Home / Treatments / Prostate (BPH) Treatment

Enlarged Prostate (BPH) Treatment

Waking at night to urinate, weak stream, incomplete emptying — extremely common after 50, and very treatable, from tablets to modern TURP surgery.

Prostate Enlargement (BPH)

What is prostate enlargement (BPH)?

Benign Prostatic Hyperplasia (BPH) is age-related, non-cancerous enlargement of the prostate gland, which surrounds the urinary passage in men. As it grows it squeezes the urethra, producing the classic symptoms: weak stream, straining, night-time urination and a feeling of incomplete emptying. It affects half of men over 60 — and “benign” describes the tissue, not the impact on quality of life.

Know the Signs

Experiencing any of these symptoms?

Common symptoms

  • ✓ Weak or interrupted urinary stream, straining to start
  • ✓ Waking two or more times at night to urinate
  • ✓ Urgency and frequent urination
  • ✓ Feeling of incomplete emptying, dribbling at the end
  • ✓ Occasional urine leakage or recurrent infections

See a doctor urgently for

  • ✓ Complete inability to pass urine (acute retention — emergency)
  • ✓ Blood in urine
  • ✓ Urinary infection with fever

Emergency 24×7: 091551 00001

Diagnosis

How is it diagnosed?

Assessment includes a symptom score, examination, urine tests, PSA blood test (to screen for prostate cancer, which BPH is not), ultrasound with post-void residual measurement, and uroflowmetry where needed — all coordinated in-house. This tells us how enlarged the prostate is and, more importantly, how much it is actually obstructing you.

Treatment Options

Your treatment options, honestly explained

Non-surgical management

Most men start with modern medications that relax the prostate or shrink it over time — many stay well-controlled on tablets for years, alongside sensible fluid-timing habits. Regular review matters, because silently rising residual urine can damage the bladder and kidneys.

Surgical treatment at Bawa Hospital

When medicines are no longer enough — recurrent retention, infections, bladder stones, kidney effects or simply an unacceptable quality of life — TURP (transurethral resection of the prostate) removes the obstructing tissue through the natural passage, no external cut. It remains the gold-standard operation, performed by our consultant urologist with modern resection systems.

We recommend surgery only when it is genuinely the best option for you — and explain why, in plain language, before you decide.

Recovery

What recovery looks like

Day 0–2

Surgery with a temporary catheter; usually 2–3 days in hospital.

Week 1

Catheter removed; stream noticeably stronger for most men.

Week 2–4

Mild burning/urgency settles; routine activity resumes.

Week 6

Full recovery; follow-up confirms flow and emptying.

Timelines are typical for uncomplicated cases — your surgeon will give you a personalised plan.

Cost & Insurance

Transparent pricing, no surprises

What decides the cost?

The final cost depends on the technique used, the complexity of your case, the type of room you choose and your length of stay. After your consultation you receive a clear, itemised estimate — before you decide anything.

Using health insurance?

Bring your policy details or insurance card and our front-desk team will help you with the paperwork and coordination with your insurer from admission through discharge.

Serving North India

Patients travel to us from across the region

Bawa Hospital in Ludhiana treats patients from across Punjab — including Chandigarh, Mohali, Jalandhar, Amritsar, Patiala, Bathinda, Moga and Khanna — as well as Delhi NCR, Haryana, Himachal Pradesh and Jammu & Kashmir.

For outstation patients we plan the consultation, pre-operative tests and surgery to minimise trips — often completed in a single visit, with follow-up support on WhatsApp.

FAQ

Frequently asked questions

Is prostate enlargement cancer?

No — BPH is benign and does not turn into cancer. Because both become common with age, we screen with a PSA test and examination so nothing is missed, then treat the BPH on its own merits.

Can I just stay on tablets forever?

Many men can. Medication controls symptoms well for years. Surgery enters the picture when tablets stop working, retention or infections recur, or bladder/kidney effects appear — we monitor exactly these things at review.

Does TURP affect potency or continence?

TURP does not usually affect erections. Retrograde (dry) ejaculation is common afterwards and harmless, though relevant if fertility matters — we discuss this openly before surgery. Significant permanent incontinence is rare in experienced hands.

I suddenly cannot pass urine at all. What do I do?

Come to the emergency immediately — acute retention is painful and needs a catheter now. It is also usually the moment to plan definitive treatment so it never happens again.

Medically reviewed by Prof. (Dr.) Ashvind Bawa, MS FACS — Director, Surgical Services · Last reviewed July 2026

Stop planning your life around the toilet

Honest assessment, effective medicines, and gold-standard surgery when tablets are no longer enough.