Dr. Rakesh Vamsi - Consultant Urologist & Andrologist
Dr. Rakesh VamsiConsultant Urologist & Andrologist
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Prostate Care

Specialized, compassionate management of Benign Prostatic Hyperplasia (BPH), prostatitis, and elevated PSA levels with advanced laser solutions.

Accurate
Diagnosis
Minimally Invasive
Treatment
Faster
Recovery
Personalized
Care Plan
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Accurate prostate evaluation preserves urinary health, sexual function, and daily comfort for men at every stage of life.

Dr. G. Rakesh Vamsi
Consultant Urologist & Andrologist
01

Overview

Prostate enlargement (Benign Prostatic Hyperplasia or BPH) is a natural part of aging for men over 50. Dr. Rakesh Vamsi offers comprehensive evaluations—including uroflowmetry, PSA screening, and advanced laser prostatectomy (such as HoLEP and bipolar TURP)—to relieve urinary symptoms and protect kidney function.

Key Points

Specialized evaluation for urinary difficulty and frequent night waking
Advanced laser and bipolar resection for minimal bleeding
Preservation of continence and sexual well-being
Evidence-based screening for early prostate health assurance
02

Symptoms

Symptoms can vary from mild discomfort to acute distress. Early identification allows prompt, painless intervention.

Frequent nighttime urination (Nocturia)Waking up 3 or more times per night to void
Weak or interrupted urinary streamDecreased force and hesitation before starting
Urgent need to urinateSudden strong urge that is difficult to postpone
Feeling of incomplete bladder emptyingBladder still feels full even after passing urine
Straining or dribblingDifficulty finishing and post-void dribbling
03

Causes & Risk Factors

Age-related hormonal changes

Shifts in testosterone and dihydrotestosterone (DHT) levels

Benign Prostatic Hyperplasia (BPH)

Non-cancerous proliferation of prostate stromal and epithelial tissue

Prostatitis / Inflammation

Bacterial or non-bacterial inflammation causing pelvic discomfort

Family genetics

Higher risk if first-degree relatives had prostate enlargement

04

Diagnosis

Serum PSA Test

Blood test measuring Prostate-Specific Antigen levels.

Uroflowmetry

Non-invasive electronic measurement of urine flow velocity and volume.

Ultrasound KUB & Post-Void Residual

Measures prostate volume and urine retained in the bladder.

Digital Rectal Examination (DRE)

Clinical assessment of prostate size, firmness, and contour.

05

Treatment Options

Medical Management

Minimally Invasive

Alpha-blockers & 5-ARIs

Targeted prescription therapies to relax bladder neck muscles and shrink prostate tissue for mild to moderate symptoms.

Recovery / Hospital stay: Immediate, long-term monitoring

Bipolar TURP (Transurethral Resection)

Minimally Invasive

Gold Standard Endoscopic Resection

Modern plasma-kinetic endoscopic resection through natural urinary passage using normal saline, minimizing blood loss.

Recovery / Hospital stay: 24-48 hours hospital stay

Laser Prostatectomy (HoLEP / ThuLEP)

Minimally Invasive

Holmium/Thulium Laser Enucleation

State-of-the-art complete anatomical enucleation of enlarged prostate lobes of any size with almost zero bleeding and rapid catheter removal.

Recovery / Hospital stay: 24 hours hospital stay
06

Recovery & Follow-Up

Hospital Stay

1 to 2 days at KIMS Hospital Nellore with early catheter removal.

Resuming Normal Life

Light desk work in 3 to 5 days; avoid heavy lifting for 2 weeks.

Diet & Hydration

Adequate hydration during daylight hours, limited caffeine/alcohol intake in evenings.

Follow-Up Care

Routine review at 2 weeks with repeat uroflowmetry.

07

When to Consult

Do not delay consultation if you experience:

  • •Inability to pass urine (acute urinary retention — requires immediate medical care)
  • •Frequent night waking disrupting sleep and quality of life
  • •Blood in the urine or painful burning during urination
  • •Men over 50 desiring routine preventative prostate health screening
08

FAQs

No. Benign Prostatic Hyperplasia (BPH) is completely non-cancerous and very common. However, regular evaluation with PSA testing helps ensure any concerning changes are ruled out early.