Enlarged Prostate Surgery Birmingham

Benign Prostate Birmingham

Transurethral Resection of Prostate (TURP)

This is the most common operation carried out for benign prostate enlargement. Under general anaesthesia, either general or spinal, a telescope is passed into the bladder and using a small loop of wire through which electric current is passed small chips of prostate are removed and washed away with fluid. At the end of the operation there is a much bigger open channel through the prostate allowing a more free flow of the urine.

After surgery you will require a catheter which may need to stay in for a day or two to allow the bleeding to settle. Once the catheter is removed your flow rate is assessed, you go home within a maximum of 2 to 3 days’ time.

Epididymal cyst removal

Transurethral Incision of Prostate

This procedure is carried out for smaller prostates or a tight bladder neck area. This is a relatively smaller procedure although carried on the same principle as a TURP but requires less extensive surgery. The post operative period may be similar with a stay of a day or 2 in the hospital.  

Laser Prostatectomy

Laser is used to either evaporate the prostatic tissue as in Green Light Laser Prostatectomy. The  other source to remove the benign part of the prostate is Holmium Yag Laser Enucleation of prostate where the benign part of the prostate is first excised using laser and then small pieces removed from the bladder. There is minimal bleeding following laser surgery and post operative stay may be shorter than conventional TURP. 

Benign Prostate Enlargement Treatment

Open Prostatectomy
Open prostatectomy is only carried out rarely for benign disease nowadays. This may be required only in cases with very large prostates, well over 100 g.

Birmingham Benign Prostate Enlargement Treatment

Watchful Waiting
This group of patients have very mild symptoms. The prostate feels smooth and benign and all the blood and urine tests are within normal range. They are given general fluid advice, mainly to cut down stimulating drinks and have more clear fluids. Follow up is usually arranged within 3 to 4 months’ time to review the symptoms and reassess the patient. 

Medical Treatment Benign prostate

The decision to treat with medicines usually depends on how much bother the symptoms are causing you. There are mainly 2 groups of medication. 

Alpha-blocker medications. This group of medicine works by relaxing the smooth muscles of the prostate and bladder neck area.  Some improvement is usually noticed in a few days and full effect may take some weeks. Side effects are uncommon however you may notice slightly drowsiness, headache or dizziness.

5 alpha-reductase inhibitors, Proscar/Avodart These work by blocking the conversion of testosterone to dihydrotestosterone in the prostate which is an active component of testosterone and responsible for enlargement of the prostate gland. Medication produces shrinkage of the prostate by about 20% which may take up to 6 months. Both alpha-blockers and 5-alpha reductase can be taken together to produce combined effect. Side effects may include occasional impotence and reduced sex drive. These side effects are usually reversible if the medication is stopped.

Mr Haider Syed Consultant Urological Surgeon

Urological Surgeon

Senior Consultant Urological Surgeon Working at Spire Little Aston Hospital, Sutton Coldfield, near Birmingham for last since 2005.

Graduated as a doctor in 1984 and have been working in the NHS for over 30 years. I started my Urology career in 1991 and completed training at the John Radcliffe and Churchill Hospital, Oxford in 2000.