Urology · Jaipur Hospital
Men's Health and Preventive Urology in Jaipur
Worried about prostate health, erection problems or fertility? Get clear assessment and a plan.
- Serving Jaipur since 1991 (35 years)
- NABH accredited
- 24×7 emergency & ICU
- Cashless: RGHS, MAA Yojana, CGHS + 22 insurers
- Session length
- 30 to 45 minutes
- Anaesthesia
- Not needed
- Recovery
- Not applicable
- Price
- ₹1,500 to ₹25,000typical range in India; ask us for an estimate
Men's health concerns ignored
You notice changes but do not know what they mean
Urinary trouble, erection difficulties or trouble conceiving can signal treatable conditions. Many men delay asking because it feels awkward or they fear unnecessary tests.
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Prostate worry
PSA levels can rise for many reasons, not only cancer, and screening choices are confusing.
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Erection problems
Erectile dysfunction is common after 40 and may point to heart or vascular issues.
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Fertility questions
Male factors contribute to about half of all infertility cases worldwide.
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Hormone symptoms
Low testosterone can cause fatigue, low mood and reduced sex drive, but treatment needs careful checks.
PSA testing cannot tell cancer from benign conditions and may lead to biopsies with risks of infection and bleeding.
Why Jaipur Hospital
You want straight answers without pressure, clear costs before you commit, and a doctor who listens to your daily routine, not just your test results.
Your care plan
Your first steps with us
- 1 Call or visit OPD for a urology consultation
- 2 Complete blood tests, scans or semen analysis in-house
- 3 Review options with your surgeon and get a cost estimate
- 4 Start the agreed plan and attend follow-up visits
How the assessment works
A 30 to 45 minute outpatient visit includes history, examination and discussion of which tests suit you. No anaesthesia or hospital stay is needed.
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PSA and multiparametric MRI
Blood test plus detailed imaging helps decide if a prostate biopsy is needed.
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Penile Doppler ultrasound
Checks blood flow in the penis to find vascular causes of erection problems.
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Semen analysis and DNA fragmentation
Standard semen test plus advanced sperm quality checks for fertility evaluation.
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Testosterone replacement therapy
Monitored hormone optimisation for confirmed hypogonadism with regular safety checks.
Why patients trust us
- 1991 Serving Jaipur for 35 years
- NABH Accredited hospital
- 24×7 Emergency, ICU and ambulance
- 25 Cashless schemes and insurers
What studies show about these conditions
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Male factor in about 50% of infertility
A male factor is a primary or contributing cause in approximately half of couples seeking help.
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PSA false-positive rate 6 to 7%
About 6 to 7 percent of men have a false-positive PSA test on any screening round.
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Erectile dysfunction predicts heart disease
Erectile dysfunction is a strong predictor for coronary artery disease in men.
If it is left untreated
Untreated prostate conditions can progress silently. Erectile dysfunction may signal hidden cardiovascular disease. Unaddressed infertility delays family plans. Low testosterone left unmanaged can affect bone, mood and metabolism.
Life after assessment
Most men leave with a clear picture of their health and a practical next step.
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Understand your risk
You know whether your prostate, erection or fertility concern needs action or monitoring.
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Plan fits your life
Treatment options are explained with costs upfront so you can decide without pressure.
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Ongoing support
Follow-up visits and in-house tests keep track of changes over time.
Meet the team
Our Urology specialists
Care led by Jaipur Hospital's urology consultants, backed by round-the-clock surgical, diagnostic and critical care support.
Frequently asked questions
Questions patients ask about men's health and preventive urology
Which problems are assessed under men's health and preventive urology?
In short
Jaipur Hospital assesses prostate health, erectile function, male fertility, and hormone balance under men's health and preventive urology. The service covers prostate cancer screening with PSA and MRI, vascular checks for erection problems, semen analysis with DNA fragmentation testing, and testosterone evaluation for low hormone symptoms. Each area uses specific tests to understand your risk and guide next steps.
In detail
Prostate screening uses PSA blood testing and multiparametric MRI to stratify cancer risk before considering biopsy. Erectile dysfunction assessment includes penile Doppler ultrasound to evaluate blood flow, as vascular causes are common and ED can signal cardiovascular disease.
