Minimally invasive options for enlarged prostate surgery include transurethral microwave therapy, transurethral needle ablation and the UroLift system, according to WebMD. Surgical procedures may be required, such as transurethral resection of the prostate, open prostatectomy, laser surgery and transurethral incision of the prostate.
Transurethral microwave therapy involves the use of a microwave antenna inserted into the bladder, notes WebMD. Heat generated by the microwaves destroys extra prostate tissue. With transurethral needle ablation, a heated needle is inserted through the urethra and into the prostate to decimate excess tissue. The UroLift system uses a permanent implant to pull back prostate tissue pressing against the urethra.
Surgery is usually recommended for treating enlarged prostate complications such as inability to urinate, bladder stones, blood in urine that does not go away, kidney damage or failure to respond to other treatments, explains WebMD. Transurethral resection of the prostate involves removing the inner part of the prostate gland, and this surgery is the most common surgical procedure for an enlarged prostate. Transurethral incisions involve a few small cuts made into the prostate gland to relieve the pressure on the urethra. An open prostatectomy removes all of the enlarged tissue of the prostate.
Doctors who perform a radical prostatectomy remove the entire gland plus some surrounding tissue, according to the American Cancer Society. This procedure is done if cancer has not spread to other organs. A radical prostatectomy can be open surgery or a laparoscopic procedure.