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Prostate resection - minimally invasive - Recovery

Alternative Names

Laser prostatectomy; Transurethral needle ablation; TUNA; Transurethral incision; TUIP; Holmium laser enucleation of the prostate; HoLep; Interstitial laser coagulation; ILC; Photoselective vaporization of the prostate; PVP; Transurethral electrovaporization; TUVP; Transurethral microwave thermotherapy; TUMT

Before the Procedure:

You will have many visits with your doctor and tests before surgery:

  • Complete physical exam
  • Visits with your doctor to make sure medical problems, such as diabetes, high blood pressure, and heart or lung problems are being treated well

If you are a smoker, you should stop several weeks before the surgery. Your doctor or nurse can help.

Always tell your doctor or nurse what drugs, vitamins, and other supplements you are taking, even ones you bought without a prescription.

During the weeks before your surgery:

  • You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), and other drugs like these.
  • Ask your doctor which drugs you should still take on the day of your surgery.

On the day of your surgery:

  • Do not eat or drink anything after midnight the night before your surgery.
  • Take the drugs your doctor told you to take with a small sip of water.
  • Your doctor or nurse will tell you when to arrive at the hospital or clinic.

After the Procedure:

You will probably go home the day you have surgery, or the day after. You may still have a catheter in your bladder when you leave the hospital or clinic.

Outlook (Prognosis):

These procedures can usually relieve your symptoms. But you have a higher chance of needing a second surgery in 5 to 10 years than if you have transurethral resection of the prostate (TURP).

Some of these less invasive surgeries may cause fewer problems with controlling your urine or sexual performance than the standard TURP. Talk to your doctor.

You may temporarily have:

  • Blood in your urine
  • Burning with urination
  • Need to urinate more often
  • Need to urinate suddenly
  • Reviewed last on: 3/28/2011
  • Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Hoekstra RJ, Van Melick HH, Kok ET, Ruud Bosch JL. A 10-year follow-up after transurethral resection of the prostate, contact laser prostatectomy and electrovaporization in men with benign prostatic hyperplasia; long-term results of a randomized controlled trial. BJU Int. 2010;106(6):822-826. Epub 2010 Feb 22.

Burke N, Whelan JP, Goeree L. Systematic review and meta-analysis of transurethral resection of the prostate versus minimally invasive procedures for the treatment of benign prostatic obstruction. Urology. 2010;75(5):1015-1022. Epub 2009 Oct 24.

Djavan B, Eckersberger E, Handl MJ, Brandner R, Sadri H, Lepor H. Durability and retreatment rates of minimally invasive treatments of benign prostatic hyperplasia: a cross-analysis of the literature. Can J Urol. 2010;17(4):5249-5254.

Fitzpatrick JM. Minimally invasive and endoscopic management of benign prostatic hyperplasia. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 88.

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