Surgical treatment for bph are a good choice for many men. If your symptoms are severe or minimally invasive surgical treatments don’t help with your enlarged prostate, your doctor will likely recommend another kind of surgery. A few of the more common types of prostate procedures include:
Prostate laser surgery
In laser surgery for benign prostatic hyperplasia BPH, a laser fiber is passed into the urethra near the prostate using a cystoscope. Then, several bursts of energy are delivered through the laser fiber, which vaporizes the prostate tissue. No incisions are needed. There is little blood loss because blood vessels are sealed during the treatment. However, laser surgery may not be effective on very large prostates. A temporary catheter and short hospital stay are needed.
Transurethral resection of the prostate (TURP)
This is the most common treatment for BPH. During this procedure, your urologist will insert a rigid instrument called a resectoscope into the urethra. This is why it is called transurethral. Inserting the scope this way means no cutting into the prostate. They will then use the charged resectoscope to remove the excess tissue that is blocking the urine from leaving the bladder. The surgeon uses the scope’s electrical loop to cut and remove the obstructing tissue one piece at a time. The pieces of tissue are carried by fluid into the bladder and then flushed out of the body. The TURP procedure requires a temporary catheter and a short hospital stay.
Transurethral Incision of the Prostate (TUIP)
Used to treat benign prostatic hyperplasia BPH, transurethral incision of the prostate (TUIP) is similar to transurethral resection of the prostate (TURP). Instead of removing tissue, doctors make the urethra bigger with a few tiny cuts in the bladder neck, where the urethra joins the bladder, and in the prostate. A physician inserts a cystoscope into the urethra and uses an electric current or laser beam to widen the urethra to enable better urine flow. No incisions are needed. A temporary Foley catheter and a short hospital stay are needed. This procedure is often used for men who have a smaller prostate but serious blockage and men who need surgery but do not want to remove the prostate completely.
Simple prostatectomy
This method is a surgical procedure in which an incision is made through the abdomen or performed laparoscopically. The inner portion of the prostate gland is removed, leaving the outer segment intact.
