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Fast Facts: When Should You Consider Surgical Treatment for BPH?

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Long before the advent of medical therapy and the introduction of minimally invasive procedures for debulking the prostate, surgery used to be the most common treatment for BPH, or benign prostatic hyperplasia. For most men suffering from BPH today, surgical procedures are the last resort, employed only after a man has tried other options without success. For some men, however, surgery is the first and only option, because they have more severe symptoms or they have one or more of the following complications:

Recurrent urinary tract infections

Kidney damage caused by urinary retention

Kidney stones

Blood in the urine

Known as simple prostatectomy or TURP (transurethral resection of the prostate), surgery for BPH typically involves removing only the prostate tissue that is surrounding and pressing on the urethra. In the cancer surgery called a radical prostatectomy, the surgeon removes the entire prostate and the seminal vesicles (glands located on each side of the bladder that secrete seminal fluid).

Posted in Enlarged Prostate on April 15, 2016


Medical Disclaimer: This information is not intended to substitute for the advice of a physician. Click here for additional information: Health After 50 Disclaimer


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Health After 50 Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Scientific American Health After 50 or Remedy Health Media, LLC, which has no responsibility for any comments posted on this site.


I had suffered from BPH since my mid-fifties and after researching all my options I had TURP surgery done about 2 years ago at 67 years old and it has changed my life. No longer do I have to plan my activities around restroom availability! I now have to remind myself that it's probably time to urinate! TURP had the best long term results and that's why I decided to go that way. Five nights in the hospital but it was well worth it.

Posted by: Roadracer47 | April 15, 2016 5:57 PM

I must note here that I personally suffered from recurring prostate infections perhaps 3x per year for about 4 years. Local doctors (3) told me that I would have to live with it... or have surgery.

I took a trip to Mayo Clinic for another opinion and was evaluated. They first ran standard cultures and found nothing. Then they expressed seminal fluid and cultured it for a few weeks. They found that a digestive tract bug was infecting my prostate. They said the prostate was a very solid organ and that the two weeks of antibiotics I had been repeatedly given previously would not reach the deep seated bugs. I was given $7 worth of antibiotics to take daily for six weeks. Long before the six weeks were up, the symptoms were gone. But after six weeks, I was cured and have not had another prostate infection in three years.

Posted by: JoeM | April 15, 2016 8:55 PM

I was diagnosed with a small amount of Prostate Cancer in 2010. I have an enlarged Prostate. When I urinate it is very very painful. I will have another PSA test in a few weeks. The last one was 8,1. I plan to have another Prostate biopsy soon. My feeling is to have my Prostate removed entirely; I do not want Chemotheraphy or any other type of treatment. I wish to know the danger of having my Prostate removed. Are the chances I will recover without any chance of death from the surgery?

Posted by: disraeli | April 16, 2016 3:01 AM

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The Best Treatment Strategies for BPH

The Best Treatment Strategies for BPH


Written by a team of top prostate specialists this essential guide presents the latest thinking on managing benign prostatic hyperplasia (BPH) or enlarged prostate. The report answers dozens of questions from patients searching for practical, no-nonsense advice on living with BPH. It provides a thorough discussion of your surgical options when medication no longer works, weighing the pros and cons of TUNA, TUMT, and TURP. Armed with the information in this guide, you'll be able to meet with your own physician and make the right decisions in your quest for the best possible outcome.

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