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  • Why might prostate surgery be needed?

Why might prostate surgery be needed?

Mr Nikesh Thiruchelvam
Written in association with: Mr Nikesh Thiruchelvam Urologist in Cambridge
4.8 |

24 reviews

Sources: Top Doctors GB
Published: 13/12/2024 Edited by: Conor Lynch on 17/05/2025

Prostate surgery is a common intervention for men experiencing urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). BPH is a natural part of ageing for many men and can lead to troubling symptoms such as frequent urination, difficulty starting or stopping urination, weak urine flow, and incomplete bladder emptying. When medications and lifestyle changes are insufficient to manage these symptoms, surgical options may provide effective relief.

The prostate gland surrounds the urethra, and as it enlarges, it can obstruct urine flow. Prostate surgery aims to remove or reduce this obstruction, restoring normal urinary function. Several surgical techniques are available, tailored to the severity of symptoms and the patient’s overall health.

 

The most commonly performed procedure is transurethral resection of the prostate (TURP), which involves removing excess prostate tissue via a minimally invasive approach. TURP is highly effective and has been a gold standard for decades.

 

Another advanced option is laser therapy, such as GreenLight laser or Holmium Laser Enucleation of the Prostate (HoLEP). These methods vaporize or excise prostate tissue with precision and often result in less bleeding and quicker recovery times compared to traditional surgery.

 

For men with significantly enlarged prostates, open or robotic-assisted prostatectomy may be recommended. These procedures involve making an incision to remove the enlarged portion of the prostate directly.

 

Prostate surgery is generally safe and highly effective in alleviating urinary symptoms, but it is not without risks. Potential complications include temporary urinary incontinence, infection, or, in rare cases, erectile dysfunction. However, most men experience significant symptom improvement and enhanced quality of life following surgery.

 

If you are experiencing persistent urinary symptoms that affect your daily life, consult a specialist to explore your options. Prostate surgery is a well-established solution that can provide lasting relief and restore normal urinary function. Early intervention and a tailored approach can ensure the best outcomes for managing this common condition.

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