Urology · Jaipur Hospital
Prostate Care in Jaipur
Frequent urination and weak flow assessed with a clear plan at Jaipur Hospital.
- Serving Jaipur since 1991 (35 years)
- NABH accredited
- 24×7 emergency & ICU
- Cashless: RGHS, MAA Yojana, CGHS + 22 insurers
- Operation time
- 60 to 90 minutes
- Anaesthesia
- Spinal or general anaesthesia
- Recovery
- Catheter for 1 to 2 days, normal activity in 2 weeks
- Price
- ₹80,000 to ₹2,00,000typical range in India; ask us for an estimate
Urinary trouble disrupts daily life
You cannot empty your bladder properly and it affects your sleep and work
An enlarged prostate presses on the urethra. You may strain, stop and start, or rush to the toilet many times a day and night.
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Weak stream and straining
Pee starts slowly, stops and starts, or you push to empty.
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Frequent day and night trips
You go often, sometimes every hour, and wake multiple times at night.
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Incomplete emptying feeling
You finish but still feel urine left inside the bladder.
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Sudden urge or leakage
Strong urge arrives without warning, sometimes causing leaks.
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Risk of infections and stones
Stagnant urine can lead to repeated infections or bladder stones.
BPH prevalence rises from 8% in the 4th decade to 80% in the 9th decade of life.
Why Jaipur Hospital
You worry that surgery means weeks off work, high cost, or losing control when you cough or lift.
Your care plan
Your first steps with us
- 1 Call or visit OPD for urology consultation
- 2 Complete blood tests, PSA, urine flow study and imaging in-house
- 3 Discuss options with your surgeon and receive a cost estimate
- 4 Have surgery, stay 1 to 2 nights, and follow up after discharge
How the operation is done
Surgery is done through the urethra with no external cuts. The blocking tissue is removed using a laser or loop. A catheter stays for 1 to 2 days.
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HoLEP (Holmium Laser Enucleation)
Laser removes the enlarged tissue; suitable for all prostate sizes with minimal bleeding.
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TURP (Transurethral Resection)
Standard loop resection for moderate glands; widely used with low re-treatment rates.
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Prostate Biopsy (TRUS guided)
Systematic or MRI-fusion targeted biopsy to check for cancer.
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UroLift
Implants hold the prostate lobes apart; preserves ejaculation and is often daycare.
Why patients trust us
- 1991 Serving Jaipur for 35 years
- NABH Accredited hospital
- 24×7 Emergency, ICU and ambulance
- 25 Cashless schemes and insurers
What research shows about this treatment
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1 to 2 weeks
Most people return to work in one to two weeks after laser prostate surgery.
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Less than 2%
Fewer than 2 in 100 need a second surgery for urinary obstruction later.
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5% to 15%
About 5 to 15 in 100 are found to have prostate cancer in the removed tissue.
If it is left untreated
Untreated obstruction can lead to sudden inability to pass urine, repeated infections, bladder stones, and long-term bladder or kidney damage.
Life after treatment
Most men pass urine more freely, sleep through the night, and return to normal activity within two weeks.
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Better flow, fewer trips
Most people notice a stronger stream and far fewer visits to the toilet.
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Sleep without interruption
Night-time waking usually drops to zero or once per night.
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Back to work and routine
Light activity resumes next day; most return to work in one to two weeks.
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Continued check-ups
Regular follow-up and PSA tests keep track of prostate health over time.
Meet the team
Our Urology specialists
Care led by Jaipur Hospital's urology consultants, backed by round-the-clock surgical, diagnostic and critical care support.
Frequently asked questions
Questions patients ask about prostate care
Which problems are assessed under prostate care at Jaipur Hospital?
In short
Prostate care at Jaipur Hospital covers benign prostatic hyperplasia, lower urinary tract symptoms, prostate cancer screening, and related urinary problems. The urology team evaluates prostate size, urine flow, bladder emptying, and prostate-specific antigen levels. They also assess urinary infections, bladder stones, and kidney effects from long-standing obstruction. Each assessment is tailored to your symptoms and risk factors.
