While relatively small in size, it plays an important role in male reproductive health and can be affected by a range of conditions throughout life.
Prostate conditions are extremely common, particularly as men get older. Some conditions, such as benign prostate enlargement and prostatitis, are non-cancerous but can significantly affect quality of life. Others, including prostate cancer, require careful assessment and management to achieve the best possible outcomes.
With extensive experience in minimally invasive and robotic surgery, he works closely with patients to develop personalised treatment plans based on the latest evidence and their individual needs.
Whether you have been referred with an elevated PSA, require further investigation of a prostate concern, or have already been diagnosed with prostate cancer, Dr Manohar offers expert care across Melbourne’s public and private hospital networks.
Dr Manohar provides expert diagnosis and treatment for a broad range of prostate conditions, from elevated PSA levels and prostate inflammation through to benign prostate enlargement and prostate cancer. Explore the conditions below to learn more about symptoms, diagnosis and available treatment options.
PSA (Prostate Specific Antigen) is a protein produced by the prostate gland. A PSA blood test is commonly used to assess prostate health and may assist in identifying men who require further investigation.
An elevated PSA does not necessarily mean prostate cancer is present. PSA levels can rise for many reasons, including benign prostate enlargement, prostatitis, recent ejaculation, urinary tract infections and other non-cancerous conditions.
When a PSA result is higher than expected, further assessment may be recommended. This often involves reviewing PSA trends over time, performing a clinical examination and arranging additional investigations such as prostate MRI or biopsy where appropriate.
Dr Manohar provides comprehensive assessment of elevated PSA results and works closely with patients to determine whether further investigation is required.
Modern prostate cancer diagnosis relies heavily on advanced imaging and targeted biopsy techniques.
Multiparametric MRI has become an important tool in assessing the prostate and identifying areas that may require further investigation. MRI can help identify suspicious lesions, improve biopsy accuracy and reduce unnecessary procedures in selected patients.
Where indicated, a prostate biopsy may be recommended. During this procedure, small tissue samples are taken from the prostate and examined by a specialist pathologist.
A biopsy remains the definitive method of diagnosing prostate cancer and determining the aggressiveness of any cancer that is detected.
Dr Manohar guides patients through the investigation process, ensuring they understand the purpose of each test and the significance of the results.
Not every prostate cancer requires immediate treatment.
For carefully selected men with low-risk prostate cancer, active surveillance may be recommended as a safe alternative to surgery or radiation therapy.
Active surveillance involves closely monitoring the cancer through regular PSA testing, imaging studies and, where necessary, repeat biopsies. The aim is to avoid unnecessary treatment while still identifying any signs of disease progression at an early stage.
Many men remain on active surveillance for years without requiring intervention.
Dr Manohar works closely with patients undergoing active surveillance to ensure appropriate monitoring and ongoing peace of mind while preserving quality of life wherever possible.
Benign Prostatic Hyperplasia (BPH), also known as an enlarged prostate, is one of the most common prostate conditions affecting ageing men.
As the prostate enlarges, it can place pressure on the urethra and interfere with normal urinary function.
Common symptoms include:
While BPH is not cancer and does not increase the risk of prostate cancer, it can significantly affect quality of life and may lead to complications if left untreated.
Treatment options range from lifestyle measures and medications through to minimally invasive procedures and surgery depending on symptom severity and patient preference.
Many men with enlarged prostate symptoms achieve good control with medication. However, when symptoms become more severe or medications are ineffective, procedural treatment may be considered.
Dr Manohar offers assessment and management of BPH using modern treatment techniques tailored to the individual patient.
Treatment options may include:
Dr Manohar will discuss the benefits, limitations and suitability of each treatment option to determine the most appropriate approach for your circumstances.
Prostatitis refers to inflammation of the prostate gland and can affect men of all ages.
Symptoms may include:
Prostatitis can be caused by bacterial infection, but many cases occur without a clearly identifiable infection and may be related to chronic pelvic pain syndromes.
Because symptoms can vary significantly between individuals, treatment must often be tailored to the specific cause and severity of symptoms.
Dr Manohar has a particular interest in urological pain management and chronic pelvic pain. His additional training in this area allows him to provide a comprehensive and multidisciplinary approach to men experiencing persistent pelvic or prostate-related pain.
Prostate cancer is the most commonly diagnosed cancer in Australian men and affects thousands of men each year. Many prostate cancers grow slowly and may never cause significant problems, while others can be more aggressive and require treatment.
Early-stage prostate cancer often causes no symptoms and is frequently detected through PSA testing and prostate assessment. As a result, regular medical review and appropriate investigation are important for men at increased risk.
Treatment options depend on a variety of factors, including the cancer grade, stage, PSA level, patient age, overall health and personal preferences.
Management options may include active surveillance, robotic prostatectomy, radiation therapy or other treatments depending on the individual situation.
Dr Manohar has a particular interest in prostate cancer management and provides evidence-based advice to help patients make informed decisions regarding their care.
If you have concerns about your prostate health, elevated PSA levels, urinary symptoms or a recent prostate cancer diagnosis, Dr Paul Manohar can provide expert assessment and personalised treatment recommendations.
Dr Manohar welcomes both public and private patients and consults across Melbourne’s eastern and south-eastern suburbs. To arrange an appointment, please contact the practice today.
Whether you are experiencing concerning symptoms, have a recent diagnosis, or are seeking a second opinion, Dr Paul Manohar provides experienced, personalised urological care across South-Eastern Melbourne and Gippsland.
Consulting locations include:
