Most patients with urinary outflow obstruction begin treatment with medications. Surgical procedures are usually a second option when the condition is far advanced, urgent, or has not responded well to medications.
If the bladder is completely obstructed and you are unable to pass any urine at all, you must be treated immediately. A tube will be placed into the bladder to drain out the urine. The tube may be left in place until the passageway can be more permanently opened. The bladder can be drained with either of these procedures:
In non-emergency situations when medication has not been effective, there are many new procedures available to open the channel through the prostate. These procedures are typically done on an outpatient basis. You will have some type of anesthesia, typically a combination of local anesthesia and oral sedation. The procedure may involve threading an instrument into your penis. Depending on the particular device, you will probably feel nothing more than that. Each procedure takes about an hour. There are significant differences between these minimally invasive treatments. Talk to your doctor before choosing this as a treatment option.
Examples of minimally invasive procedures include:
All of these interventions require some type of anesthesia, either regional or general. The procedure involves placing surgical tools through your urethra (the tube in your penis).
Examples of these more invasive procedures include:
Transurethral resection of the prostate (TURP)
Copyright © Nucleus Medical Media, Inc.
The most invasive surgery to treat BPH is prostatectomy . This involves the removal of the prostate gland.
American Urological Association (AUA) Practice Guidelines Committee. AUA guideline on management of benign prostatic hyperplasia. Available at: http://www.auanet.org/guidelines/benign-prostatic-hyperplasia-(2010-reviewed-and-validity-confirmed-2014). Accessed September 8, 2017.
Armitage JN, Rahidian A, Cathcart PJ, Emberton M, van der Meulen JH. Thermo-expandable metallic stent for managing benign prostatic hyperplasia: a systematic review. BJU Int. 2006;98(4):806-810.
Bouza C, Lopez T, Magro A, Navalpotro L, Amate JM. Systematic review and meta-analysis of transurethral needle ablation in symptomatic benign prostatic hyperplasia. BMC Urol. 2006;6:14.
Benign prostatic hyperplasia (BPH). EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116944/Benign-prostatic-hyperplasia-BPH. Updated September 1, 2017. Accessed September 8, 2017.
Fried MM. New laser treatment approaches for benign prostatic hyperplasia. Curr Urol Rep. 2007;8(1):47-52.
Herrmann TR, Gross AJ, Schultheiss D, Kaufmann PM, Jonas U, Burchardt M. Transurethral microwave thermotherapy for the treatment of BPH: still a challenger? World J Urol. 2006;24(4):389-396.
Prostate enlargement: benign prostatic hyperplasia. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/benign-prostatic-hyperplasia-bph/Pages/facts.aspx. Updated September 2014. Accessed September 8, 2017.
Last reviewed September 2017 by EBSCO Medical Review Board Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
What can we help you find?close ×