In detail
Benign prostatic hyperplasia is a histologic diagnosis describing proliferation of smooth muscle and epithelial cells within the prostatic transition zone, leading to benign prostatic enlargement and lower urinary tract symptoms.
Evidence shows LUTS can be obstructive, causing hesitancy, weak stream, straining, or prolonged voiding, or irritative, causing frequency, urgency, nocturia, and urge incontinence.
The prevalence of BPH increases after age 40, with histological prevalence of 8%, 50%, and 80% in the 4th, 6th, and 9th decades. Prostate cancer screening uses PSA testing and, when indicated, TRUS-guided systematic or MRI-fusion targeted biopsy.
The urology department also evaluates metabolic syndrome links, as recent reports suggest a strong relationship of clinical BPH with metabolic syndrome and erectile dysfunction.
A common belief
Many men think prostate care is only about cancer.
What actually happens
In reality, benign enlargement and urinary symptoms are far more common and often need attention first.
Your next step at Jaipur Hospital
You can book a consultation at Jaipur Hospital through the urology OPD. Bring any previous PSA reports, ultrasound films, and a list of current medicines.
The surgeon will review your history, perform a digital rectal examination, and order urine flow studies or imaging as needed. Most evaluations are completed within one or two visits.
How will the doctor decide which tests I need for prostate evaluation?
In short
The urologist at Jaipur Hospital selects tests based on your symptom severity, age, prostate size on examination, PSA level, and medical history. Standard evaluation includes digital rectal examination, PSA blood test, urinalysis, uroflowmetry, and post-void residual ultrasound. Additional tests like MRI or urodynamics are ordered only when findings are unclear or surgery is being planned.
In detail
Guidelines recommend a stepwise approach. The healthcare provider takes your medical history and performs a physical examination to assess severity. This involves a prostate exam and tests to see how much urine remains in your bladder after voiding. Laboratory tests include PSA and urinalysis.
Uroflowmetry measures flow rate and voided volume. Post-void residual ultrasound checks bladder emptying. If PSA is elevated or examination is suspicious, MRI may be advised before biopsy. For surgical planning, prostate volume on ultrasound or MRI helps choose between HoLEP, TURP, or other techniques.
The choice balances symptom bother, prostate size, comorbidities, and your preferences. Evidence shows work-up and medical management require attention to individual patient characteristics while respecting common principles.
A common belief
Patients often expect every test at once.
What actually happens
Guidelines support a stepwise approach — extra tests like MRI or urodynamics are only added when the basics don't give a clear picture.
Your next step at Jaipur Hospital
At your consultation, the surgeon will explain which tests are needed and why. Most blood tests, urine tests, and ultrasound are done in-house at Jaipur Hospital, often on the same day. MRI or specialised tests may need a separate appointment.
Results are typically available within 24 to 48 hours. The surgeon will review them with you and outline the next steps.
How soon should I expect improvement after prostate laser surgery?
In short
After prostate laser surgery at Jaipur Hospital, most patients notice better urine flow within the first few days once the catheter is removed. The catheter usually stays in place for one to two days. Full recovery of normal activity typically takes about two weeks.
In detail
The procedure removes the obstructing prostate tissue through the urethra, so the blockage is relieved immediately. Evidence shows that urinary flow rate and symptom scores improve quickly after the tissue is cleared.
During the first week you may feel urgency, frequency or a mild burning sensation while the urethra heals. These irritative symptoms usually settle within two to four weeks. Strenuous activity and heavy lifting should be avoided for two weeks to prevent bleeding. Pelvic floor exercises can start the day after surgery and help with any temporary leakage.
A common belief
Some people expect instant perfection, but the urethra needs time to heal.
What actually happens
Urgency, frequency or mild burning are common for a few weeks and do not mean the surgery failed.
Your next step at Jaipur Hospital
Plan for one to two nights in hospital and keep the catheter for one to two days. Rest at home for the first week, then gradually return to light activity.
