Enlarged Prostate (BPH) & Laser Surgery in Bangalore
Bipolar TURP, HolLEP Laser Enucleation, Uroflowmetry & Serum PSA Audit

Medax Vijayashree Hospitals
Urology & Prostate Specialty Center
Benign Prostatic Hyperplasia (BPH) is an age-related non-cancerous enlargement of the prostate gland affecting men over 50 years. Symptoms like poor urinary stream, frequent nighttime urination (nocturia), urinary hesitancy, feeling of incomplete bladder emptying, and sudden acute urinary retention can severely impair quality of life.
At Medax Vijayashree Hospitals in Jigani, Bangalore, our Urology Department provides comprehensive prostate evaluation using computer uroflowmetry, transrectal/pelvic ultrasound prostate volume measurement, and Serum PSA (Prostate-Specific Antigen) testing to rule out prostate malignancy.

Medax Vijayashree Hospitals
Urology & Prostate Specialty Center
When Should You Seek Emergency Urological Care for Prostate?
Urgent Urology UnitVisit Emergency Triage immediately if you experience:
Key Takeaways
Uroflowmetry & PSA Audit
Computerized urinary peak flow measurement, post-void residual ultrasound, and Serum PSA.
Uro-Selective Alpha Blockers
Prescribing Tamsulosin and Dutasteride to relax bladder neck smooth muscles and shrink prostate volume.
Bipolar TURP / HolLEP Laser
Endoscopic laser vaporization or bipolar resection of obstructive prostate adenoma.
Painless Catheter Removal
Catheter removal on Day 2 post-surgery with immediate strong urinary stream restoration.
Comprehensive Clinical Guide & Medical Overview
Advanced Diagnostic Precision & Pathology
Our department utilizes high-resolution 3D ultrasound imaging, digital X-rays, 12-lead ECG monitoring, NABL-accredited diagnostic laboratory panels, and diagnostic scope evaluations. We pinpoint root causes with maximum accuracy before initiating treatment.
Evidence-Based Non-Surgical & Medical Therapy
We emphasize organ-preserving, non-invasive medical care whenever clinically appropriate. Targeted pharmacology, hormonal regulation, anti-inflammatory modulators, and structured lifestyle coaching form our primary line of therapeutic defense.
Minimally Invasive Keyhole Surgical OT Suites
When surgical intervention is required, our senior specialists utilize HEPA laminar air-filtered modular operating theaters equipped with HD laparoscopic stacks, laser equipment, and micro-instruments for minimal scarring and rapid day-care discharge.
24/7 Casualty Readiness & Inpatient Care
Supported by round-the-clock emergency medical officers, an intensive care unit (ICU), specialized inpatient private rooms, and dedicated physiotherapists, Medax Vijayashree Hospitals provides continuous vigilance and post-op rehabilitation.
Prostate & Urinary Flow Conditions Treated
Benign Prostatic Hyperplasia (Enlarged Prostate)
Medical therapy with alpha-blockers and bipolar TURP or laser enucleation for enlarged prostate glands.
Elevated PSA & Prostate Cancer Screening
Total and free Serum PSA testing, multiparametric MRI prostate, and TRUS-guided prostate biopsy.
Acute Urinary Retention (AUR)
STAT emergency Foley or suprapubic catheterization, bladder decompression, and BPH stabilization.
Acute & Chronic Bacterial Prostatitis
Culture-directed IV antibiotics, anti-inflammatory therapy, and prostatic fluid micro-audit.
Prostate-Induced Bladder Stones
Combined endoscopic cystolithotripsy laser stone removal and TURP prostate resection.
Nocturia & Frequent Nighttime Urination
Desmopressin therapy, timed fluid restriction, and detrusor muscle stabilizing medication.
Bladder Outlet Obstruction (BOO)
Urodynamic study (UDS) evaluation of detrusor voiding pressure versus urethral resistance.
Recurrent UTIs due to High Post-Void Residual
Targeted antibiotic prophylaxis, voiding re-education, and surgical prostate desobstrucion.
