UROLOGY · CONDITIONS
Enlarged Prostate
Progressive prostate gland growth causing urinary obstruction in men , a condition that is highly treatable with modern endoscopic techniques.
ABOUT THIS CONDITION
What is Enlarged Prostate?
Prostate enlargement causes the gland to press on the urethra and restrict urine flow. Symptoms range from mild slowness of stream to complete urinary retention. Left untreated, it can lead to recurrent UTIs, bladder stones, and kidney damage. Dr. Vipin tailors treatment to each patient , from medication and lifestyle modification to advanced laser surgery , ensuring lasting symptomatic relief and protecting long-term bladder and kidney function.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Normal ageing and hormonal changes
- Chronic low-grade prostatic inflammation
- Metabolic syndrome and obesity
- Family history of prostate disease
- Testosterone and oestrogen imbalance
- Sedentary lifestyle and poor diet
CLINICAL DETAILS
KeyFacts
TRUS prostate volume, uroflowmetry, and IPSS score guide treatment planning.
Alpha-blockers improve symptoms within 2 weeks. 5-ARIs shrink the gland over months.
TURP, HoLEP, or GreenLight laser recommended when medication fails or complications arise.
Endoscopic procedures: 1–2 day hospital stay, catheter removed day 1–2.
Surgical treatment provides durable improvement in flow rate and symptom score.
Annual PSA and uroflowmetry monitoring recommended after treatment.
HOW WE TREAT IT
Treatment Approach
HoLEP
Holmium laser enucleation removes the entire obstructing adenoma regardless of prostate size , the gold standard for durable, long-term relief of prostatic obstruction.
- 1
Symptom Evaluation
IPSS, digital rectal examination, PSA, renal function, and prostate ultrasound confirm the degree of enlargement and urinary obstruction.
- 2
Medical Therapy
Alpha-blockers relax the bladder neck and prostatic smooth muscle. 5-alpha reductase inhibitors reduce prostate volume over 6–12 months.
- 3
Endoscopic Surgery
When medication fails or the prostate is very large, TURP, HoLEP, or GreenLight laser resects or enucleates the obstructing tissue endoscopically.
- 4
Post-op Recovery
Catheter is removed within 24–48 hours. Stream improvement is immediate. Most patients return to full activity within 1–2 weeks.
AVAILABLE TREATMENTS
Treatment Options
TURP
Endoscopic monopolar resection of the prostatic adenoma , the most widely performed surgical treatment for symptomatic enlarged prostate.
Bipolar TURP
Safer saline-based resection with no risk of TUR syndrome , preferred in elderly or medically complex patients.
HoLEP
Complete holmium laser enucleation of the prostatic lobes , size-independent, bloodless, and most durable of all endoscopic options.
GreenLight Laser Vaporisation
Photoselective vaporisation of prostatic tissue with simultaneous haemostasis , safe for patients on anticoagulant therapy.
Open Simple Prostatectomy
Open surgical enucleation of the adenoma for very large glands where endoscopic surgery is technically not feasible.
Common Questions
Frequently Asked Questions
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