FAQ about Prostate and Answered By Dr Ghanendra Kumar Yadav (Urologist in Drgkurologist)
FAQ about Prostate and Answered By Dr Ghanendra Kumar Yadav (Urologist in Drgkurologist)

FAQ about Prostate and Answer By Dr Ghanendra Kumar Yadav (Drgkurologist):-


Q.1. I have urinary symptoms and enlarged prostate, do I need an operation?

Answer: Not necessary.

In fact 70-80% of patients with urinary symptoms and an enlarged prostate get relief with medications and lifestyle changes. Other patients may require surgery.

Q.2 I am taking medication for enlarged prostate with urinary symptoms, but my symptoms persist, do I need an operation?

Answer: Not necessary.

You must consult a qualified urologist, he will take a look at your medical history, medications, do some tests and if required change the dose/drug or add another drug or suggest an operation.

Q.3 When is prostate surgery required?

Answer: Prostate surgery is required in the following conditions-

Retention of urine even after taking medication / Frequent urination

frequent urinary tract infections

frequent blood in the urine

Bladder stones / diverticula / kidney swelling

Not getting relief from medicines.

Reluctance to take medicine

Q.4. What are the methods of surgery for enlarged prostate?

Answer: Incisional (open) prostate surgery is rarely performed today. Now a days prostate surgery is done through natural urinary tract endoscopically (ENDOSCOPICALLY) without any incision/hole/scar.

There will be a pipe (catheter) in the urinary tract after the operation, which will be removed after 2 or 3 days and you will be discharged.

TURP: In this technique, the part of the enlarged prostate that is blocking the urethra is removed using ELECTROCAUTERY and ENDOSCOPY.

HOLEP: In this technique the part of the enlarged prostate blocking the urethra is removed using LASER and ENDOSCOPY.

Q.5. What is the difference between HOLEP and TURP?

Answer: HOLEP is a new LASER technology, with the following advantages:

bleeding less


HOLEP is a boon for the following patients-

Prostate larger than 50 cc

heart patient

patients taking blood thinners

Q.6 What is Serum PSA?

Serum PSA (Prostate Specific Antigen) is a glycoprotein secreted by the prostate. Its normal measurement is <4 ng/ml. Serum PSA increases proportionately with the increase in prostate size.

However, if the serum PSA rises abnormally / unevenly, it may indicate prostate cancer.

Q.7 My serum PSA is high, do I have prostate cancer?

Answer: Not necessary.

There are many conditions other than prostate cancer such as prostatitis, recent prostate massage/DRE, retention of urine or recent ejaculation.

Q.8) My serum PSA is very high, what should I do?

Answer: You should consult a qualified urologist. He will assess your medical history and reports, do digital rectal examination for prostate and if required, suggest multi-parametric-MRI. If prostate cancer is suspected, a TRUS guided prostate biopsy will be required for confirmation.

Q.9) I have prostate in my ultrasound, what is the treatment?

Answer: PROSTATE is not a disease, it is a normal part of every man. Every man is born with a prostate. The prostate is a gland located around the urinary tube (urethra). In Hindi we call it Gadud or Prostate. The function of the prostate is to produce nutrients for sperm, and its secretions make up about 40% of semen volume.

Q.10) I have ENLARGED PROSTATE in ultrasound, what is its treatment?

Answer: Prostate enlargement is not a disease, it is a normal process of aging after the fourth decade of life. In medical language we call it Benign Prostatic Hyperplasia BENIGN PROSTATIC HYPERPLASIA. When enlarged, the prostate may or may not block/obstruct/narrow the urethra.

Treatment is required only when the enlargement of the prostate is blocking/obstructing/narrowing the urethra resulting in difficulty in passing urine. Therefore, if someone is having difficulty in passing urine, he should consult a qualified urologist.

Q.11) What are the symptoms of OBSTRUCTIVE ENLARGED PROSTATE?

Answer: If you have the following problems urinating, then your prostate may be blocking/obstructing/narrowing the urethra.

Nocturia (the need to wake up during the night to urinate)

FREQUENCY (the need to urinate more often than usual or more than 8 times a day)




The need to strain to urinate


INCONTINENCE Urinary incontinence (involuntary leakage of urine)

Q.12) Are urinary symptoms a natural part of ageing?

Answer: Not at all.

If you are having any of the above difficulties in passing urine, you must consult a qualified urologist.

 For Consultation Contact Dr Ghanendra Kumar Ydav (Urologist and Kideny Trasplant Surgeon) in Drgkurologist in Agra and Kanpur.