Most people resume desk work in one to two weeks; heavy physical work may need longer. Avoid cycling or straddling for six weeks.
Are my urinary symptoms caused by benign enlargement, infection, or another problem?
In short
Urinary symptoms can arise from benign prostate enlargement, infection, or other conditions. At Jaipur Hospital, the urology team uses history, examination, and targeted tests to identify the exact cause. Only a proper evaluation can distinguish between benign prostatic hyperplasia, prostatitis, bladder issues, or other causes.
In detail
Benign prostatic hyperplasia causes obstructive symptoms such as weak stream, hesitancy, and straining, plus irritative symptoms like frequency, urgency, and nocturia. Prostatitis often adds pain in the perineum, painful ejaculation, or fever. Urinary tract infection shows burning, urgency, and sometimes blood in urine.
Overactive bladder gives urgency with or without incontinence. Bladder stones or strictures can mimic obstruction. The work-up includes a digital rectal exam, urinalysis, urine culture, PSA blood test, uroflowmetry, and post-void residual ultrasound. In some cases, cystoscopy or urodynamics are needed. Evidence shows that symptom overlap is common, so test results guide the correct diagnosis.
A common belief
Many men assume it is just age-related enlargement.
What actually happens
But prostatitis, infection, bladder stones, or overactive bladder can feel similar. Treating the wrong thing delays relief.
Your next step at Jaipur Hospital
Visit the urology OPD at Jaipur Hospital for a structured assessment. Bring any previous reports. The surgeon will order the necessary tests and explain the findings. Accurate diagnosis ensures you receive the right treatment, whether antibiotics for infection, medication for enlargement, or surgery for obstruction.
How can I decide whether to seek advice about BPH evaluation?
In short
You should consider a BPH evaluation at Jaipur Hospital if you have bothersome urinary symptoms such as a weak stream, frequent urination, urgency, night-time waking, or a feeling of incomplete emptying. Age over 50 and a family history of prostate problems also increase the likelihood of benign prostatic hyperplasia.
In detail
Evidence shows lower urinary tract symptoms affect about 3 percent of men aged 45 to 49 and over 30 percent of men aged 85 and older. BPH prevalence rises after age 40, reaching 8 to 60 percent by age 90.
Risk factors include obesity, diabetes, high total energy intake, and low physical activity. Vegetables, fruits, and moderate alcohol may lower risk. Guidelines recommend assessment based on symptom bother and complication risk such as urinary retention, infections, or bladder stones. A digital rectal exam, PSA test, urine flow study, and post-void residual scan are typical first steps.
A common belief
Many men think these symptoms are just part of ageing and do nothing.
What actually happens
But untreated BPH can lead to infections, stones, or sudden inability to pass urine. Early assessment helps avoid complications.
Your next step at Jaipur Hospital
If symptoms affect your daily life or sleep, or if you have had a urinary infection or retention episode, book an appointment for evaluation. The urology team will review your history, examine you, and advise on watchful waiting, medication, or further tests.
Which urinary symptoms need urgent assessment?
In short
Seek urgent assessment at Jaipur Hospital if you cannot pass urine at all, have severe pain in the lower abdomen, see blood clots in your urine, develop a high fever with urinary symptoms, or notice sudden worsening of retention after a period of poor flow. These may indicate acute retention, infection, or other complications.
In detail
Acute urinary retention is a medical emergency requiring immediate catheterisation to prevent bladder damage and kidney back-pressure. Infection with fever suggests possible prostatitis or sepsis. Visible blood clots can block the urethra and need clearance.
Evidence links untreated obstruction to urinary tract infections, bladder stones, and renal impairment. Men with known BPH who suddenly stop passing urine should not wait for a routine appointment. The 24×7 emergency department at Jaipur Hospital can evaluate and relieve obstruction promptly.
A common belief
Some men try to wait out acute retention at home.
What actually happens
This can cause long-term bladder damage or kidney problems. Emergency catheterisation is simple and prevents serious harm.