Prostate BPH Diagnostic & Surgical Protocol
| IPSS Score Range | Prostate Volume / Flow | Clinical Treatment Plan | Target Outcome |
|---|---|---|---|
| IPSS 1 - 7 (Mild) | Volume < 30g, Flow > 15ml/sec | Lifestyle Modifications & Phytotherapy | Symptom monitoring |
| IPSS 8 - 19 (Moderate) | Volume 30-50g, Flow 10-15ml/sec | Tamsulosin + Dutasteride Combination | Smooth muscle relaxation & size reduction |
| IPSS 20 - 35 (Severe) | Volume 50-80g, Flow < 10ml/sec | Bipolar TURP / Laser Enucleation | Endoscopic obstruction removal |
| Massive BPH (>80g) | Large intravesical median lobe | HolLEP Laser Enucleation Surgery | En-bloc prostate tissue removal |
| Elevated PSA (>4 ng/ml) | Suspected prostate nodule | Free PSA Ratio & mpMRI / TRUS Biopsy | Prostate cancer exclusion |
| Acute Retention | Bladder residual > 500ml | STAT Catheterization & TWOC Trial | Safe urinary drainage |
BPH & Prostate Patient Care Journey
Urology OPD Consultation
IPSS questionnaire scoring, digital rectal exam (DRE), and urinary symptom history.
Uroflowmetry & Serum PSA
Computerized peak urinary flow rate test, Serum PSA blood test, and USG post-void residual.
Medication Trial Period
Prescribing daily uro-selective alpha-blockers to improve urine flow within 48 hours.
Bipolar TURP / Laser Surgery
Minimally invasive endoscopic laser or bipolar TURP prostate resection under spinal anesthesia.
Day 2 Catheter Removal
Continuous bladder irrigation, catheter removal on Day 2, and observing clear urine flow.
Post-Op Flow Rate Check
Repeat uroflowmetry at 4 weeks showing dramatic improvement in urinary stream speed.
Enlarged Prostate Services in Jigani & South Bangalore
Primary Service Radius
Serving Jigani, Bommasandra, Electronic City, Chandapura, Anekal, and Hosur.
Facility Highlights
Computer uroflowmetry lab, bipolar TURP equipment, HolLEP laser system, and 24/7 urology casualty.
Frequently Asked Questions About Enlarged Prostate & TURP
Common urology questions answered by our specialists.
Bipolar TURP uses saline liquid during surgery instead of glycine, completely eliminating TURP syndrome (hyponatremia risk). It allows safer, longer resection time with superior bleeding control.
Our Senior Medical Specialists
Expert Outpatient & Surgical Care Team in Jigani

Dr. Shankar Gunadal
MBBS, MS (General Surgery), MCh (Urology), Fellowship in Endourology & Laparoscopy
Consultant Urologist, Uro-Oncologist & Andrologist
Dr. Shankar Gunadal (MBBS, MS, MCh Urology, Fellowship in Endourology & Laparoscopy) is a leading Consultant Urologist, Uro-Oncologist, and Andrologist with 12 years of clinical and surgical expertise at Medax Vijayashree Hospitals, Jigani.
Main Medical Departments & Specialties
Primary clinical departments and specialized medical care at Medax Vijayashree Hospitals, Jigani.
What Our Patients Say About Us
Real feedback and healthcare experiences shared by patients and families on Google Reviews for Medax Vijayashree Hospitals, Jigani.
BASED ON 500+ VERIFIED PATIENT RATINGS & REVIEWS
"We recently came for a Mater Health Check at Vijayashree Hospitals and had a very good experience. The entire process was smooth and well organized. The staff were polite, friendly, and guided is properly at every step. All the tests were done on time without much waiting Doctors explained the impor..."
Manjo Kumar
Jigani, Bengaluru • 5 months ago
"I had a very good experience at Vijayashree Hospital. The doctors and staff were professional, caring, and attentive throughout the treatment. The hospital is clean and well-maintained, and the medical team explained everything clearly and patiently. The nursing staff provided excellent care, and th..."
