Prostate Surgery in Ranchi
Surgical treatment for selected men with enlarged prostate (BPH) causing troublesome urinary symptoms, repeated retention, recurrent infection, bladder damage or other complications despite appropriate medical treatment.
What is prostate surgery?
Prostate surgery for benign prostatic hyperplasia (BPH) removes or reduces the part of the prostate that blocks urine flow. It is considered when symptoms are severe, medicines are no longer effective, or complications such as urinary retention, recurrent infection, bladder stones or kidney effects develop.
Common symptoms of an enlarged prostate
Voiding symptoms
- Weak urinary stream.
- Difficulty starting urine.
- Intermittent flow.
- Straining to urinate.
- Feeling of incomplete emptying.
Storage symptoms
- Frequent urination.
- Urgency.
- Night-time urination.
- Occasional leakage.
- Sudden inability to pass urine.
Seek prompt urology care if
- You are unable to pass urine.
- There is fever or infection with urinary obstruction.
- Blood in urine is heavy or persistent.
- Kidney function is worsening because of blockage.
- Repeated catheterisation is required.
- Severe lower abdominal pain develops with urinary retention.
Acute urinary retention can require urgent catheterisation or another drainage procedure before definitive prostate treatment.
How is prostate enlargement evaluated?
Evaluation may include symptom scoring, physical examination, urine testing, PSA blood test, ultrasound of the urinary tract and prostate, post-void residual urine measurement and uroflowmetry. Additional tests are used when cancer, bladder dysfunction or other disease is suspected.
Not every enlarged prostate needs surgery
Mild symptoms may be monitored with lifestyle measures and periodic review.
Alpha blockers, 5-alpha-reductase inhibitors and other medicines may improve symptoms in selected patients.
Temporary drainage may be required during acute urinary retention.
A common endoscopic operation that removes obstructing prostate tissue through the urinary passage.
Laser techniques can vaporise or enucleate obstructing prostate tissue in selected patients.
Reserved for very large glands or selected complex cases when endoscopic options are unsuitable.
Common prostate procedures
Transurethral resection of the prostate uses an endoscopic instrument to remove obstructing tissue.
Laser energy vaporises tissue to create a wider urinary channel.
Holmium laser enucleation removes larger portions of obstructing tissue and may be suitable for selected prostate sizes where available.
A modern TURP technique using bipolar energy and saline irrigation.
Bladder stones may be treated during the same admission when related to prostate obstruction.
Depends on prostate size, bleeding risk, medicines, bladder function and local technology availability.
Your prostate surgery journey
Spinal or general anaesthesia is used depending on the procedure and patient factors.
The instrument is passed through the urethra, usually without an external incision.
Obstructing prostate tissue is resected, vaporised or enucleated according to the chosen technique.
Haemostasis is secured and the urinary channel is checked.
A urinary catheter is usually placed temporarily to allow drainage during early healing.
Why is a catheter needed after prostate surgery?
A catheter keeps urine flowing while swelling and minor bleeding settle. It may be connected to bladder irrigation for a short time after TURP or similar procedures. The catheter is usually removed once urine is sufficiently clear and the patient is ready for a voiding trial.
Before prostate surgery
- PSA, urine tests and ultrasound review.
- Uroflowmetry or residual urine measurement where indicated.
- Treatment of active urinary infection before surgery where possible.
- Pre-anaesthesia assessment.
- Blood tests and kidney-function evaluation.
- Medication review, especially blood thinners.
- Discussion of catheter duration and expected urinary symptoms after surgery.
Recovery after prostate surgery
Early recovery
Burning, urgency, frequency and blood-tinged urine can occur temporarily. These usually improve as the urinary tract heals.
Return to routine
Light activity often resumes within days, while heavy lifting, cycling and strenuous work may need to be avoided for several weeks.
What changes can occur after prostate surgery?
Urine flow often improves significantly. Temporary urgency or frequency can occur during recovery. Retrograde ejaculation—where semen flows into the bladder rather than out through the penis—is common after TURP and several other prostate operations. Erectile function is usually preserved in many patients, but individual outcomes vary.
Prostate surgery for BPH is different from prostate cancer surgery. The expected effects on continence and sexual function are not the same.
What risks should patients understand?
Possible complications include bleeding, infection, temporary urinary retention, clot retention, urethral stricture, bladder-neck contracture, urinary urgency, incontinence, retrograde ejaculation, electrolyte problems in older techniques, need for repeat surgery and anaesthesia-related complications.
Understanding prostate surgery cost
Final cost depends on TURP versus laser surgery, prostate size, equipment and disposables, catheter/irrigation needs, anaesthesia, room category, associated bladder-stone treatment and length of stay.
Get exact estimateCoverage depends on documented urinary obstruction, retention or complications, chosen procedure, policy or scheme rules, empanelment and pre-authorisation.
Why choose Hopewell for prostate surgery?
Diagnosis, catheter care, surgery and follow-up are coordinated within one urology service.
Treatment is selected according to gland size, symptoms and medical risk.
Endoscopic techniques are used where clinically appropriate.
Medication review and peri-operative planning are important for older or anticoagulated patients.
Postoperative catheter management and trial of void are built into the pathway.
Support for cashless, TPA and eligible government scheme processes.
Meet the urology specialist
Dr. Arvind Kumar Bhagat
Urology & Endourology • Hopewell Hospital, Ranchi
Clinical focus may include prostate surgery, TURP, laser prostate treatment, urinary retention, kidney stone surgery and minimally invasive urology.
Frequently asked questions
No. Many men can be managed with observation or medicines. Surgery is usually considered when symptoms are severe, medicines are ineffective or complications develop.
Weak urine flow, night urination or repeated urinary retention?
Book a urology consultation with Dr. Arvind Kumar Bhagat to review your symptoms, PSA, ultrasound and urine flow and understand whether medicines, TURP or laser prostate surgery is appropriate.
*Procedure time, hospital stay and recovery are indicative and vary by individual clinical condition. This page is for patient education and does not replace medical consultation.