BPH Surgical Treatment
Overview of BPH Surgical Treatment
BPH Surgical Treatment are typically minimally invasive procedures. Read
more about the processes here. Urology and Oncology Specialists PC, Mobile, Alabama
BPH Surgical Treatment
Benign Prostatic Hyperplasia is also called BPH or Prostate Gland
Enlargement. This is very common in older men. BPH is when the prostate gland becomes enlarged and
can cause various urinary symptoms. You may experience a block of flowing of urine, bladder
infections, urinary tract infections, or kidney problems. There are many different surgical
treatments that can be done. Your physician will be able to help you decide which procedure is going
to be best for you based on your health and what you would prefer.
Minimally Invasive Surgery for BPH
Men that have moderate to severe BPH symptoms are best suited for minimally
invasive surgeries. These men typically have trouble urinating, blood in the urine, bladder stones,
or urinary tract obstruction. Surgery is also a good option for men that have gone through therapy
and medications that have not worked. These surgeries are typically done as outpatient procedures.
There are many factors that may change this. You will want to speak to your physician about what is
best for you.
- Stent A prostatic stent is used inside the urethra to hold it open. The stent
is permanent, and is a flexible, self-expanding, and spring like device. There is no anesthesia
required for this procedure, so this works well for men that are at a high-risk for surgery. This
surgery helps improve the flow of urine and decreases symptoms of BPH. There are not many side
effects from surgery, but men may experience voiding symptoms.
- Laser Prostatectomy Laser prostatectomy can be done in a few different ways.
This procedure is most commonly done with a laser and varying wavelengths. There are very few side
effects from this procedure, and works well for those who do not want an invasive surgery. Your
hospital stay will likely be very short and will be done as an outpatient procedure. There are no
side effects from this procedure. It also shows a decreased risk of complications that are
associated with BPH.
- High intensity focused ultrasound (HIFU) A high intensity focused ultrasound
is used to reduce the risk of damage that is done to the surrounding tissues. This is done by
placing an ultrasound probe into the rectum. This probe transmits ultrasonic energy and it heats
the prostate to high temperatures. These high temperatures cause the tissue in the prostate to
reduce in size. This surgery does not work well in men that have large prostates. The recovery
time for this is very quick. Some side effects include trouble urinating, blood in the urine, and
the risk of needing a catheter.
- Transurethral needle ablation (TUNA) The transurethral needle ablation is very
similar to high intensity focused ultrasound. The transurethral needle ablation also uses
high-frequency radio waves. A cystoscope is inserted into the tip of the penis through the
urethra. A tiny needle will be guided to the tissue and then will deliver the radio waves. This
procedure is perfect for men who are not able to or do not want to have anesthesia. It also works
well for men that have too many medical conditions to have surgery. There are no real
complications that are associated with this procedure. You may experience a burning feeling after
Standard Surgical Procedures
- Transurethral restriction of the prostate (TURP) The transurethral restriction
of the prostate, or TURP, is considered the gold standard of effective treatment for BPH. This
surgery is the most common treatment for men with BPH. There is no incision required for this
procedure. Your physician will put a resectoscope through the end of the penis and through the
urethra. Then the tissue of the prostate gland will be removed. The resectoscope has a lighted
camera, valves that maintain irrigating fluid, as well as an electrical loop. The tissue will be
cut and the blood vessels will be sealed. At the end of the procedure, the tissue will be removed
through the irrigating fluid into the bladder and then will be flushed from the body. Outcomes are
positive. Complications are rare, but you may experience infection, pain, or bleeding.
- Transurethral incision of the prostate Transurethral incision of the prostate
is a good option in men that have a smaller prostate. During this procedure, small incisions are
made in the prostate and where the urethra meets the bladder. This process helps to widen the
urethra, which makes urination easier and removes the pressure of the prostate on the urethra. All
of this makes urinating much easier. Some of the side effects for this procedure are incontinence,
erectile dysfunction, urine retention, or a urinary tract infection.
- Open prostatectomy An open prostatectomy is done in men with BPH that have a
large prostate. In these men, transurethral surgery is not safe. During an open prostatectomy, the
physician will make an incision from the navel to the pubic bone. Then the bladder is opened. The
tissue of the prostate is then removed. After the surgery, a urethral catheter will be in place
for one week. Since this is a more invasive surgery, you may be in the hospital for a longer stay.
Complications with this may include infection and bleeding.
Which Procedure is Right for Me?
The first step to deciding which procedure is right for you, is speaking
with your physician. Your procedure will be based on your overall health and what you would prefer.
The size of the prostate will play a big role in what surgery you will have. For example, large
prostate glands are not able to have certain surgeries, and the same is true for small prostate
glands. Let your physician know what you are experiencing and what your wishes are. You can both
work on a decision for what is best for you.