Male infertility workup relies on semen analysis and DNA fragmentation testing, since a male factor contributes to about half of infertile couples.
Testosterone replacement therapy is considered only after confirming symptomatic deficiency with repeat morning fasting levels and ruling out contraindications such as elevated PSA, prostate nodules, untreated sleep apnea, or recent cardiac events.
A common belief
Many men think it is only about prostate checks.
What actually happens
In fact, erectile problems often appear years before heart disease, and male factors drive half of infertility cases. A proper workup looks at all of these together.
Your next step at Jaipur Hospital
You can book a 30 to 45 minute outpatient consultation at Jaipur Hospital. No anaesthesia or hospital stay is needed. The typical price range in India is ₹1,500 to ₹25,000 depending on the tests required. Bring any previous reports and a list of medicines. Your surgeon will advise which assessments suit your age, symptoms, and family history.
How will the doctor decide which tests I need?
In short
At Jaipur Hospital, your surgeon selects tests based on your symptoms, age, family history, and examination findings. For prostate concerns, PSA and multiparametric MRI stratify cancer risk. For erection problems, penile Doppler ultrasound assesses blood flow. For fertility, semen analysis and DNA fragmentation are standard. For low testosterone, repeat morning fasting levels confirm deficiency before any treatment.
In detail
Test selection follows clinical guidelines. PSA screening is not automatic; guidelines recommend discussing risks and benefits first, especially for men aged 55 to 69. Higher risk men with family history may start earlier.
A digital rectal exam finding of a nodule or induration changes the threshold for biopsy. Erectile dysfunction evaluation includes cardiovascular risk assessment, as ED predicts coronary artery disease. Penile Doppler ultrasound identifies vascular causes.
Infertility workup starts with semen analysis, the cornerstone test, adding DNA fragmentation for deeper insight.
Testosterone therapy requires confirmed symptomatic deficiency with two low morning fasting levels and exclusion of contraindications like PSA above 4 ng/mL, prostate nodules, untreated sleep apnea, or recent heart attack or stroke.
A common belief
A common belief is that every man needs a PSA test at a certain age.
What actually happens
Guidelines now stress shared decision-making because PSA screening has harms like false positives and overdiagnosis. The doctor will discuss this with you first.
Your next step at Jaipur Hospital
Most tests are available in-house at Jaipur Hospital. Blood tests take minutes. MRI and ultrasound may need scheduling. Results typically return within a few days. Your surgeon will explain findings and next steps at a follow-up visit. The typical price range in India is ₹1,500 to ₹25,000 depending on the panel.
How soon should I expect improvement after the chosen treatment for prostate, erectile dysfunction, or fertility issues?
In short
At Jaipur Hospital, the timeline for improvement depends on the condition and the treatment chosen. For prostate cancer treatments such as surgery or radiation, urinary and sexual function may take several months to a year to stabilise. For erectile dysfunction, oral medicines often work within an hour, while a penile implant requires four to six weeks of healing before use. For fertility treatments, semen parameters may improve three to six months after varicocele repair or hormone therapy.
In detail
Evidence shows that radical prostatectomy carries a 35% absolute increase in erectile dysfunction risk and 28% increase in urinary incontinence at ten years. Recovery of continence and potency varies widely. Phosphodiesterase type 5 inhibitors act quickly but have limitations in some men.
Testosterone replacement therapy aims for mid-normal levels and is monitored over months. Varicocele repair can improve semen quality, but pregnancy rates depend on female factors too. Assisted reproductive techniques have substantially improved outcomes for couples with male factor infertility. Your surgeon will set realistic expectations based on your health, age, and the specific procedure.
A common belief
Patients often expect instant results after surgery.
What actually happens
In reality, nerve healing after prostatectomy is slow, and incontinence or erection problems can persist for a year or more. Fertility treatments also need time because sperm production cycles take about three months.
Your next step at Jaipur Hospital
You will receive a written recovery plan with follow-up dates. Most patients resume light activity within days, but heavy lifting and strenuous exercise are restricted for several weeks after surgery. Attend all scheduled reviews so your team can adjust treatment if needed.
Which checks are appropriate for my age, symptoms, and family history for men's health and preventive urology?
