Prostate Enlargement Treatment in Bangalore

The prostate is a gland is a part of the male reproductive system with a fibro muscular structure that surrounds the base of the bladder. With age, the prostate tends to grow in size and the medical term for this occurrence is benign prostatic hyperplasia. The growth of the different structures of the prostate determines the type of prostate adenoma. This is one of the most common benign tumors found in men over 60 years. Due to its localization around the urethra, once the prostate grows in size it can cause problems with urination.

The symptoms for prostate adenoma are the result of the sub bladder obstruction that is a hesitant start of urination, the patient has to wait a while before the urination begins

1. Interrupted or Intermittent flow of urine
2. Difficult urination in which the person struggles to empty his bladder
3. Urine blockage - Long time to urinate due to the week urine flow
4. Pseudo incontinence - because the bladder is too full
5. Nocturia – frequent urination or urges to urinate at night time
6. The imperious urge to urinate, the sensation of urgency to urinate
7. Pain or burn like sensation during urination

From statistics, most men cope with the above symptoms for a long period of time before going to see a doctor, but it is better to visit a doctor and get the right treatment soon. To reach the diagnostics, a general physical examination and a digital rectal examination are the first steps required. Other investigations that are involved are urine analysis and urine flow test. Also, the PSA test is required to give information related to the evolution of the adenoma, but can’t be used on its own to confirm the diagnosis. In some cases, post-void residual test and cystoscopy are requested.

There are several treatment options for patients with prostate adenoma:

Medication, minimally invasive procedures, surgery Etc. The treatment strategy will be decided by the consulting doctor for each patient individually, taking into consideration his general health, age, how big is the prostate and how much disturbance the symptoms provoke.

Medication treatment:

Usually, alpha blockers (is meant to make the prostate tissue relax) and 5-Alpha (is to cut off the production of the hormones that stimulate prostate enlargement) reductase inhibitors are prescribed. The patient may be prescribed one or the other or a combination of the above two.

Non-invasive treatment options:

TUMT (transurethral microwave thermotherapy) a common procedure performed to treat some of the urinary tract symptoms
TUNA (transurethral radiofrequency needle ablation) is a technique that uses radio frequency energy to eliminate the prostate tissue in excess; - Stents are sometimes inserted in the urethra to eliminate the discomfort of the symptoms, but most of the times is a compromise solution for patients who can’t take medication or don’t want to go to surgery.

Surgery options:

TURP (transurethral resection of the prostate) is the most common and recommended of procedures and is also the one that is thought to deliver the best results and success rate 

TUIP (transurethral incision of the prostate) a procedure almost identical to the one before, a newer option that presents more benefits 

Laser Surgery presents fewer risks post-surgery and a faster recovery for the patient 

Prostatectomy is recommended when the adenoma is very big and it is an open surgery that will be performed through an incision while the patient will be under general or spinal anaesthesia.

Prostate enlargement (BPH) can be prevented by:

Changing your lifestyle
Exercising regularly
Including Yoga in your workout regime
Making dietary changes (foods to avoid and include)

Contact 080 28483939 for more information on Prostate Enlargement Treatment at our Specialised Prostate Clinic, ReSCUE Urology Hospital in Bangalore, Kengeri

Prostate Cancer
Radical Prostatectomy

Prostate Cancer and Symptoms

Radical prostatectomy is an operation to remove the prostate gland and tissues surrounding it. This usually includes the seminal vesicles and some nearby lymph nodes. Radical prostatectomy can cure prostate cancer in men whose cancer is limited to the prostate. The prostate gland lies just under the bladder, in front of the rectum.
Surgeons choose from two different approaches to reach and remove the prostate during a radical prostatectomy.

Open prostatectomy- This is a traditional method in which the surgeon makes an vertical incision about 8-10-inch below the belly button. In rare cases , the incision is made in the space between the scrotum and the anus.

Laparoscopic prostatectomy- In this method the surgeon makes several small incisions across the belly. Surgical tools and a camera are inserted through the incisions, and a radical prostatectomy is performed from outside the body.The surgeon views the entire operation on a screen.

Robotic prostatectomy- Small incisions are made in the belly. A surgeon controls an advanced robotic system of surgical tools from outside the body. A high tech interface lets the surgeon use the movements and a 3-D screen during radical prostatectomy.


  • A frequent, urgent need to urinate.
  • Difficulty starting urination.
  • Slow prolonged urination.
  • Increased urination frequency at night.
  • Stopping and starting again while urinating.
  • The feeling you can’t completely empty your bladder.
  • Urinary tract infections.
  • Inability to urinate.


