Surgical Treatment for Prostate BPH While You Sleep.

TURP is the gold standard surgical treatment for prostate bph.  You might also like the idea of being none the wiser and dead asleep with general or spinal anaesthetic.

TURP and TUIP both involve internal surgical cutting of prostate tissue accessed through the urethra.  They are therefore more invasive than heat treatment.  Both involve a catheter and hospital stay at least overnight or for 2-3 days for TURP, whereas TUIP may have you home in less time.

What's the difference, when comparing surgical prostate treatment for bph?

  1. TURP - surgical removal (resection) of enough diseased tissue to take pressure off the urethra.
  2. TUIP – cut (incision) in prostate tissue to take pressure off the squashed urethra.
  3. Laser energy may be available for either of the above procedures.

1. TURP  - and a bit about turp complications

TransUrethral Resection of the Prostate is suitable even for very large prostates.  It is generally the most popular prostate treatment for bph and is therefore used as a measure of the effect and results of other procedures. 

The intent is to remove some of the diseased tissue close to the urethra and so may be referred to as a re-bore or a partial prostatectomy.

Urine flow is improved quickly, although it may take months to break the habit of going to the toilet too often. 

Bladder control can be a problem for a short while afterwards. Turp complications can include injury to the urethra, loss of bladder control, and infection.

Tissue may grow again and require repeat procedure some years later. The rate of this re-growth cannot be judged as it will be different for each man.

2. TUIP treatment for prostate bph

TransUrethral Incision of the Prostate is similar to TURP in terms of access, but instead of removing prostate tissue, one or two small incisions are made into the prostate close to the bladder.  This relieves pressure on the urethra allowing it to open for urine flow. 

Shorter hospital stay and modified activity for a while afterwards. This is the less invasive of the two procedures but TUIP may offer less improvement and greater risk of symptoms recurring and recurring sooner than with TURP. More likely procedure for smaller prostates.

3. Laser

High energy laser may or may not be available for you.  The laser seals off blood vessels and so the risk of bleeding is less, which could be an advantage for those taking blood thinning medication.  Results with laser treatment for prostate bph can be quicker and recovery achieved in less time.  Modern lasers are designed to destroy tissue on contact making it less likely that nearby tissue is affected.  Side effects of laser surgery are still relevant.

Whether you need less invasive (heat) or more invasive (internal cutting) treatment for prostate bph, find an expert Urologist with a good track record, and believe in your outcome and your recovery. That shared confidence will give the best result.

Part 1- Watch and Wait / Medication

Part 2 - Less Invasive Heat Treatment

Part 3 - TURP or TUIP (top of this page)

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