In short
The checks you need depend on your age, symptoms, and family history. At Jaipur Hospital, the urology team follows a shared decision-making approach. For prostate cancer screening, most guidelines suggest discussing PSA testing from age 50 for average-risk men, from age 45 if a father or brother was diagnosed before 65, and from age 40 with multiple affected relatives. Your surgeon will tailor the plan after reviewing your personal risk factors.
In detail
Evidence shows that PSA screening is not recommended for routine use in the general population and organisations emphasise informed consent and counselling. Higher-risk groups include men with a family history, Black men, and those with BRCA2 variants.
Indian registry data indicate prostate cancer is the fourth to ninth most common male cancer in major cities. The Urological Society of India has not issued formal PSA guidelines. For erectile dysfunction, cardiovascular assessment is now recommended. For infertility, semen analysis remains the cornerstone.
Testosterone testing is indicated only with symptoms and confirmed low levels. Multiparametric MRI and biomarker tests may refine risk before biopsy.
A common belief
Many men ask for a full panel of tests assuming more is better.
What actually happens
In reality, PSA screening can lead to unnecessary biopsies and anxiety. Testosterone treatment is not advised for men planning fertility or with untreated sleep apnea. The surgeon will help you choose only the tests that change management.
Your next step at Jaipur Hospital
Bring any previous reports and a list of family cancers to your appointment. The surgeon will discuss the benefits and harms of each test, including false positives and overdiagnosis. You will decide together which checks are right for you. To start a personalised screening plan, book a consultation at Jaipur Hospital.
How can I decide whether to seek advice about a men's annual urology checkup?
In short
You can decide by considering your age, family history, urinary or sexual symptoms, and personal risk factors. At Jaipur Hospital, our urology team offers a structured assessment that includes history, examination, and targeted tests such as PSA, urine flow study, or hormone levels based on your profile. The checkup is outpatient and takes 30 to 45 minutes.
In detail
Evidence shows that erectile dysfunction often precedes coronary artery disease and that lower urinary tract symptoms, obesity, and inactivity are linked to sexual and prostate health.
Guidelines suggest men at average risk discuss prostate screening from age 50, while those with a father or brother diagnosed before 65 should consider evaluation from age 45. Men with a strong family history or genetic risk may start at 40.
A checkup also screens for testosterone deficiency, which requires confirmed low morning levels on two occasions and symptom review before any therapy. Fertility evaluation includes semen analysis and DNA fragmentation testing.
The visit is tailored — not every man needs every test — and the surgeon will explain what is appropriate for you.
A common belief
Some men wait for symptoms, but erectile dysfunction can be an early sign of heart disease, and prostate cancer often has no symptoms until advanced.
What actually happens
A checkup is not a fixed package of tests — it is a risk-based conversation. The surgeon selects only the tests you need, such as PSA, hormone levels, or semen analysis, after reviewing your history.
Your next step at Jaipur Hospital
If you are over 40, have urinary changes, erection concerns, fertility questions, or a family history of prostate cancer, a checkup is reasonable. No referral is needed.
The typical price range for men's health and preventive urology services in India is ₹1,500 to ₹25,000 depending on the tests chosen.
Which urinary symptoms need urgent assessment?
In short
Urinary symptoms needing urgent assessment include inability to pass urine, blood in urine with clots or pain, severe flank or lower abdominal pain suggesting a stone, fever with urinary symptoms, and sudden worsening of flow. Jaipur Hospital provides 24-hour emergency care for these conditions. Your surgeon will evaluate and treat urgently.
In detail
Acute urinary retention requires immediate catheterisation. Haematuria with clots may indicate trauma, tumour or stone needing irrigation or surgery. Flank pain with fever suggests obstructing stone with infection, needing drainage. Lower urinary tract symptoms linked to erectile dysfunction, obesity or inactivity are evaluated electively.
The emergency department at Jaipur Hospital has in-house laboratory, imaging and modular operation theatres for prompt management. Urology consultants are available for urgent review.
A common belief
Men often wait with poor flow or frequency, but retention, infection with obstruction or visible bleeding with clots cannot wait.
What actually happens
Delay can damage the kidney or bladder permanently.
