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Surgery

When medical therapy fails and in severe cases, surgery can remove obstructing prostate tissue. Surgery is almost always recommended if you:

  • Are unable to urinate
  • Have kidney damage
  • Have frequent urinary tract infections
  • Have a lot of bleeding
  • Have stones in the bladder

What is Transurethral Resection of the Prostate (TURP)?

Transurethral Resection of the Prostate (TURP)
Transurethral Resection of the Prostate (TURP)
© 2006 Terese Winslow, U.S. Govt. has certain rights

Transurethral Resection of the Prostate (TURP) is the most common surgery for BPH. In the United States, about 150,000 men have TURPs each year. TURP uses electric current or laser light.

After anesthesia, the surgeon inserts a resectoscope through the tip of the penis into the urethra.

The resectoscope has a light, valves for irrigating fluid, and an electrical loop. The loop cuts tissue and seals blood vessels. The removed tissue flushes into the bladder and out of the body. A catheter is placed in the bladder through the penis.

What Are The Benefits, Risks and Side Effects of TURP?

This treatment has excellent outcomes. All treatments are generally compared with it. There are no cuts. The hospital stay is one to two days. The catheter may be removed before you go home. Or it may be removed later as an outpatient. This surgery does require anesthesia. As with any surgery, anesthesia poses a risk.

Who Are Good Candidates for TURP?

Men who require surgery may be good candidates for TURP. It does not remove the entire prostate. There may be less need for further treatment with TURP.

What is Transurethral Incision of the Prostate (TUIP)?

Transurethral incision of the prostate (TUIP) is used if you have a smaller prostate gland but major blockage. Instead of cutting and removing tissue, this procedure widens the urethra. The surgeon makes small cuts in the bladder neck, where the urethra joins the bladder, and in the prostate. This reduces the pressure of the prostate on the urethra. It makes urination easier. The hospital stay is one to three days. A catheter is left in your bladder for one to three days after surgery.

What Are The Benefits, Risks and Side Effects of TUIP?

TUIP may improve the ability to urinate. It may ease symptoms. Temporary urine retention, urinary tract infection, dry orgasm (climax), incontinence and erectile dysfunction may happen. Some men need follow-up treatment.

Who are Good Candidates for TUIP?

Men who do not want a complete prostatectomy (removal of the prostate) but need surgery are good candidates for TUIP.

What is Holmium Laser Enucleation of Prostate (HoLEP)?

With holmium laser enucleation of prostate (HoLEP), the surgeon places a resectoscope through the penis into the urethra. The laser vaporizes the prostate tissue.

What are the benefits, risks and side effects of HoLEP?

There is very little bleeding. There is a short recovery time. You will need a catheter, but it is usually removed the next day. You will only stay one night in the hospital. But, this treatment requires anesthesia. As with any surgery, anesthesia poses a risk.

Who are Good Candidates for HoLEP?

Men with larger prostates who wish to avoid more invasive surgery may be good candidates for this treatment.

More Information/Other Resources

National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC)

Prostate Enlargement: Benign Prostatic Hyperplasia


National Library of Medicine

Enlarged Prostate (BPH) (English)
Agrandamiento de la próstata (Español)

 

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