Dr. Niti Navanimikul outlines the symptoms and treatment for benign prostatic hyperplasia, a condition in older men that restricts urine flow due to an enlarged prostate, including an effective new therapy with minimal side effects.

What happens to your water system as you age and what can you do about it? This was the topic of Dr. Niti Navanimikul at the Wednesday August 10 meeting of the Pattaya City Expats Club. Dr. Niti is a Urology Specialist at Bangkok Hospital Pattaya. He obtained his medical degree in 2003 from Chiang Mai University and completed advanced courses in the United States, France, Taiwan and Thailand.

His talk focused on benign prostatic hyperplasia (BPH), a common condition in older men that results in the need to urinate multiple times at night; about 50% of men over 50 increase to 80% with age. This condition is most likely due to an enlarged prostate which only men have and whose purpose is sperm production.

Using several slides, he described the prostate gland and how it surrounds the urinary tract from the bladder. He explained how an enlarged prostate (BPH) closes over the urinary tract when it leaves the bladder, blocking the flow of urine.

He mentioned that after getting the medical history, the doctor will perform a digital rectal examination to check the size of the prostate and if there are any lumps. This may be followed by other diagnostic tests such as urinalysis for infection, serum PSA screening for cancer, ultrasound for bladder and uroflowmetry for strength and quality of urination.

MC Ren Lexander presents Dr. Niti Navanimikul with the PCEC Certificate of Appreciation for his talk on Benign Prostatic Hyperplasia including a quick and effective type of alternative treatment with less side effects than TURP surgery.

Dr. Niti then described the treatment available. First of all, it will most likely be drugs to relax the prostate. In the past, if the drug stopped working, the next step was surgery called transurethral resection of the prostate (TURP). TURP surgery removes part of the prostate surrounding the urethra to allow the urethra to produce a greater flow of urine. A disadvantage of TURP surgery is that it can have unwanted side effects such as sexual dysfunction.

However, there is now an alternative treatment available. It is water vapor therapy that has been approved by the FDA (USA and Thailand). Dr. Niti explained that it is quick, safe and can be done on an outpatient basis with 4 to 6 fifteen minute sessions. He described the process of injecting water at 103 degrees Celsius. Moreover, it has minimal side effects and preserves sexual function.

Member Ren Lexander interviews Dr. Niti Navanimikul after her PCEC presentation. To view the video on the PCEC YouTube channel, visit https://www.youtube.com/watch?v=WZVnk8VlPhE Interview.

After the presentation, Wallapha (Tanya) Sawasdikool from Bangkok Hospital in Pattaya handed out vouchers for free BPH screening tests to the winners of the ‘Raffle Draw’. This was followed by Tom Keightley of the Pattaya International Rotary Club to outline an upcoming charity event at the Cowboy Resort in Pattaya to benefit the Pattaya Center to Combat Human Trafficking and Child Abuse.

Afterwards, MC Ren Lexander updated everyone on upcoming events which was followed by the PCEC Open Forum where questions are asked and answered about expat life in Thailand. For more information about the PCEC, visit their website at https://pcec.club. To view Dr. Niti’s presentation on the PCEC YouTube channel, visit https://www.youtube.com/watch?v=sLpAamBtszY.

Member Richard Smith enjoys free drug testing from Bangkok Hospital Pattaya during PCEC meeting.
Wallapha (Tanya) Sawasdikool of Bangkok Hospital in Pattaya is holding the raffle for 10 winners of a voucher for a free benign prostatic hyperplasia screening test at the hospital.