Your next step at Jaipur Hospital
If you experience any of these symptoms, go to the emergency department at Jaipur Hospital immediately or call the ambulance service. For non-urgent urinary concerns, book an outpatient consultation with your surgeon.
Which symptoms should prompt me to see a specialist?
In short
Jaipur Hospital suggests seeing a specialist if you notice changes in urination, difficulty with erections, concerns about fertility, or signs of low testosterone. Urinary symptoms include frequency, urgency, weak stream, or blood in urine or semen. Erection problems that persist for weeks, inability to conceive after a year of trying, or fatigue with low libido and reduced muscle mass are all reasons to seek evaluation.
In detail
Prostate conditions often cause urinary changes such as slow or painful urination, frequent night-time voiding, or blood in urine or semen. Erectile dysfunction affects mainly men over 40 and is linked to obesity, inactivity, and cardiovascular risk.
Infertility affects 8 to 12 percent of couples globally, with a male factor involved in about half. Low testosterone presents with fatigue, reduced sex drive, loss of morning erections, and decreased muscle strength. Guidelines recommend confirming symptomatic deficiency with repeat morning fasting testosterone levels before considering treatment.
A common belief
Men often wait until symptoms are severe.
What actually happens
But erection trouble can be an early warning of heart disease, and urinary changes may signal prostate issues that are easier to manage when caught early.
Your next step at Jaipur Hospital
A first consultation lasts 30 to 45 minutes as an outpatient visit. No anaesthesia is required. The typical cost range in India is ₹1,500 to ₹25,000 depending on tests. Bring prior reports and medicine lists. Your surgeon will decide which tests suit your symptoms and risk profile.
How will the results change my care plan?
In short
At Jaipur Hospital, test results guide whether you need monitoring, medication, lifestyle changes, or a procedure. A raised PSA may lead to repeat testing, MRI, or biopsy. Abnormal penile Doppler suggests vascular erectile dysfunction, which may need specific treatment. Poor semen parameters direct fertility options. Confirmed low testosterone with symptoms may qualify you for monitored replacement therapy.
In detail
Results are interpreted in context. A single elevated PSA often prompts a repeat test in 6 to 8 weeks, as levels fluctuate. Persistent elevation with a suspicious MRI may lead to biopsy.
If biopsy shows low-risk cancer, active surveillance with scheduled PSA, MRI, and exams is an option. Higher-risk findings may need treatment discussion. For erectile dysfunction, Doppler results distinguish vascular from non-vascular causes, guiding therapy choice. Semen analysis results determine if assisted reproductive techniques are needed.
Testosterone therapy starts only after confirmed deficiency and exclusion of contraindications, with monitoring of symptoms, haematocrit, and prostate safety during the first year. Studies show PSA screening can cause psychological harm from false positives, so results are discussed carefully.
A common belief
A high PSA does not mean you have cancer.
What actually happens
It often leads to repeat testing or MRI first. Many men assume abnormal results mean immediate surgery, but active surveillance is common for low-risk prostate cancer.
Your next step at Jaipur Hospital
Your surgeon will review results at a follow-up visit and explain what they mean for you. Monitoring intervals, medication changes, or procedure referrals depend on the specific findings. The hospital provides in-house diagnostics for continuity. Typical costs in India range from ₹1,500 to ₹25,000.
What should I do if symptoms persist or worsen after treatment for prostate, erectile dysfunction, or fertility concerns?
In short
At Jaipur Hospital, contact your urologist promptly if symptoms persist or worsen after any treatment. For prostate concerns, this includes new urinary difficulty, blood in urine, bone pain, or a rising PSA after treatment. For erectile dysfunction, tell your doctor if medicines stop working or if you develop pain or penile curvature. For fertility, report lack of pregnancy after twelve months of trying, or any testicular pain or swelling.
In detail
Evidence shows that a rising PSA after prostate cancer treatment may signal biochemical relapse, often appearing months or years before symptoms. A single elevated PSA does not always mean recurrence, but a rising trend warrants investigation.
Erectile dysfunction is a strong predictor of coronary artery disease, so new or worsening symptoms should trigger cardiovascular review. Infertility evaluation should be repeated if conception does not occur, as male factors contribute to about 50% of cases. Persistent symptoms may need medication adjustment, further imaging, or a change in treatment plan.