  • Men younger than 75 years of age with limited prostate cancer and who are expected to live at least 10 years more.


Investigations Necessary

Doctors first try to establish that the prostate cancer has not spread beyond the prostate.

The above is determined by comparing the results of the biopsy and PSA results.

Further testing may include CT scan, bone scans, MRI scans and ultrasound.

If cancer has not spread the surgeon might offer other options besides surgery.

The other options could include radiation therapy, hormone therapy, or simple observation giving antibiotics. 

  • The above investigations will help the doctor to diagnose the disease.
  • The above results will help the doctor to decide which of the above mentioned surgeries should be adopted to cure the problem.
  • The high risk of cancer spread is observed , in such cases lymph node dissection may also be considered.
  • The patient will be asked to fill an IPSS questionnaire.
  • This is followed by a physical examination.
  • Digital rectal examination, where he inserts his finger into the rectum to check for your prostate enlargement.
  • Urine test follows to help rule out an infection or other conditions that can cause similar conditions.
  • A blood test that can indicate kidney problems.
  • Prostate Specific Antigen (PSA) blood test, the increased levels of which indicate an enlarged prostate.
  • Urinary Flow Test wherein a machine is attached to the urethra to measure strength and flow of urine flow (Uroflowmetry and Urodynamics)
  • Post-void residual volume test measures whether you empty your bladder completely. This test is done using ultrasound or by inserting a catheter into your bladder.
  • 24-hour voiding diary which records the frequency and amount of urine.


Hospice care and probable stay duration

● You will probably stay in the hospital for a few days after the surgery.
● The catheter will stay in place 1 or 2 weeks while you heal.
● You will be able to urinate on your own after the catheter is removed.

Pre-Surgery Preparation

● You need to bring an overnight bag for the necessary x-rays and medications you take regularly.
● Please ensure you bring all the paperwork provided to you by the concerned doctor.

Pre-surgery preparations
● Fasting is necessary for about 6 hours prior to the surgery since general anaesthesia or spinal anaesthesia is given.
● If you are a diabetic please inform the doctor.
● Bowels are to be cleared by you naturally or a microlax enema is given.
● Medications: your prescribed medications can be taken during the surgery except for blood thinners which need to be stopped.
● A blood test should be performed on the morning of the surgery to ensure that the blood is clotting appropriately.
● Anticoagulant medications should be ceased 5 days prior to the surgical procedure and not to be resumed until one to two weeks after the surgery.
● All natural therapy preparations must be stopped as they may interfere with the clotting ability of the blood.
● Please ensure the doctor in charge of the TURP surgery is aware of all the drugs, pills and medications you take whether you have a prescription or not.

Anaesthesia and Surgery
● In the operation theatre, the anaesthetist will take a medical history from you.
● He then decides whether you would be under general anaesthesia or spinal anaesthesia.
● In spinal anaesthesia, a needle is pricked on your spinal cord to avail numbness from waist down.
● In the case of general anaesthesia, you may be made to sleep for the duration of the operation.
● A combined visual and surgical instrument ( resectoscope ) is inserted through the tip of the penis and into the tube that carries urine from the bladder ( urethra ). The prostate surrounds the urethra, the doctor now trims the excess prostate tissue that is blocking urine flow.

Post Surgery
● You will be taken to the recovery room after surgery.
● Hospital staff will monitor your heart rate, breathing, oxygen levels and other vitals.
● The doctor will monitor closely for post-TURP syndrome which includes dizziness, headache, slow heartbeat, shortness of breath, seizures and even coma.
● A catheter is placed through your penis into your bladder until your prostate heels.
● Removal of extra prostate tissue should help you to urinate more easily and less frequently.
● Most men who have this surgery are back to their regular activities in 6 to 8 days. 

  • Do you have questions about Prostate Cancer?

