Prostate Problems After 50: Urologist at Baner Pune Shares What Every Man Should Know

prostate treatment Pune urologist Baner men over 50
prostate treatment Pune urologist Baner men over 50

Key Takeaways

Benign prostatic hyperplasia (BPH) affects 50% of men by age 60 and 80% by age 80 (WHO data).

BPH and prostate cancer can co-exist — urinary symptoms alone cannot distinguish between them.

PSA (Prostate Specific Antigen) test is the primary screening tool for prostate cancer, recommended annually from age 50.

TURP (Trans-Urethral Resection of Prostate) surgery cost in Pune 2026 ranges from INR 60,000 to 1,40,000.

Dr Kshitij Kirane, Uro-Surgeon at Baner Multi-Speciality Hospital, specialises in BPH management and prostate surgery.

Prostate cancer is highly treatable when detected early — 5-year survival rate for localised disease exceeds 95%. Laser prostate surgery (HoLEP or GreenLight) offers reduced bleeding risk and shorter hospital stay compared to traditional TURP.

Quick Facts

BPH Prevalence in Men by Age 60: 50% (WHO)

PSA Test Cost in Pune: INR 400 to 800

TURP Surgery Cost in Pune 2026: INR 60,000 to 1,40,000

Prostate Cancer 5-Year Survival (Localised): Over 95%

Most Common Urological OPD Complaint in Men Over 50: Lower urinary tract symptoms (LUTS) Normal PSA Level: Under 4 ng/mL (age-adjusted thresholds apply)

MetricData PointSource
BPH prevalence in men aged 60 to 7050 to 60%WHO / AUA Guidelines
BPH prevalence in men aged 80+Over 80%WHO
Prostate cancer incidence in India (annual)Approx. 25,000 to 30,000 new casesICMR / NCI India estimate
TURP surgery cost in Pune 2026INR 60,000 to 1,40,000Industry estimate
PSA test cost in PuneINR 400 to 800Industry estimate
5-year survival for localised prostate cancerOver 95%NCI SEER data
TURP improvement in urinary flow70 to 85% of patientsPubMed / AUA Guidelines

BPH vs Prostate Cancer: Key Differences

FeatureBenign Prostatic Hyperplasia (BPH)Prostate Cancer
NatureNon-cancerous enlargementMalignant growth
Urinary symptomsYes — frequent, weak flow, urgencyOften absent in early stages
PSA levelMildly elevated or normalOften significantly elevated
Digital rectal exam (DRE)Smooth, symmetrically enlargedHard, nodular, asymmetric (if palpable)
DiagnosisUltrasound, uroflowmetry, IPSS scorePSA + DRE + prostate biopsy
TreatmentMedication or TURP/laser surgerySurgery, radiation, hormone therapy, active surveillance
Life-threatening?No — but affects quality of lifeYes — if not detected and treated early

Understanding PSA Testing: What Every Man Over 50 Needs to Know

PSA (Prostate Specific Antigen) is a protein produced by prostate cells. A blood PSA test measures its level. Elevated PSA can indicate BPH, prostatitis (inflammation) or prostate cancer — it is not specific to cancer alone. However, it remains the best available screening tool.

The Indian Urological Association recommends annual PSA testing from age 50 for average-risk men and from age 40 for high-risk men (family history of prostate cancer, African ancestry). A PSA above 4 ng/mL or a rapidly rising PSA warrants further evaluation with a prostate biopsy under Dr Kirane’s guidance.

Don’t let fear of a result prevent testing. Prostate cancer found early is one of the most curable cancers in men.

TURP and Laser Prostate Surgery: Options in Pune 2026

TURP (Trans-Urethral Resection of Prostate) is the gold-standard surgical treatment for BPH. A resectoscope is passed through the urethra to remove the obstructing prostate tissue. No external incision. Hospital stay: 2 to 3 days. Improvement in urinary flow in 70 to 85% of patients.

