Surgically removing an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH), is a common and effective treatment option for men who experience significant urinary symptoms and complications due to the enlargement of the prostate gland. The surgical procedure used to remove an enlarged prostate is called a transurethral resection of the prostate (TURP). Here are the effects of surgically removing an enlarged prostate:
Relief of Urinary Symptoms: One of the primary goals of surgically removing an enlarged prostate is to alleviate urinary symptoms caused by BPH. These symptoms may include frequent urination, urgency, weak urine stream, difficulty starting urination, straining during urination, incomplete emptying of the bladder, and nighttime urination. TURP can lead to a significant improvement in these symptoms, allowing for better urinary flow and overall comfort.
Improved Urinary Flow: As the obstructing prostate tissue is removed during the surgery, the urethra's opening is widened, leading to improved urinary flow. Men often notice a stronger and more forceful stream after recovering from the procedure.
Reduced Risk of Acute Urinary Retention: Acute urinary retention is a condition in which a person cannot empty their bladder at all, leading to discomfort and potential complications. Surgical removal of the enlarged prostate can help reduce the risk of acute urinary retention.
Enhanced Quality of Life: With the relief of bothersome urinary symptoms, men typically experience an improved quality of life and better overall well-being after the surgery.
Decreased Need for Medications: Before surgery, many men with BPH may require medications to manage their symptoms. Following a successful TURP, some men may be able to reduce or eliminate their reliance on these medications.
Resolution of Complications: In some cases, an enlarged prostate can lead to complications such as recurrent urinary tract infections, bladder stones, or kidney problems. By removing the obstructing prostate tissue, these complications can be resolved or prevented.
Potential Side Effects and Risks: Like any surgical procedure, TURP carries some potential risks, including bleeding, infection, urinary incontinence, erectile dysfunction, and retrograde ejaculation (semen flowing back into the bladder instead of out through the penis during ejaculation). However, the likelihood of serious complications is relatively low, and most men experience a smooth recovery.
It's important to note that TURP is not the only surgical option available for treating an enlarged prostate. Other procedures include laser prostate surgery (such as GreenLight laser or Holmium laser enucleation) and open prostatectomy (for very large prostates). The choice of procedure depends on the individual's specific condition and the surgeon's expertise.
Before undergoing any surgical procedure, it's essential for patients to have a thorough discussion with their urologist, understand the potential benefits and risks, and make an informed decision based on their unique health needs and preferences.