Your next step at Jaipur Hospital
If you experience any of these symptoms, go to the emergency department or call the hospital immediately. Do not delay hoping symptoms will pass. After emergency relief, a follow-up with the urology team will plan definitive treatment.
Which symptoms should prompt me to see a specialist for prostate care?
In short
You should see a specialist at Jaipur Hospital if you have bothersome lower urinary tract symptoms such as weak stream, hesitancy, straining, prolonged voiding, frequency, urgency, nocturia, urge incontinence, or incomplete emptying. Evidence shows men with LUTS secondary to BPH should not simply accept symptoms as part of ageing. Early evaluation helps prevent complications like urinary retention, infections, or bladder stones.
In detail
Lower urinary tract symptoms are progressive and impact health and welfare. Obstructive symptoms include urinary hesitancy, weak stream, straining, or prolonged voiding. Irritative symptoms include increased urinary frequency and urgency, nocturia, urge incontinence, and reduced voiding volumes. Post-micturition symptoms include post-void dribble or incomplete emptying.
The relation between clinical BPH and LUTS is complex because not all men with clinical BPH develop LUTS and not all men with LUTS have clinical BPH. Risk factors include age over 50, family history, obesity, diabetes, and metabolic syndrome.
Studies show moderate-to-vigorous physical activity reduces BPH risk by up to 25%, while higher BMI correlates with larger prostate volume. If symptoms affect your quality of life or you notice blood in urine, seek evaluation promptly.
A common belief
Many men dismiss these as normal ageing.
What actually happens
Evidence shows bothersome LUTS should not be ignored, as they can lead to retention, infections, or kidney damage over time.
Your next step at Jaipur Hospital
Visit the urology OPD at Jaipur Hospital for a focused assessment. The surgeon will take a detailed history, perform a digital rectal examination, and may order PSA, urinalysis, uroflowmetry, and post-void residual ultrasound. Most tests are done in-house. Based on findings, the surgeon will discuss observation, medical therapy, or procedural options.
How will the test results change my prostate care plan?
In short
Test results at Jaipur Hospital guide whether you need observation, medication, or a procedure. A normal PSA, small prostate, and mild symptoms may lead to watchful waiting with lifestyle changes. An enlarged prostate with high post-void residual or recurrent infections often points to surgery. Suspicious PSA or MRI findings trigger biopsy for cancer screening. The surgeon explains each result and how it shapes your options.
In detail
Evidence shows treatment pathways start at watchful waiting and progress through medical to surgical interventions based on symptom bother and complication risk. PSA levels and prostate volume help stratify risk.
High post-void residual (>100-150 mL) or low flow rate (<10 mL/s) with bothersome symptoms supports procedural intervention. Prostate size on imaging determines technique suitability: HoLEP is suitable for all prostate sizes, TURP is standard for moderate glands, and UroLift preserves ejaculation for selected cases.
If biopsy shows cancer, the care plan shifts to oncology staging and treatment. The surgeon integrates all findings — symptoms, flow studies, imaging, pathology — to recommend the most appropriate next step. Shared decision-making respects your preferences regarding sexual function, recovery time, and invasiveness.
A common belief
Many patients think a high PSA alone means cancer surgery.
What actually happens
In fact, PSA guides risk — many men with elevated PSA have benign enlargement, and the next step is usually MRI or biopsy, not immediate surgery.
Your next step at Jaipur Hospital
After your tests, the surgeon at Jaipur Hospital will discuss the results in a follow-up visit or call. You will receive a clear explanation of what each value means for your care. If medication is advised, prescriptions are given with follow-up timing.
If a procedure is recommended, the surgeon explains the technique, hospital stay (typically 1-2 nights), catheter duration (1-2 days), and recovery (normal activity in 2 weeks). Cost estimates for procedures range from ₹80,000 to ₹2,00,000. Book your follow-up to finalise the plan.
What should I do if urinary symptoms persist or worsen after prostate treatment?
