Surgical Therapy for Prostate Enlargement

  1. Prostate Center
  2. Prostate Enlargement (BPH)
  3. Surgical Therapy
  4. Conventional Surgical Methods
Conventional Surgical Methods All patients considered for surgical therapy for their prostate disease can be eligible for HoLEP method.

Transurethral Prostate Resection (TUR-P):

In transurethral prostate resection (TUR-P) operation, the prostate tissue is cauterized from inside using electrical energy and removed in small parts.

As this operation carries a high possibility of bleeding, if the patient is using blood thinning medications (anti-aggregant/-coagulant), these are discontinued 1 week before, and can be re-initiated at least 1 week after the operation.

After the operation, the patient needs to stay catheterized for at least 3-4 days. Problems including TUR-P syndrome, urethral stenosis, infection, incontinence, difficult urination, retrograde ejaculation or requirement of anew surgery have been reported in many studies.

Open Prostatectomy:

An open prostate operation can be performed in patients with prostate size more than 100 gr and over. In this operation, the patient's skin and subcutaneous tissues, as well as bladder, are opened, and the prostate is removed using finger.

As the rates of bleeding are very high during this operation, blood transfusion is frequently required.

After the operation, the patient needs to stay catheterized at least for 1 week after the procedure. Also, hospitalization period is longer than other methods.