Holmium Laser Enucleation of the Prostate (HoLEP) and GreenLight laser are newer techniques with less bleeding, shorter catheter time and reduced hospital stay compared to TURP. They are particularly advantageous for patients on blood thinners. Dr Kirane advises on the optimal technique based on prostate size and patient fitness.

Medical management (alpha-blockers like tamsulosin, 5-alpha-reductase inhibitors like finasteride) is effective for mild to moderate BPH and is always tried before surgery. Surgery is considered when symptoms are severe, kidneys are affected or retention episodes have occurred.

Prostate Care in Baner, Pune

Many men in Baner and Hinjewadi delay prostate care out of embarrassment or stoic acceptance. The IT corridor has a high concentration of men aged 45 to 55 who work long sedentary hours — a known risk factor for BPH symptom progression and urinary tract issues.

Dr Kshitij Kirane’s urology OPD at Baner Multi-Speciality Hospital provides a discreet, efficient consultation experience. PSA testing, uroflowmetry and prostate ultrasound can all be arranged in a single visit. The hospital accepts major health insurance for TURP and prostate surgical procedures.

Frequently Asked Questions

Q: What symptoms in men over 50 should prompt a prostate check?
A: See Dr Kirane at Baner hospital if you experience frequent urination (more than 8 times per day or more than twice per night), weak or interrupted urine flow, difficulty starting urination, feeling of incomplete bladder emptying, sudden urgent need to urinate, or blood in urine. These symptoms may indicate BPH or, less commonly, prostate cancer.

Q: How often should I have a PSA test?
A: Annual PSA testing is recommended for average-risk men from age 50. Men with a first-degree relative (father or brother) with prostate cancer should start at age 40 to 45. The Indian Urological Association (IUA) guidelines support shared decision-making between the patient and urologist about PSA screening frequency.

Q: What is the cost of TURP surgery in Pune in 2026?
A: TURP surgery cost in Pune 2026 ranges from INR 60,000 to 1,40,000 depending on the technique (conventional TURP vs laser), hospital room category and anaesthesia. The all-inclusive package covers surgery, hospital stay (2 to 3 nights), anaesthesia and post-operative care. Most major health insurance plans cover TURP under inpatient surgical benefits.

Q: Can BPH become cancerous?
A: No. BPH does not transform into prostate cancer. They are separate conditions that can coexist in the same prostate. However, because their symptoms overlap, men with BPH should still have annual PSA screening to ensure prostate cancer is not developing independently. Dr Kirane screens for both conditions at the urology OPD.

Q: Are there non-surgical treatments for BPH?
A: Yes. Alpha-blockers (tamsulosin, alfuzosin) relax prostate muscle and improve urine flow within days. 5-alpha-reductase inhibitors (finasteride, dutasteride) shrink the prostate over 3 to 6 months and prevent progression. Combination therapy works better than either drug alone for moderate to severe BPH. Surgery is reserved for cases where medication fails or complications occur.

Conclusion

Prostate problems are common after 50 — but they’re not something men should just accept and manage with nocturnal bathroom trips. Effective treatment options from medication to minimally invasive laser surgery exist to dramatically improve quality of life.

Dr Kshitij Kirane, Uro-Surgeon at Baner Multi-Speciality Hospital, provides comprehensive prostate care — from PSA screening and uroflowmetry to TURP and laser prostate surgery — for men across Baner, Aundh, Balewadi, Wakad and Hinjewadi. The hospital’s discreet OPD setting and cashless insurance processing make specialist care accessible. Don’t let embarrassment delay your prostate check. Book a urology consultation with Dr Kirane at banerhospital.com — early evaluation is the best investment in your long-term health

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Always consult a qualified doctor or specialist before making any health-related decisions. The costs, statistics and clinical details mentioned are indicative and subject to change. For personalised advice, please book a consultation at Baner Multi-Speciality Hospital.



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