Urology / andrology · 2026
Men's health in China,
BPH, andrology, urologic oncology.
BPH treatment (Rezum, UroLift, HoLEP, TURP), prostate cancer screening including PSMA PET-CT, andrology and TRT workup, and male infertility evaluation at top urology centres.
$650–1,400
Men's health workup
PSA + digital + uroflowmetry + transrectal US
Partner clinic quotes 2024
$5,500–11,500
BPH surgery (HoLEP / TURP)
vs $15,000–35,000 in the US
Partner clinic quotes 2024
Class A
Top centres
PUMC, Renji, Sun Yat-sen, Zhongshan urology
NHC ratings
Robotic
da Vinci available
Robotic prostatectomy + complex urology
Centre programs
PSMA PET-CT
Available
For unfavourable intermediate / high-risk prostate cancer
Centre programs
Bilingual
Workup + plan
Standard discharge package + home-team handover
Service standard
Tiers & pricing
Six tiers, transparent pricing.
Comprehensive workup
PSA + DRE + uroflowmetry + post-void residual + TRUS + IPSS / SHIM scoring + labs.
$650–1,400
BPH medical management
Alpha-blockers, 5-ARI, combination, plus PDE5i if concomitant ED. NMPA-listed pricing.
$15–80 / month
BPH surgical (HoLEP / TURP / Rezum)
HoLEP (best for large prostate), TURP, Rezum (water vapor), UroLift (limited availability).
$5,500–11,500
Prostate cancer pathway
MRI prostate, MRI-fusion biopsy, PSMA PET, RARP, EBRT, ARSI. See dedicated page.
Quoted on case
Andrology / TRT
Testosterone deficiency workup + TRT (gel, injection, pellet) at NMPA-listed pricing.
$25–120 / month
Male infertility
Semen analysis, hormonal panel, varicocele evaluation, microsurgical varicocelectomy, TESE.
$1,400–4,500
Top hospitals
Six centres
open to international patients.
PUMC Urology 北京协和医院
Academic urology · all subspecialties · diagnostic excellence
Renji Hospital Urology 仁济医院
Class A · large urology service · robotic + endourology
Sun Yat-sen Memorial Urology 中山大学孙逸仙纪念医院
Class A · regional reference · andrology depth · male infertility
Zhongshan Urology 中山医院
Class A · large robotic prostatectomy and BPH surgery volume
Peking University Third Hospital Urology 北京大学第三医院
Reproductive medicine + male infertility integration
United Family Hospitals 和睦家
JCI · expat-focused · routine men's health screening + TRT follow-up
FAQ
Frequently asked questions.
- Why China for men's health?
- Three reasons: (1) Volume — China's flagship urology departments operate at unmatched scale, with surgeon case volumes exceeding most Western private practices; (2) Cost — BPH surgery (HoLEP, TURP), prostate cancer surgery and andrology workup run 60–70% below US private pricing; (3) Equipment — robotic urology (da Vinci), HoLEP holmium laser, PSMA PET-CT staging, and microsurgical operating microscopes for vasectomy reversal and varicocelectomy are widely available.
- What does BPH treatment look like?
- Symptom-based stepped approach: lifestyle modification (fluid timing, caffeine reduction, bladder training); alpha-blockers (tamsulosin, silodosin, alfuzosin) ± 5-alpha reductase inhibitor (finasteride, dutasteride) for prostate > 30g; combination if symptoms uncontrolled; PDE5i (tadalafil 5mg daily) if concomitant ED; surgery if medical failure or complications. Surgical options: HoLEP (best for large prostate, gold standard), TURP (standard for medium prostate), Rezum (water vapor, less invasive), photoselective vaporization, simple prostatectomy for very large prostate. UroLift availability in mainland China is limited.
- What about TRT (testosterone replacement therapy)?
- Standard pathway: confirm true testosterone deficiency with 2x AM total testosterone < 300 ng/dL (10.4 nmol/L) plus symptoms; rule out reversible causes (obesity, OSA, opioid use, iron overload); discuss fertility implications (TRT suppresses spermatogenesis); confirm prostate health (PSA, DRE) and hematocrit; initiate TRT (testosterone enanthate / cypionate IM, transdermal gel, or testosterone undecanoate long-acting); monitor at 3, 6, 12 months. NMPA-listed TRT options include testosterone undecanoate oral and IM, testosterone enanthate, and gel formulations at substantially lower cost than US.
- What about erectile dysfunction?
- Standard pathway: history, comorbidity assessment (cardiovascular, diabetes, depression), medication review, testosterone level if low libido or non-responsive; PDE5i first-line (sildenafil, tadalafil, vardenafil — generic NMPA-listed at substantially lower cost than US); intracavernous injection therapy if PDE5i fails; intraurethral alprostadil; vacuum erection device; penile prosthesis (semi-rigid or 3-piece inflatable, AMS / Coloplast) for refractory cases. PDE5i + TRT combination considered carefully in patients with documented testosterone deficiency.
- What about male infertility?
- Workup: detailed history; 2x semen analysis with strict morphology; hormonal panel (testosterone, FSH, LH, prolactin, TSH, estradiol, SHBG); genetic workup (Y-chromosome microdeletion, karyotype, CFTR if azoospermia); scrotal ultrasound for varicocele or testicular pathology. Treatment: varicocele microsurgical repair if clinically significant; medical optimization (clomiphene, hCG); microsurgical TESE for non-obstructive azoospermia; ICSI for assisted reproduction. Note: IVF in mainland China is restricted to married heterosexual couples — see [IVF page](/ivf-china).
- What about prostate cancer screening?
- Standard recommendation: shared-decision PSA screening starting age 50 (45 for high-risk: African ancestry, BRCA mutation, family history). High-quality screening combines PSA + DRE; if abnormal, multiparametric MRI prostate before biopsy reduces overdiagnosis of indolent cancer. We coordinate full prostate cancer pathway including PSMA PET-CT staging, MDT review, and treatment options including active surveillance, RARP, EBRT, brachytherapy. See dedicated [Prostate Cancer page](/prostate-cancer-china).
Related guides
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Robotic prostatectomy, PSMA imaging, ARSI.
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Read the guideBariatric Surgery
Weight loss often improves testosterone and erectile function.
Read the guideDiabetes Care
Diabetes is a major reversible cause of ED and TRT considerations.
Read the guideRecords Translation
Bilingual urology, pathology, and andrology reports.
Read the guideSecond Opinion
Independent urology second opinion from $250.
Read the guideSend your urology workup
for a written plan.
Upload PSA history, IPSS, semen analysis or other reports. We return a written plan from a partner urologist — including BPH, prostate cancer, andrology, or infertility recommendations matched to your case.
This page is for general information only and does not constitute medical advice. Men's health treatment decisions depend on individual cardiovascular, endocrine and reproductive considerations. TRT carries risks that should be discussed with your treating physician.