Does benign prostatic hyperplasia require surgery?

Patient's question:

I recently don't know why my lower abdomen is very uncomfortable, and I also don't get morning erections anymore. Do I need surgery for benign prostatic hyperplasia?

Doctor's answer:

Surgical removal of the hyperplastic prostate tissue is the fundamental method to cure benign prostatic hyperplasia (BPH). There are several surgical approaches for treating BPH:
  1. Bilateral orchiectomy, suitable for palliative surgery;
  2. Transurethral resection of the prostate (TURP), suitable for palliative surgery;
  3. Suprapubic transvesical prostatectomy, applicable for open surgery;
  4. Retropubic prostatectomy, applicable for open surgery;
  5. Perineal prostatectomy, applicable for open surgery.

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