Benign Prostate Surgery
The prostate is a bi-lobed gland situated below the bladder in males and surrounds a part of the urethra (tube that passes urine outside the body). The prostate may sometimes show a benign enlargement, called benign prostatic hyperplasia (BPH), as part of the aging process, which can compress the urethra and obstruct the flow of urine. Your doctor may recommend surgery as a definitive treatment for BPH in cases of significant difficulty passing urine, repeated urinary tract infections, bladder damage or stones, kidney damage or blood in the urine.
Modern surgical procedures usually access the prostate through the urethra so no incision is required. Different approaches to benign prostate surgery include:
Transurethral resection of the prostate (TURP): Removal of part of the prostate causing obstruction with the help of surgical instruments passed through the urethra
Transurethral incision of the prostate (TUIP): Making incisions on the prostate with instruments introduced through the urethra to decrease the pressure on the urethra
Laser therapy: Using laser to make cuts or destroy the obstructive part of the prostate
Transurethral needle ablation (TUNA): Destroying part of the prostate with a heated needle
Transurethral microwave therapy (TUMT): Using heat from microwave energy to destroy part of the prostate
UroLift: A new system which uses implants to shift and hold prostate tissue away from the urethra
Open prostatectomy: Making an incision on the skin to access and remove the prostate (rarely used and mostly recommended for very large prostates)
As with most surgical procedures, surgery for benign enlargement of the prostate may be associated with certain risks, which include problems with erection, retrograde ejaculation (releasing semen backwards into the bladder during ejaculation) and urinary incontinence (loss of bladder control).
Depending on your overall health and individual case, your doctor will discuss the best method to treat BPH.