Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Urology · Prostate
Enlarged Prostate Treatment in Hyderabad: Expert Care at Lux Hospitals
An enlarged prostate is close to universal in men as they age, and it becomes a problem when it starts obstructing the flow of urine: getting up repeatedly at night, a weak stream, and never quite emptying the bladder.
Many men put up with these symptoms for years assuming nothing can be done. Our urologists at Lux Hospitals, HITEC CITY offer everything from simple medication through to laser prostate surgery, and most men get substantial relief.
- Laser Prostate Surgery
- Medication First
- Continence Preserved
What is an Enlarged Prostate?
The prostate is a walnut-sized gland sitting beneath the bladder, wrapped around the urethra: the tube carrying urine out. From around the age of forty it begins to enlarge, and because of where it sits, that enlargement squeezes the urethra and obstructs the flow.
This is benign prostatic hyperplasia, and the word benign is important: it is not cancer, it does not become cancer, and it is not a risk factor for cancer. Prostate cancer is an entirely separate condition that happens to affect the same organ.
Size alone does not determine symptoms, which surprises many men. A modestly enlarged prostate growing inward can obstruct considerably, while a much larger one growing outward may cause very little trouble. This is why treatment is guided by symptoms and flow measurements rather than by the size on a scan.
Causes of Prostate Enlargement
The precise mechanism is not fully explained, but ageing and hormones are the dominant factors.
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Ageing
The strongest factor by far. Prostate enlargement affects around half of men in their fifties and the majority by their eighties.
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Hormonal changes
Shifting balance between testosterone and oestrogen with age, and accumulation of dihydrotestosterone, which drives prostate growth directly.
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Family history
A father or brother with prostate enlargement raises the risk, and often means it appears earlier.
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Obesity
Associated with larger prostates and more severe symptoms, and it is one of the modifiable factors.
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Diabetes and heart disease
Both are linked with a higher risk of prostate enlargement and more troublesome urinary symptoms.
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Physical inactivity
Sedentary men have more severe symptoms, and regular exercise measurably improves them.
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Chronic inflammation
Long-standing prostatic inflammation appears to contribute to the growth of glandular tissue.
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Diet and alcohol
A diet high in red meat and fat, and heavy alcohol intake, are both associated with worse symptoms.
Enlargement itself cannot be prevented: it is part of ageing. What can be influenced is how troublesome it becomes, through weight, activity, and avoiding the caffeine and alcohol that irritate the bladder.
Symptoms of an Enlarged Prostate
Symptoms divide into obstructive (difficulty getting urine out) and irritative, from a bladder working harder than it should.
Common urinary symptoms
- Getting up repeatedly at night to pass urine
- Difficulty starting, and having to wait for the stream to begin
- A weak or interrupted urine stream
- A feeling the bladder has not emptied completely
- Sudden urgent need to pass urine
- Dribbling at the end of urination
Signs needing prompt attention
- Complete inability to pass urine: acute retention, an emergency
- Blood in the urine
- Recurrent urinary tract infections
- Bladder stones or worsening kidney function on tests
- Progressive symptoms despite medication
- Fever with urinary symptoms
Complete inability to pass urine is acute retention. It is extremely painful, needs a catheter urgently, and it is the complication that brings many men to hospital who had been managing symptoms quietly for years.
How an Enlarged Prostate is Diagnosed
The assessment quantifies the symptoms, measures the obstruction, and (importantly) separates prostate enlargement from prostate cancer.
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IPSS symptom score
A standard seven-question score quantifying severity and tracking response to treatment objectively rather than by impression.
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Digital rectal examination
Assesses the size, shape and consistency of the prostate. A hard or irregular gland raises the possibility of cancer rather than benign enlargement.
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PSA blood test
Screens for prostate cancer. It can be raised by benign enlargement too, so it is interpreted alongside the examination rather than alone.
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Uroflowmetry
Measures the strength and pattern of your urine flow objectively, which is the most useful single measure of obstruction.
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Post-void residual ultrasound
Measures how much urine remains after passing water. A high residual indicates significant obstruction and a bladder under strain.
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Urine tests and kidney function
Excluding infection, and checking that long-standing obstruction has not begun to affect the kidneys.
A raised PSA does not mean cancer: benign enlargement raises it too, as do infection and recent catheterisation. It is one piece of information interpreted alongside the examination and your age.
Treatment Options
Treatment is stepped. Mild symptoms may need nothing at all; moderate symptoms usually respond to medication; surgery is for those who do not.
Non-surgical
Watchful waiting and medication
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Watchful waiting
For mild symptoms that are not bothersome, with lifestyle adjustment and annual review. Symptoms do not inevitably progress.
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Lifestyle modification
Reducing evening fluids, caffeine and alcohol, double voiding, and treating constipation: simple measures that genuinely help.
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Alpha blockers
Tamsulosin and similar drugs relax the muscle in the prostate and bladder neck, improving flow within days. First-line for most men.