Subhashree Swain
Anekal, Bengaluru • 2 months ago
"I had a very good experience with Dr. Nethaji. He is highly professional, patient, and explains the treatment process clearly. His approach to physiotherapy is excellent, and I noticed significant improvement in my father condition within a short time. He listens carefully to the problem and provide..."
Ashok kumar Allu
Jigani Industrial Area • 3 months ago
"I had an excellent experience at hospital for my outpatient procedure. From the front desk to the nursing staff, everyone was incredibly empathetic and efficient. A special thanks to Doctors for taking the time to explain everything clearly and making me feel at ease. The facilities were also very c..."
Shantha
Electronic City, Bengaluru • 2 months ago
"I had a very good experience with the emergency services. I visited with chest pain, and the CMO immediately attended to me. ECG and all necessary lab tests were done without delay. The emergency team was prompt, efficient, and very professional. The reception staff were also very cooperative and su..."
Irul Kalam
Jigani Town • 5 months ago
"We recently came for a Mater Health Check at Vijayashree Hospitals and had a very good experience. The entire process was smooth and well organized. The staff were polite, friendly, and guided is properly at every step. All the tests were done on time without much waiting Doctors explained the impor..."
Manjo Kumar
Jigani, Bengaluru • 5 months ago
"I had a very good experience at Vijayashree Hospital. The doctors and staff were professional, caring, and attentive throughout the treatment. The hospital is clean and well-maintained, and the medical team explained everything clearly and patiently. The nursing staff provided excellent care, and th..."
Subhashree Swain
Anekal, Bengaluru • 2 months ago
"I had a very good experience with Dr. Nethaji. He is highly professional, patient, and explains the treatment process clearly. His approach to physiotherapy is excellent, and I noticed significant improvement in my father condition within a short time. He listens carefully to the problem and provide..."
Ashok kumar Allu
Jigani Industrial Area • 3 months ago
"I had an excellent experience at hospital for my outpatient procedure. From the front desk to the nursing staff, everyone was incredibly empathetic and efficient. A special thanks to Doctors for taking the time to explain everything clearly and making me feel at ease. The facilities were also very c..."
Shantha
Electronic City, Bengaluru • 2 months ago
"I had a very good experience with the emergency services. I visited with chest pain, and the CMO immediately attended to me. ECG and all necessary lab tests were done without delay. The emergency team was prompt, efficient, and very professional. The reception staff were also very cooperative and su..."
Irul Kalam
Jigani Town • 5 months ago
"We recently came for a Mater Health Check at Vijayashree Hospitals and had a very good experience. The entire process was smooth and well organized. The staff were polite, friendly, and guided is properly at every step. All the tests were done on time without much waiting Doctors explained the impor..."
Manjo Kumar
Jigani, Bengaluru • 5 months ago
"I had a very good experience at Vijayashree Hospital. The doctors and staff were professional, caring, and attentive throughout the treatment. The hospital is clean and well-maintained, and the medical team explained everything clearly and patiently. The nursing staff provided excellent care, and th..."
Subhashree Swain
Anekal, Bengaluru • 2 months ago
"I had a very good experience with Dr. Nethaji. He is highly professional, patient, and explains the treatment process clearly. His approach to physiotherapy is excellent, and I noticed significant improvement in my father condition within a short time. He listens carefully to the problem and provide..."
Ashok kumar Allu
Jigani Industrial Area • 3 months ago
"I had an excellent experience at hospital for my outpatient procedure. From the front desk to the nursing staff, everyone was incredibly empathetic and efficient. A special thanks to Doctors for taking the time to explain everything clearly and making me feel at ease. The facilities were also very c..."
Shantha
Electronic City, Bengaluru • 2 months ago
"I had a very good experience with the emergency services. I visited with chest pain, and the CMO immediately attended to me. ECG and all necessary lab tests were done without delay. The emergency team was prompt, efficient, and very professional. The reception staff were also very cooperative and su..."
Irul Kalam
Jigani Town • 5 months ago












