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Conditions: BPH

Treating BPH

SURGICAL TREATMENT

Surgery for BPH—transurethral resection of the prostate (TURP), transurethral incision of the prostate (TUIP), and prostatectomy—are the traditional and most effective but are the riskiest treatment options. All 3 require spinal or general anesthesia with at least a 1-night hospital stay.

With TURP, the inner portion of the prostate is cut out through the urethra using an endoscope, whereas TUIP reduces urethral constriction by inserting an instrument through the urethra to make 1 or 2 cuts in the prostate. The most radical option, prostatectomy, removes the inner portion of the prostate through open surgery. Usually, prostatectomy is reserved for patients with a prostate volume greater than 80 g.

WEIGHING YOUR OPTIONS

When discussing possible treatments with your doctor, weigh the severity of your symptoms against the likelihood that treatment will noticeably reduce your symptoms. Be sure to consider the potential risks as well as the unwanted effects that may occur and the length of time they may last.

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