Prostate
P
Prostate & HoLEP
Weak flow · retention · enlarged prostate
Understand when medicines are enough, when surgery becomes useful, and where HoLEP fits among prostate procedures.
Explore prostate treatment →Urologist in Gurugram · MBBS, MS & MCh (AIIMS)
Advanced Urology Care in Gurugram
Prostate · Kidney Stones · Urological Cancer
Dr Rajiv Goel provides specialist evaluation and treatment with particular interest in HoLEP, RIRS and minimally invasive urology.
MBBS, MS & MCh at AIIMS New DelhiPractising urology since 2004Gurugram
Dr Rajiv Goel
Urologist & Urological Surgeon
MBBS · MS · MCh — AIIMS New Delhi
HoLEPRIRSUrological CancerMinimally invasive urology
Main areas of practice
Focused care for prostate disease, kidney stones and urological cancers
Start with the problem you want to understand. Each pathway explains when treatment is needed, what the options are and how those choices differ.
Stones
K
Kidney Stones & RIRS
Kidney stones · ureteric stones · recurrence
Compare observation, URS, RIRS, ESWL and PCNL based on stone location, burden, anatomy and clinical circumstances.
Explore kidney stone care →Cancer
C
Urological Cancer
Prostate · kidney · bladder
Understand evaluation, staging and treatment choices with attention to cancer biology, expected benefit and treatment trade-offs.
Explore cancer care →How I approach treatment
Not every urological diagnosis needs an operation.
A large prostate does not automatically mean surgery. A kidney stone does not always need removal. An abnormal PSA does not automatically mean cancer.
The important questions are: What is causing the problem? Does it need treatment now? And if treatment is needed, which option offers the best balance of effectiveness, safety and recovery?
“The most important decision is often not how to operate, but whether an operation is needed at all.”
Before recommending treatment
I look at the whole clinical picture
- Symptoms and their effect on daily life
- Findings on scans, urine tests and blood tests
- Whether the urinary tract is being harmed
- Previous treatment and response to medicines
- Age, medical conditions and current medication
- Expected benefit, recovery and possible complications
- Patient priorities and preferences
The exact assessment differs for prostate disease, stones and cancer.
Prostate care
When does an enlarged prostate need surgery?
Prostate size is only one part of the decision. Men with similar-sized prostates can have very different degrees of obstruction and very different treatment needs.
01Symptoms
How troublesome are poor flow, urgency, frequency, night-time urination and incomplete emptying?
02Consequences
Has obstruction led to retention, infection, bladder stones, large residual urine or effects on the kidneys?
03Response to treatment
Are medicines working well enough, or are significant symptoms or complications continuing?
Featured patient education · NBT Life
A practical conversation about prostate health
In this NBT Life podcast, Dr Rajiv Goel discusses prostate enlargement, warning signs, PSA, prostatitis, treatment options including TURP, HoLEP, Rezūm and UroLift, prostate cancer, and everyday habits that support prostate health.
The discussion is designed for patients and families who want a clear overview before deciding whether further evaluation or treatment is needed.
Dr Rajiv Goel · MBBS, MS & MCh — AIIMS New Delhi · Urologist, Gurugram
NBT Life · Prostate problems, PSA, BPH treatments and prostate cancer
Podcast chapters
03:38What is the prostate gland?
04:54Alarming signs of prostate enlargement
09:09Warning signs of prostate problems
13:38Prostate size and diagnostic tests
16:59PSA test and score ranges
18:34Does high PSA always mean cancer?
20:19Prostatitis vs urinary tract infection
24:25BPH medicines and surgical treatments
27:20TURP, HoLEP, Rezūm and UroLift
37:01Prostate cancer diagnosis and treatment
42:04Diet and habits for prostate health
Endoscopic stone surgery
RIRS for kidney stones
RIRS uses a flexible endoscope passed through the natural urinary passage into the kidney. Stones can then be visualised directly and fragmented with laser energy.
It can be an excellent option for many kidney stones, but it is not the best procedure for every stone burden or every anatomy.
RIRS, URS, PCNL & ESWLStone disease
The right procedure depends on more than stone size.
Location, number, hardness, obstruction, infection, kidney anatomy and previous procedures can all change the treatment choice.
ObservationFor selected stones likely to pass or remain safely under surveillance.
URS / RIRSEndoscopic treatment through the urinary passage.
PCNLOften useful when stone burden is larger or more complex.
PreventionStone removal does not remove the tendency to form stones again.
Popular patient guides
Answers to common questions before treatment
Start with the question closest to your situation. These short guides explain what usually matters before deciding on tests or treatment.
Prostate
When does an enlarged prostate need surgery?
Understand why prostate size alone does not decide treatment and which symptoms or complications make surgery more relevant.
Read the guide →HoLEP
What should I expect after HoLEP?
A practical overview of catheter removal, bleeding, urgency, continence, activity and recovery after surgery.
Read the recovery guide →Stone surgery
RIRS or PCNL?
See how stone burden, location and anatomy influence the choice between endoscopic RIRS and percutaneous PCNL.
Compare RIRS and PCNL →PSA
What does a raised PSA mean?
A raised PSA is not a diagnosis of cancer. Learn how repeat PSA, prostate size, MRI and other risk factors fit into evaluation.
Read the raised PSA guide →Haematuria
Blood in the urine
Why visible blood in the urine deserves assessment even when painless, and what evaluation may involve.
Read the haematuria guide →About Dr Rajiv Goel
Urologist in Gurugram for prostate, stone and urological cancer care
Dr Rajiv Goel completed his MBBS, MS in General Surgery and MCh in Urology at AIIMS, New Delhi, followed by fellowship training in uro-oncology, laparoscopy and robotic urology in Australia and Germany.
His clinical practice focuses on prostate disease, kidney and ureteric stones, urinary obstruction, urological cancers and reconstructive urology.
He also sees patients in the evening at the Kidney, Prostate & Stone Clinic, Sector 39, Gurugram.
Read full profileClinical focus
Areas of expertise
- HoLEP and advanced endoscopic prostate surgery
- RIRS, ureteroscopy and minimally invasive stone surgery
- Uro-oncology
- Laparoscopic and minimally invasive urology
- Male urology and urinary obstruction
Questions patients ask
Short answers before you read the detailed guides
My prostate is enlarged. Do I necessarily need surgery?
No. Many men can be observed or treated with medicines. Surgery becomes more relevant when symptoms remain troublesome despite treatment or when obstruction causes problems such as recurrent retention, repeated infection, bladder stones, significant residual urine or effects on the upper urinary tract.
Is HoLEP only for very large prostates?
No. HoLEP can be used across a broad range of prostate sizes. Whether it is the most appropriate procedure depends on the individual patient, anatomy, clinical situation and surgeon experience.
Does a kidney stone always need removal?
No. Some stones can be observed. Treatment becomes more important when stones cause obstruction, infection, persistent symptoms, growth or other clinical concerns.
RIRS or PCNL — which is better?
Neither is universally better. RIRS is useful for many stones that can be approached through the urinary passage, while PCNL may be more efficient for larger or more complex stone burdens.
Does a raised PSA mean prostate cancer?
No. PSA can rise for several reasons. Interpretation depends on the PSA level and trend, prostate size, examination, MRI findings and other clinical factors. Some patients need further assessment while others can be monitored.
Consultation
Kidney, Prostate & Stone Clinic
Consultation for prostate problems, HoLEP, kidney stones, RIRS, urinary obstruction, urological cancers and other adult urological conditions.