Prostate Enlargement
Treatment in Patna
Advanced prostate treatment — Holmium laser HoLEP surgery, TURP, and medication — by Dr. Kumar Rajesh Ranjan, Bihar's most trusted urologist. Bloodless surgery. Discharge in 24 hours. Ayushman Bharat accepted.
Understanding Prostate Enlargement
The prostate is a walnut-sized gland in men that surrounds the urethra (the tube carrying urine from the bladder). Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate that occurs naturally as men age — affecting over 50% of men above 60 years.
As the prostate grows, it compresses the urethra and partially blocks urine flow. This causes a range of urinary symptoms that progressively worsen over time — from mild inconvenience in early stages to complete urinary retention and kidney damage in severe cases.
At Satyadev Hospital, Dr. Kumar Rajesh Ranjan has performed over 1,000 prostate surgeries using the most advanced techniques available — including HoLEP laser, which is safer and more effective than traditional TURP, especially for elderly patients.
4 Grades of Prostate Enlargement — Know Yours
BPH is classified into 4 grades based on prostate size (measured by ultrasound) and symptom severity. Treatment depends on your grade.
Grade 1 — Mild
Prostate up to 20g. Mild urinary symptoms. No significant obstruction.
Medications onlyGrade 2 — Moderate
Prostate 20–40g. Noticeable urinary symptoms affecting daily life.
Medication or surgeryGrade 3 — Severe
Prostate 40–80g. Significant obstruction, residual urine, recurrent UTI.
Surgery recommendedGrade 4 — Very Severe
Prostate over 80g. Urinary retention, bladder damage, kidney impairment.
Urgent surgery — HoLEPGet your prostate ultrasound and PSA test done today. Call us for a free assessment.
📞 Call 091222 37338 for AssessmentSigns & Symptoms of Prostate Enlargement
These urinary symptoms in men — especially those above 50 — almost always indicate prostate enlargement. Do not ignore them. Early treatment prevents complications.
Weak Urine Stream
Reduced force of urination — urine dribbles or flows weakly instead of a strong stream. One of the earliest and most common signs of prostate obstruction.
Frequent Urination at Night (Nocturia)
Waking up 2 or more times at night to urinate. Severely disrupts sleep quality and is one of the most bothersome symptoms reported by BPH patients.
Difficulty Starting Urination
Having to strain, push, or wait a long time before urine starts to flow — called "hesitancy". Caused by the enlarged prostate partially blocking the urethra.
Frequent Urination (Urgency)
Sudden strong urge to urinate that is difficult to postpone, often with frequent trips to the toilet — sometimes every 30–60 minutes during the day.
Feeling of Incomplete Emptying
Sensation that the bladder is not fully empty after urinating. This "residual urine" sits in the bladder increasing risk of UTI and bladder stone formation.
Urinary Retention (No Urine)
Complete inability to pass urine — acute urinary retention is a painful emergency requiring immediate catheterisation. This is advanced BPH and needs urgent surgical treatment.
Prostate Treatment Methods We Offer
Dr. Rajesh Ranjan recommends the most appropriate treatment based on your prostate size, symptom severity, age, and overall health.
Medications (Conservative)
For Grade 1–2 BPH with mild to moderate symptoms. Medications relax the prostate muscles and reduce prostate size to improve urinary flow.
- ✓Alpha-blockers (tamsulosin) — relax prostate muscle
- ✓5-alpha reductase inhibitors — shrink prostate size
- ✓Combination therapy for better effect
- ✓Regular monitoring with PSA and ultrasound
HoLEP — Holmium Laser Prostate Surgery
The gold standard for prostate surgery. A Holmium laser enucleates the entire obstructing prostate tissue through the natural urethra — no cuts, no blood, no size limit.
- ✓Works for ANY prostate size — even very large glands
- ✓Completely bloodless — safe for blood thinner patients
- ✓Safe for elderly and high-risk patients
- ✓Permanent results — very low recurrence rate
- ✓Discharge in 24–48 hours
TURP — Transurethral Resection
Traditional and effective surgical option. A resectoscope removes prostate tissue through the urethra using electrocautery — no external cuts. Time-tested procedure.
- ✓No external skin incision
- ✓Highly effective for medium-sized prostates
- ✓Discharge in 3–5 days
- ✓Covered under Ayushman Bharat
HoLEP vs TURP — Which Is Right for You?
