Benign Prostatic Enlargement

Surgical Treatment

Surgical Treatment of LUTS in men with BPE

You have been diagnosed with benign prostatic enlargement (BPE) and your doctor recommends surgery. This section describes different treatment options, which you should discuss with your doctor. Together you can decide which approach is best for you.

Factors which influence this decision include:

  • Your symptoms and quality of life
  • The size of your prostate
  • Your medical history
  • The kind of treatment available at your hospital and the expertise of your doctor. Ask your urologist about his or her experience with the recommended treatment option. You have the right to know the complication rate of the surgeon who will do the operation
  • Your personal preferences and values. There is no single treatment that is ideal for all patients

When should I consider surgery?

  • When your symptoms get worse, even if you already receive drug treatment
  • When you have complications of BPE or if you are at risk of getting them. Complications include:
    • Kidney failure
    • Dilatation of your kidneys
    • Inability to urinate (urinary retention)
    • Recurring urinary tract infection
    • Recurring blood in the urine
  • If you do not tolerate drug treatment very well
  • If you prefer surgery over drug treatment

During surgical treatment the doctor will remove the enlarged part of your prostate (also known as adenoma). There are different types of surgical procedures, but all of them aim to relieve your symptoms and improve the flow of urine. The main procedures are:

  • Transurethral resection of the prostate (TURP)
  • Transurethral incision of the prostate (TUIP)
  • Open prostatectomy
  • Laser treatment
  • Prostate stents
  • Transurethral needle ablation (TUNA)
  • Transurethral microwave therapy (TUMT)

This section also discusses ethanol and botulinum toxin injections. Research on the effects of  these procedures is still on-going and their use is experimental.

Each procedure has its own advantages and disadvantages. The choice of treatment depends on your individual situation and preference.

This section offers general information about surgical treatment and situations can vary in different countries.