Surgery may be needed if BPH is far advanced or not responding to medicine. It may also be needed if there is an urgent need.
Urine that is completely blocked is an emergency. Treatment will be needed immediately. A tube will be placed into the bladder to allow the urine to drain. The tube may be left in place until the path can be better opened. The catheter will be placed as:
Most procedures will use a tool that is inserted into the penis. It can then pass up to the blockage. There are different methods to remove excess tissue or open the path for urine. Procedures often take about an hour. Medicine will help to numb the area during procedure. The type of surgery will depend on specific needs. Examples of minimally invasive procedures include:
These interventions will use either regional or general anesthesia. A tool is passed through the tube in your penis to the blocked area. Work can then be done to improve the path for urine flow. Choices for treatment include:
Transurethral resection of the prostate (TURP)
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Prostatectomy is the removal of the prostate gland. It is the most invasive surgery to treat BPH.
American Urological Association (AUA) Practice Guidelines Committee. AUA guideline on management of benign prostatic hyperplasia. Available at:
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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. Accessed September 21, 2020.
Last reviewed September 2020 by
EBSCO Medical Review Board
Adrienne Carmack, MD
Last Updated: 11/4/2020