What Does a Prostate Specialist Treat?

A prostate specialist is typically a urologist who evaluates and manages conditions affecting the prostate gland, urinary function and related structures.

The prostate is a small gland located below the bladder. It surrounds part of the urethra, the tube through which urine leaves the body.

As men age, changes in the prostate may affect urine flow or bladder emptying. Some conditions require monitoring or medicines, while others may require additional investigations or surgical treatment.

A prostate consultation may involve evaluating:

  • Enlarged prostate (BPH)
  • Frequent urination and nighttime urination
  • Weak urine stream or difficulty starting urination
  • Incomplete bladder emptying
  • Elevated PSA levels
  • Prostatitis or prostate-related inflammation
  • Suspected prostate cancer
  • Urinary retention
  • Prostate-related bladder obstruction

Importantly, not every urinary symptom is caused by the prostate. A urological assessment helps distinguish prostate disorders from bladder, urethral and other medical conditions.

Common Signs You May Need to Consult a Prostate Specialist

Prostate-related symptoms can develop gradually, and some men may initially consider them a normal part of ageing.

Persistent changes in urination should not automatically be dismissed.

1. Frequent Urination

Needing to urinate more often than usual, particularly when it interferes with work, travel or routine activities, may be associated with an enlarged prostate or another urinary condition.

2. Waking Up Frequently at Night to Urinate

Nocturia refers to waking during the night to pass urine. Prostate enlargement is one possible cause, but diabetes, sleep disorders and excessive nighttime urine production can also contribute.

3. Weak or Slow Urine Stream

Reduced urine flow may occur when the prostate contributes to obstruction at the bladder outlet. Other causes, including urethral narrowing and weak bladder contraction, may produce similar symptoms.

4. Difficulty Starting Urination

Some men experience a delay before urine starts flowing or need to strain during urination. This may indicate a problem with bladder emptying.

5. Feeling That the Bladder Has Not Emptied Completely

A persistent sensation of incomplete emptying may be associated with urinary obstruction or bladder dysfunction.

6. Blood in the Urine

Visible blood in the urine requires medical assessment. It may result from infection, stones, prostate conditions or urinary tract tumours and should not be assumed to be due to BPH.

7. An Elevated PSA Test Result

An increased Prostate-Specific Antigen (PSA) level does not necessarily mean prostate cancer. It may be related to prostate enlargement, inflammation or other factors.

A urologist can interpret the result alongside age, previous PSA results, medical history and clinical findings.

Prostate Conditions Evaluated by Dr. Shyam Mohan

1. Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia is a non-cancerous enlargement of the prostate that becomes more common with increasing age.

It may cause urinary symptoms such as poor flow, urgency, straining and incomplete bladder emptying.

Management can involve monitoring, lifestyle advice, medicines or surgery, depending on the severity of symptoms and clinical findings.

Related Service: Prostate Enlargement Treatment in Chembur

2. Prostate Cancer

Prostate cancer develops when abnormal cells grow within the prostate gland.

Early-stage prostate cancer frequently causes no noticeable symptoms, which is why urinary symptoms alone cannot reliably identify or exclude the condition.

Assessment may involve PSA testing, examination, prostate MRI and biopsy where indicated.

Treatment options vary according to cancer stage, grade, overall health and individual circumstances.

Related Service: Prostate Cancer Treatment in Mumbai

3. Prostatitis

Prostatitis refers to inflammation of the prostate and may be associated with pelvic discomfort, urinary symptoms or pain during ejaculation.

Some cases involve bacterial infection, while others are non-bacterial.

Treatment depends on the specific diagnosis. Antibiotics are not appropriate for all types of prostatitis.

4. Urinary Retention

Urinary retention occurs when the bladder cannot empty adequately.

An enlarged prostate is one possible cause, particularly in older men. Other potential causes include urethral obstruction, bladder dysfunction and certain medications.

Sudden inability to pass urine is a medical emergency that may require catheterisation and urgent assessment.

