Transurethral prostatectomy for prostatitis

This procedure involves removal of part of the prostate gland through the urethra.

A long, thin tube with a viewing instrument (cytoscope) attached is inserted into the urethra. Prostate tissue is removed through the cytoscope.

What To Expect After Surgery

You are usually hospitalized for 2 to 3 days. Complete recovery generally requires 3 to 4 weeks.

Why It Is Done

This surgery may be done for:

  • Chronic bacterial prostatitis that resists antibiotic treatment, with or without infected prostate stones (prostatic calculi).
  • Repeated urinary tract infections because of another prostate problem for which surgery may be appropriate, such as prostate enlargement (benign prostatic hyperplasia, or BPH).

How Well It Works

Few men with chronic bacterial prostatitis have their symptoms improve after this surgery.

Risks

  • Urinary incontinence
  • Inability to get or maintain an erection (erectile dysfunction)

What To Think About

To eliminate category II (chronic bacterial) prostatitis successfully, the surgery must completely remove the portion of the prostate that contains the infection.

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