Dr. Vikas Singh is a highly accomplished Consultant Urologist in Indore, specializing in the advanced surgical management of Benign Prostatic Hyperplasia (BPH) or prostate enlargement. With extensive expertise in both conventional TURP (Transurethral Resection of Prostate) and modern Laser TURP techniques, he offers patients the most appropriate treatment option based on their individual prostate size, medical conditions, and lifestyle needs. His approach emphasizes minimal complications, faster recovery, and optimal restoration of urinary function. Practicing at Kokilaben Dhirubhai Ambani Hospital, Dr. Singh utilizes state-of-the-art equipment including advanced laser systems to ensure superior outcomes with reduced hospital stays and quicker return to normal activities. We maintain complete transparency regarding treatment costs and provide comprehensive insurance assistance for our patients across Central India.
Consultant Surgeon at Kokilaben Dhirubhai Ambani Hospital, Indore, equipped with the latest laser technology.
Extensive expertise in performing thousands of prostate procedures with excellent functional outcomes.
Utilization of Thulium Fiber Laser and Holmium laser for superior precision and safety.
When medications fail to adequately control symptoms like weak stream, frequent urination, nighttime urination (nocturia), or incomplete bladder emptying, surgical intervention becomes necessary for quality of life improvement.
Surgery is essential when BPH leads to complications such as recurrent urinary retention (inability to urinate), repeated urinary tract infections, bladder stones, or kidney damage due to chronic obstruction.
Through physical examination, ultrasound, and urodynamic studies, Dr. Singh accurately determines prostate volume and obstruction severity, which guides the selection between conventional TURP, Laser TURP, or other treatment modalities.
TURP remains the gold standard surgical treatment for moderate to large prostates (30-80 grams). Performed through the urethra without external incisions, this procedure uses an electrocautery loop to remove excess prostate tissue obstructing urine flow. While highly effective with long-lasting results, it requires catheterization for 2-3 days and hospital stay of 3-4 days. TURP offers excellent symptom relief and has decades of proven outcomes.
Primary Advantages: Highly effective for larger prostates, excellent long-term results, widely covered by insurance.
Laser TURP represents the modern evolution of prostate surgery, utilizing high-powered laser energy (Thulium Fiber Laser or Holmium laser) to vaporize or enucleate excess prostate tissue. This technique offers significant advantages including minimal bleeding (safe for patients on blood thinners), reduced catheterization time (often just 24 hours), shorter hospital stay (1-2 days), and faster recovery. Dr. Singh employs advanced laser techniques like ThuLEP (Thulium Laser Enucleation) and HoLEP (Holmium Laser Enucleation) for even very large prostates.
Primary Advantages: Minimal bleeding, safer for high-risk patients, faster recovery, shorter catheter time, day-care surgery possible.
Dramatic improvement in urinary flow, reduction in frequency and urgency, and elimination of nighttime urination.
Especially with laser techniques, blood loss is negligible, making surgery safer for patients with cardiac conditions or on anticoagulants.
Most patients resume normal activities within 1-2 weeks, significantly faster than recovery from untreated severe BPH symptoms.
Both TURP and Laser TURP provide durable symptom relief, with most patients experiencing benefits for 10-15 years or longer.
Dr. Singh emphasizes thorough post-operative monitoring to ensure optimal outcomes. Follow-up appointments are scheduled to assess urinary flow improvement, manage any temporary side effects, and monitor for rare complications. Patients are educated about pelvic floor exercises to strengthen bladder control and maximize functional recovery.
Schedule a private, confidential consultation with Dr. Singh in Indore.
The fundamental difference lies in the energy source used. Conventional TURP uses electrical current through a wire loop to cut and remove prostate tissue, while Laser TURP uses concentrated laser energy to vaporize or enucleate tissue. Laser procedures generally result in less bleeding, shorter catheter time, and faster recovery, but conventional TURP remains highly effective and more widely available.
The choice depends on multiple factors including prostate size, your overall health, medications you’re taking (especially blood thinners), and personal preferences regarding recovery time. Dr. Singh conducts a comprehensive evaluation including prostate measurement and medical history review to recommend the most appropriate technique for your specific situation.
For conventional TURP, blood thinners typically need to be stopped 5-7 days before surgery in consultation with your cardiologist. However, Laser TURP’s minimal bleeding profile often allows the procedure to be performed safely without stopping anticoagulation, making it ideal for patients with cardiac stents or atrial fibrillation who cannot safely discontinue blood thinners.
Catheter duration varies by technique. With Laser TURP, the catheter is often removed within 24 hours. With conventional TURP, it typically remains for 2-3 days. The catheter allows continuous bladder drainage while the surgical site heals and helps prevent clot formation.
Both procedures are very safe, but potential side effects include temporary urinary urgency, mild burning during urination, and occasional blood in urine for 2-3 weeks. Rare complications include urinary tract infection, bladder neck contracture, or urethral stricture. Dr. Singh’s extensive experience minimizes these risks significantly.
Erectile function is typically preserved as the surgery is performed inside the urethra without affecting the nerves responsible for erections. However, most patients (60-80%) will experience retrograde ejaculation (semen goes backward into the bladder rather than out), which doesn’t affect sexual pleasure but does impact fertility. This should be discussed before surgery if fertility is a concern.
While the tissue removed doesn’t regrow, remaining prostate tissue can continue to enlarge over many years. However, most patients enjoy 10-15 years or more of symptom relief. If symptoms eventually recur, repeat procedures are possible and generally straightforward.
Most patients experience immediate improvement in urinary flow once the catheter is removed. However, irritative symptoms like frequency and urgency may take 2-4 weeks to fully resolve as the surgical site heals and inflammation subsides. Maximum improvement is typically seen by 6-8 weeks post-surgery.
Yes, both conventional and Laser TURP are medically necessary procedures widely covered by major health insurance plans in India, including corporate policies, government schemes like Ayushman Bharat, and ECHS. Our administrative team provides complete assistance with pre-authorization and claims processing to ensure a hassle-free experience.
Treatment costs vary based on the technique chosen, hospital stay duration, and specific medical requirements. Laser TURP is generally more expensive than conventional TURP due to advanced technology and disposable equipment. During your consultation, Dr. Singh will provide a transparent, detailed cost estimate. We work with all major insurance providers and offer guidance on financial planning for the procedure.
Post-surgery, maintaining adequate hydration, avoiding bladder irritants (caffeine, alcohol, spicy foods) during the healing phase, and performing pelvic floor exercises can optimize recovery. Long-term, maintaining a healthy weight and staying physically active helps preserve urinary function. Dr. Singh provides personalized lifestyle recommendations during follow-up visits.
Contact Dr. Singh immediately if you experience inability to urinate, fever above 101°F, heavy bleeding with large clots, or severe pain not controlled by prescribed medications. While complications are rare, prompt attention ensures they’re addressed quickly if they occur.
The leading center for advanced, compassionate urological care and treatment in Indore, Madhya Pradesh.
