Top Surgeons in India for Enlarged Prostate Surgery

Dr. Rajiv Yadav

Dr. Rajiv Yadav, urologist specialist in India, has over two decades of experience in the treatment of Urological diseases involving Prostate, Kidney & Urinary bladder. His clinical focus is on Robot assisted Laparoscopic Surgery for Prostate Cancer, Kidney Cancer and Urinary bladder cancers. 

Address: Artemis Hospital, Sector 51, Gurugram, 122001

Dr. Gagan Gautam

A pioneer of robotic surgery in India, Dr. Gagan Gautam is a renowned specialist with over two decades of experience in the surgical treatment of urological cancers. His areas of expertise include robotic prostatectomy (prostate cancer), robotic partial nephrectomy (kidney cancer), and robotic cystectomy (urinary bladder cancer). A highly proficient robotic uro-oncological surgeon, Dr. Gautam is also an expert in open, laparoscopic and endoscopic operations for prostate, kidney and urinary bladder malignancies.

Address: Medanta-The Medicity, CH Baktawar Singh Rd, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana, 122001

Dr. Anil Mandhani

Dr. Anil Mandhani is the Chairman of Urology at FMRI, Gurgaon. His expertise in robotic surgery (more than 550 cases) is unparalleled and he has been known for managing complex situations emanating from deviant outcomes of surgery done by others. His vast experience in kidney transplant surgery (more than 1000 kidney transplants) with many modifications has been his force to reckon with.

Address: Fortis Memorial Research Institute Sector - 44, Opposite HUDA City Centre, Gurugram, Haryana, India 122002

Dr. Anupam Bhargava

Dr. Anupam Bhargava, is a well-known Genito-Urinary Surgeon (Urologist) practising in Delhi. He is the chairman of urology at Max Hospital, Saket. He specializes in endourology, reconstructive urology and prostate cancer. 

Address: Max, Saket, 1 2, Press Enclave Marg, Saket Institutional Area, Saket, New Delhi, 110017

Enlarged prostate surgery

The surgery to treat an enlarged prostate is best known as Benign Prostatic Hyperplasia (BPH). Treatment is done in cases when an enlarged prostate also leads to considerable urinary symptoms that fail to improve adequately after medication or lifestyle modification.

What Is an Enlarged Prostate?

Benign Prostatic Hyperplasia (BPH) is the non-cancerous enlargement of the gland, which is common among men aged above 50.

The swollen gland touches the urethra and it results in:

• Poor stream of urine
• Frequently (at night) urinating
• Trouble to initiate or terminate urination
• Releasing of the bladder incompletely

When Should One Have Surgery?

Usually it can be considered using surgery when:

• Drugs (such as alpha-blockers or 5-alpha-reductase inhibitors) do not help
• The condition of urinary retention sets in
• Frequent urinary tuberculosis (UTIs)
• Urinary tract blockage/blood in urine as a result of BPH
• The damage of kidneys by chronic retention of urine

Categories of Enlarged Prostate Operation

Transurethral Resection of the Prostate (TURP)

• The majority of popular BPH surgeries
• Historically, part of the prostate may be removed by the insertion of a resectoscope through the urethra
• Moderate-severe BPH beneficial Good

Transurethral Incision of the Prostate (TUIP)

• The prostate is incised on a small scale so as to alleviate stress on the urethra.
• Quite commonly utilized with smaller prostates

Laser Surgery

• Holmium Laser Enucleation (HoLEP) or Photoselective Vaporization (PVP)
• This is done using laser to vaporize or shred excessive tissue
• Fewer losses, faster recovery

Open Simple Prostatectomy or Robot-assisted simple Prostatectomy

• Very large prostates (more than ~80100g)
• Includes the removal of the bulged-up the part through abdominal incision or robotic interventions

Minimally Invasive Choices

• UroLift System: The implants are small and keep the tissues of the enlarged prostate, out of the urethra
• Rezum Therapy: A treatment in which prostate tissue is destroyed by water vapour.

Best enlarged prostate treatment

Enlarged prostate (BPH) lies under treatment, which depends on the size of your prostate, the magnitude of the symptoms, age, and health status in general, and desire to retain some functions, such as the ability to ejaculate.

Non-Surgical Treatment or First-Line Treatment

• In the case of mild to moderate symptoms.
• Lifestyle modification: Put a reduction in the use of caffeine/alcohol, avoiding fluids before retiring to bed, urinating instead of timed bathroom usage.

Medications:

• Alpha-blockers (e.g. tamsulosin): Loosens the prostate muscles making urination more comfortable.
• Blockers to 5-alpha-reductase (e.g., finasteride): Reduce the size of the prostate within months.
• Combination therapy: The two types of drugs to show better outcomes in large prostates.
• Most suitable in: BPH early or moderate, few complications.
• Cons: Does not clean out prostate gland tissue; and symptoms can re-occur once you quit using medication.

Minimal Order Treatments

• Safer, expedited healing, most often performed on a day-care basis.

UroLift System

• The prostate tissue near urethra gets pulled by small implants
• Small–medium prostates 
• 2–3 days
• Saves ejaculation; no pressing
• Not perfect with huge prostates

Rezum Therapy

• Steam kills excessive tissue
• Small–medium prostates
• 3–7 days
• Rapid; is repeatable
• Acute edema may aggravate the condition but later gets better

Prostatic Artery Embolization (PAE)

• Deprives the blood supply that would cause the prostate to shrink
• Larger prostates
• 1 week
• No snipping; patients are older/ fragile
• Short-term data less long-term TURP/laser

Surgical Treatments (Gold Standard of the Long-term Relief)

• It is advised that it should be used in severe cases, very large prostrates, or in case of complications (urinary retention, kidney damage).

