There are different types of prostate surgery. Endoscopic prostate scraping (TUR-P) surgeries performed in benign prostate enlargement, laser surgeries such as HOLEP, open prostate removal surgeries can be performed. Among these surgeries, endoscopic prostate scraping and HOLEP surgeries are performed without any incision and the patients are sent home without any problems with an average of 2-3 days of hospitalization. In this operation, the risk of anesthesia is also reduced by methods such as spinal anesthesia (waist numbing), even if the patients have a lot of their own chronic diseases.
In open prostate removal surgery applied in benign prostatic enlargement, more bleeding than other methods and an incision of 8-10 cm in the lower abdomen may predispose to some negativities that may develop after the operation. These problems are minimized in centers with experienced teams.
In benign prostate enlargement operations, it is very common for the semen to escape backwards after sexual intercourse in the long term. This is not important for the population that does not want to have children. At very low rates, erectile dysfunction, frequent urination, urinary canal stenosis can also be seen.
Surgery for prostate cancer is a more specific operation and may pose more risks because it may take longer, require general anesthesia, and have a relationship with neighboring organs. However, major side effects and complications are much less common in the operation performed by an experienced surgical and anesthesia team. In open, laparoscopic and robotic methods, depending on the experience of the surgeon, the stage and prevalence of the disease, conditions such as urinary incontinence and erectile dysfunction, urinary tract stenosis may occur in the long term.
The most effective way to minimize the undesirable effects after these operations is to perform these operations in experienced centers and by an experienced surgical team, carefully following the principles.