- Infertility evaluation should be repeated if conception does not occur, as male factors contribute to about 50% of cases.
A common belief
Some men think they must wait for the next scheduled visit.
What actually happens
But a rising PSA trend after cancer treatment can be the first sign of recurrence. Worsening erections may signal heart disease. Delaying review can miss a treatable problem.
Your next step at Jaipur Hospital
Do not wait for your next routine appointment. Call the urology department or visit the 24×7 emergency department at Jaipur Hospital if you have acute urinary retention, severe pain, or signs of infection. For non-urgent concerns, book a follow-up consultation so your surgeon can review tests and adjust your care plan.
Which tests are useful, and which might not be necessary for me in men's health and preventive urology?
In short
Useful tests are those that change the next step in your care. At Jaipur Hospital, a PSA blood test, digital rectal examination, and urine analysis are standard first steps for prostate concerns. Multiparametric MRI helps decide if a biopsy is needed. Semen analysis and DNA fragmentation testing are core for fertility. Penile Doppler ultrasound assesses vascular causes of erectile dysfunction. Tests that do not alter management may be deferred.
In detail
Evidence shows that PSA alone misses 20 to 30 percent of cancers and has a specificity of only 60 to 70 percent at the 4 ng/ml cut-off. MRI before biopsy can reduce unnecessary procedures.
Biomarker tests such as Prostate Health Index, PCA3, and SelectMDx may help select men for biopsy but are not universally required. Routine testosterone testing without symptoms is not recommended. For infertility, advanced sperm function tests are reserved for specific indications. The surgeon will explain which tests add value for your situation.
A common belief
Patients often request every available marker hoping for certainty.
What actually happens
But PSA alone misses cancers and gives false alarms. Many biomarker tests are not proven to reduce mortality. The surgeon orders only what moves the plan forward.
Your next step at Jaipur Hospital
During your consultation, the surgeon will review any prior results and recommend only the tests that guide treatment decisions. You will receive a clear reason for each investigation and its cost range. Unnecessary repeats are avoided. To get a focused, cost-effective workup, book a consultation at Jaipur Hospital.
FAQ library
Questions and answers about men's health and preventive urology
When you contact us
Book your urology consultation
Contact Jaipur Hospital for an OPD appointment with a urologist, in-house tests if needed, and a clear cost estimate before you decide.
- A consultation with a urologist in the OPD
- Your scans and reports reviewed, with tests done in-house if you need them (laboratory, X-ray and imaging)
- Your options explained in plain words, including whether you need surgery at all
- A cost estimate before you decide
- Help with cashless treatment under RGHS, MAA Yojana, CGHS and empanelled insurers and TPAs
- Follow-up visits after your treatment
Overview
Men's Health and Preventive Urology: what to know
What Men's Health and Preventive Urology Covers
- approximately 50% Male factor in infertility
- 8-12% of couples Global infertility rate
- mainly men older than 40 years Erectile dysfunction age
Men's Health and Preventive Urology at Jaipur Hospital looks after conditions that affect the prostate, sexual function, and fertility. The prostate is a gland in the male reproductive system that sits just below the bladder and makes the fluid part of semen. Prostate-specific antigen (PSA) is a protein made by both normal and cancerous prostate cells.
A PSA test is a blood test that measures the level of PSA in your blood. It is used to screen for prostate cancer, which means looking for signs of cancer before it causes symptoms. The goal of screening is to help find cancers that may be more likely to spread so they can be treated early.
Erectile dysfunction is a common condition that affects mainly men older than 40 years. It means trouble getting or keeping an erection firm enough for sex. Male infertility is when a man has a reduced chance of making his partner pregnant. A male factor is a primary or contributing cause in approximately 50% of couples who face infertility.
Globally, infertility affects 8-12% of couples. Andrology care also includes checking for low testosterone, called hypogonadism, which can affect energy, mood, bone strength, and sexual desire.