In short
If your urinary symptoms persist or worsen after prostate treatment at Jaipur Hospital, contact your surgeon promptly. Difficulty passing urine, fever, heavy bleeding, or increasing pain need urgent assessment. Do not wait for the next scheduled visit if new or severe symptoms appear.
In detail
After surgery, some irritative symptoms such as frequency or urgency may last a few weeks while the bladder heals. Evidence shows that less than two percent of patients require a second procedure for recurrent obstruction.
However, urinary retention, clot retention, or infection can occur and need immediate care. Persistent symptoms may also indicate stricture formation, bladder neck contracture, or an unrelated issue such as overactive bladder.
Your surgeon will evaluate with a flow study, residual urine check, or cystoscopy if needed. Early reporting allows timely intervention and prevents complications.
A common belief
Some urgency or frequency is normal for a few weeks while the bladder settles.
What actually happens
But new retention, clots, or fever are warning signs that need same-day evaluation.
Your next step at Jaipur Hospital
Keep the emergency numbers of Jaipur Hospital handy. If you cannot pass urine, develop a fever above 38 degrees Celsius, or see bright red blood with clots, go to the 24-hour emergency department. For milder but persistent symptoms, call the urology OPD to advance your follow-up.
What do PSA, urine-flow, and residual-urine results mean?
In short
PSA, urine flow rate, and post-void residual volume are key tests for prostate assessment. At Jaipur Hospital, the urologist interprets these together with your symptoms and examination. No single number gives the full picture; the trend and context matter most.
In detail
PSA (prostate-specific antigen) rises with prostate size, inflammation, infection, or cancer. A high PSA does not confirm cancer, and normal PSA does not exclude it.
The flow study measures how fast you pass urine; a peak flow below 10 to 15 ml per second suggests obstruction. Post-void residual ultrasound checks how much urine stays in the bladder after voiding; more than 100 to 150 ml indicates incomplete emptying.
Evidence shows that combining these tests improves diagnostic accuracy for benign prostatic hyperplasia and helps decide between medical and surgical treatment. Your surgeon will explain what your specific values mean for your management plan.
A common belief
A single high PSA does not mean cancer.
What actually happens
A low flow rate alone does not prove you need surgery. The surgeon looks at the whole pattern, not one number.
Your next step at Jaipur Hospital
Ask for a copy of your test results and discuss them at your follow-up. If PSA is raised, the surgeon may recommend repeat testing, MRI, or biopsy. If flow is low and residual volume high, surgery such as HoLEP or TURP may be advised.
FAQ library
Questions and answers about prostate care
When you contact us
Get a clear plan and estimate
Contact Jaipur Hospital for a urology consultation, in-house tests, plain-language options, a cost estimate, cashless help, and follow-up care.
- A consultation with a urologist in the OPD
- Your scans and reports reviewed, with tests done in-house if you need them (laboratory, X-ray and imaging)
- Your options explained in plain words, including whether you need surgery at all
- A cost estimate before you decide
- Help with cashless treatment under RGHS, MAA Yojana, CGHS and empanelled insurers and TPAs
- Follow-up visits after your treatment
Overview
Prostate Care: what to know
What is an enlarged prostate and how does it happen
- about half of men Microscopic BPH by 60s
- 80% Microscopic BPH by 90s
- 8% to 60% Clinical BPH prevalence at age 90
The prostate is a small gland that sits below the bladder and wraps around the tube that carries urine out of the body. As men get older, this gland often grows larger. The medical name for this non-cancerous growth is benign prostatic hyperplasia, or BPH. When the prostate enlarges, it presses on the urethra and blocks the flow of urine. This is the most common cause of urinary obstruction in men.
The exact reason the prostate starts to grow is not fully understood. Researchers believe that hormones, inflammation, and changes in cell behaviour all play a part. The male hormone testosterone is converted into a more potent form called dihydrotestosterone inside the prostate. This conversion is controlled by an enzyme called 5-alpha-reductase. Medicines that block this enzyme can slow or shrink the growth.
