Surgical treatments for BPH
If medical treatment doesn't work, an operation to remove part of the prostate gland may be recommended. This may also be required if the prostate is causing more serious problems such as reduced kidney function or bladder stones. There are many treatments available, but we have found the Gyrus Bipolar TURP to be highly satisfactory.
Transurethral Resection of Prostate (TURP)
A TURP is an operation that removes the obstructing part of the prostate gland that is causing your urinary symptoms. This allows a free flow of urine.
How is a TURP performed?
The operation is performed under general or spinal anaesthesia. It is performed through a telescope passed up the pipe of the penis, and therefore there are no external cuts or scars. An electrical loop is used to cut away small parts of the central portion of the gland, until there is a wide cavity with no obstructing tissue. The pieces of the prostate are sent away to the lab for examination.
When your operation is competed, a catheter is passed into the bladder, which drains the urine and helps to wash away any blood. This catheter stays in for 24-48 hours.
We use the bipolar Gyrus system to perform this procedure. This minimises bleeding and the recovery time appears to be significantly quicker than many other techniques.
A variety of different laser treatments are available for the treatment of BPH including the "Green-Light" laser, "Thulium" laser and "Holmium" Laser. They all work in different ways. These newer techniques have advantages over the old-fashioned prostate resections as they caused less bleeding. However, the advent of the Gyrus bipolar TURP has meant that there is little difference in the safety of the techniques even with large prostates.
Because of their high-tech image, laser treatments have become increasingly popular However, there is little advantage over traditional TURP, which still has unrivaled long-term success rates.