Best Enlarged Prostate (BPH) Treatment in Hyderabad

If you're experiencing frequent bathroom trips, weak urine flow, or interrupted sleep due to nighttime urination, you're not alone. These symptoms affect millions of men worldwide and are often signs of an enlarged prostate, medically known as Benign Prostatic Hyperplasia (BPH). The prevalence of the condition should not discourage you from seeking medical aid. Modern medicine offers effective solutions, including advanced minimally invasive treatments that can restore your quality of life without the need for major surgery. In India, non-surgical BPH treatments are widely available, including in cities such as Hyderabad.

What Is BPH and Why Is My Prostate Enlarging?

Your prostate is a small, walnut-sized gland that sits just below your bladder. As men age, this gland grows larger. In fact, about 50% of men in their 60s and up to 90% of men in their 70s and 80s experience some degree of prostate enlargement.

This growth isn't cancer, and it doesn't increase your risk of prostate cancer. However, as your prostate enlarges, it can squeeze the urethra, which carries urine from your bladder, making it difficult to urinate normally. While the exact cause isn't fully understood, hormonal changes related to aging, particularly involving testosterone and dihydrotestosterone (DHT), play a significant role.

What Symptoms Mean I Should Seek Treatment?

Consider seeking enlarged prostate treatment in Hyderabad if you're experiencing:

• Frequent urination, especially at night (nocturia) - waking up 3-4 times or more disrupts your sleep and daily energy
• Urgency - sudden, strong urges to urinate that are hard to postpone
• Weak urine stream - taking longer to empty your bladder or noticing a dribbling stream
• Difficulty starting urination - hesitancy or straining to begin
• Incomplete bladder emptying - feeling like you haven't fully emptied your bladder
• Intermittent flow - stopping and starting during urination

Left untreated, severe BPH can lead to urinary tract infections, bladder stones, kidney damage, or complete inability to urinate (urinary retention), which requires emergency care.

Do I Really Need Surgery for My Enlarged Prostate?

This is one of the most common concerns men have, and the answer is a reassuring no, surgery is not your only option. While traditional surgical procedures like TURP (Transurethral Resection of the Prostate) were once the standard, modern medicine has evolved significantly.

Many patients wonder why they shouldn't just "do the surgery and get it over with." The answer lies in understanding what you're being asked to accept. If you're a good candidate for minimally invasive treatment, why accept surgical risks if you don't have to? Modern procedures like PAE are achieving 70-80% symptom improvement with less than 1% incontinence risk and over 95% preservation of sexual function. For many men, that's a profoundly better risk-benefit profile than traditional surgery.

Today, BPH treatment without surgery offers excellent results for men who want relief but aren't ready to accept the trade-offs of surgery. These are often men in their 50s and 60s who are still working and can't afford weeks of downtime.

These minimally invasive approaches mean:

• No general anesthesia in most cases
• Shorter recovery times often in just a few days
• Lower risk of complications like bleeding or infection
• Preservation of sexual function
• Same-day or overnight procedures
• Effective treatment that respects your priorities

What Are My Non-Surgical Treatment Options?

When it comes to non-surgical BPH treatment in Hyderabad, you have several evidence-based options:

Medications: For mild to moderate symptoms, medications can help by either relaxing the prostate muscles or shrinking the prostate over time. However, medications require lifelong use and may have side effects.

Prostatic Artery Embolization (PAE): This is one of the most advanced minimally invasive treatments available. During PAE, an interventional radiologist makes a tiny incision in your groin or wrist and threads a thin catheter to the arteries supplying your prostate. Tiny particles are then released to block blood flow to the prostate, causing it to shrink over the following weeks and months. PAE is performed under local anesthesia, you can often go home the same day, and most men experience significant symptom improvement within 1-3 months.

Rezum Water Vapor Therapy: This involves delivering steam energy to destroy excess prostate tissue, which is then absorbed by your body naturally.

The right choice depends on your prostate size, symptom severity, overall health, and personal preferences. At leading centres for enlarged prostate treatment in Hyderabad, specialists work with you to find the approach that best fits your lifestyle and medical needs.

