{"id":4311,"date":"2023-03-03T16:26:36","date_gmt":"2023-03-03T15:26:36","guid":{"rendered":"https:\/\/www.kontinenzzentrum.ch\/?page_id=4311"},"modified":"2025-06-13T12:02:05","modified_gmt":"2025-06-13T10:02:05","slug":"prostate-surgery","status":"publish","type":"page","link":"https:\/\/www.kontinenzzentrum.ch\/en\/diagnosis-und-treatment\/prostate-surgery.html","title":{"rendered":"Prostate Surgery"},"content":{"rendered":"<div id=\"pl-4311\"  class=\"panel-layout\" ><div id=\"pg-4311-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-4311-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-4311-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h1>Prostate Surgery: Modern Procedures and Areas of Application<\/h1>\n<p>The majority of men over the age of 50 develop an enlarged prostate. This is usually benign and is not caused by prostate cancer, but by the natural change in hormone levels with age. Nevertheless, <a title=\"Prostate enlargement\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/bladder-dysfunction\/benign-prostate-enlargement.html\">benign prostatic hyperplasia<\/a> (BPH) should be taken seriously, because the enlarged tissue of the inner prostate layer presses on the urethra and bladder. This can result in difficult urination and incontinence.<\/p>\n<p>In the early stages, symptoms are usually treated with herbal substances (e.g. pumpkin seeds) or medication (e.g. alpha-blockers). If the symptoms cannot be adequately controlled with medication or if the medication is not tolerated, <strong>prostate surgery<\/strong> may be considered. The operation reduces the size of the prostate so that it no longer presses on the patient's urethra and bladder. If the enlarged prostate has already led to complications such as <strong>cystitis, bladder stones, urinary retention <\/strong>and <strong>urinary obstruction in the kidneys<\/strong>, prostate surgery is unavoidable.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-4311-0-0-1\" class=\"so-panel widget widget_fn-info-box-widget\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-fn-info-box-widget so-widget-fn-info-box-widget-base\"\n\t\t\t\n\t\t><div class=\"uk-child-width-1-1 uk-grid-match\" uk-grid><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_kontakt.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Find Out More about Treatment Options for Prostate Surgery<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <p><strong>Contact us<\/strong> for a consultation if you are experiencing symptoms of benign prostate enlargement or changes in your bladder function. We will gladly inform you about your individual diagnostic and treatment options as well as the <strong>various procedures available for prostate surgery<\/strong>.<\/p>\n<p><div class=\"uk-flex uk-child-width-auto uk-grid-small\" uk-grid><div><a class=\"uk-button uk-button-primary\" href=\"tel:+41443872910\"><i class=\"fas fa-phone-alt uk-margin-small-right\"><\/i>+41 44 387 29 10<\/a><\/div><div><a class=\"uk-button uk-button-primary\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/about-us\/appointment.html\"><i class=\"fas fa-comments uk-margin-small-right\"><\/i>Book an Appointment Online<\/a><\/div><\/div><\/p>\n        <\/div>\n      <\/div><\/div><\/div><\/div><div id=\"panel-4311-0-0-2\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Examinations and Preparations before a Prostate Operation<\/h2>\n<p>Even a slightly enlarged prostate can restrict the outflow from the bladder and cause the typical symptoms of benign prostate enlargement. These range from a<strong> weak or interrupted urinary stream<\/strong> to a <strong>residual urinary sensation<\/strong> due to <strong>incomplete emptying of the bladder<\/strong> and a <strong>frequent urge to urinate<\/strong> occurring during the day and at night. A sudden urge to urinate that cannot be held back, resulting in an <a title=\"Incontinence - causes, symptoms, types and treatment\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html\">incontinence<\/a>, can also be the result of benign prostatic hyperplasia.<\/p>\n<p>Treatment begins with a medical history, a thorough examination of the patient and consideration of all treatment options. If prostate surgery is necessary, the urologist will provide the patient with comprehensive information about the operation, available methods and their individual risks.<\/p>\n<h3>Examinations for an Enlarged Prostate<\/h3>\n<p>The urologist carries out a series of examinations to clarify prostate enlargement. These include, for example<\/p>\n<ul>\n<li>an ultrasound examination,<\/li>\n<li>the rectal palpation examination<\/li>\n<li>and a blood test.<\/li>\n<\/ul>\n<p>During the blood test, the PSA value is determined in order to rule out cancer. The treatment of prostate cancer requires a completely different approach to the treatment of benign prostate enlargement. In the case of prostate cancer, not only the tumor but the entire prostate is removed (radical prostatectomy). In the treatment of benign prostate enlargement, however, only the inner part of the prostate is removed, leaving the outer part intact. If the enlargement is only slight, the entire tissue can sometimes be preserved.<\/p>\n<h3>Information and Preparation before Surgery<\/h3>\n<p>In the run-up to the <b>prostate operation<\/b>, the doctor will inform the patient in detail about the course of the operation and its prospects of success, possible risks and health consequences. The patient will also be informed about pre- and post-operative care.<\/p>\n<p>Blood values, blood pressure and cardiac activity (ECG) are also measured before the operation. If a patient regularly takes medication, the attending physician will decide before the operation whether and when this medication should be discontinued or replaced by another medication. Depending on the patient's situation, the procedure is performed either under general anesthesia or spinal anesthesia (local anesthesia of the nerves in the spinal cord).