In a remarkable demonstration of medical excellence, NHS Hospital Jalandhar has once again reaffirmed its reputation as a centre of cutting-edge healthcare innovation. A recent high-risk urological case involving a patient from Kapurthala has concluded with a successful outcome, showcasing the hospital’s advanced infrastructure and the expertise of its seasoned medical team.
The Patient and the Complications
Mr Joga Singh, a resident of Kapurthala, arrived at NHS Hospital Jalandhar on 2nd June 2025, presenting with acute urinary retention. Upon clinical and radiological evaluation, it was found that he had an enormously enlarged prostate weighing approximately 150 grams—a size significantly above average and requiring urgent intervention.
However, what made this case particularly complex was Mr Singh’s underlying medical history. He had previously suffered a stroke, was a known diabetic with a diagnosis of diabetes mellitus, and was on long-term blood thinners to manage his cardiovascular risks. These factors substantially elevated the risk of surgical complications, including the potential need for blood transfusions or even dialysis—a possibility the patient and his family were gravely concerned about.
A Delicate Balance of Risk and Necessity
In such high-risk cases, surgical intervention must be approached with extreme caution. The sheer size of the prostate made conservative treatment ineffective and potentially dangerous. Moreover, as prostate size was 150gms and to operate such a big gland, TURP was not possible with single sitting, we may need 2 or more sittings. Besides this, patient had multiple issues, so it could be risky to operate multiple times.
According to the hospital's senior consultant urologist, Dr Satinder Pal Aggarwal (MCh Urology), the challenge was not only to remove the enlarged prostate but to do so in a manner that minimised blood loss, prevented infection, avoided transfusion, and preserved kidney function. So Dr Aggarwal decided to do Holep which is the latest technique. Because patient was on blood thinner and holep is the most safe procedure which can be done without stopping blood thinners.
“We were fully aware of the high stakes involved,” said Dr Aggarwal, who has more than a decade of experience in complex urological surgeries. “But we also knew that with the right approach and technology, we could give Mr Singh a real chance at recovery without the long-term consequences of dialysis or permanent urinary complications.”
Enter HoLEP: The Cutting-Edge Solution
After a detailed multidisciplinary evaluation involving nephrology, cardiology, anaesthesia, and urology teams, the decision was made to proceed with HoLEP (Holmium Laser Enucleation of the Prostate)—a state-of-the-art minimally invasive surgical technique available at NHS Hospital Jalandhar.
HoLEP is increasingly considered the gold standard for treating large prostate glands. It involves using a high-powered holmium laser to precisely enucleate the obstructive prostate tissue, followed by its removal via a specialised morcellation device. One of the biggest advantages of this method is minimal bleeding, making it particularly suitable for patients on anticoagulants like Mr Singh.
“HoLEP allows us to operate with exceptional precision and significantly reduces the need for blood transfusion,” explained Dr Aggarwal. “It’s especially ideal for high-risk patients, and we’re proud to be among the few centres in North India offering this level of urological care.”
The Surgery and Outcome
The surgery, performed under spinal anaesthesia, was completed successfully without any intraoperative complications. Thanks to the expertise of Dr Aggarwal and his team, as well as the support from NHS Hospital’s world-class surgical facilities, Mr Singh did not require a single unit of blood transfusion during or after the procedure.
He was shifted to recovery within a few hours and monitored closely for post-operative complications. To everyone’s relief, Mr Singh responded remarkably well. By the second day, he was stable enough to be discharged.
“It’s almost unbelievable,” Mr Singh later remarked during his follow-up visit. “I had come to the hospital fearing the worst—dialysis, complications, lifelong discomfort. But I walked out two days later, pain-free and completely fine.”
Follow-Up and Long-Term Outlook
During his post-operative check-up, Mr Singh’s reports came back entirely normal. His renal parameters were stable, his bladder function had returned to normal, and there was no residual urinary obstruction. He expressed his deep gratitude to the hospital staff and especially to Dr Aggarwal, calling him “a very talented doctor who gave me a second life.”
This case has not only brought immense satisfaction to the patient and his family but has also underscored the growing importance of technologically advanced yet patient-centric care in modern medicine.
The Team Behind the Success
Such successful outcomes are rarely the work of one person. At NHS Hospital Jalandhar, every department works in tandem to provide holistic and timely care. From the anaesthetists who ensured smooth sedation, to the nephrology team monitoring renal health, and the skilled nursing staff who ensured comfort and hygiene during recovery—every member of the care ecosystem played a role in Mr Singh’s recovery.
Hospital management has praised the efforts of the team. “This case is a shining example of how the right mix of expertise, technology, and compassion can overcome even the most challenging clinical scenarios,” said a hospital spokesperson.
NHS Hospital Jalandhar: Pioneering Technological Advancements in Urology
NHS Hospital has long been recognised for being at the forefront of adopting and implementing next-generation medical technologies. The urology department, led by the exceptionally skilled Dr Satinder Pal Aggarwal, is equipped with some of the most advanced tools available in the country.
Dr Aggarwal, with more than 10 years of surgical experience and hundreds of complex cases to his credit, is known for his meticulous technique and patient-focused approach. Under his leadership, the hospital has treated numerous patients with enlarged prostate, bladder stones, kidney tumours, and other complex urological conditions.
In addition to HoLEP, the hospital also boasts cutting-edge diagnostic modalities like high-resolution imaging, silent MRI and CT scanners, and advanced pathology support. The synergy of clinical expertise and technological advancement makes NHS Hospital a premier destination for urological care in North India.
A Hospital Known for Innovation and Compassion
What sets NHS Hospital apart is not just its infrastructure, but its philosophy of care. The hospital places strong emphasis on timely intervention, personalised treatment plans, and compassionate support. In the case of Mr Singh, these principles were visibly in action—from the initial diagnosis to the surgical strategy, and throughout his post-operative recovery.
“Our goal is always to ensure the patient not only survives, but thrives,” said Dr Aggarwal. “We combine evidence-based medicine with cutting-edge tools to give every patient the best possible chance.”
The Larger Message: Hope in High-Risk Cases
For many patients with pre-existing health conditions, surgical options often come with significant fear and hesitation. Mr Singh’s case provides a powerful message: that high-risk doesn’t always mean hopeless. With the right medical team, the right technology, and a supportive environment, outcomes can be life-changing.
Take Home Message from Dr Satinder Pal Aggarwal:-
If you are having a problem and you are sure that you need a surgery whether it is prostate, kidney stone or any other surgery, be sure you should go for it without any fear. We are here to make your surgery risk free with the most latest technology, less stay as possible in hospital and with best results. .
“There is still a lot of hesitation when it comes to advanced urological surgeries,” said Dr Aggarwal. “Patients need to know that we now have technologies that can make these procedures safer—even for those with stroke history, diabetes, or those on blood thinners.”
The hospital has committed to holding regular awareness seminars and community outreach events to educate the public on the signs of prostate enlargement, the importance of early diagnosis, and the availability of minimally invasive surgical solutions.
Conclusion
The successful management of Mr Joga Singh’s complex urological condition marks yet another milestone in NHS Hospital Jalandhar’s journey of medical excellence. Through the brilliant leadership of Dr Satinder Pal Aggarwal, the support of a multidisciplinary team, and the application of cutting-edge HoLEP technology, a high-risk patient was able to reclaim his life.
This inspiring case is a testament to what modern medicine can achieve when innovation, expertise, and compassion work together in harmony.