How Does Prostatic Artery Embolization Work, and Is It Right for Me?

Prostate Artery Embolization (PAE) has emerged as a primary solution for men seeking effective BPH treatment without surgery.

How is Prostatic Artery Embolization (PAE) Performed?

• Using advanced imaging technology, an interventional radiologist maps the tiny arteries feeding your prostate.
• Through a small puncture in your wrist or groin, they guide a micro-catheter to these arteries and deliver microscopic beads that block blood flow.
• With reduced blood supply, the prostate naturally shrinks by 20-40% over the following weeks.

Who's a Good Candidate:

• Moderate to severe symptoms, typically a symptom score (IPSS) over 15
• Prostate large enough to respond well, usually above 30-40cc
• Patients who've tried medications without adequate relief
• Men who want to preserve sexual function
• Those with medical conditions (heart disease, diabetes, blood clotting disorders) that make them higher-risk surgical candidates
• Men who cannot accept the downtime and systemic stress of general anesthesia
• Patients seeking meaningful relief without the anatomical disruption of surgery

What to Expect:
The procedure typically takes 1-3 hours. Most men experience mild discomfort during recovery but can return to light activities within a few days and normal activities within 1-2 weeks. Sexual function is generally preserved, which is a significant advantage over some surgical options.

Success rates are impressive, with 75-85% of men reporting significant symptom improvement that lasts for years.

What Will My Recovery Be Like?

Recovery varies based on the treatment you choose, but modern non-surgical BPH treatment in Hyderabad offers much easier recovery than traditional surgery.

For PAE and similar procedures:

• Day 1-3: Mild pelvic discomfort, some burning during urination (easily managed with over-the-counter pain relievers)
• Week 1: You can usually return to desk work and light activities
• Week 2-4: Most men resume all normal activities, including exercise
• Month 1-3: Progressive improvement in urinary symptoms as the prostate continues to shrink

You'll have follow-up appointments to monitor your progress, typically at 1 month, 3 months, and 6 months. Your doctor will assess symptom improvement using standardized questionnaires and may perform ultrasound or other tests to measure prostate size reduction.

How Much Does Prostate Enlargement Treatment Cost in Hyderabad?

Prostate enlargement treatment cost in Hyderabad varies depending on several factors:

• Type of treatment: Medications are the least expensive ongoing option, while procedures like PAE, Rezūm, or UroLift have upfront costs
• Hospital or clinic facility: Advanced centres with state-of-the-art equipment and subspecialized physicians may charge more, but this often translates to better outcomes and fewer complications
• Doctor's expertise and volume: Experienced interventional radiologists who specialize in PAE and perform high volumes of these procedures may have higher fees, but their expertise significantly reduces your risk of complications and improves your chances of success
• Insurance coverage: Many insurance plans cover BPH treatment, especially when medically necessary

As a general guide, medication therapy may cost ₹1,000-3,000 monthly, while minimally invasive procedures typically range from ₹1,60,000 and ₹2,50,000. Traditional surgery may cost ₹2-5 lakhs depending on the hospital and procedure type.

While minimally invasive procedures have higher upfront costs than medication, they can eliminate the need for lifelong drug therapy and provide lasting relief.

How Do I Choose the Right Treatment Centre in Hyderabad?

Selecting the right facility and physician for your enlarged prostate treatment in Hyderabad can significantly impact your outcome. The difference between a good result and a complication often comes down to the expertise of the person holding the catheter. Here's what truly matters:

Specialized Expertise in Interventional Radiology: For procedures like PAE, you need interventional radiologists with high procedural volume specifically in embolization.

Proven Experience and High Volume: Ask direct questions: How many PAE procedures does this physician perform each year? What's their complication rate? How many years have they been doing this? Each case refines technique.

Advanced Imaging Technology: PAE requires real-time fluoroscopic guidance with exceptional image quality. The facility should have modern angiography equipment specifically designed for complex vascular interventions. PAE cannot be done properly with basic imaging systems.

