The prostate is an organ in the male reproductive system, shaped like a small gland located beneath the bladder and surround the beginning of the urethra. Normally, the prostate is about the size of a walnut, weighing approximately 20-25 grams. As men age and testosterone levels decrease, the prostate may enlarge, leading to a condition called ‘Benign Prostatic Hyperplasia’ (BPH). Statistics show that about one in three men aged over 50 experiences BPH, with the frequency of this condition increasing with age.
What symptoms should raise suspicion for benign prostatic hyperplasia (BPH)?
Although BPH is generally not dangerous, symptoms such as difficulty urinating, weak urine flow, incomplete urination, frequent interruptions or hesitations during urination, excessive straining, or waking up frequently at night to urinate can significantly affect your quality of life. These symptoms may also lead to long-term health problems, especially if complications arise, such as urinary tract infections, bladder stones, or kidney damage. Therefore, it is important to seek medical attention as soon as symptoms appear.
Do all cases of benign prostatic hyperplasia (BPH) require surgery?
When BPH is diagnosed, the doctor will assess the size of the prostate and the symptoms to determine the appropriate treatment. Initially, this may involve medication and periodic monitoring of prostate size. However, if the patient does not respond to medication, experiences worsening symptoms, or develops severe complications, surgery may be necessary. The choice of surgery will depend on the severity of the symptoms, the stage of the condition, complications, and the patient’s overall health. One of the popular and effective surgical techniques today is transurethral resection of the prostate (TURP), which involves using a telescope through the urethra.
What is TURP (Transurethral Resection of the Prostate)?
TURP is a minimally invasive prostate surgery where a camera is inserted through the urethra to remove the portion of the prostate that obstructs the urinary tract, without any external incisions or abdominal cut. The procedure is performed via the transurethral route, allowing for easier urination. There are several technologies used to enhance the procedure, such as bipolar electric coils (bipolar TURP), which offers greater precision and reduces the risk of blood loss compared to monopolar electric coils (monopolar TURP). Additionally, laser prostatectomy is becoming increasingly popular as an option for surgery.
What are the benefits of laser prostate surgery (Laser Prostatectomy)?
Laser prostate surgery (Laser Prostatectomy) uses laser energy to precisely remove excess prostate tissue, minimizing damages to surrounding tissues and reducing blood loss. This allows for faster recovery compared to traditional surgery. Laser surgery also lowers the risk of bleeding during the procedure. The type of laser used is determined by the size of the prostate, the patient’s overall health, and any medical limitations. The three main types of laser prostate surgery that are commonly used today are:
- Holmium Laser Enucleation of the Prostate (HoLEP): This procedure uses a holmium laser to separate the excess prostate tissue from the normal tissue. It is suitable for patients with large prostates, and the tissue removed can be sent for pathological examination.
- Photoselective Vaporization of the Prostate (PVP): This technique uses a GreenLight laser to vaporize excess prostate tissue pressing on the urinary tract. It is ideal for patients with moderately enlarged prostates who need a quick recovery. Most patients can go home the same day, and it is also a good option for those with bleeding disorders, such as those on blood thinners, or elderly patients with underlying conditions like diabetes or heart disease.
- Thulium Laser Prostatectomy (ThuLEP): This procedure uses a highly precise thulium laser to remove tissue in detail, reducing the chance of recurrence over time. The tissue removed can also be sent for pathological analysis to check for conditions like prostate cancer. It is suitable for patients with moderate to large prostates, those with bleeding disorders, or those on blood thinners, similar to GreenLight laser use.
Who is TURP surgery suitable for?
TURP (Transurethral Resection of the Prostate) is suitable for patients who have:
- Difficulty urinating and require a catheter to drain urine.
- Recurrent urinary tract infections.
- Hematuria (blood in the urine) due to BPH that does not respond to medication.
- Bladder stones.
- Kidney damage caused by benign prostatic hyperplasia (BPH).
What are the benefits of TURP prostate surgery?
TURP (Transurethral Resection of the Prostate) is considered the gold standard for prostate surgery. It has several key advantages that are widely accepted in the medical field. After surgery, patients often experience a significant improvement in urinary flow, with stronger, easier, and more convenient urination.
Post-Operative Recovery after Prostate Surgery
After prostate surgery, patients are typically monitored in a recovery room or patient room for up to 3 days. If no complications arise, such as abnormal bleeding, electrolyte imbalances, or infections, the catheter will be removed before discharge. The patient will then be asked to try urinating on their own. The doctor will provide instructions on self-care, such as maintaining proper hydration and avoiding strenuous activities. On the follow-up appointment day, the patient will return to the hospital to check the recovery progress, including ensuring that the patient can fully empty the bladder and whether any urine remains. It’s important to follow the doctor’s advice closely to minimize the risk of complications and support a good recovery.
For men experiencing frequent urination, urinary difficulties, weak urine flow, or waking up at night to urinate, this could be a warning sign of benign prostatic hyperplasia (BPH). If left untreated, the condition can worsen and lead to complications. Early consultation with a doctor is important. At Phyathai 2 Hospital’s Urology Center, our specialized urologists are ready to provide consultations, diagnoses, and treatment plans for prostate issues and urinary system conditions in both men and women, ensuring you receive the best care at every step.