TURP (Transurethral Resection of Prostate)

• Destroys prostate tissue with the resectoscope
• Moderate–large prostates
• 2–6 weeks
• Established long term relief
• Retrograde ejaculation may occur as a result.

HoLEP (Holmium Laser Enucleation)

• The unnecessary tissue is cut and removed by lasers
• Any size, and particularly-large
• 1–3 weeks
• Minimal bleed, total excision
• Needs specialised surgeon

PVP (Green Light Laser)

• Laser vaporizes the tissue
• Moderate prostates
• 1–2 weeks
• Fewer hemorrhages, fast
• Does not suit very big prostates

Open/ Robotic Prostatectomy

• Cuts open big-sized prostate
• Huge prostates 
• 4–6 weeks
• Complete removal
• More invasive

Enlarged prostate laser surgery

Enlarged prostate laser surgery is the latest and least invasive treatment method to tackle Benign Prostatic Hyperplasia (BPH) where laser energy is concentrated towards the problem area and extra warped prostate tissue removed or destroyed.

Its popularity has been advanced by the fact that it provides quick recovery, less bleeding and high levels of success as compared to conventional surgery such as TURP.

Primary Types of Laser Surgery of BPH:

Holmium Laser Enucleation of Prostate HoLEP

• Laser ablation cuts and destroys whole prostate lobes that have grown out of control then are morcellated (cut up) and separated
• Any size of the prostate (small, medium or very large)
• Extremely low risk of bleeding, a full removal of the tissues, low rate of reoperation

PVP (Photoselective Vaporization -The Green Light Laser)

• Green laser is high-energetic, which vapourizes the prostate
• Small -medium prostates (<80g)
• Faster healing, short stay in hospital, reduced use of catheter time

ThuLEP (Thulium Laser Enucleation)

• Very much like HoLEP, except using Thulium laser, used best for fine cutting
• Small–large prostates
• Facile cuts of tissues, negligible bleeding

Diode Laser Surgery

• Vaporizes/shrinks with a particular wavelength diode laser
• Medium prostates
• Well suited to bleeding risk patients

Enlarged prostate removal surgery

Removal of the enlarged prostate surgery is conducted when the patient has no good responses to the medicines or less invasive operations, or when the prostate size is large and results in another problem like struggling with the urine, bladder rock, or kidney issues.

This contrasts with partial tissue destruction (as is the case with destruction of the prostate with the use of TURP or laser vaporization). In this procedure, a significant part of the prostate gland is taken out in order to leave a lasting relief.

Types of enlarged prostate removal surgery:

Open Prostatectomy

• The way it works: Surgeon cuts open lower abdomen and takes out the swollen part of the prostate (not all of it, unlike in the case of prostate cancer surgery).
• Indicated in: Massive prostates (usually 100 g and larger).
• Advantages: very long lasting effect, good in very large glands.
• Cons: Less invasive, less hospitalization, less bleeding risk, shorter recovery.

Simple Prostatectomy or Laparoscopic Robotic

• Operative technique: Minimally invasive procedure by use of robotic/laparoscopic instruments.
• Most appropriate: where there is a large prostate and laparoscopic procedure is preferred to open surgery.
• Advantages: Reduced pain, minimal bleeding as well as recovery rates than an open surgery.
• Cons: More advanced set-up and surgeon, a bit more expensive.

HoLEP (Holmium Laser Enucleation of the prostate)

• Procedure: The laser is applied through urethra to burn off a whole of the prostate lobes that had obstructed the passage just like in open surgery with no incision involved.
• Best suited to: Any sized prostate, particularly large prostate.
• Advantages: Not invasive, less bleed, brief hospital stay, long lasting.
• Disadvantages: This procedure needs specialized surgeon and equipment but there is often retrograde ejaculation.

Best hospital for enlarged prostate surgery

• Artemis Hospital, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket

Minimally invasive enlarged prostate surgery

The rationale behind minimally invasive surgery to relieve enlarged prostate (BPH) is to offer the possibility of reduced bleeding, shorter convalescence, and hospital stay, and without major incisions, compared to standard TURP surgery or open prostatectomy.

These are normally conducted either with the urethra (no skin incisions) or by small holes.

Enlarged prostate surgery in India by GetWellGo

• GetWellGo is part of the medical tourism industry, matching foreign patients, primarily around the world with high quality hospitals and physicians in India. They provide customized services- such as choosing the doctor and hospital, visas, treatment planning. 
• TURP (Transurethral Resection of the Prostate) is one of the surgeries they arrange in their Urology department. 
• They also estimate the TURP surgery cost to suit international (African) patients with approximate 3 days stay at the hospital and the approximate number of days to be spent in India is 30 days.

Why Choose GetWellGo for Enlarged Prostate Surgery?

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

• Complete transparency
• Fair costs.
• 24 hour availability.
• Medical E-visas
• Online consultation from recognized Indian experts.
• Assistance in selecting India's top hospitals for Enlarged Prostate Surgery.
• Expert urologist with a strong track record of success
• Assistance during and after the course of treatment.
• Language Support
• Travel and Accommodation Services
• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
• Local SIM Cards
• Currency Exchange
• Arranging Patient’s local food