Do you need Surgery for Enlarged Prostate?
The answer is simple. You need surgery for enlarged Prostate if you have:
- Poor relief in Symptoms despite medicines
- Bleeding in Urine
- You are unable to pass urine without catheter
- You are getting infection in Urine again and again
- Your kidneys are getting damaged
Which Surgery should you choose ?
There are three main type of surgeries/procedures that we can offer for enlarged prostate.
- Conventional Surgery called Bipolar TURP
Prostate is removed piece by piece using bipolar current from within the urinary passage.
- Laser surgery with Holmium or Thulium Laser
Prostate is removed using LASER energy from within the urinary passage. More amount of gland can be removed in relatively bloodless fashion but there is more incidence of transient leakage of urine after the surgery
- Greenlight Laser Surgery (Photoselective vaporisation)
Prostate is evaporated using KTP laser from within the urinary passage. There is no need to stop blood thinners in this type of surgery.
If the gland is not to big, there surgical options like TUIP (transurethral Incision of the Prostate) and Urolift Procedure can also be offered.
What is the course during and after Prostate Surgery
You can expect a smooth course of 2 to 4 weeks of recovery with a 2 day hospital stay for enlarged prostate surgery.
- Surgery takes an hour or so depending on the size of the prostate.
- A catheter is placed and irrigation is started with saline to maintain flow of urine for a day or two.
- Discharged in two days
- Removal of catheter after one week
- Medication needs to be followed for another month
What are the complications of the surgery ?
- There can be bleeding in the urine. Some minor bleeding may last for 1 to 3 months
- Semen may not come out after intercourse. This is called retrograde ejaculation and the semen passes into the urinary bladder.
- Some amount of burning is common for a few months after the Surgery
- There may be damage to the urine pipe due to instrumentation. This is called a stricture and it can be opened with the help of a small surgery in most cases
- Fever can be prolonged.
- It may not be possible to pass urine after the surgery due to retained blood clots, chips of prostate or a weak bladder. Some medicines will be added and catheter will be put for another week or so.