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Taking a Look at BPH


Generally, three types of surgery are used to treat BPH.

  • Transurethral resection of the prostate (TURP). In this procedure, tissue from the inner prostate is removed through the urethra with an endoscope.
  • Transurethral incision of the prostate (TUIP). This technique involves making cuts in the prostate tissue instead of removing it.
  • Prostatectomy. This is an open surgical procedure. The surgeon removes the inner portion of the prostate through an incision in the lower abdomen. Usually, prostatectomy is performed on men with prostates weighing over 80 grams.

Sexual Implications of Treatment

Usually, a man’s sexual functioning isn’t affected by BPH treatment. Chances are, if a man has normal erections before treatment, they will return after treatment. Some men do have erectile difficulties, however, and may need treatment for ED. Many men who have the TURP procedure have retrograde ejaculation (when semen moves backward into the bladder instead of forward out of the penis) after treatment.

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