostate (HoLEP)
The HoLEP procedure uses pulses of laser beam to remove the tissue from the inside of the prostate blocking the urethra. An approach that can be used on prostate glands of all sizes, it is an effective treatment option offering long-term results, with reduced risk of bleeding and possibly a tissue diagnosis of cancer.
Excellent treatment outcomes
a
69 % y
55 % USA standards 49%
USA standards 44%
o
69 % USA standards 51%
78 %
Elsevier Journal of Urology 57%
Water Vapor Therapy
In this procedure, a device is inserted into the urethra and then sterile water vapor injected into the enlarged areas of the prostate causing the blocking cells to die. The dead cells are then removed through the body's natural healing response, allowing the urethra to open and urine to flow freely. Considered convenient and easy, it is a procedure with few complications. Bumrungrad Hospital was the first in Thailand to bring in the Rezum technology to treat enlarged prostate in 2021 . The hospital’s Urology Center has been certified by Boston Scientific of the U.S. as the Center of Excellence in enlarged prostate treatment with the Water Vapor Therapy, first in Asia. It has treated 276 cases or about 30% of enlarged prostate in the country with water therapy. (July 2024 data)
Excellent treatment outcomes
57 % a USA standards 49%
55 % USA standards 44%
v
55 % USA standards 51%
57 %
Elsevier Journal of Urology 57%
Treatment with UroLift
A minimally invasive treatment for enlarged prostate, UroLift is performed under local anesthesia to widen the urethra. In the procedure, the urologist places a device through the obstructed urethra to access the enlarged prostate, and then delivers tiny implants made of medical grade stainless steel and nitinol , an alloy with superelasticity, to lift and hold prostate tissue out of the way, thus opening the urethra permanently. The procedure takes only 15-30 minutes. Bumrungrad Hospital is the first in Thailand to use Urolift in 2024 in treating enlarge prostate.
Dr. Viroj Chodchoy Enlarged prostate treatment with
Why choose Bumrungrad for BPH treatment?
We o er all the best treatment options
for enlarged prostate patients. This ensures
that each patient receives the most suitable option.
Appointment
#ProstateHero
Prof. Dr. Apichat Kongkanand Enlarged prostate treatment with
At Bumrungrad, comprehensive care is provided by experienced specialists who were trained at Why choose Bumrungrad for BPH treatment?
world-class institutions.
Appointment
#ProstateHero
Dr. Choosin Jirachitsumpun Enlarged prostate treatment with
Why choose Bumrungrad for BPH treatment? Bumrungrad’s BPH specialists are highly experienced, seeing over 5,000 patients annually.
Appointment
#ProstateHero
Dr. Teerapon Amornvesukit Enlarged prostate treatment with
Why choose Bumrungrad for BPH treatment? The Bumrungrad Urology Center has been ecognized by Boston Scienti c (USA) as the rst Center of Expertise in Asia for water vapor therapy for BPH.
Bumrungrad has also treated more BPH patients via water vapor therapy than any other hospital in Thailand.
Appointment
#ProstateHero
Dr. Jakkrit Issayanuwat Enlarged prostate treatment with
Why choose Bumrungrad for BPH treatment?
Bumrungrad’s specialists are highly experienced in water vapor
therapy for BPH, having treated over 276 patients with this technique, which is roughly 30% of all enlarged prostate cases in Thailand.
Appointment
#ProstateHero
Dr. Charuspong Dissaranan Enlarged prostate treatment with
Why choose Bumrungrad for BPH treatment? Bumrungrad’s urology specialists are highly experienced. Through various surgical treatment methods, specialists treat over 500 patients per year.
Appointment
#ProstateHero
Dr. Atip Chatsudthipong Enlarged prostate treatment with
Why choose Bumrungrad for BPH treatment?
We never cease to adopt new technologies.
We were the rst to adopt the UroLift system in Thailand.
Appointment
#ProstateHero
Dr. Phisaiphun Wattayang Enlarged prostate treatment with
Why choose Bumrungrad for BPH treatment? We are committed to understanding your individual needs. We provide compassionate,
personalized, quality care.
Appointment
#ProstateHero
Related Packages
Basic prostate check
Transurethral resection of the prostate (TURP) under general anesthesia
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benign prostatic hyperplasia (BPH) Urolift for
Water vapor therapy (ReZum)
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Are you at risk of Benign Prostatic hyperplasia (BPH)?
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For consultation or diagnosis of enlarged prostate, please call 061 409 3943
#ProstateHERO
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