One-third of men with mild BPH find that their symptoms clear up without treatment. However, when enlarged prostate symptoms are affecting your quality of life or overall health, it’s time to seek help. There are several treatment options available for an enlarged prostate.
for BPH and Urinary Retention
The UroLift® system procedure is a revolutionary, minimally invasive procedure. It is a very quick procedure, usually taking less than thirty minutes. Urolift also differs from other enlarged prostate treatments in that there is no cutting, heating or ablating tissue involved which means the treatment preserves sexual function.
Patients are normally able to leave the hospital within a few hours of the operation and can return to normal activity as soon as they feel confident to do so. Patients have experienced BPH symptom relief, such as relief from urinary retention and slow urine flow, as early as two weeks post operation.
Major Surgery - TURP
This is an operation to remove the parts of the prostate gland that have overgrown and are pressing on the tube that you pass urine through (the urethra). It is the most common type of surgery for treating an enlarged prostate.
The surgeon passes a thin tube into the urethra through the penis. The tube has a small camera on the end for the surgeon to observe the prostate. An electrically-heated wire loop is then passed through the tube to remove small pieces of prostate tissue. During the operation, fluid is passed into the bladder to clear away the small pieces of prostate tissue that have been removed. After prostate tissue has been removed, the body needs time to heal. The remaining prostate tissue may actually swell and become inflamed before the desired shrinking effect occurs. Patients may suffer an uncomfortable recovery period that includes short-term problems such as bleeding, infection, erectile dysfunction, and urinary incontinence. Patients will have a catheter that is attached to a urine bag inserted into their bladder for several days after the procedure.
There can be long-term side effects after TURP such as dry orgasm (retrograde ejaculation), erectile dysfunction or incontinence (leaking of urine).
Laser Prostate Surgery
During prostate laser surgery, the consultant inserts a scope through the tip of the penis into the tube that carries urine from the bladder (urethra). The prostate surrounds the urethra. A laser passes through the scope and delivers energy that shrinks or removes excess tissue that is preventing urine flow.
TURP may be performed with a laser in procedures called photoselective vaporisation of the prostate (PVP). Laser therapy lessens the bleeding risks of traditional TURP. However, since prostate tissue is still removed, there can be tissue swelling and an uncomfortable healing time and, typically, a catheter has to be inserted into the bladder after the procedure.