Inflammation inside the prostate also appears to drive growth. Inflammatory cells release chemicals that tell prostate cells to multiply. The source of this inflammation is still being studied but may include infection, autoimmune responses, and chemicals released by excess body fat. BPH is very common.
Autopsy studies show that by the 60s, about half of men have microscopic signs of BPH, and by the 90s, that figure rises to 80%. Clinical BPH becomes more frequent after age 40, with prevalence ranging from 8% to 60% at age 90.
Symptoms of enlarged prostate and warning signs that need urgent care
- Cannot pass urine at all Acute urinary retention
- Severe lower abdomen pain May indicate infection or stones
- Fever with urinary symptoms Possible infection
- Sudden worsening preventing bladder emptying Risk of kidney damage
Lower urinary tract symptoms, or LUTS, are the main reason men seek help. These symptoms fall into three groups.
Obstructive symptoms include:
- A weak stream
- Hesitancy before urine starts
- Straining to pass urine
- A feeling that the bladder has not emptied completely
Irritative symptoms include:
- Needing to pass urine often
- A sudden strong urge to go
- Waking up at night to urinate
- Sometimes leaking urine before reaching the toilet
Post-micturition symptoms include dribbling after you think you have finished.
Not every man with an enlarged prostate gets symptoms, and not every man with these symptoms has an enlarged prostate. The severity of bother varies from person to person.
Some signs need medical attention the same day. If you cannot pass urine at all, this is acute urinary retention and it is an emergency. Other urgent signs include severe pain in the lower abdomen, blood in the urine that does not clear, fever with urinary symptoms, or sudden worsening of symptoms that prevents you from emptying your bladder.
These may point to infection, bladder stones, or kidney damage. Jaipur Hospital runs a 24×7 emergency department with urology cover for such situations.
Causes and who is at higher risk of prostate enlargement
- more than 60% of men BPH by age 60
- four to six times higher Family history surgery risk
- up to 25% Activity reduces BPH risk
- up to 35% lower Moderate alcohol and BPH likelihood
Age is the strongest risk factor. The likelihood of developing BPH rises steadily as you get older. By age 60, more than 60% of men have BPH. Beyond the sixth decade, over 30% of men have moderate to severe symptoms that need treatment.
Genetics also matters. Men with a father or brother who had BPH surgery have a four to six times higher risk of needing surgery themselves. Heritable forms of BPH tend to start at a younger age and involve larger prostates.
Body weight and metabolic health are closely linked to prostate size. Higher body mass index, larger waist circumference, and obesity are all associated with bigger prostates and a higher chance of needing surgery. Diabetes, high insulin levels, and high blood sugar also correlate with larger prostates and faster progression.
Diet influences risk.
High intake of total calories, red meat, fat, and dairy products may increase risk, while vegetables, fruits, polyunsaturated fats, linoleic acid, and vitamin D may lower it:
- Total calories
- Red meat
- Fat
- Dairy products
- Vegetables
- Fruits
- Polyunsaturated fats
- Linoleic acid
- Vitamin D
Higher blood levels of vitamin E, lycopene, selenium, and carotene have been linked to lower risk:
- Vitamin E
- Lycopene
- Selenium
- Carotene
Physical activity is protective. In a large meta-analysis, moderate to vigorous activity reduced the risk of BPH by up to 25% compared with a sedentary lifestyle, and the benefit grew with higher activity levels. Moderate alcohol intake has been associated with up to a 35% lower likelihood of BPH in another meta-analysis.
Some studies suggest daily NSAID or statin use may lower the risk of low flow rate and prostate enlargement, though this is not consistent across all groups.
Ethnicity may play a role. Some data suggest Asian men have a lower risk of clinical BPH compared with white men, while Black men in the US have been found to have larger prostate transition zones, though clinical BPH risk appears similar.
