Prostate (HoLEP) Surgery in Pune
Laser enucleation for an enlarged prostate. A laser approach with 2-day stay and a typical recovery of ~1 week. But surgery is the last step, not the first — start with a urologist and rule out the simpler fixes.
How it works
You don't buy an operation here — you start with a doctor. Book a consultation first; Prostate (HoLEP) surgery happens only if a urologist confirms you need it.
About benign prostatic hyperplasia (enlarged prostate)
Benign prostatic hyperplasia is non-cancerous growth of the inner zone of the prostate. It is close to universal with age, and it only matters when it obstructs the outlet of the bladder. Symptoms divide into voiding problems — a weak stream, hesitancy, straining, dribbling, a sense of not emptying — and storage problems: frequency, urgency and getting up at night. BPH is not prostate cancer. The two can coexist, though, which is why assessment always includes examination and a PSA rather than treating the symptoms alone.
When is surgery actually needed?
Mild symptoms are managed without any drug at all: timing your fluids, cutting evening caffeine and alcohol, bladder retraining, and reviewing medications that make flow worse. Medical therapy is the next step — alpha-blockers to relax the outlet, 5-alpha-reductase inhibitors to shrink larger glands, sometimes both, with an anticholinergic or beta-3 agonist added for storage symptoms. Surgery is advised when symptoms remain genuinely bothersome despite an adequate trial of medication, or for complications: retention, recurrent infection, bladder stones, recurrent bleeding, dilatation of the kidneys or impaired renal function. Cancer is excluded first by examination, PSA and, where indicated, imaging and biopsy.
Why laser, not open surgery
HoLEP — holmium laser enucleation of the prostate — passes a laser through the urethra and peels the obstructing adenoma off the prostate's outer capsule in exactly the plane a surgeon would develop in an open operation. The freed tissue is pushed into the bladder and removed with a morcellator, and all of it is sent for histology. Because it enucleates rather than shaves tissue away, the size of the gland does not limit the operation, so very large prostates can still be treated endoscopically. The laser seals blood vessels as it works, which is why the catheter usually comes out quickly.
Your options for benign prostatic hyperplasia (enlarged prostate)
Non-surgical options are listed first where they exist. Which one suits you depends on your examination and reports — this table is here so you can ask better questions, not to choose for you.
Our urologist surgeons
Dr. Aniket Joshi
Dr. Sanjay Kulkarni
Senior
Dr. Arjun Menon
Senior
Dr. Karan Malhotra
SeniorCost, EMI & insurance
Covered by insurance
Prostate (HoLEP) surgery is covered by most health policies. We start cashless pre-authorisation before admission — you pay nothing extra at discharge.
Your recovery timeline
Week by week after prostate (holep) surgery
A catheter with bladder irrigation overnight. Some blood in the drainage is expected.
Catheter removed once the urine runs clear; discharge after you have passed urine successfully.
Burning, urgency and some blood in the urine as the raw prostatic surface heals. Drink well.
The stream improves steadily and urgency settles. No lifting or cycling. A small amount of fresh blood around week three, as scabs separate, is common and settles with rest and fluids.
Final assessment of flow rate and symptom score.
Risks, preparation & aftercare
Every operation carries risk. These are the complications your surgeon will take you through before you consent — they are listed here so you read them without a pen in your hand.
Possible complications of prostate (holep) surgery
Before your procedure
A sterile urine culture, PSA and digital rectal examination, and a flow rate with post-void residual volume. The anticoagulation plan is agreed with the doctor who prescribes it. Nothing to eat for 6 hours and clear fluids up to 2 hours before. Have the conversation about ejaculatory change explicitly before you sign the consent — it is the change most men are not warned about.
After you go home
Drink plenty. Avoid straining and treat constipation. No heavy lifting, cycling or long drives for four weeks. Pelvic floor exercises as taught help with early leakage. Report fever, inability to pass urine, or heavy bleeding with clots.
Frequently asked questions
Start with a conversation, not a commitment.
Book a ₹700 consultation with a urologist — adjusted into your surgery cost if you go ahead. No pressure, no surgery unless you need it.