Patient safety is our priority

Risks and complications

  • While you recover you may have an urgent need to urinate.
  • Trouble controlling urination.
  • Pain during urination.
  • Excessive bleeding, retrograde ejaculation and impotence.
  • Urinary tract infections, chronic urinary problems, prostate regrowth or scarring in which case another surgery is suggested within 5 years.
  • A split stream of urine caused by urethral narrowing.
  • Allergic or abnormal reaction to anaesthesia.
  • Hematospermia-This means blood (or sometimes clots ) in your sperm or ejaculate.
  • Haematuria- Blood in urine which is a common side -effect since the urethra that transports urine from bladder to the penis goes through the prostate and will transport some blood into the urine.
  • Infection. This is an extremely rare case as antibiotics would be administered to help prevent this infection.
  • In case of infection you may suffer from fever or shivers in which case you have to intimate your doctor.
  • Internal haemorrhage- This is a very uncommon condition, but if it occurs it may require a surgery.
  • Urine retention- This may occur if the prostate is very enlarged and bleeding occurs within the prostate as a result of having biopsy. This bleeding may be a cause of blockage in the urethra which transports urine out of the bladder and passes through the prostate. This can lead to temporary inability to pass urine. This can be relieved by using a catheter to help you urinate.
  • Erectile dysfunction (impotence).
  • Formation of cysts containing lymph.
  • Groin hernia.

What's important after discharge?

Tips for better recovery
● Stay hydrated with 8 to 10 glasses of water each day.
● Eating a healthy balanced diet.
● Avoid sexual intercourse for 1 or 2 months.
● Avoid lifting heavy items for 1 or 2 months.
● Limiting exercises that put a strain on the groin or lower abdominal area.
● Avoid stimulants such as caffeine, alcohol and nicotine.
● Limiting the use of over the counter drugs that can cause dehydration such as decongestants and antihistamines.

When to see a doctor
● Bleeding from urethra, outer prostate or penis.
● Inflammation and pain in the urethra, prostate or penis lasting longer than 2 weeks and worsening.
● Reduced urine flow or urine incontinence or urine urgency 6 weeks post surgery.
● Blood in urine even after 4 to 6 weeks after surgery.
● Severe clots of blood in urine or urine that is entirely red.
● Weakness or fatigue persists 4 weeks after surgery.
● Impotence or erectile dysfunction.
● Dizziness, shortness of breath.
● Severe or intensifying abdominal pain or discomfort. 




Prostatitis and Symptoms

This is the swelling of the small of the small walnut-sized gland known as prostate and it produces seminal liquid. This is a very common situation present in more than 1 million cases per year.

  • A frequent, urgent need to urinate.
  • Difficulty starting urination.
  • Slow prolonged urination.
  • Increased urination frequency at night.
  • Pain or burning sensation when urinating.
  • The feeling you can’t completely empty your bladder.
  • Blood in urine.
  • Cloudy urine.
  • Pain in abdomen, groin or lower back.
  • Inability to urinate.
  • Pain in area between the scrotum and rectum.
  • Pain or discomfort of the penis or testicles.
  • Painful ejaculation.
  • Flu-like signs and symptoms.

Prevalence of Prostatitis

  • Many young and middle-aged men have prostatitis, an inflamed and painful prostate gland It can be treated with antibiotics or hormone therapy.

Diagnosis of Prostatitis

Learn about the investigations and the diagnosis

  • This involves ruling out other conditions and determining what kind of prostatitis you have.
  • A physical examination is done after taking a brief history from you. This could include a rectum examination.
  • A sample of your urine test will be taken to look for signs of infection in your urine.
  • This is followed by a blood test to examine the blood for infections and other prostate problems.
  • Post-prostatic massage may be required to test the secretions.
  • In some cases a CT scan of your urinary tract and prostate may be done, or a sonogram of your prostate may be done.
  • A sonogram provides a visual image using an ultrasound.
  • Based on the results , your doctor might conclude you have one of the following types of prostatitis : Acute Bacterial Prostatitis, Chronic Bacterial Prostatitis, Chronic Prostatitis/Chronic Pelvic pain syndrome, Asymptomatic inflammatory prostatitis.

Treamment of Prostatitis

● Antibiotics: This is the most commonly prescribed treatment for prostatitis. The doctor will choose the medication for you based on the bacteria that might have caused the infection. When infection is severe intravenous(IV) antibiotics would be given. This treatment may go on for 4 to 6 weeks.

● Alpha blockers: These medications help in relaxing the bladder neck and muscle fibres where your prostate joins the bladder. This will ease pain during urination.

● Anti-inflammatory agents: Nonsteroidal anti-inflammatory drugs might help you feel better. 


Patient safety is our priority

Ricks and Complications

● Recurrence of bacterial prostatitis if not cured fully.
● Being young or middle-aged and having infection in the bladder or tube that transports semen and urine to the penis.
● Having pelvic trauma, such as an injury from bicycling or horseback riding.
● Bacterial infection of the blood.
● Inflammation of the coiled tube attached to the back of the testicle.
● Pus-filled cavity in the prostate.
● Semen abnormalities and infertility which can occur with chronic prostatitis.