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:
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Prostatectomy is the removal of the prostate gland. It is the most invasive surgery to treat BPH.
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Last reviewed September 2020 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 11/4/2020