Surgery

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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.

Quick Relief

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.

Alternative to Medication

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.

Lower Rate of Irreversible Complications

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)

Treatments

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:

TURP

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.

GreenLight

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.

HoLEP

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

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.

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FAQS

When will I feel the results of my surgery?

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.

Do these procedures require any incisions to the body?

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.

How do I prepare for the TURP procedure?

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).

Does the GreenLight procedure affect sexual function?

GreenLight Laser Therapy typically has no effect on sexual function. In very rare cases, some patients have experienced erectile dysfunction after the procedure.

How long is the healing process for HoLEP?

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.

What is the success rate of Aquablation therapy?

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.

Testimonials

" Having had the surgery, I really am so much better and I don’t have the stress anymore. One of the many benefits of having the TURP, is that they can test the tissue which is taken away from the prostate for any abnormalities. In my case everything came back fine so it was a huge sense of relief and my wellbeing now is excellent. I sleep very well; I do still wake up in the night sometimes but that is normal for someone of my age. "

- Nigel Batt, TURP Procedure Patient

" The GreenLight laser surgery was a wonderful procedure. It just returned me to my normal life before I had any difficulty. I was able to urinate at a normal level. "

- Harvey, GreenLight Laser Therapy patient

" The aftermath of the procedure turned out to be almost painless, and I was very happy to be discharged the day after the operation. There is a noticeable sense of having cleared my bladder, something I haven’t felt for a long time. "

- HoLEP patient,

Worcestershire

" There were two things that led me to choose Aquablation therapy. First, the lack of heat was key, as I knew heat was associated with undesirable side effects. And second, pairing the skill of my urologist with robotics ensured that the precision necessary for this procedure was there. "

- Paul, 58, Aquablation therapy patient