How an enlarged prostate is diagnosed: examination and tests
- Symptom discussion and history Doctor asks about symptoms and medicines
- Digital rectal exam Feels prostate size and shape
- Urine and blood tests Checks infection, blood and PSA
- Bladder scan and flow test Measures leftover urine and flow rate
Diagnosis starts with a conversation about your symptoms and how much they bother you. Your doctor will ask about your medical history and any medicines you take. A physical examination includes a digital rectal exam to feel the size and shape of the prostate.
Standard tests include a urine test to check for infection or blood, and a blood test for prostate-specific antigen, or PSA. PSA helps assess prostate size and can flag a higher risk of prostate cancer, though it is not a cancer test on its own.
A bladder scan or ultrasound after you pass urine measures how much urine stays in the bladder, called post-void residual.
A urine flow rate test, or uroflowmetry, records how fast and how much urine you pass. These tests together help the urologist grade the severity of obstruction and decide on treatment. In some cases, further tests such as urodynamic studies or cystoscopy may be advised to look at bladder function or the inside of the urethra.
If PSA is raised or the prostate feels abnormal, your urologist may recommend a prostate biopsy. This is usually done under ultrasound guidance, either as a systematic biopsy or an MRI-fusion targeted biopsy, to check for cancer cells.
Treatment options without surgery and when surgery is advised for prostate care
Many men with mild symptoms do not need active treatment. Watchful waiting with lifestyle changes is often the first step. Regular exercise, a balanced diet rich in vegetables and fruits, limiting fluids before bed, and reducing caffeine and alcohol can ease symptoms. Medicines are the next line. Alpha-blockers relax the muscle in the prostate and bladder neck to improve flow.
5-alpha-reductase inhibitors shrink the prostate over months by blocking the hormone pathway that drives growth. Some men benefit from a combination of both. PDE5 inhibitors, often used for erectile dysfunction, have also been shown in studies to improve urinary symptoms and erectile function together.
Surgery is considered when medicines do not work well enough, cause side effects you cannot tolerate, or when complications develop.
These complications include:
- Repeated urinary tract infections
- Bladder stones
- Blood in the urine from the prostate
- Kidney damage from back-pressure
- Acute urinary retention
The choice of procedure depends on prostate size, your overall health, and your preferences. Options include HoLEP, which uses a laser to remove the blocking tissue and is suitable for all prostate sizes; TURP, the standard loop resection for moderate glands; UroLift, an implant-based daycare option that preserves ejaculation; and open or robotic prostatectomy for very large glands.
Your surgeon will explain which technique fits your situation. At Jaipur Hospital, the urology team performs these procedures in modular operation theatres with spinal or general anaesthesia. Typical hospital stay is one to two nights, with a catheter for one to two days and return to normal activity in about two weeks.
The usual cost range in India is ₹80,000 to ₹2,00,000, varying with the technique, room category, and any additional investigations.
Preparing for prostate surgery at Jaipur Hospital
Do
- Bring regular medicines
- Bring comfortable clothes
- Bring an attendant
- Bring insurance or scheme cards
Avoid
- Eat or drink after midnight
- Take blood thinners without telling surgeon
Before prostate surgery, your surgeon will ask for a few routine checks.
These usually include:
- A blood count
- Kidney function tests
- A urine test
- A PSA blood test
A chest X-ray and an ECG are also common to make sure you are fit for anaesthesia.
Tell your surgeon about every medicine you take, especially blood thinners, aspirin or painkillers. You may be asked to stop some of these up to ten days before the operation.
You will not be allowed to eat or drink after midnight on the night before surgery.
On the day of admission, bring your regular medicines, comfortable clothes, an attendant to stay with you, and any insurance or scheme cards you have. The hospital has an in-house pharmacy and diagnostic lab, so any last-minute tests can be done on site.
How prostate surgery is done at Jaipur Hospital
The operation is performed through the urethra, so there are no cuts on the abdomen. Your surgeon will discuss which technique suits your prostate size, symptoms and overall health.
- HoLEP (Holmium Laser Enucleation): A laser removes the inner part of the prostate that blocks urine flow. It works well for large prostates and usually causes very little bleeding.
