Kya Bade Prostate (BPH) Ka Ilaaj Bina Surgery Ho Sakta Hai?
Raat mein 4-5 baar bathroom jaana pad raha hai. Peshab ki dhaar kamzor ho gayi hai. Doctor bol raha hai prostate bada ho gaya hai, TURP surgery karao. Lekin suno — ab ek aisa ilaaj hai jo bina kisi surgery ke, bina catheter ke, blood vessels ke raaste prostate ko sikod deta hai. Naam hai PAE — Prostate Artery Embolization.
BPH (Benign Prostatic Hyperplasia) Kya Hai?
BPH matlab prostate gland ka non-cancerous badh jaana. 50 saal se upar ke zyaadatar mardon ko ye problem hoti hai. Jaise-jaise prostate badhta hai, ye urethra (peshab ki nali) ko dabata hai aur pareshani shuru hoti hai: baar-baar peshab aana (khaas taur se raat mein), dhaar kamzor ya toot-toot ke aana, peshab shuru karne mein dikkat, bladder poora khali nahi hone ka ehsaas, aur achanak urgent peshab lagna. Ye symptoms umar ke saath aur bure hote jaate hain aur zindagi bahut mushkil kar dete hain.
Purana Tarika — TURP Surgery
Dashkon se TURP (Transurethral Resection of the Prostate) BPH ka standard surgical ilaaj raha hai. Surgeon urethra ke raaste ek instrument daalke prostate ka extra tissue kaat ke nikalta hai. Ye kaam toh karta hai, lekin TURP mein spinal ya general anesthesia lagti hai, surgery ke baad 2–5 din catheter lagta hai, 2–4 din hospital mein rehna padta hai, aur khatarnaak risks hain — bleeding, retrograde ejaculation (75% tak patients mein), peshab ka roke na rukna, aur urethral stricture. Recovery 4–6 hafte lagti hai, aur bahut se bujurg mard toh itne kamzor hote hain ki TURP karwa hi nahi sakte.
Prostate Artery Embolization (PAE) Kaise Kaam Karta Hai?
PAE mein Dr. Rohit Agarwal kalaayi ki artery mein ek chhota sa puncture karte hain — urethra mein koi instrument nahi jaata. Ek microcatheter X-ray guidance mein blood vessels ke zariye us chhoti artery tak pahunchayi jaati hai jo bade prostate ko khoon supply karti hai. Wahaan bahut chhote microspheres (ret ke dane se bhi chhote) inject kiye jaate hain jo in arteries ko block kar dete hain. Khoon ki supply band hone se prostate agle kuch hafton mein dheere-dheere sikud jaata hai, urethra par se dabav hatata hai, aur peshab ki dhaar behtar hoti hai. Poora procedure local anesthesia mein hota hai — zyaadatar patients usi din ya agli subah ghar chale jaate hain.
PAE vs TURP — Comparison
| Factor | TURP Surgery | Prostate Artery Embolization (PAE) |
|---|---|---|
| Anesthesia | Spinal ya general | Sirf local anesthesia |
| Catheter lagta hai? | Haan — 2–5 din | Nahi |
| Hospital mein rehna | 2–4 din | Usi din ya ek raat |
| Recovery | 4–6 hafte | 3–5 din |
| Retrograde ejaculation | 75% tak | Bahut rare |
| Incontinence ka risk | 5–10% | Na ke barabar |
| Bujurg / high-risk ke liye safe? | Aksar bahut risky | 90+ saal ke patients mein bhi safe |
| Symptom improvement | ~85–90% | ~85–90% |
Results — Evidence Kya Kehta Hai
Studies consistently dikhate hain ki PAE se lagbhag 90% symptom improvement hoti hai, prostate ka size significant kam hota hai, aur peshab ki dhaar behtar hoti hai. Medanta Lucknow mein Dr. Rohit Agarwal ne har age group ke patients ka kamyaab ilaaj kiya hai — including ek 94 saal ke patient jinhein urologists ne TURP ke liye unfit bol diya tha, lekin PAE se behtareen result aaya. Zyaadatar patients ko 2–4 hafton mein fark mehsoos hota hai, aur maximum fayda 3–6 mahine mein dikhta hai.
Lucknow mein bina surgery prostate ka ilaaj Medanta mein ke liye Dr. Rohit Agarwal se baat karo: +91 860-445-3663.
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