There are various surgical approaches to the treatment of BPH.
The gold standard of surgical treatment remains the TURP (transurethral resection of prostate). The TURP was originally performed in 1909, although the procedure has undergone significant changes over the years to become the effective method it is today.
Other surgical approaches include the open prostatectomy and the bladder neck incision.
Another modern and minimally invasive approach is called the Greenlight laser.
Transurethral resection of prostate (TURP)
A TURP is an operation in which an instrument (resectoscope) is inserted up the urethra (water pipe) and used to remove a part of the prostate that is blocking the flow of urine. You will be given either a general or a spinal anaesthetic for the procedure.
The operation takes about 45 minutes and you will be in hospital for about three to four days.
Bladder neck incision
When the prostate is not enlarged but is obstructive and narrow, a cut may be made into the neck of the bladder to improve the flow of urine. No prostate tissue needs to be removed. The results are often as effective as a TURP and with lower incidences of side effects.
When the prostate is too large to perform a TURP, it can be removed via an open incision in the lower abdomen. This is a much more radical operation than a TURP and involves a longer hospital stay and recovery period.
Greenlight laser therapy
This is a minimally invasive procedure in which the prostate is vaporised using a surgical laser, thereby clearing any obstruction it is causing to the urethra (water pipe). You will be given either a general or a spinal anaesthetic for the procedure.
The operation takes about an hour and you can go home either on the same day or the next day.