Both are effective prostate surgeries performed without any external cuts. Here's how they compare so you can understand your options.
| Feature | ⭐ HoLEP (Holmium Laser) | 🔧 TURP (Conventional) |
|---|---|---|
| Technology | Holmium laser fibre | Electrical resection loop |
| Prostate Size | Any size — even very large | Best for 30–80g |
| Blood Loss | Minimal — bloodless | Moderate — blood transfusion possible |
| Safe for Blood Thinners | Yes — can continue most | Must stop blood thinners 5–7 days before |
| Safe for Elderly / Frail | Highly safe | More caution needed |
| Catheter Duration | 1–2 days | 3–5 days |
| Hospital Stay | 24–48 hours | 3–5 days |
| Recurrence Rate | Very low (<2%) | Higher (10–15% at 10 years) |
| Ayushman Bharat | Covered | Covered |
Our Recommendation: For most patients — especially those on blood thinners, elderly patients, or those with large prostates — HoLEP is the superior choice. Call 091222 37338 and Dr. Rajesh Ranjan will recommend the right procedure for your specific case.
What Happens During Laser Prostate Surgery (HoLEP)?
Here is exactly what to expect on the day of your HoLEP prostate laser surgery at Satyadev Hospital, Patna — step by step.
Pre-Surgery Assessment
Uroflowmetry, post-void residual urine scan, PSA, urine culture, blood tests, ECG, and anaesthesia review completed. Urine infection treated before surgery if found.
⏱ 1–2 days beforeSpinal Anaesthesia
Spinal anaesthesia numbs everything below the waist. You remain awake but feel absolutely nothing. Dr. Amrita Sinha monitors your vitals throughout the procedure.
⏱ 10–15 minutesResectoscope Insertion
A rigid resectoscope (tube with camera) is gently passed through the urethra into the bladder. The entire procedure is performed through this natural opening — no cuts on the skin.
⏱ 5 minutesHolmium Laser Enucleation
The Holmium laser precisely separates (enucleates) the entire obstructing prostate tissue from its capsule — like peeling an orange. This tissue is pushed into the bladder without any blood loss.
⏱ 45–90 minutesMorcellation — Tissue Removal
A morcellator device breaks the prostate tissue inside the bladder into small pieces which are then suctioned out. The tissue is sent for biopsy to rule out prostate cancer.
⏱ 15–30 minutesCatheter & Recovery
A urinary catheter is placed for 24–48 hours to allow healing. You rest in a comfortable ward. The catheter is removed the next day — most patients pass urine immediately and go home within 24–48 hours.
⏱ Discharge in 24–48 hrs
Recovery After Prostate Surgery
Most patients are surprised at how quickly they recover after HoLEP prostate surgery. Here is what to expect week by week.
Day 1–2: Hospital Stay
Catheter in place, IV fluids and antibiotics given. Urine clears gradually from pink/red to yellow. Light walking encouraged to prevent clots.
Day 2: Catheter Removed
Catheter removed and patient asked to pass urine. Most patients void immediately and with a notably stronger stream than before surgery.
Day 2–3: Discharge Home
Discharged with antibiotics, anti-inflammatory medications, and detailed home instructions. Avoid heavy lifting and driving for 1 week.
Week 1–4: Temporary Symptoms
Mild burning during urination and frequent urination for 2–4 weeks is normal as the bladder heals. Reduces progressively. Drink 3+ litres of water daily.
Week 4–6: Biopsy Report
Removed prostate tissue biopsy report confirms benign (no cancer). Follow-up uroflowmetry confirms dramatically improved urine flow. PSA rechecked at 3 months.
Month 2–3: Full Recovery
Urinary frequency normalises completely. Urine stream is strong, sleep improves, quality of life dramatically better. Return to all normal activities including exercise.
BPH vs Prostate Cancer — Know the Difference
BPH is not cancer. But prostate cancer can occur alongside BPH. Every man above 50 should get a PSA screening test. Early-stage prostate cancer is completely curable.
Blood in Urine or Semen
While BPH can cause blood in urine, blood in semen or dark urine should be investigated urgently for prostate or bladder cancer — do not assume it's just BPH.
Rising PSA Level
PSA (Prostate Specific Antigen) above 4 ng/mL, or rapidly rising PSA on annual tests, requires urologist evaluation and possible biopsy to rule out prostate cancer.
Back Pain in Older Men
New onset back pain or bone pain in a man over 60 with urinary symptoms should prompt PSA testing — prostate cancer commonly spreads to bones when advanced.
Unexplained Weight Loss
Significant weight loss without explanation in a man with urinary symptoms requires immediate urological evaluation — this combination can indicate advanced prostate cancer.
Age 50+ Annual PSA Screening
All men above 50 (or 45 if family history of prostate cancer) should have an annual PSA test and digital rectal examination — prostate cancer found early is 100% curable.
Hard Nodule on DRE
A hard, irregular nodule felt during digital rectal examination (DRE) by the doctor is a red flag for prostate cancer requiring urgent biopsy — regardless of PSA level.
Get your PSA test and prostate check done today — early detection saves lives. Call 091222 37338 to book a consultation with Dr. Rajesh Ranjan.
