Prostate Specialist in Chembur, Mumbai – Dr. Shyam Mohan
Prostate problems can lead to frequent urination, difficulty passing urine, a weak urine stream or repeated nighttime visits to the bathroom. While these symptoms are commonly associated with prostate enlargement, they may also occur due to infections, bladder conditions or other urinary disorders.
Dr. Shyam Mohan is a Consultant Urologist, Uro-Oncologist and Robotic Surgeon in Chembur, Mumbai (MBBS, MS, MCh Urology, Fellowship in Advanced Robotic Uro-Oncology). He provides evaluation for Benign Prostatic Hyperplasia (BPH), urinary symptoms, elevated PSA levels and suspected prostate cancer.
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 surrounding the urethra.
As men age, changes in the prostate may affect urine flow or bladder emptying. A comprehensive prostate consultation may involve evaluating:
- Enlarged prostate (Benign Prostatic Hyperplasia)
- Frequent urination and nighttime urination (nocturia)
- Weak urine stream or difficulty starting urination
- Incomplete bladder emptying sensation
- Elevated PSA levels & abnormal screening tests
- Prostatitis or prostate-related inflammation
- Suspected prostate cancer & biopsy guidance
- Acute or chronic urinary retention
Importantly, not every urinary symptom is caused by the prostate. A urological assessment helps distinguish prostate disorders from bladder, urethral stricture 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, interfering with work, travel, or everyday routine.
2. Waking Up at Night (Nocturia)
Waking multiple times at night to pass urine, disrupting rest and sleep cycles.
3. Weak or Slow Urine Stream
Reduced urinary flow or prolonged dribbling due to mechanical obstruction at the bladder outlet.
4. Difficulty Starting (Hesitancy)
Experiencing a noticeable delay before urine starts flowing, or straining to urinate.
5. Incomplete Bladder Emptying
A persistent sensation that the bladder has not completely emptied right after urinating.
6. Blood in Urine or Elevated PSA
Visible hematuria or an elevated PSA blood test warrants formal urological evaluation.
Prostate Conditions Evaluated by Dr. Shyam Mohan
1. Benign Prostatic Hyperplasia (BPH)
Non-cancerous enlargement of the prostate becoming common after age 50. Causes poor flow, urgency, straining and frequency. Management includes medical therapy, lifestyle adjustment, or laser/endoscopic surgery.
2. Prostate Cancer
Early prostate cancer frequently produces no symptoms at all. Comprehensive evaluation involves PSA testing, multiparametric MRI, and biopsy when indicated to detect or rule out malignant lesions.
3. Prostatitis & Pelvic Pain
Inflammation or infection of the prostate causing pelvic discomfort, dysuria or painful ejaculation. Treatment depends on differentiating bacterial from non-bacterial causes.
4. Urinary Retention & High Post-Void Residuals
Inability of the bladder to empty properly. Sudden complete retention is an emergency requiring catheterisation, followed by definitive treatment of the underlying blockage.
How Does a Prostate Specialist Diagnose Prostate Problems?
Medical History and IPSS Score
Assessing the International Prostate Symptom Score (IPSS) to quantify symptom severity and quality-of-life impact.
Digital Rectal Examination (DRE)
A quick clinical examination to assess prostate size, consistency, symmetry and check for any firm or suspicious nodules.
PSA (Prostate-Specific Antigen) Blood Test
Measures PSA levels in the blood. Elevated PSA may indicate BPH, prostatitis or prostate cancer and is interpreted in individual clinical context.
Ultrasound KUB and Post-Void Residual (PVR)
Measures prostate volume in grams and determines how much urine remains in the bladder after emptying.
Uroflowmetry Test
A non-invasive test measuring urinary flow rate (Qmax) and voiding patterns to evaluate the extent of bladder outlet obstruction.
Prostate Treatment Options
Monitoring & Lifestyle
For mild symptoms: evening fluid restrictions, moderating caffeine/alcohol, and bladder retraining.
Prescription Medications
Alpha-blockers (tamsulosin/silodosin) to relax smooth muscles, and 5-ARIs (finasteride/dutasteride) to shrink enlarged gland tissue.
TURP Surgery
Transurethral Resection of the Prostate: the standard endoscopic procedure to remove obstructing prostate tissue without external cuts.
HoLEP Laser Prostate Surgery
Holmium Laser Enucleation of the Prostate: advanced laser enucleation suitable for any prostate size with minimal bleeding.
Enlarged Prostate vs Prostate Cancer – What Is the Difference?
| Factor | Enlarged Prostate (BPH) | Prostate Cancer |
|---|---|---|
| Condition | Non-cancerous (benign) growth | Malignant (cancerous) growth |
| Common age group | More common with increasing age | Risk generally increases with age |
| Early symptoms | May cause noticeable urinary difficulties | Often no symptoms in early stages |
| PSA test | May be elevated due to size/inflammation | May be elevated, but not always |
| Diagnosis | Clinical assessment, ultrasound, uroflowmetry | Risk assessment, mpMRI and biopsy |
| Treatment | Monitoring, medication or BPH procedures | Active surveillance, robotic surgery, radiation |
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, Dr. Shyam Mohan will:
- 1. Review urinary symptoms, onset, and severity using standardized questionnaires.
- 2. Discuss previous PSA blood test results and trends, if available.
- 3. Perform a clinically indicated physical examination (including DRE if appropriate).
- 4. Recommend diagnostic tests (Ultrasound KUB, Uroflowmetry, PSA, Urine analysis).
- 5. Explain findings and outline tailored medical or surgical options.
- 6. Establish a follow-up plan to ensure optimal urinary flow and bladder protection.
Prostate Specialist Consultation in Chembur, Mumbai
Patients experiencing frequent urination, weak urinary flow, an abnormal PSA result or other prostate-related concerns can consult Dr. Shyam Mohan at Synergy Health Clinic, Chembur.
Please bring the following records if available:
- Previous Ultrasound KUB / Pelvis reports
- PSA blood test results (and earlier reports for comparison)
- Urine routine and culture reports
- Current list of medications (especially blood thinners or prostate drugs)
Dr. Shyam Mohan
Consultant Urologist, Uro-Oncologist & Robotic Surgeon in Chembur, Mumbai. Dedicated to expert management of benign prostate enlargement (BPH), laser prostatectomy (HoLEP/TURP), elevated PSA evaluation, and robotic prostate surgery.