Symptoms and Warning Signs That Need Urgent Care
- Sudden severe testicular pain
- Inability to pass urine
- Heavy bleeding from penis
- High fever with urinary symptoms
You may need a PSA test if you have symptoms of a prostate condition such as:
- Painful, slow, or frequent urination
- Blood in urine or semen
- Pelvic and back pain
Erectile dysfunction itself can be a warning sign; it is a strong predictor for coronary artery disease. If you have sudden severe pain in the testicles, inability to pass urine, heavy bleeding from the penis, or signs of a serious infection like high fever with urinary symptoms, go to the emergency department the same day. These are not routine outpatient problems and need immediate assessment.
Causes and Who Is at Higher Risk
- Family history
- Father or brother with prostate cancer raises risk
- Ethnicity
- Black men have higher risk at younger age
- Genetics
- Inherited BRCA2 variants increase risk
Prostate cancer risk is higher if members of your family have had prostate cancer. Black men have a higher risk of developing prostate cancer at a younger age and having more serious disease. Inherited variants in BRCA2 and a father or brother with prostate cancer also raise risk.
In India, prostate cancer is not among the most common male cancers in many population-based registries, but rates vary by region.
Erectile dysfunction has been linked to obesity, limited or absent physical exercise, and lower urinary tract symptoms. Many health conditions can affect male fertility, including congenital, acquired, or idiopathic factors that impair spermatogenesis. Low testosterone can result from testicular problems or from signals in the brain that control hormone production.
Your surgeon will ask about your medical history, lifestyle, and any medicines you take to understand your personal risk factors.
How Men's Health and Preventive Urology Conditions Are Diagnosed
- 60-70% Specificity
- 67.5-80% Sensitivity
- above 4.0 ng/mL Common abnormal threshold
A PSA test is done by taking a blood sample from a vein in your arm using a small needle; it usually takes less than five minutes. There is very little risk to having a blood test. A PSA test cannot diagnose cancer on its own.
If your PSA level is high, a prostate biopsy is the only way to find out if the cause is cancer.
An infection or inflammation of the prostate, a recent prostate biopsy, vigorous exercise such as cycling, and ejaculation can raise PSA levels for a short time.:
- Infection or inflammation of the prostate
- Recent prostate biopsy
- Vigorous exercise such as cycling
- Ejaculation
There is no single threshold that distinguishes a normal from an abnormal PSA result. A level above 4.0 ng/mL is often considered abnormal and may lead to a biopsy recommendation. Because PSA levels increase with age, some doctors use a higher cutoff for older men and a lower cutoff for younger men.
Men taking finasteride or dutasteride for benign prostatic hyperplasia may need a lower cutoff. The specificity of PSA testing at 4.0 ng/mL is 60-70%, and sensitivity is only 67.5-80%, meaning some cancers are missed and many men without cancer have elevated PSA.
If PSA is elevated, your doctor may recommend another PSA test in 6 to 8 weeks to confirm the finding. A digital rectal exam (DRE) may be done to feel the prostate for lumps. A urine test may check for infection.
Further tests can include:
- Blood- or urine-based biomarker tests
- Multiparametric MRI
- High-resolution micro-ultrasound
A prostate biopsy collects tissue samples through the rectum or perineum under ultrasound guidance. MRI-guided biopsy may be used for suspicious areas seen on MRI. Biopsy complications can include bleeding, blood in semen or urine, infection, and difficulty urinating.
For erectile dysfunction, a cardiovascular assessment is now recommended. Penile Doppler ultrasound checks blood flow in the penis. For infertility, semen analysis remains the cornerstone of evaluation. Advanced tests such as DNA fragmentation can give more information about sperm quality.
For low testosterone, guidelines recommend measuring fasting morning total testosterone using a reliable assay, and confirming the diagnosis by repeating the measurement. Free testosterone may be measured if total testosterone is near the lower limit of normal or if a condition alters sex hormone-binding globulin.
Treatment Options Without Surgery and When Surgery Is Advised
For prostate cancer, not all cases need immediate treatment. For some low-risk cancers, doctors use scheduled tests to watch for signs of change, an approach called active surveillance. This avoids or delays the side effects of treatment.
If treatment is needed, options include radical prostatectomy (surgery to remove the prostate), radiation therapy, and medicines that reduce or block the hormones that help prostate cancer grow. Surgery and radiation can cause serious harms such as erectile dysfunction, urinary incontinence, and bowel incontinence.
