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Table of Content
Preface and Contents

Benign Prostatic Hyperplasia (BPH)

Surgical treatment

150. Save Your Kidneys
C. Surgical Treatment

Surgical treatment is recommended in persons with:

  • Bothersome, moderate to severe symptoms refractory to medical treatment.
  • Acute urinary retention.
  • Recurrent urinary tract infections.
  • Recurrent or persistent blood in the urine.
  • Kidney failure due to BPH.
  • Bladder stones along with BPH.
  • Increasing or significant post void residual urine in bladder.

Surgical treatment can be divided into two groups: surgical therapies and minimally invasive treatment. The standard surgical method is a transurethral resection of the prostate (TURP). Currently several newer methods are evolving in the surgical management of small to medium sized glands, which aim to achieve results comparable to TURP with less morbidity and cost.

Severe BPH symptoms, urinary retention, recurrent UTI and kidney failure indicate need for surgery.