- TURP (Transurethral Resection): A small loop cuts away the blocking tissue piece by piece. It is a standard choice for moderate-sised glands.
- UroLift: Tiny implants hold the prostate lobes apart without removing tissue. It is often done as a daycare procedure and preserves ejaculation.
- Prostate Biopsy (TRUS guided): If a biopsy is needed, an ultrasound probe guides the needle. It can be systematic or targeted using MRI fusion images.
On the day of surgery you will receive either spinal anaesthesia (numb from the waist down) or general anaesthesia (asleep). The choice depends on your health and the anaesthetist's advice. The operation usually takes 60 to 90 minutes. A catheter is placed at the end to drain urine while the urethra heals.
Risks and possible complications of prostate surgery
All surgery carries some risk. In studies of HoLEP, about 5% to 15% of men were found to have prostate cancer in the removed tissue that was not known before. Less than 2% of men needed a second operation later because the blockage returned.
Common side effects after any transurethral prostate surgery can include:
- A burning sensation when passing urine
- Blood in the urine for a few days
- Temporary difficulty holding urine when coughing or lifting
Rare but serious complications include:
- Heavy bleeding that needs a blood transfusion
- Infection
- Injury to the urethra that may cause a stricture (narrowing) later
Your surgical team takes steps to lower these risks, such as giving an antibiotic injection before the operation.
Retrograde ejaculation (semen going into the bladder instead of out) is common after HoLEP and TURP. It does not harm your health but it affects fertility. UroLift is designed to preserve ejaculation.
Having HoLEP does not prevent future treatment for prostate cancer if it develops later.
Recovery and aftercare after prostate surgery
Most patients stay in hospital for one to two nights. The catheter usually stays in for one to two days. Nurses will check your urine output and make sure you can pass urine comfortably before you go home.
In the first few days at home, drink plenty of water. You may see some blood in the urine, especially after a bowel movement or walking. This is common and usually settles.
You can walk and do light activities from the day after surgery. Avoid strenuous exercise, heavy lifting, and straddling activities such as cycling or riding a motorcycle for about six weeks.
Pelvic floor exercises (Kegel exercises) can be started as early as the day after surgery to help with any urine leakage when coughing or sneezing.
Most people return to desk work in one to two weeks. Physically demanding jobs may need a longer break.
Your surgeon will want to see you for a follow-up visit to check your flow rate and do a bladder scan.
Call the hospital or visit the 24×7 emergency department if you cannot pass urine, have heavy bleeding with clots, develop a fever, or feel severe pain that is not relieved by the medicines given.
Results of prostate surgery: how well it works and recurrence
In studies comparing treatments, both TURP and HoLEP showed clear improvements in symptom scores, quality of life, peak urine flow and the amount of urine left in the bladder after voiding. The improvements were seen at all follow-up time points.
At one and three months, the TURP group showed greater reductions in symptom scores and prostate volume compared with some other treatments.
HoLEP is described as a safe and effective procedure with a quick recovery when compared to similar types of surgery.
The need for a second operation because the blockage comes back is low. In one large series, less than 2% of men required re-treatment after HoLEP.
Medical therapy can also help many men avoid or delay surgery.
Your surgeon will discuss what level of improvement you can expect based on your prostate size, how long you have had symptoms, and your general health.
Cost and insurance for prostate surgery in Jaipur
The typical price range for prostate laser surgery in India is ₹80,000 to ₹2,00,000.
The final amount depends on:
- The technique used (HoLEP, TURP or UroLift)
- The size of the prostate
- The type of anaesthesia
- The length of stay
- Whether you have any other medical conditions that need care during admission
Jaipur Hospital is empanelled under RGHS, MAA Yojana and CGHS. A panel of private insurers and TPAs is also accepted. Most insurance companies cover the full surgical and stay charges for prostate surgery. The hospital helps with insurance claims and approvals.
The in-house pharmacy, diagnostic laboratory and imaging mean that tests and medicines during your stay are billed directly, which can simplify the process. Ask the admissions team for an estimate based on your specific plan.