In one trial, radical prostatectomy for palpable disease showed a 5% absolute benefit in 10-year survival but a 35% and 28% absolute increase in the risk of erectile dysfunction and urinary incontinence respectively.
For erectile dysfunction, oral phosphodiesterase type 5 inhibitors are commonly used but have limitations. Penile Doppler ultrasound helps guide further options. Testosterone replacement therapy is an option for men with symptomatic testosterone deficiency after discussing benefits and risks.
It is not recommended for:
- Men planning fertility in the near term
- Those with breast or prostate cancer
- A palpable prostate nodule
- PSA above 4 ng/mL (or above 3 ng/mL in high-risk men)
- Elevated hematocrit
- Untreated severe obstructive sleep apnea
- Severe lower urinary tract symptoms
- Uncontrolled heart failure
- Recent heart attack or stroke
- Thrombophilia
During therapy, clinicians aim for testosterone concentrations in the mid-normal range and monitor symptoms, adverse effects, compliance, serum testosterone, hematocrit, and prostate cancer risk during the first year.
For male infertility, assisted reproductive techniques have substantially improved the ability of couples to have biological children. The choice of treatment depends on the cause found during the workup. Your surgeon will explain which options suit your situation.
Preparing for Men's Health and Preventive Urology procedures
Do
- Avoid cycling and ejaculation
- Tell doctor about finasteride or dutasteride
- Bring medicine list and past reports
Most visits for Men's Health and Preventive Urology are outpatient appointments that last 30 to 45 minutes. You do not need to fast for a PSA blood test, but your doctor may ask you to avoid vigorous exercise such as cycling and ejaculation for two days before the test because these can raise the PSA level for a short time.
If you are taking medicines such as finasteride or dutasteride for an enlarged prostate, tell your doctor because these drugs lower the PSA value and the laboratory may use a different cut-off.
Bring a list of all medicines you take, any previous PSA reports, imaging films, and a note of any urinary symptoms, blood in urine or semen, or pelvic and back pain.:
- List of all medicines you take
- Previous PSA reports
- Imaging films
- Note of any urinary symptoms, blood in urine or semen, or pelvic and back pain
If you are being assessed for erectile dysfunction, your doctor may also ask about heart health because erectile dysfunction can be an early sign of coronary artery disease. For a fertility workup, you will be asked to give a semen sample after two to seven days of abstinence; the laboratory will analyse it for count, movement, shape and DNA fragmentation. Wear comfortable clothes and bring an attendant if you wish.
How Men's Health and Preventive Urology procedures are done
- PSA blood test Needle draw from arm vein, under five minutes
- Multiparametric MRI Shows areas needing closer look, guides biopsy
- Penile Doppler ultrasound Non-invasive scan in radiology department
- Semen analysis Cornerstone test for infertility
The exact steps depend on why you have been referred. For prostate cancer risk assessment, a blood sample is taken from a vein in your arm; the needle causes a brief sting and the draw takes less than five minutes. The sample is tested for prostate-specific antigen, a protein made by the prostate gland.
If the PSA level is raised, your surgeon may suggest a multiparametric MRI of the prostate to show areas that need a closer look and to help guide a biopsy if one is needed.
A penile Doppler ultrasound is used to check blood flow in the penis when the concern is erectile dysfunction; it is a non-invasive scan done in the radiology department. For male infertility, the cornerstone test is semen analysis, and advanced tests such as sperm DNA fragmentation may be added to evaluate sperm quality and function.
If testosterone replacement therapy is being considered, the diagnosis of hypogonadism is confirmed with two fasting morning total testosterone measurements, and free testosterone may be checked if sex hormone-binding globulin could be altered. Your surgeon will explain which of these tests or treatments suit your situation and will discuss the potential benefits and risks before starting any therapy.
Risks and possible complications of Men's Health and Preventive Urology procedures
A PSA blood test carries very little risk; you may have slight pain or bruising at the needle site. The test itself cannot tell the difference between cancer and non-cancerous conditions such as infection, inflammation or benign enlargement.
