Surgery for Male Urologic Conditions

Enlarged Prostate

Prostate enlargement, or benign prostatic hyperplasia (BPH), is a common problem in men over age 50. Pressure from the enlarged prostate can cause urinary urgency, frequent urination, and leakage. Moderate symptoms are often treatable with medication.

Treatments for BPH

• Robotic Prostatectomy
  Surgical removal of the prostate may be an option for patients who are healthy enough to have the operation. We offer the most cutting-edge techniques for robotic prostate surgery, including athermal nerve-sparing, bladder neck preservation, and extended pelvic lymph node dissections. The procedure required hospitalization and general anesthesia, and most patients are discharged the day after surgery.
• Transurethral Resection of the Prostate (TURP)
  The surgeon inserts a scope through the urethra. A special cutting tool positioned through the scope uses electricity to remove part of the prostate. This is a minimally invasive, outpatient procedure.
• Transurethral Incision of the Prostate (TUIP)
  This surgery does not involve removing prostate tissue. With the patient under general or spinal anesthesia, the surgeon inserts an instrument into the urethra. The instrument generates an electric current or laser to make incisions in the prostate, next to the bladder. This relaxes the opening to the bladder and makes urination easier.

Peyronie’s Disease

Peyronie's Disease is a painful curvature of the penis during an erection. The condition mainly affects men between the ages of 40 and 60 years. The curvature is caused by an accumulation of plaque-like scar tissue and can be as slight as 10 degrees or so severe that the penis takes on a "U" shape. Peyronie's frequently resolves itself over several months, so treatment may not be considered unless the curvature is severe enough to preclude sexual intercourse.

If there is no improvement with time and nonsurgical therapies, one of the following types of surgery may be the best means to correct Peyronie's:

• Incision/excision and grafting – plaque is partially or completely removed, and the resulting space is covered by a graft
• Plication –surgery is performed to make the longer side of the penis shorter
• Prosthetic implantation – surgical implanting of a penile prosthesis