📞 Book PSA Screening — 091222 37338
Dr. Kumar Rajesh Ranjan is Bihar's most trusted urologist and prostate surgeon. With an M.Ch. in Urology and over 15 years of specialist experience, he has performed over 1,000 prostate surgeries — including HoLEP, TURP, and complex prostate cancer surgeries. He pioneered HoLEP laser prostate surgery in Bihar, bringing this bloodless, safer technique to Patna and significantly benefiting elderly and high-risk patients who could not undergo traditional TURP safely.
Prostate Surgery Technology at Satyadev Hospital
We use the latest prostate surgery technology available in Bihar — for the safest outcomes with the fastest recovery.
Holmium Laser System
Latest generation Holmium laser for HoLEP — precise tissue enucleation with coagulation, minimal bleeding, and no thermal spread to surrounding tissue.
Tissue Morcellator
Olympus tissue morcellator for fast, safe removal of enucleated prostate tissue from the bladder — completing the HoLEP procedure efficiently.
Modular Urology OT
NABH-standard modular operation theatre with full endourology setup — video tower, continuous flow irrigating system, and resectoscope for all prostate procedures.
Uroflowmetry
Pre and post-operative uroflowmetry to objectively measure urinary flow rate, voiding time, and post-void residual — demonstrating the dramatic improvement after surgery.
Transrectal Ultrasound (TRUS)
Precise prostate volume measurement, biopsy guidance, and pre-operative assessment with TRUS — essential for accurate HoLEP planning in large prostates.
PSA Lab Testing
In-house PSA (Prostate Specific Antigen) testing with same-day results — essential for prostate cancer screening and monitoring treatment outcomes.
Why Patients Choose Us for Prostate Treatment
Patients from across Bihar choose Satyadev Hospital for prostate treatment. Here is why.
HoLEP — Most Advanced Prostate Surgery
Satyadev Hospital is one of the very few centres in Bihar offering HoLEP — the most advanced, bloodless, and permanent laser prostate surgery available worldwide.
1000+ Prostate Surgeries Done
Dr. Rajesh Ranjan has performed over 1,000 prostate surgeries — giving him the experience to handle even very large prostates (100g+) and complex cases safely.
Ayushman Bharat — Free Surgery
Prostate surgery (HoLEP and TURP) covered under Ayushman Bharat PMJAY — completely free for eligible patients. CGHS and ESIC also accepted. Call 091222 37338.
Safe for Elderly Patients
HoLEP is extremely safe for elderly men (70–80+ years) who may be on blood thinners or have heart/kidney disease — conditions that make conventional TURP risky.
Permanent Results
HoLEP removes prostate tissue completely — recurrence rate under 2%, compared to 10–15% recurrence with TURP. Most patients never need repeat surgery.
24×7 Urological Emergency
Acute urinary retention (unable to pass urine) is an emergency. Our urology team provides immediate catheterisation and emergency surgery as needed, round the clock.
Prostate Surgery Free Under
Ayushman Bharat Scheme
Satyadev Hospital is fully empanelled with Ayushman Bharat PMJAY. HoLEP laser prostate surgery, TURP, and hospitalisation may be completely free for eligible patients. Call us to check your eligibility.
Patients Who Had Prostate Surgery at Satyadev Hospital
Real experiences from men who chose Satyadev Hospital for prostate treatment in Patna.
"Mujhe 3 saal se prostate ki takleef thi — raat ko 5–6 baar uthna padta tha. Dr. Rajesh Ranjan ne laser surgery kiya. Agle din se itna relief mila. Ab raat ko ek baar bhi nahi uthna padta. Bahut shukriya doctor sahab!"
"Mere pitaji ka prostate operation hua — unhe blood thinner dawa chal rahi thi aur age 74 hai. Dr. Ranjan sahab ne HoLEP laser surgery kiya. Koi blood nahi aaya, agle din discharge ho gaye. Ayushman card se free hua. Bahut achha doctor hain!"
"Urine band ho gaya tha — emergency mein aaya. Dr. Rajesh Ranjan ne turant catheter lagaya, fir 2 din baad prostate surgery ki. Operation ke baad aaram se peshab hone laga. Hospital clean hai, staff caring hai. Best urologist in Patna."
Frequently Asked Questions About Prostate Treatment in Patna
Answered by Dr. Kumar Rajesh Ranjan — Prostate Specialist, Satyadev Hospital, Patna.
Visit Satyadev Hospital for Prostate Treatment, Patna
Contact Prostate Specialist
Address
MAGISTRATE COLONY ROAD, Ashiana - Digha Rd, VIA, Patna, Bihar 800025
Primary Phone (24×7)
Alternate Phone
Emergency (Urinary Retention)
Open 24 Hours × 7 Days