Is TURP still the gold standard for BPH?

Is TURP still the gold standard for BPH?

“TURP has been and probably still is the gold-standard treatment for BPH, but a lot of times, newer procedures can match or beat that effectiveness with fewer side effects and fewer problems.”

What are the alternatives to TURP surgery?

Alternative procedures PLASMA system – different instruments and fluids are used to perform the procedure, which is thought to lead to a lower risk of TURP syndrome (see risks of TURP) holmium laser enucleation of the prostate (HoLEP) – a laser attached to a resectoscope is used to cut away excess prostate tissue.

Can BPH be treated with TURP?

Mininally invasive surgeries performed under general anesthesia include: Transurethral resection of the prostate (TURP). This is the most common surgery to treat BPH. Your doctor removes portions of the prostate that are affecting your urine flow.

Which is better TURP or Rezum?

Rezum has many advantages over medical treatment or TURP, including lower rates of sexual dysfunction or bleeding. Rezum water vapor thermal therapy is approved for treating LUTS in patients with BPH, particularly in prostates less than 80cc. It has the advantage of preserving sexual function, compared to TURP.

Does a TURP cause impotence?

However, TURP, the standard surgical therapy for the relief of LUTS, is reported to cause erectile dysfunction (ED), although some patients with preexisting ED reported improved erectile function after TURP.

Is TURP worth the risk?

Studies have shown that TURP can permanently reduce prostate-related problems. Nine months after having TURP, about 75 out of 100 men only have mild symptoms.

What is the success rate of TURP?

TURP is an efficient procedure, which was also proven in this cohort. At discharge 79.6\% of patients were catheter free and this percentage increased to 92.6\% at 3 months. Success rates at both time points were higher in fit patients: 80.9 vs. 75\% and 95.2 vs.

How much prostate is removed during TURP?

While enlargement of the prostate happens to most men, fewer than 10\% will require surgery. The TURP procedure cannot be used to cure prostate cancer because it removes only the parts of the prostate closest to the urethra, while leaving the majority of the gland intact.

Is surgery necessary for enlarged prostate?

Surgery can help if your enlarged prostate is causing serious problems—such as kidney problems or repeated urinary tract infections—or if medicines haven’t helped. The most important thing in deciding whether to have surgery is how much the symptoms bother you. Surgery works well for most men.

How serious is a TURP operation?

TURP carries a very small risk of causing death. The risk of dying as a result of the procedure is now estimated to be less than 1 in 1,000. The risk usually arises from complications involving the heart or a serious postoperative infection.

How effective is TURP surgery?

Traditionally, TURP has been considered the most effective treatment for an enlarged prostate. However, a number of other, minimally invasive procedures are becoming more effective, due to improved techniques and surgical tools.

How successful is TURP surgery?

TURP carries a very small risk of causing death. The risk of dying as a result of the procedure is now estimated to be less than 1 in 1,000. The risk usually arises from complications involving the heart or a serious postoperative infection.

How do you recover from TURP surgery?

Surgery for BPH. TURP can be done while you’re under general anesthesia,which means you’re asleep.

Recovery timeline. You’ll go to a recovery room immediately after surgery.

Home care after surgery. Removing extra prostate tissue should help you urinate more easily and less frequently.

Tips for a smoother recovery.

When to see the doctor.