5. Elevated PSA and Abnormal Prostate Findings

An elevated PSA or an abnormal examination may prompt further assessment for prostate cancer or benign prostate conditions.

Decisions about repeat PSA testing, imaging and biopsy should be individualised rather than based on one PSA result alone.

How Does a Prostate Specialist Diagnose Prostate Problems?

Dr. Shyam Mohan may recommend investigations based on the patient's symptoms, age, medical history and clinical examination.

Medical History and Symptom Evaluation

The consultation begins with understanding the duration and severity of urinary complaints.

A symptom questionnaire, such as the International Prostate Symptom Score (IPSS), may help assess how significantly symptoms affect daily life.

Digital Rectal Examination (DRE)

A DRE may be performed when clinically indicated to assess the approximate size, consistency and surface of the prostate.

PSA Blood Test

A PSA blood test may be recommended when the result is likely to influence clinical decision-making.

An elevated PSA is not itself a diagnosis of cancer. Patients should be informed about the benefits, limitations and possible consequences of additional investigations.

Urine and Blood Tests

Urine examination may help identify infection, blood or other abnormalities. Blood tests may assess kidney function or other relevant medical conditions.

Ultrasound KUB and Prostate

Ultrasound can provide information about prostate size, bladder residual urine, kidneys and other urinary tract findings.

Uroflowmetry Test

Uroflowmetry measures the rate and pattern of urine flow.

It can support evaluation of poor urinary flow but cannot by itself determine whether the cause is prostate enlargement or another condition.

Prostate MRI and Biopsy

When prostate cancer is suspected, multiparametric MRI and prostate biopsy may be recommended based on the individual's risk assessment.

Not every patient requires every investigation. Diagnostic testing should be guided by the clinical findings and shared decision-making.

Prostate Treatment Options

Treatment depends on whether symptoms arise from BPH, infection, urinary obstruction, prostate cancer or another condition.

1. Monitoring and Lifestyle Advice

Men with mild, non-bothersome urinary symptoms may be advised to undergo regular monitoring.

Changes in evening fluid intake, caffeine consumption, physical activity and bladder habits may help improve selected symptoms.

2. Medicines for Prostate-Related Urinary Symptoms

Medicines may be considered for men with bothersome urinary symptoms due to BPH.

Depending on the diagnosis, a urologist may prescribe alpha-blockers, 5-alpha-reductase inhibitors or other suitable treatments.

Medicines require follow-up to assess their effectiveness and possible side effects.

3. TURP Surgery

Transurethral Resection of the Prostate (TURP) is an established procedure for relieving urinary obstruction caused by BPH.

It involves removing obstructing prostate tissue through an instrument passed into the urinary passage.

4. HoLEP Laser Prostate Surgery

Holmium Laser Enucleation of the Prostate (HoLEP) is an endoscopic technique that removes obstructing prostate tissue using a laser.

It may be suitable for certain patients, including those with larger prostates, depending on the clinical assessment.

5. Prostate Cancer Treatment

Management of confirmed prostate cancer may involve active surveillance, surgery, radiation therapy, hormonal treatment or other approaches.

In selected patients, robotic-assisted radical prostatectomy may be considered.

The appropriate approach depends on cancer characteristics, patient health and treatment preferences.

Important: Not every patient needs a procedure. Surgery and other treatments should be considered only when clinically appropriate. The availability of specific techniques and facilities must be confirmed.

Enlarged Prostate vs Prostate Cancer – What Is the Difference?

Factor Enlarged Prostate (BPH) Prostate Cancer
Condition Non-cancerous growth Cancerous growth
Common age group More common with increasing age Risk generally increases with age
Early symptoms May cause urinary difficulties Often no symptoms
PSA test May be elevated May be elevated, but not always
Diagnosis Clinical assessment and selected tests Risk assessment, imaging and biopsy when indicated
Treatment Monitoring, medication or BPH procedures Depends on cancer stage, grade and risk

An enlarged prostate does not automatically indicate prostate cancer. Both conditions can occur independently or together.

