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BPH – Surgery

February 28, 2021
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Surgery may eventually be necessary to treat BPH. This could occur for a number of reasons. In one scenario, medications that once worked may no longer work to treat urinary symptoms. In other patients, medications never worked, and in still others, they just simply would prefer not to take medication. There are dozens of surgical procedures to treat BPH. Generally speaking, they all try to accomplish the same goal. Again, to give you a visual, if my hand is the prostate and you're urinating right through the prostate channel, the channel is constricted. The surgical procedures are all designed to open up the channel inside the prostate. Some use lasers to create a channel. Some use electrical scraping tools. Others use what could be thought of as a rubber band. They all mostly depend on the surgeon's specific technical expertise, training, and preferences. Common names for surgical procedures you may have heard are UroLift, that's a rubber band type procedure that props open the prostate. The most tried and true standard method is called a Turp. People colloquially refer to that as a roto rooter procedure. But basically using electrical instruments, that channel inside the prostate is scraped out to make it easier to urinate. Then there's a whole variety of laser procedures used to core out the channel. One of them has the trade name Green Light procedure. A man with BPH who needs surgery should have a thorough discussion with their doctor about the surgical technique proposed, why it's proposed, and their particular reason why that one is chosen. There's no one-size-fits-all procedure.

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