If you have benign prostatic hyperplasia or neurogenic voiding dysfunction, your doctor may recommend a surgical procedure designed to improve urine flow by removing prostate tissue. Our surgeons are experts in both established and leading-edge surgical techniques.
Each of these procedures causes the quantity of semen during orgasm to diminish or disappear in most men.
Transurethral Resection of the Prostate
In transurethral resection of the prostate, your surgeon inserts an instrument into the urethra to shave prostate tissue with electrocautery, a process that involves an electrically activated wire loop, to remove the part of the prostate that is blocking urine flow.
Using general or spinal anesthesia in the hospital, doctors perform this procedure to relieve severe symptoms of benign prostatic hyperplasia. It typically requires one to three days in the hospital.
Greenlight Laser Photovaporization
In greenlight laser photovaporization, high-powered laser energy is used to vaporize the part of the prostate that is blocking urine flow. Performed with general or spinal anesthesia, this surgery typically causes fewer side effects than transurethral resection, such as bleeding, and allows for a quicker recovery.
This surgery can be performed either as an outpatient procedure or with an overnight hospital stay, during which a urinary catheter may be used.
Holmium Laser Enucleation of the Prostate
In a high-tech procedure known as holmium laser enucleation of the prostate, your NYU Langone surgeon uses a laser to remove the prostate tissue that is blocking urine flow, without damaging the surrounding tissue. Performed under general anesthesia in the hospital, this procedure involves removing, or enucleating, prostate tissue that is blocking urine flow by cutting, or morcellating, it into small, easily removable pieces using a laser.
Men who undergo this procedure can expect to recuperate at home and return to work in less than a week. Temporary side effects—including blood and burning with urination, an increase in the frequency and urgency of urination, and mild urine leakage—can last for up to four weeks.
During recovery, you can perform most of your usual activities, except for sexual or strenuous activities.