What Happens During a Prostate Consultation?

During a consultation, the urologist will review the patient's symptoms, medical history, previous investigations and relevant risk factors.

The consultation may involve:

  1. Reviewing urinary symptoms and how long they have been present.
  2. Discussing previous PSA results, if available.
  3. Performing a clinically appropriate examination.
  4. Recommending further investigations where necessary.
  5. Explaining the likely diagnosis and available management options.
  6. Discussing follow-up and when treatment may be required.

Patients are encouraged to bring their previous ultrasound reports, PSA test results, urine examination reports and current medication details.

The aim of the consultation is to establish the cause of symptoms and support an informed treatment decision.

About Dr. Shyam Mohan – Prostate Specialist in Chembur

Dr Shyam Mohan consultant urologist and prostate specialist in Chembur Mumbai

Dr. Shyam Mohan

Consultant Urologist, Uro-Oncologist & Robotic Surgeon
MBBS, MS (General Surgery), MCh (Urology)
Fellowship in Advanced Robotic Uro-Oncology

Dr. Shyam Mohan provides consultation and management for prostate and urinary tract conditions in Chembur, Mumbai.

His areas of practice include general urology, endourology, uro-oncology, laparoscopic urological procedures and robotic surgery.

For prostate-related conditions, evaluation may involve urinary symptom assessment, prostate investigations, diagnosis of benign and malignant prostate conditions, and discussion of medical or surgical management where appropriate.

His qualifications and scope of practice are described on his official website.

Prostate Specialist Consultation in Chembur, Mumbai

Patients experiencing prostate-related urinary symptoms or requiring evaluation of an abnormal PSA result can consult Dr. Shyam Mohan at the listed Chembur clinic.

Clinic Address

Synergy Health Clinic, 501, 5th Floor, Building 2, Business Point, opposite Saibaba Mandir, Chembur, Mumbai, Maharashtra – 400077.

Phone: +91 9892533940

Contact details from the website's published contact page.

If you are experiencing frequent urination, weak urinary flow, an abnormal PSA result or other prostate-related concerns, a consultation can help determine the next steps in diagnosis and management.

Frequently Asked Questions About Prostate Specialists

A urologist is the appropriate specialist for evaluating prostate-related urinary symptoms, BPH and suspected prostate cancer. Additional specialists may be involved depending on the diagnosis.

Consult a urologist for persistent weak urine flow, frequent urination, difficulty emptying the bladder, visible blood in urine or an abnormal PSA result. Sudden inability to pass urine requires urgent care.

Yes. Many patients with BPH can be managed with monitoring, lifestyle modifications or prescribed medicines. Surgery is considered when symptoms or complications warrant it.

No. Frequent urination can also occur due to diabetes, urinary infections, bladder problems, increased urine production or other medical conditions.

Not necessarily. Elevated PSA levels can occur with BPH, inflammation and other conditions. Further assessment may be needed based on the patient's risk factors and clinical findings.

Yes. A urologist can assess the risk of prostate cancer using history, examination, PSA testing and imaging when indicated. A biopsy is usually required to confirm the diagnosis.

No. Prostate size alone does not determine the need for surgery. Symptoms, urinary obstruction, complications and response to treatment are also important.

A urologist diagnoses and treats conditions affecting the urinary tract and male reproductive organs. A prostate specialist is generally a urologist with a clinical focus on prostate conditions.

There is no single testing age for everyone. Men should discuss PSA-based prostate cancer screening with a clinician based on age, family history, individual risk and preferences. Urinary symptoms warrant assessment regardless of age.

Dr. Shyam Mohan's listed consultation location is Synergy Health Clinic, Business Point, opposite Saibaba Mandir, Chembur, Mumbai – 400077. Patients can contact the clinic for appointment details.

Clinical reference sources

  • EAU Guidelines 2026 – Male Urinary Symptoms: Diagnostic Evaluation
  • EAU Prostate Cancer Guidelines – Diagnostic Evaluation
  • NMC – Professional Conduct Amendment Notification