Comprehensive Evaluation Process: The best physicians perform thorough diagnostics including prostate size measurement, symptom severity scoring, flow studies, and detailed anatomical assessment before recommending treatment. They should also honestly tell you if you're not a good PAE candidate and suggest alternatives.

Transparent Outcome Discussion: A good physician will discuss realistic success rates, potential risks specific to your anatomy, and what you should expect for recovery. They'll answer questions about sexual function preservation, continence outcomes, and long-term durability without exaggeration or minimization.

Patient-Centred Care Philosophy: Beyond technical skill, choose a centre where you feel heard and where recommendations are clearly based on your best interests, symptoms, lifestyle, concerns, and medical history rather than what's most profitable or convenient for the practice.

At RIVEA Vascular Institute in Hyderabad, patients benefit from a specialized focus on minimally invasive vascular treatments, including advanced PAE for BPH. The centre combines experienced interventional radiologists with state-of-the-art catheterization labs to deliver personalized care.

Why Does the Doctor's Specialization Matter for PAE?

Prostatic Artery Embolization is a technically demanding procedure that requires a unique combination of skills that takes years to develop.

During PAE, the physician navigates a catheter through complex pelvic arteries that vary dramatically from patient to patient. The prostatic arteries themselves are often remarkably small (sometimes just 1-2 millimeters in diameter) and they can branch in unexpected ways. Real-time imaging expertise is essential to identify the correct vessels and avoid delivering particles to unintended areas. A thorough understanding of pelvic anatomy and hands-on experience with embolization techniques are essential for success.

Why Interventional Radiologists Perform PAE: You might wonder why an interventional radiologist performs this procedure rather than other specialists. The answer lies in core training. Interventional radiology is built on three fundamental pillars: navigating blood vessels, image guidance, and embolization. Interventional radiologists spend years learning to navigate complex arterial systems to deliver embolic agents with millimeter precision. PAE requires the core competency of interventional radiology.

The Experience Factor: Complications during the procedure often come down to millimeters and decisions made in real time. During the procedure, the physician has to constantly assess vascular anatomy and adjust technique based on what appears on fluoroscopy. This level of precision is why PAE should only be performed by interventional radiologists who subspecialize in embolization procedures.

Why Choose RIVEA for Your Enlarged Prostate Treatment in Hyderabad?

Specialized Interventional Radiology Expertise: At RIVEA, PAE is performed by Dr. Arjun Reddy, Chief Interventional Radiologist (MBBS, MD, FVIR), who brings fellowship-level training specifically in vascular and interventional radiology. While at AIG Hospitals, Dr. Reddy was also the first to perform a PAE in Hyderabad.

High-Volume Specialty Centre: Experience translates directly to outcomes. RIVEA's focus on embolization procedures means our team performs significantly more PAEs than general hospitals or multi-specialty centres. This volume builds precision that translates to optimized results.

State-of-the-Art Imaging Technology: RIVEA's advanced Allia IGS 7 system provides exceptional visualization during the procedure. This cutting-edge imaging allows for precise navigation of even the most challenging anatomy and can automatically control dosage. The combination of advanced equipment and highly trained specialists ensures both safety and efficacy in every case.

Comprehensive Embolization Experience: PAE-specific expertise is built on a broader foundation of interventional techniques. Experience with hundreds of other embolization procedures, such as treating uterine fibroids, liver tumors, or vascular malformations teaches critical lessons about particle behavior, flow dynamics, and complication management that directly translate to better PAE outcomes.

Patient-Centred Philosophy: Treatment at RIVEA begins with understanding your specific situation and then recommending the approach that truly fits your needs. Whether that's PAE, another minimally invasive option, or occasionally, a surgical referral for complex cases, the recommendation is always driven by what's best for the patient.

What Should I Do Next?

If BPH symptoms are affecting your daily life, it may be time to get evaluated with proper diagnostic tests to determine your prostate size and symptom severity. These symptoms typically worsen over time if left untreated. The sooner you seek expert evaluation, the more options you'll have and the better your outcomes are likely to be. Early intervention often means simpler treatment and faster relief. With today's advanced non-surgical BPH treatment options in Hyderabad, you can find relief without the risks and lengthy recovery of traditional surgery.