Signs & Symptoms
Recognize the early signs that indicate you may need medical attention
Weak Urine Stream
Progressively weakening urinary stream requiring effort to pass urine.
Urinary Urgency
Sudden, uncontrollable urge to urinate that can lead to leakage.
Frequent Urination
Voiding every 1–2 hours during the day and multiple times at night (nocturia).
Incomplete Emptying
Sensation of a full bladder even after urination — residual urine.
Acute Urinary Retention
Complete inability to pass urine — requires emergency catheterisation.
Hesitancy & Straining
Difficulty initiating urination, straining, and interrupted stream.
Common Causes & Risk Factors
Benign Prostatic Hyperplasia (BPH)
Age-related non-cancerous prostate enlargement — affects over 50% of men above 60 years.
Hormonal Changes
Changes in testosterone and dihydrotestosterone levels with ageing drive prostate cell growth.
Prostate Cancer
Malignant transformation of prostate cells — requires staging and multimodal treatment.
Prostatitis
Bacterial or chronic non-bacterial inflammation causing acute pain and urinary symptoms.
Bladder Outlet Obstruction
Progressive narrowing of the urethra from the enlarged prostate leads to obstructive symptoms.
Treatment Options
Advanced minimally invasive techniques for better outcomes and faster recovery
Medical Management
Alpha-blockers (tamsulosin) and 5-alpha reductase inhibitors for mild-moderate BPH.
TURP
Transurethral Resection — gold standard surgical treatment. Resectoscope removes obstructing tissue.
HoLEP (Laser)
Holmium laser enucleation of prostate — less blood loss, suitable for very large prostates.
Radical Prostatectomy
Open or laparoscopic prostate removal for localised prostate cancer.
Benefits at Chahal Hospital
No Skin Incision
TURP and laser prostate surgery use the natural urinary passage — zero abdominal incision.
Immediate Improvement
Dramatic improvement in urine flow and symptom score from the day of catheter removal.
Short Hospital Stay
2–3 days for TURP; 1–2 days for laser prostatectomy in suitable patients.
Long-Term Results
Surgical treatment is the most durable — effects last 10–15 years unlike medication.
Expert Urologist
Dr. Ajay Chahal (MCh Urology) is trained in all modern endoscopic prostate procedures.
Minimal Blood Loss
Modern bipolar TURP and laser techniques significantly reduce intraoperative blood loss.
Your Specialist
Dr. Ajay Chahal
Consultant – Urology & Uro-Surgery
MBBS, MS (General Surgery), MCh (Urology)
Book AppointmentFrequently Asked Questions
No. TURP uses a resectoscope through the urethra — no skin incision. Open prostatectomy uses a large abdominal cut. TURP is now the standard surgical treatment for most men with BPH, avoiding the morbidity of open surgery.
TURP can cause retrograde ejaculation (dry orgasm) in most men — semen goes to the bladder instead of being ejaculated. Erectile function is generally preserved. This should be discussed with your surgeon before the procedure.
Yes. PSA (Prostate Specific Antigen) levels are routinely tested to screen for prostate cancer before surgical treatment. DRE (Digital Rectal Examination) is also performed.
You will have a catheter for 1–3 days. Urine may be pink-tinged initially. Most men return to normal activity within 2–4 weeks. Avoid heavy lifting and strenuous exercise for 4–6 weeks.
Surgery is recommended when medications fail, when there is acute urinary retention, bladder stones, repeated infections, or when symptoms severely affect quality of life.
Ready to Get Treatment?
Consult our expert specialists for Prostate Surgery (TURP & Laser). Advanced, minimally invasive care with faster recovery and lasting results.