Live results – BPH

Welcome to the results section for treatments for the enlarged prostate (benign prostatic hyperplasia, BPH). In recent years, there has been extensive development in new treatments for BPH. We offer the full range of established treatments for BPH, including the latest advances such as Rezum and UroLift. Here, we publish outcome measures for all these treatments, so you can see the relative strengths of each and help, together with your medical team, to decide what is best for you.

What questions are we asking and why?

We are focusing on the outcomes which matter to patients having treatment for an enlarged prostate. We are focusing on three key questions. Please click on each question for an explanation how we grade answers using traffic light coding.

Did your procedure address your urinary symptoms?

If the procedure addressed urinary symptoms completely, this is graded as a green. If the procedure addressed urinary symptoms somewhat but not completely, this is graded as amber. If urinary symptoms have remained the same or worse as before the procedure, this is graded as red.

Did you have any unexpected complications?

If there were no unexpected complications, this is graded as green. If there were one or two unexpected complications, this is graded as amber. If there were three or more unexpected complications, this is graded as red. Unexpected complications stated are: require a bladder wash-out, need to be re-catheterised, incontinence, impotence, require hospital readmission, urinary tract infection following surgery, urethral stricture. The focus is on complications which are not expected. These are complications we do not ordinarily expect; they are different to features of recovery we do anticipate, such as a little blood in urine and retrograde ejaculation (for some procedures).

Was the outcome from your procedure what you hoped it would be?

If the procedure met all the patient’s hopes and expectations, this is graded as green. If the procedure met hopes and expectations to some extent but not wholly, this is graded as amber. If the procedure has not met hopes and expectations at all, this is graded as red. This measure is taken because in benign disease management, having an operation is often a choice. Here, we are asking, quite simply, whether the patient is pleased they made that choice.

Using the BPH results centre

We recognise that some patients may be trying to decide what procedure is best suited to their needs and priorities. Equally, other patients may want to see all the results for a particular procedure that they are interested in. This results centre is designed to respond in both ways. Please choose:

I want to see all outcomes from GreenLight laser surgery:

Total results: 0

Did your procedure address your urinary symptoms?

Did you have any unexpected complications?

Was the outcome from your procedure what you hoped it would be?

Choose a question and see the outcomes for this question for each procedure:

Total results: 0

GLL alone

Rezum

Urolift

GLL and trim TURP

Please see below for a brief explanation of each procedure. There is a brief summary here but much more detail about all procedures are available on this section of our website.

GreenLight laser surgery

A laser is used to vaporise surplus prostate tissue which is obstructing the urinary flow. Pulses of energy from the laser cause the blood vessels in the surgical area to coagulate so there is very little blood loss.

GreenLight and trim TURP

The majority of surplus prostate tissue is removed using the GreenLight laser, but in the final section of the operation, a resectoscope is used to cut away any remaining flaps of tissue. This is helpful if patients have a large prostate and/or have been catheterised.

UroLift

UroLift is based on lifting the two lobes of the prostate and pulling them apart, like a set of curtains and clipping them in place to create more space to pass urine. It is a day case procedure. It is not suitable for men with large prostates.

Rezum

Rezūm is based on targeting the surplus prostate tissue with water vapour (steam), damaging and killing the tissue. The dead tissue is then removed from the body via the normal process of passing urine.

TURP

TURP stands for a transurethral resection of the prostate and is a surgical procedure that involves cutting away a section of the prostate using a device called a resectoscope, which is a thin metal tube containing a light, camera and loop of wire. It is effective and very long established, but involves a longer recovery time than other treatments.