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5-alpha reductase inhibitors
Finasteride and dutasteride shrink the prostate over six to twelve months. Effective for larger glands, and they reduce the risk of retention.
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Combination therapy
Both drug classes together, more effective than either alone for men with larger prostates and significant symptoms.
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Tadalafil
Improves urinary symptoms and erectile function simultaneously, which suits men troubled by both.
Surgical
Surgical treatment
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HoLEP
Holmium Laser Enucleation of the Prostate: the obstructing tissue is enucleated whole with a laser. Effective at any prostate size, with excellent durable results and minimal bleeding.
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TURP
Transurethral resection: the long-established operation, removing obstructing tissue through the urethra with an electrical loop. Reliable and well proven.
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Bipolar TURP
A refinement using saline irrigation, with less bleeding and no risk of the fluid absorption complication of older techniques.
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Laser vaporisation
The obstructing tissue is vaporised with a laser, with very little bleeding, particularly useful in men on blood thinners.
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Prostatic urethral lift
Small implants hold the prostate lobes apart without removing tissue, preserving ejaculation. Suitable for selected smaller prostates.
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Open or robotic simple prostatectomy
For very large prostates where endoscopic removal is impractical, though HoLEP has made this rarely necessary.
Retrograde ejaculation, semen passing backward into the bladder, follows most prostate operations and is permanent. It does not affect sensation or erection, but it does affect fertility, and it is discussed frankly beforehand.
What Laser Prostate Surgery Involves
A sixty to ninety minute procedure performed entirely through the urethra. No external incision, and typically one to two nights in hospital.
HoLEP: laser enucleation
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Pre-operative assessment
Flow rate, residual volume, PSA and urine culture. Any infection is treated first, and blood thinners are discussed: HoLEP can often continue them.
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Anaesthesia
Spinal or general anaesthesia. Spinal is often preferred in older men with heart or lung disease.
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Accessing the prostate
A resectoscope is passed along the urethra to the prostate. There is no incision anywhere on the body.
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Enucleating the tissue
The laser separates the obstructing inner tissue from the outer capsule along the natural plane: much as an orange is separated from its peel.
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Morcellating and removing
The freed tissue is pushed into the bladder and removed with a morcellator, and sent for histology to check for incidental cancer.
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Achieving haemostasis
The laser seals blood vessels as it works, which is why bleeding is markedly less than with traditional resection.
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Catheter and discharge
A catheter is left overnight with bladder irrigation, removed the next day, and you go home once passing urine freely.
HoLEP removes the obstructing tissue completely along its natural plane, which is why re-treatment rates are so low: considerably lower than after resection or vaporisation, where some tissue remains.
Why Choose Lux Hospitals for Enlarged Prostate Treatment?
Prostate surgery is judged on flow afterwards and on continence preserved. Here is why patients trust us:
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Expert urologists
A dedicated urology team offering the full range from medication through to laser enucleation for very large prostates.
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Laser techniques
Minimal bleeding, shorter catheter time and options for men who cannot stop blood-thinning medication.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Flow improves immediately after surgery. Blood in the urine and urgency take a few weeks to settle, which is expected rather than a complication.
- Day 0–1
Catheter with bladder irrigation overnight. Usually removed the next morning, and you pass urine with a noticeably stronger stream.
- Days 2–7
Home. Blood-tinged urine and urgency are expected. Drink plenty of water, and avoid straining or heavy lifting.
- Weeks 1–4
Urgency and burning settle progressively. Some men have temporary leakage as the bladder readjusts, which improves.
- Weeks 4–8
Normal activity, driving and work resume. Flow rate is rechecked and symptoms scored against the baseline.
- Months 3–12
Full benefit established. Bladder function continues improving where it had been strained by long-standing obstruction.
Aftercare
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Drink plenty of water
Two to three litres daily for the first few weeks. It keeps the urine dilute and flushes the healing prostate bed.
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Avoid straining and heavy lifting
Nothing heavy for four weeks, and treat constipation actively. Straining can cause bleeding from the healing prostate.
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Expect intermittent bleeding
Blood may appear in the urine for a few weeks, sometimes settling then returning around day ten as scabs separate. This is normal.
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Pelvic floor exercises
Helpful where there is temporary leakage after surgery, and they speed the return of full control.
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When to call us
Inability to pass urine, heavy bleeding with clots, fever, or severe burning: all need same-day assessment.
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Continue PSA monitoring
Surgery removes the obstructing inner tissue but leaves the outer prostate, so cancer screening continues as before.
Surgery removes only the inner obstructing portion, not the whole gland. The outer prostate remains, which is why PSA testing continues afterwards and why regrowth is possible many years later.
When Should You See a Urologist?
Book a consultation if any of the following apply.
- Getting up more than once a night to pass urine.
- A weak stream, or difficulty starting.
- A feeling of not emptying the bladder completely.
- Blood in the urine: always worth investigating.
- Recurrent urinary infections.
