Men over 40 years old must know how to perform surgery for enlarged prostateUrologists Jin-Chul Hwang, Sang-Myung Park, and Suhyung Lee

Men over 40 years old must know how to perform surgery for enlarged prostateUrologists Jin-Chul Hwang, Sang-Myung Park, and Suhyung Lee

Dec 14, 2024Ehotyshamull Joy

 

1. Necessity of surgery for enlarged prostate
Who needs surgery for an enlarged prostate?
BPH is a urological disease that begins in the 40s and affects nearly 70% of men in their 60s. In principle, BPH is basically treated with non-surgical methods. However, only about 50% of people take prostate medication consistently. As a result, many people end up missing the time when they could be treated with medication and resorting to surgical treatment. In addition, special cases such as poor kidney function, blood in the urine, or stones in the bladder require surgery, so if you have any symptoms, you should definitely visit a doctor.
2. Types of prostate enlargement surgery methods
What are the different types of surgery for enlarged prostate?

here are several options for surgery for enlarged prostate, depending on the patient's health condition and the size of the prostate.

 

Basically, the American Medical Association recommends TURP* and Holeb as standard treatments for prostate surgery. TURP is the most textbook treatment method for BPH surgery, and Holep has the advantage of being able to treat urethral strictures or bladder stones together.

*TURP: A surgical method in which tissue is scraped using a high-pressure loop.

**Holep: A surgical procedure that removes the kernel leaving behind the membrane that surrounds the prostate.

 

In recent years, new medical technologies such as Rezum, RoboWaterJet, and Eurolift have been developed as minimally invasive methods. These are options if your prostate is less than 80 grams in size.

 

The cost per surgery depends on the number of threads used. Most of the prices for TURP are 1.5 million won, Holep is 150~2 million won, and Eurolift is 8 million won.

 

3. Side effects of surgery for enlarged prostate
Are there any side effects to surgery for enlarged prostate?

Immediately after surgery for enlarged prostate, frequent trips to the bathroom or inability to urinate may occur temporarily.

 

In addition, some people have retrograde ejaculation symptoms in which the amount of semen decreases or does not come out during ejaculation. This happens because the prostate is the organ that produces some of the semen, and it can occur regardless of the outcome of the surgery.

 

4. Prostatic hyperplasia recurrence rate
Can an enlarged prostate recur?
There is no way to cure BPH without recurrence other than surgery to remove the prostate itself. However, since it takes 10~20 years for prostate enlargement to grow, there are no special problems due to recurrence

 

 

 



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