Prostate Badhne Ka Ilaaj Bina Surgery — PAE Treatment Lucknow

Prostate Badhna Kya Hota Hai? (BPH Kya Hai?)

Prostate ek chhoti si gland hai jo bladder ke neeche hoti hai. Ye peshab ki nali (urethra) ke charon taraf hoti hai. Jaise-jaise age badhti hai, prostate bhi badhta hai — isko BPH (Benign Prostatic Hyperplasia) bolte hain.

Jab prostate bada hota hai toh peshab ki nali ko daba deta hai — jaise koi pipe ko squeeze kare. Isse peshab ka flow slow ho jaata hai aur problems shuru hoti hain. Ye bahut common hai — 60 saal ki age mein 50% aur 85 saal tak 90% mardbon ko ye problem hoti hai.

Normal prostate ka weight 20-25 gram hota hai. BPH mein ye 50, 80, ya 100 gram se bhi zyada ho sakta hai. Jitna bada prostate, utni zyada peshab ki problem.

Pehle samajh lo — BPH cancer nahi hai. Prostate badhna aur prostate cancer dono alag-alag cheezon hain. BPH se cancer ka risk nahi badhta.

Ye Symptoms Hain Toh Doctor Ke Paas Jaao

Prostate ki problem dheere-dheere badhti hai. Bahut se aadmi saalon tak sehte rehte hain ye sochke ki "age ke saath hota hai." Lekin in signs ko ignore mat karo:

• Baar-baar washroom jaana — din mein 8+ baar jaana pad raha hai.
• Raat ko uthna — raat mein 2-3 ya zyada baar peshab ke liye uthna padta hai, neend kharab hoti hai.
• Peshab ki dhaar kamzor — patli dhaar aati hai, zor nahi hota.
• Ruk-ruk ke peshab aana — stream start aur stop hoti rehti hai.
• Jaldbaazi lagti hai — achanak tez urgency lagti hai, rok nahi paate.
• Shuru hone mein time lagta hai — khade rehke wait karna padta hai ki dhaar shuru ho.
• Bladder poora khaali nahi hota — lagta hai abhi aur baaqi hai.
• Zor lagana padta hai — push karna padta hai peshab ke liye.
• Tapak-tapak aana — khatam hone ke baad bhi boonden aati rehti hain.

Agar bahut zyada problem ho jaaye toh peshab bilkul ruk sakta hai (urinary retention) — ye emergency hai.

Puraana Tarika: TURP Surgery

Ab tak prostate ke liye TURP surgery hoti thi — "gold standard" maana jaata tha. Ismein penis ke raaste instrument daalke prostate ka extra tissue kaata jaata hai. Kaam toh karta hai, lekin iske kai side effects hain:

• Mardangi ki problem — 65-75% logon ko retrograde ejaculation hoti hai. Matlab semen bahar nahi aata, bladder mein chala jaata hai. Practically infertility ho jaati hai.
• Erection ki problem — 5-10% patients mein erectile dysfunction report hota hai.
• Peshab ka control kho jaana — 1-3% mein incontinence ho sakti hai.
• Anesthesia — spinal ya general anesthesia zaroori hai.
• Catheter lagta hai — surgery ke baad 1-3 din nali lagti hai.
• Hospital rehna — 2-3 din hospital mein.
• Recovery — 4-6 hafta normal hone mein.

Bina Surgery Ka Tarika: Prostate Artery Embolization (PAE)

PAE mein koi cut nahi, koi instrument penis se nahi daala jaata. Sirf ek chhoti sooyi se catheter daalke prostate ki blood supply kam ki jaati hai — aur prostate dheere-dheere chhota ho jaata hai.

Jaise koi plant ko paani milna band ho jaaye toh wo sukhne lagta hai — waise hi prostate ki blood supply kam hone par prostate shrink hota hai.

PAE Kaise Hota Hai? Step by Step

1. Sooyi lagti hai — wrist ya groin mein ek chhota sa puncture hota hai (local anesthesia mein). Hosh mein rehte ho.
2. Catheter navigate hota hai — X-ray guidance mein ek patla tube arteries se hote hue prostate ki arteries tak pahunchaya jaata hai.
3. Particles inject hote hain — baaluu ke daane se bhi chhote particles inject kiye jaate hain jo prostate ki blood supply band kar dete hain — dono taraf.
4. Ho gaya — catheter nikaal ke chhota bandage lagta hai. Koi tanke nahi.

Puri procedure 1-3 ghante mein hoti hai.

TURP Surgery vs PAE — Kya Fark Hai?

Cheez	TURP (Surgery)	PAE (Bina Surgery)
Anesthesia	Spinal ya general (behosh karte hain)	Local anesthesia (hosh mein rehte ho)
Kaise hota hai	Penis se instrument daalke tissue kaata jaata hai	Wrist/groin mein sooyi se catheter — koi cut nahi
Mardangi ka risk	65-75% retrograde ejaculation	5% se bhi kam
Erection ka risk	5-10%	1% se bhi kam
Catheter lagta hai?	Haan — 1-3 din	Nahi — zyaadatar mein zaroorat nahi
Hospital mein rehna	2-3 din	Usi din ya ek raat
Normal hone mein time	4-6 weeks	3-7 din
Bahut bade prostate mein?	Mushkil aur risky	Har size mein safe — 80-100g+ bhi

PAE Ke Baad Recovery Kaisi Hoti Hai?

• Usi din ya agle din ghar — zyaadatar patients jaldi discharge ho jaate hain.
• Halki takleef — peshab mein halki jalan, pelvic mein halka dard, ya thoda bukhar ho sakta hai. 2-3 din mein theek.
• Catheter nahi lagta — TURP ke ulat, PAE mein zyaadatar patients ko catheter nahi chahiye.
• Kaam par kab jaayein? — 3-7 din mein normal routine.
• Improvement kab hogi? — 2-4 hafton mein peshab ki dhaar better hone lagti hai. 1-3 mahine mein acchi improvement. Prostate 25-40% chhota hota hai.
• Follow-up — 1 mahine, 3 mahine, aur 6 mahine par ultrasound aur symptoms check hote hain.

Aksar Poochhe Jaane Wale Sawaal