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Traitement de l'hyperplasie bénigne de la prostate pour les hommes canadiens


There are many effective treatments available for an enlarged prostate, including minimally invasive therapies and surgery. There are four common surgical procedures to treat BPH: TURP, GreenLight Laser Therapy, HoLEP, and Aquablation.

Surgical Treatments For BPH

Our surgical procedures treat BPH by removing excess prostate tissue that is causing an obstruction. By surgically removing the prostate tissue, this will allow the urine to flow naturally again, and your prostate gland will no longer be enlarged.

The various surgical procedures relieve patients of their urinary symptoms caused by BPH safely and effectively. Patients typically experience a significant improvement in their symptoms following the procedure.

Surgical procedures performed under anesthesia are done at the Mont-Royal Surgical Center – a state of the art, brand new surgical center with the highest level of quality and personal care.

Benefits Of Surgical Procedures

Surgical procedures provide patients with quick relief from their urinary symptoms caused by BPH.
Patients typically experience symptom relief within 24 hours following the procedure, and have also noticed a significant improvement in their flow of urine after receiving the treatment.
They are also able to treat many urinary symptoms that arise from having BPH that medications were not able to treat. This includes the inability to begin urinating, prolonged urination, increased frequency of urination during the night, and the feeling that you cannot empty your bladder completely.
Patients who undergo surgery have also reported a very low rate of irreversible complications, including incontinence, ejaculatory dysfunction, and erectile dysfunction. Typically, surgical procedures have been shown to provide long-term relief at three years.

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Risks/Side Effects

The common risks and side effects associated with surgical procedures are mild and transient.
They include:
  • Pain or difficulty when urinating
  • Discomfort in the pelvis
  • Blood in the urine
  • Inability to empty the bladder
  • Frequent or urgent need to urinate
  • Bladder infections
  • Urinary tract infections (UTIs)


The surgical procedures for treating BPH generally involve inserting an instrument through the urethra and into the prostate area to remove the excess prostate tissue that is preventing the urine from flowing.

There are several different surgeries available to treat BPH:


For TURP, the resectoscope is used to trim the excess prostate tissue from the inside of your prostate gland. As these small pieces of tissue are cut, irrigating fluid transports them to your bladder. They are then removed at the end of the procedure.


During GreenLight Laser Therapy, a high power of laser energy is administered that instantly and gently vaporizes the prostatic tissue. The surgeon continues this process until all of the obstructing tissue is removed, which allows the restoration of urinary flow.


The HoLEP procedure involves a holmium laser to free up the enlarged prostate tissue from the outer shell. Once this excessive tissue is deposited into the bladder, the laser is removed and a morcellator is inserted to suction out the remaining tissue.


Aquablation therapy removes the prostate tissue using a heat-free waterjet controlled by robotic technology to remove prostate tissue. It is the only procedure that combines a camera (called a cystoscope) with ultrasound imaging, giving the surgeon the ability to see the entire prostate in real time.

Who is a Candidate?

Candidates for surgical procedures are men who are experiencing symptoms of BPH, but have not responded well to medication or other treatments.
It is also recommended for patients who wish to avoid dealing with long-term problems such as urine retention, bladder stones, and urinary tract infections.
effective BPH interventions in Canada


Each surgical procedure typically takes around 1-2 hours to complete. Some patients may be discharged the same day and some are required to remain overnight following the procedure for observation and recovery.


Following the surgical procedures, patients will be required to wear a catheter until the doctor deems it is okay to remove it. The recovery period typically lasts over the course of several weeks. Patients are advised to avoid strenuous activity during this time.

Additional BPH Treatments

If surgery does not seem like the best option for you, there are other options available for you to treat your BPH. These include minimally invasive surgical therapies (MIST), such as Rezum, iTind, and UroLift, or medication, such as Alpha Blockers, 5-Alpha Reductase Inhibitors, and PDE-5 Inhibitors.

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Surgical procedures relieve symptoms rather quickly. It is common to experience a significantly stronger flow of urine within a few days after the procedure. However, follow-up treatment to ease symptoms may be required after several years have passed.
No, the surgical procedures do not require any incisions to be made to the body. The medical instruments required for each procedure are inserted through the urethra, so no cuts are required to be made to the skin.
Prior to the treatment, you may be required to stop taking medications that could increase your risk of bleeding. This includes non prescription pain relievers such as aspirin, ibuprofen (Advil, etc.), and naproxen sodium (Aleve, etc.), or blood thinners such as warfarin (Coumadin, Jantoven) or clopidogrel (Plavix).
GreenLight Laser Therapy typically has no effect on sexual function. In very rare cases, some patients have experienced erectile dysfunction after the procedure.
Patients need a minimum of one week of rest at home before they can return to work. If the job requires lots of strenuous physical activity, then the patient may need 3 to 4 weeks of recovery time. Heavy lifting should be avoided during the recovery process, however, patients are encouraged to go on walks and do light activities.

Aquablation therapy has been studied in nine different clinical trials. It has been shown to be a safe and effective treatment for patients suffering from lower urinary tract symptoms (LUTS) due to BPH.

After receiving Aquablation therapy, almost all patients were able to completely stop taking medication for their BPH symptoms. Patients reported an 80% decrease in the number of times they wake up in the night to urinate, and a 0% impact on erectile function, orgasmic function, sexual desire, intercourse satisfaction, or overall sexual satisfaction.

99% of men with BPH did not have incontinence after Aquablation therapy, and 96% of men with BPH would have considered Aquablation therapy if their doctor had told them about it.


older men suffering urinary BPH Symptoms