If you are you are suffering from BPH and are confused between UroLift or TURP, read on to get some information on them and decide which you will go for.
Dealing with BPH (Benign prostatic hyperplasia) symptoms can be quite challenging, especially in the long run. This is because the enlarged prostate can lead to urinary urgency and frequency, along with sexual dysfunction.
Is surgery the only option to treat BPH?
Medicines are available, but they cannot completely cure BPH, they can only treat the symptoms related to an enlarged prostate. These drugs contain dutasteride, a testosterone modifying drug and alpha-blockers. Some men complain of loss of libido with dutasteride medication and the alpha blockers can cause nasal congestion, postural hypotension (low blood pressure that happens when standing up), giddiness and retrograde ejaculation (known as dry orgasm).
Transurethral resection of the prostate (TURP) is the gold standard surgical intervention for the condition of prosthetic bladder neck obstruction causing lower urinary tract symptoms (BPH).
More recently a device called UroLift was introduced into clinical practice.
Let’s dig in a bit deeper.
UroLift insertion involves a day in hospital, a general anaesthetic and a telescope inserted into the penis up to the prostate gland. A number of small “Staples” are deployed to pull the prostate lobes apart.
This procedure does not cause retrograde ejaculation and is therefore suitable for men who may wish to father children in the future. Retrograde ejaculation is where at the point of orgasm the pumping sensation of orgasm is experienced however the semen goes back into the bladder and is past when the bladder is subsequently emptied (this is also know as dry orgasm). The opposite, anti-grade ejaculation is necessary for fertility.
UroLift is not as good as formal prostate resection (TURP) at relieving bladder neck obstructive symptoms though can be used as a temporary measure for men who wish to retain fertility.
Transurethral Resection of the Prostate (TURP)
This is the gold standard procedure for relieving prostatic bladder neck obstruction. It involves a general anaesthetic and a hospital stay. The obstructing centrally placed prostatic tissue is endoscopically respected and a channel is created such that the man once again voids with a good strong flow and complete bladder emptying similar to his younger years.
It is highly effective. When the operation is performed well, the recurrence rate is only 10% over a 10 year period.
More importantly, TURP surgery does not interfere with erectile function. However, it does cause retrograde ejaculation and should not be performed for a man who may want to father children in the future.
Which procedure provides better results, TURP or UroLift?
Even though the urinary function is improved after both procedures, the degree of improvement varies. After UroLift for BPH, the urinary function is improved by 30%. It results in less frequent urination, but the improvement is less significant than that of the TURP procedure.
How Long Does It Take to Recover from Urolift and TURP?
After UroLift surgery recovery is quick. The patient may experience frequency, urgency and blood in the urine for a short period, however there is generally no pain associated.
How Long Does It Take to Recover from TURP?
Similarly after TURP surgery no pain is experienced, and irritating symptoms such as frequency, urgency and getting up at night generally get better over a six week period.
Return to work is generally within seven days.