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Prostate Problem Guide

An Introduction To Surgical BPH Treatment

Although drug treatment and minor minimally invasive surgery can be the solution for many men suffering from BPH (a swollen or enlarged prostate), for others surgery is necessary and there are currently three main surgical procedures carried out for BPH treatment.

The first is known as a transurethral resection of the prostate (TURP). This is the commonest form of surgery used in BPH treatment and involves the removal of the inner core of the prostate. The procedure is performed under general anesthetic (or using a spinal anesthetic) and a wire cutting loop is inserted through the penis and urethra to remove tissue from the prostate. Patients will normally stay in hospital for one or two days for this procedure and, following surgery, will need to uses a catheter to drain the bladder for two or three days.

In cases where the prostate is not too enlarged a more limited form of surgery known as transurethral incision of the prostate (TUIP) may be used. In this procedure instead of removing tissue from the prostate a series of cuts are made in the prostate to relieve pressure on the urethra. This procedure is again carried out under anesthesia and patients will remain in hospital for between one and three days.

In the case of both TURP and TUIP patients will normally require about two to four weeks for recovery and may experience moderate levels of pain or discomfort following surgery. The most commonly seen side effects of surgery are erection difficulty, which appears in about 3% to 13% of patients, and urinary retention, which appears in about 1% to 21% of patients. Some degree of urgency and frequency of urination will also be seen in most patients.

The final form of surgery used today is the open prostatectomy. Carried out under general anesthetic, an incision is made in the lower abdomen to allow the surgeon to gain access to the prostate and the inner core of the prostate is then removed.

Patients will normally remain in hospital for several days and will also be required to use a catheter for a time at home after surgery. Recovery from open surgery typically takes about three to six weeks during which time patients may experience a moderate degree of pain or discomfort. The main side effect of open surgery is incontinence which will be seen in about 6% of patients.

Surgery is an excellent form of BPH treatment and can reduce BPH symptoms considerably for most men. It is not however 100% effective and some symptoms will often remain even after surgery.

One point to remember is that BPH treatment does not act as a treatment for prostate cancer. BPH treatment involving the removal of tissue from the prostate only removes tissue from the inner core of the prostate. Prostate cancer however normally first appears on the outer tissue of the prostate from where it will often spread. It is important therefore that BPH patients continue to have regular checkups and screening for prostate cancer.

Further information on bph treatment:

Thousands with BPH will benefit from new treatment - OnMedica

Daily Mail

Thousands with BPH will benefit from new treatment
A new type of laser therapy to treat benign prostatic hyperplasia (BPH) could benefit 13,000 men in England and also save the NHS millions of pounds a year, according to the National Institute for Health and Care Excellence. Its latest medical ...
UK authorities recommend green laser for prostate
NHS approves laser treatment for men with enlarged prostatesDaily Mail
National Institute for Health and Care Excellence Provides Positive Guidance for Use of Boston Scientific GreenLight ...PR Newswire (press release)
FierceMedicalDevices (press release) (registration) -BBC News
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11 Reasons Why You Should Eat Pumpkin Seeds - EcoWatch


11 Reasons Why You Should Eat Pumpkin Seeds
Others studies suggest that the lignans in pumpkin seeds may play a key role in the prevention and treatment of breast cancer (10). Further test-tube studies found that a supplement containing pumpkin seeds had the potential to slow down ... Pumpkin ...

BPH Treatment: The Use of Tamsulosin - BPH News

BPH News

BPH Treatment: The Use of Tamsulosin
BPH News
Medication is one of the treatment options to address benign prostatic hyperplasia (BPH). Among the medicines approved for BPH is tamsulosin, a drug from the group of alpha blockers, that is formulated to relax the muscles in the bladder and prostate ...

BPH: How Does Cialis Help Relieve Erectile Dysfunction? - BPH News

BPH News

BPH: How Does Cialis Help Relieve Erectile Dysfunction?
BPH News
In this video, Dr. Neil Baum, of New Orleans, La., explains the daily use of low doses of the drug Cialis to address the problem of erectile dysfunction in BPH patients. Baum explains the first line of treatment for BPH, also known as enlarged prostate ...

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