Skip to content

    Prostate Enlargement/BPH Health Center

    Font Size
    A
    A
    A

    Enlarged Prostate: A Complex Problem

    There are many treatments for enlarged prostates (BPH), but all have side effects and possible complications. Learn what to expect -- and how to decide.

    Surgery for an Enlarged Prostate continued...

    After TURP, the odds of erection problems range from 5% to 35%. However, this is often temporary -- and the ability to have an erection and an orgasm returns after a few months.

    TUIP (transurethral incision of the prostate): This procedure involves making cuts in the prostate instead of removing prostate tissue. These cuts reduce pressure on the urethra, making urination easier. Patients go home the same day, and wear a catheter for a day or two.

    Symptom relief is slower with TUIP, compared with TURP. However, most men are satisfied with their ultimate symptom relief from this. Also, retrograde ejaculation is less common and less severe than after TURP. Risk of erection problems is similar to TURP.

    Laser Surgery: This procedure uses a high energy vaporizing laser to destroy prostate tissue. It is done under general anesthesia and may require an overnight stay at the hospital. It provides immediate relief of symptoms, yet men may suffer from painful urination for a few weeks. In general this procedure causes less blood loss, and side effects can include retrograde ejaculation. These procedures include:

    • Transurethral holmium laser ablation of the prostate (HoLAP)
    • Transurethral holmium laser enucleation of the prostate (HoLEP)
    • Holmium laser resection of the prostate (HoLRP)
    • Photoselective vaporization of the prostate (PVP)

    Open Prostate Surgery (Prostatectomy): When a transurethral procedure cannot be used, open surgery (which requires an incision in the abdomen) may be used. This allows the surgeon to remove tissue in the prostate. Open prostatectomy is typically done when the prostate gland is greatly enlarged, when there is bladder damage, if there are bladder stones, or if the urethra is narrowed. The inner part of the prostate is removed. This surgery is done under general or spinal anesthesia, and recovery can take a few weeks to several months.

    Side effects are similar to TURP, including blood loss requiring a transfusion, urinary incontinence, erection problems, and retrograde ejaculation.

    Herbal Therapies for an Enlarged Prostate

    Several herbal supplements are marketed for enlarged prostates. Saw palmetto, beta-sitosterol, and pygeum are all are widely used in Europe. They are available in the U.S. and don't require a prescription.

    1 | 2 | 3 | 4 | 5 | 6 | 7 | 8

    Today on WebMD

    Male Incontinence Slideshow
    Slideshow
    screening tests for men
    SLIDESHOW
     
    What Is The Prostate
    REFERENCE
    Foods To Boost Mens Heath
    SLIDESHOW
     
    Enlarged Prostate BPH Complex Problem
    FEATURE
    Benign Prostatic Hyperplasia BPH Surgery
    FEATURE
     
    How Bad Are Urinary Symptoms From Benign Prostatic
    TOOL
    Benign Prostatic Hyperplasia BPH Exams And Tests
    FEATURE
     
    Treating Enlarged Prostate
    VIDEO
    What Is The Prostate
    FEATURE
     
    Marks Prostate Enlarged
    Video
    Low Testosterone Explained When Levels Are Too Low
    Feature
     

    WebMD Special Sections