Understanding Prostate Surgeries in the Indian Context
Benign prostatic hyperplasia (BPH) affects nearly 40% of Indian men over 50, with many delaying care until retention or infections occur. Ajuda Hospitals offers a spectrum—from medication to laser surgery—ensuring timely relief with minimal discomfort. Our protocols align with American Urological Association (AUA) and European Association of Urology guidelines, adapted for Indian comorbidities like diabetes and hypertension.
With campuses across Hyderabad, we coordinate diagnostics, day-care surgeries, and tele-follow-ups for busy professionals and retirees alike. Counselling is available in Telugu, Hindi, Urdu, and English so families can participate fully in decision-making.
When to Consult Our Prostate Specialists
⚠️ Don’t Ignore These Symptoms
- ✓ Acute urinary retention requiring emergency catheter
- ✓ Recurrent UTIs or bladder stones due to obstruction
- ✓ Weak flow and straining that disrupts work or travel
- ✓ Blood in urine or elevated PSA levels
Early evaluation prevents sudden retention and protects kidney function. We tailor solutions for men who want speedy recovery, minimal sexual side-effects, and dependable insurance support.
Our Diagnostic Approach
Symptom & Quality-of-Life Scoring
We start with IPSS, QoL index, and bladder diary to quantify bother and set goals.
Imaging & Flow Analysis
Transabdominal ultrasound measures prostate size and residual urine, while uroflowmetry records maximum flow (Qmax).
Cancer Risk Stratification
PSA, free/total ratios, and multiparametric MRI detect suspicious lesions. Fusions biopsies are arranged if indicated.
Endoscopic & Urodynamic Evaluation
Flexible cystoscopy and, where necessary, urodynamics reveal median lobes, strictures, or poor detrusor function—critical for choosing the right intervention.
Treatment Pathways
Lifestyle & Medication First
For mild symptoms, we combine medication, pelvic floor rehab, and diet tweaks (reducing late-night caffeine, spicy foods). Regular monitoring ensures timely escalation.
Laser & Bipolar Surgeries
HoLEP suits large glands, while bipolar TURP covers medium-sized prostates or those on anticoagulants. Both minimise bleeding and allow early catheter removal.
Office-Based Options
UroLift and Rezum offer day-care solutions for men keen on preserving ejaculation. Shared decision aids help choose the best fit.
Complex Case Management
Patients with chronic catheters or failed surgeries receive gland artery embolisation or staged approaches with bladder rehab.
Post-Operative Rehabilitation
Pelvic floor therapy, bladder training, and tele follow-ups sustain improvement. Dietitians address nocturia triggers like late-night tea or high-salt snacks.
Long-Term Surveillance
Annual PSA, symptom scoring, and teleconsults ensure durable results. We coordinate with cardiology, diabetology, and nephrology for holistic health.
What to Expect: Your Care Journey
During the first visit, we conduct IPSS scoring, ultrasound, and lab tests. If surgery is advised, coordinators schedule HoLEP slots, pre-anaesthesia check-ups, and insurance approvals. HoLEP patients typically stay overnight; TURP patients go home by day three with catheter care instructions in Telugu and English.
A nurse conducts follow-up calls on days 2 and 7. At 3 weeks, we reassess flow rates and adjust medication if needed. Long-term reviews happen at 3 months and annually, supported by telehealth for men who travel frequently.
Technology & Innovation
Ajuda’s hoLEP suite uses high-power holmium lasers with pulse modulation, 4K cystoscopy towers, and in-OT morcellators. We integrate real-time haemostasis monitoring, anaesthesia depth monitoring, and PACS storage for before-after documentation.
Preventing Complications
BPH surgery risks include bleeding, infection, and urethral stricture. We mitigate them with antibiotic stewardship, low-pressure irrigation, and gentle stent protocols. Diabetes and cardiac issues are optimised ahead of time in our prehab clinic.
Why Ajuda for Prostate Surgeries?
🔬 Laser Mastery
Experienced HoLEP surgeons perform 500+ procedures yearly with consistently low complication rates.
⏱️ Rapid Recovery
Most patients void unaided within 18 hours and resume work in 5-7 days.
💬 Personalised Counselling
Doctors explain options in multiple languages, factoring lifestyle and intimacy goals.
Take the First Step
If urinary symptoms are holding you back, Ajuda Hospitals can help. Call 9010550550 or schedule online for a prostate evaluation that balances relief, recovery speed, and long-term wellness.