What it is
Where an enlarged prostate is obstructing the flow of urine and medication has not been enough, the obstructing tissue is removed endoscopically — through the urethra, using a telescope, with no cut on the abdomen. This relieves the obstruction while leaving the outer prostate in place. Tissue removed is sent for examination.
Who it may suit
Considered when symptoms remain troublesome despite medication, when the bladder cannot empty or a catheter has become necessary, when there is recurrent infection or bleeding from the prostate, when bladder stones have formed, or when back pressure is beginning to affect kidney function.
Anaesthesia & recovery
Spinal or general anaesthesia, usually a two to three day stay with a catheter for a short period. The stream typically improves quickly. Heavy lifting and straining are avoided for a few weeks. Effects on ejaculation are discussed openly beforehand, because retrograde ejaculation is common after this operation and you should know that before deciding.
Important
Whether a particular procedure is right for you can only be decided after consultation and investigation. Recovery times below are typical and not a promise; every operation carries risks, which are explained in full before you consent.