An elevated PSA can lead to a prostate biopsy, which has possible harms including:
- Bleeding at the biopsy site
- Blood in semen or urine
- Infection
- Difficulty urinating
In studies, about 6 to 7 percent of men have a false-positive PSA result on any screening round, and only about 25 percent of men who undergo biopsy because of a raised PSA are found to have prostate cancer.
Some cancers detected by screening grow so slowly they would never cause symptoms or become life-threatening; this is called overdiagnosis, and treating these cancers is overtreatment. Overtreatment exposes men unnecessarily to complications such as urinary incontinence, bowel problems, and erectile dysfunction.
In one large trial, for every 1,000 men aged 55 to 69 screened for 13 years, about 1 to 2 deaths from prostate cancer were avoided, but 5 men still died of prostate cancer despite screening and treatment, and 200 died of other causes.
Prostate cancer treatment such as radical prostatectomy has been associated with a 35 percent absolute increase in the risk of erectile dysfunction and a 28 percent absolute increase in the risk of urinary incontinence at 10 years. PSA screening can also cause significant psychological harm from false-positive results.
Testosterone replacement therapy is not started in men with untreated severe sleep apnea, uncontrolled heart failure, recent heart attack or stroke, high haematocrit, thrombophilia, or untreated prostate cancer.
Recovery and aftercare for Men's Health and Preventive Urology procedures
- After blood draw Sting or bruise goes away quickly
- After prostate biopsy Blood in urine or semen for a few days
- After penile Doppler or MRI Resume normal activities immediately
- Testosterone therapy Monitored during first year
Because these are outpatient assessments, there is no hospital stay and no surgical recovery period. After a blood draw, most symptoms such as a sting or bruise go away quickly.
If you have a prostate biopsy, you may see blood in your urine or semen for a few days and you should drink plenty of fluids; contact the hospital if you develop a fever, heavy bleeding, or cannot pass urine. After a penile Doppler ultrasound or MRI, you can resume normal activities immediately.
If testosterone replacement therapy is started, you will be monitored with a standardised plan that includes checking symptoms, testosterone levels, haematocrit, and prostate cancer risk during the first year. For fertility assessments, the results of semen analysis and DNA fragmentation testing guide the next steps, which may include lifestyle changes, medical treatment, or assisted reproductive techniques.
Always call the hospital if you notice new or worsening urinary symptoms, pain, swelling, or any unexpected change after a procedure.
Results of Men's Health and Preventive Urology procedures
PSA testing combined with multiparametric MRI helps stratify the risk of prostate cancer before a biopsy is considered. In studies, PSA screening leads to a small reduction in prostate cancer mortality over 10 years, but it also detects many cancers that would never have caused harm.
The lifetime risk of having a microscopic focus of prostate cancer at age 50 is about 42 percent, while the risk of dying from prostate cancer is about 3 percent. Between 18 and 85 percent of screen-detected prostate cancers may never become clinically significant.
For erectile dysfunction, identifying and treating vascular or hormonal causes can improve erections, and addressing erectile dysfunction may also lower cardiovascular risk because it is a strong predictor of coronary artery disease. Oral phosphodiesterase type 5 inhibitors have limitations and do not work for everyone.
In male infertility, a male factor is a primary or contributing cause in approximately 50 percent of couples, and assisted reproductive techniques have substantially improved the ability of such couples to have biological children.
Testosterone replacement therapy aims to bring testosterone levels into the mid-normal range and relieve symptoms of hypogonadism, but it requires ongoing monitoring and is not suitable for men who wish to preserve fertility in the near term.
Cost and insurance for Men's Health and Preventive Urology in Jaipur
The typical price range for Men's Health and Preventive Urology services in India is ₹1,500 to ₹25,000.
The final cost depends on which tests or treatments you need — for example, a simple PSA blood test is at the lower end, while a multiparametric MRI, penile Doppler ultrasound, semen analysis with DNA fragmentation, or a course of monitored testosterone replacement therapy will be higher.
Jaipur Hospital is a NABH-accredited multispeciality hospital with an in-house diagnostic laboratory and imaging department, so all tests can be done on site. The hospital accepts patients under RGHS, MAA Yojana, CGHS, and a panel of private insurers and TPAs. Ask the hospital for an estimate based on the specific investigations or treatment your surgeon recommends.