- Complete inability to pass urine: go to hospital immediately.
Cost of Enlarged Prostate Treatment in Hyderabad
Medication is inexpensive and ongoing. Surgery is a one-off cost that ends the need for daily tablets.
| Procedure | Estimated Cost |
|---|---|
| Consultation & assessment Per visit | ₹800 – ₹1,500 |
| Uroflowmetry & ultrasound Flow rate and residual volume | ₹2,500 – ₹6,000 |
| PSA and blood tests Including kidney function | ₹1,000 – ₹2,500 |
| Medical management Per month, ongoing | ₹400 – ₹1,500 |
| TURP Two to three nights’ stay | ₹75,000 – ₹1,40,000 |
| HoLEP or laser prostate surgery One to two nights’ stay | ₹1,10,000 – ₹2,20,000 |
| Prostatic urethral lift Day care; preserves ejaculation | ₹1,40,000 – ₹2,60,000 |
What changes the estimate
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Medication or surgery
Tablets cost a few hundred rupees monthly but continue indefinitely. Surgery is a larger one-off cost that usually ends them.
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Prostate size and technique
Very large prostates take longer and may need laser enucleation rather than resection, which uses more expensive equipment.
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Whether you are on blood thinners
Laser techniques are safer for men who cannot stop anticoagulants, and are chosen for that reason despite the higher cost.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Our Surgeons
Enlarged Prostate Specialists at Lux Hospitals
The urologists who treat prostate conditions at our HITEC CITY hospital.
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Dr. Vipin Reddy B
Consultant Urologist & Andrologist
MBBS, MS, DrNB (Urology)
10 years experience
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Dr. Sreeniketh Reddy
Consultant Urologist & Andrologist
MBBS, MS, MCh (Urology)
9 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for prostate and urological conditions at Lux Hospitals, Hyderabad.
From the Blog
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Got Questions?
Frequently Asked Questions
Common questions about enlarged prostate, its treatment, and what surgery costs at Lux Hospitals.
What are the warning signs of an enlarged prostate?
Getting up at night to pass urine, difficulty starting, a weak or interrupted stream, a feeling of incomplete emptying, sudden urgency, and dribbling afterwards. These build gradually, which is why many men accept them for years before seeking help.
What causes an enlarged prostate?
Primarily ageing and hormonal change: accumulation of dihydrotestosterone drives prostate growth from around the age of forty. Family history, obesity, diabetes, inactivity and diet all contribute to how troublesome it becomes.
Does an enlarged prostate increase the risk of prostate cancer?
No. Benign prostatic hyperplasia is not cancer, does not become cancer, and is not a risk factor for it. They are separate conditions affecting the same organ. Because both are common with age, however, they frequently coexist, which is why PSA testing continues regardless.
What is the best treatment for an enlarged prostate?
It depends on your symptoms and prostate size. Mild symptoms may need only lifestyle changes. Moderate symptoms usually respond well to alpha blockers, sometimes with a 5-alpha reductase inhibitor for larger glands. Surgery (HoLEP, TURP or laser vaporisation) is for men whose symptoms persist despite medication or who develop complications.
Is laser treatment effective for an enlarged prostate?
Yes, and particularly so. HoLEP removes the obstructing tissue completely along its natural plane and is effective at any prostate size, with very low re-treatment rates. Laser techniques also cause markedly less bleeding, which makes them safer for men on blood-thinning medication.
Will prostate surgery affect my sex life?
Erections and sensation are generally unaffected, and many men find things improve as sleep and symptoms settle. However, retrograde ejaculation, semen passing backward into the bladder, follows most prostate operations and is permanent. It does not affect pleasure but it does affect fertility, and it is discussed frankly beforehand.
Can an enlarged prostate damage the kidneys?
It can, if left long enough. Chronic obstruction causes urine to back up, straining the bladder and eventually raising pressure in the kidneys. This is why kidney function is checked as part of the assessment, and why persistent high residual volumes are taken seriously rather than simply monitored.
When should I see a doctor about prostate symptoms?
When symptoms start affecting your sleep or daily life, or at any point if you notice blood in the urine, recurrent infections, or increasing difficulty passing urine. Complete inability to pass urine is an emergency needing a catheter the same day.
How much does enlarged prostate treatment cost in Hyderabad?
Medical management costs ₹400–₹1,500 monthly plus consultations. TURP at Lux Hospitals ranges from ₹75,000 to ₹1,40,000, HoLEP or laser surgery from ₹1,10,000 to ₹2,20,000, and prostatic urethral lift from ₹1,40,000 to ₹2,60,000. A written estimate follows your assessment.
Where can I get the best enlarged prostate treatment in Hyderabad?
You can book an appointment at Lux Hospitals, HITEC CITY by calling us, messaging us on WhatsApp, or walking in. Bring any previous PSA results and ultrasound reports with you.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book Your Prostate Consultation in Hyderabad
Proper assessment of your urinary symptoms with medication or laser surgery as needed, and costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032