Prostate enlargement and related urinary problems affect many men, especially as they age. While medications can help in early stages, some cases require surgical intervention for lasting relief. Endoscopic prostate surgery offers a minimally invasive solution with faster recovery compared to traditional approaches.
As a urologist in Pune, I focus on evaluating each patient’s condition carefully and recommend endoscopic prostate surgery only when it is truly necessary to restore quality of life.
Understanding Prostate Problems
The prostate gland, located below the bladder, surrounds the urethra. With age, it can enlarge—a condition called Benign Prostatic Hyperplasia (BPH).This enlargement squeezes the urethra, causing urinary issues
Common Symptoms of Prostate Enlargement:
● Frequent urination, especially at night
● Weak or interrupted urine flow
● Difficulty starting urination
● Incomplete bladder emptying
● Urinary tract infections (in some cases)
Left untreated, prostate enlargement may lead to bladder damage, kidney issues, or severe urinary retention.
Non-Surgical & Lifestyle Care Not all prostate problems require surgery. Early and mild symptoms may be managed with:
● Medications – To relax prostate muscles or shrink its size
● Lifestyle changes – Limiting caffeine, reducing evening fluid intake, staying active
● Regular monitoring – To track progression and avoid complications
When Endoscopic Prostate Surgery Is Needed Endoscopic prostate surgery is considered when:
● Symptoms significantly affect daily life
● Medications no longer provide relief
● Repeated urinary retention occurs
● Bladder stones, recurrent infections, or kidney damage develop due to obstruction
Surgical Options: Endoscopic Prostate Surgery Endoscopic techniques involve inserting a scope through the urethra, avoiding external cuts. Common methods include:
● TURP (Transurethral Resection of Prostate) – Gold standard for BPH surgery
● Laser Prostate Surgery – Uses laser energy to remove or shrink prostate tissue
● HoLEP (Holmium Laser Enucleation of Prostate) – Effective for larger prostates, with minimal bleeding and faster recovery
These procedures allow patients to recover quickly, with shorter hospital stays and less discomfort.
Comparative View: Endoscopic vs Traditional Surgery ● Endoscopic Surgery – Minimally invasive, shorter recovery, reduced bleeding, no external scar
● Open Surgery – Reserved for very large prostates or complex cases; involves longer hospital stay and recovery
FAQs: Endoscopic Prostate Surgery Q: Is endoscopic prostate surgery painful?
A: No. It is performed under anesthesia, and most patients experience only mild discomfort post-surgery.
Q: How long is the recovery after surgery?
A: Most patients resume normal activities within 1–2 weeks, depending on the procedure.
Q: Will surgery affect sexual function?
A: In most cases, surgery improves urinary symptoms without significantly affecting sexual health.
Q: Can prostate enlargement come back after surgery?
A: Results are long-lasting, though some men may need further treatment years later.
Advanced Prostate Care in Pune If you are struggling with urinary symptoms or have been advised surgery, consult at The Urology Clinic, Pune. With expertise in advanced endoscopic techniques, I ensure safe, effective, and minimally invasive solutions tailored to each patient.
About Dr. Ketan Pai 
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