<\/p>\n<h2>What Prostate Surgery Methods are Available?<\/h2>\n<p><strong>Prostate surgery<\/strong> is particularly suitable for patients who cannot be treated with medication due to allergies or the occurrence of side effects, or who have already experienced serious complications. In recent years, a number of <strong>prostate surgery methods<\/strong> have been established that enable unimpeded bladder emptying through a relatively minor procedure. Modern robot-assisted prostate surgery methods such as DaVinci surgery are also available today to perform the operation minimally invasively and with the highest precision.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-4311-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-4311-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-4311-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3>Prostate Surgery for Minor Enlargement<\/h3>\n<ul>\n<li><strong>TUIP: Bipolar Prostate Incision<br \/>\n<\/strong>If the prostate is slightly enlarged, a surgical incision of the prostate (<strong>bipolar prostate incision<\/strong>, <strong>TUIP<\/strong>) can be performed.\u00a0This short procedure can be performed under general or spinal anesthesia. In the TUIP method, an optical device and a vaporization probe are inserted via the urethra, which is used to incise the prostate tissue in three places. The drainage pathway from the bladder is reopened. With the bipolar prostate incision, no tissue is removed and the ability to ejaculate is retained.<\/li>\n<li><strong>TUR-P: The Standard Procedure for Benign Prostate Enlargement<\/strong><br \/>\nThe standard procedure for <strong>prostate surgery<\/strong>, which has been tried and tested for decades, is <strong>transurethral resection of the prostate (bipolar TUR-P)<\/strong>. The treatment is carried out by scraping out the prostate using an electric snare that is inserted through the urethra. By removing the tissue in the inner layer of the prostate, the outflow from the bladder is reopened. This procedure can be performed under general or spinal anesthesia.<\/li>\n<\/ul>\n<h3>Surgical Methods for a Severely Enlarged Prostate<\/h3>\n<ul>\n<li><strong>Bipolar Enucleation: Vaporization<\/strong><br \/>\nIn recent years, new procedures have been successfully tested, for example the use of laser resection, laser enucleation or <strong>vaporization (evaporation)<\/strong>. In the case of particularly enlarged prostates, the <strong>bipolar enucleation of the prostate tissue<\/strong> can alleviate the symptoms if the available medication is no longer sufficiently effective. Extensive surgical removal of the enlarged parts of the prostate can be performed under general anesthesia or spinal anesthesia. The procedure is performed using an electric vaporization probe.<\/li>\n<li><strong>Prostate Surgery with Preservation of the Ability to Ejaculate<\/strong><br \/>\nWith methods for treating benign prostate enlargement, erection and orgasm are generally preserved. This means that potency is not affected by any of the procedures. However, the ability to ejaculate is almost always lost when the glandular tissue is removed. If the ability to ejaculate is desired, so-called ejaculation-protective transurethral resection of the prostate and bladder neck can be performed. Not all men can undergo this type of <strong>prostate surgery<\/strong>. In a consultation before the procedure, the doctor will discuss in detail with the patient whether this <strong>prostate surgery method<\/strong> is an option.<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-4311-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-4311-1-1-0\" class=\"so-panel widget widget_fn-image-text-widget panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-fn-image-text-widget so-widget-fn-image-text-widget-base\"\n\t\t\t\n\t\t><div class=\"uk-child-width-1-1 uk-child-width-1-1@s uk-child-width-1-1@m uk-grid-match\" uk-grid><div><div class=\"uk-card-media-top\">\n                <img decoding=\"async\" width=\"400\" height=\"849\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/prostata-op-1.jpeg\" class=\"attachment-full size-full\" alt=\"Prostata Operation Schema: TURP-transurethrale Resektion der Prostata\" srcset=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/prostata-op-1.jpeg 400w, https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/prostata-op-1-141x300.jpeg 141w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/>            <\/div><div class=\"fn-text-image uk-background-muted\">\n              <p>Surgery for benign prostate enlargement (TURP \u2013 transurethral resection of the prostate) The enlarged glandular tissue is gradually removed using an electric loop inserted through the urethra. The outer zone of the prostate is preserved.<\/p>\n          <\/div>\n      <\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-4311-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-4311-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-4311-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Keyhole Method (Minimally Invasive) Using the DaVinci Surgical Robot<\/h2>\n<p><strong>Robot-assisted prostate surgery using the DaVinci robot<\/strong> is a modern, minimally invasive method of treating benign prostate enlargement. It is performed under general anesthesia and requires only a few small incisions at the level of the navel. The doctor guides the surgical instruments through these incisions. The robot-assisted surgical system transmits the surgeon's hand movements to the instruments with ultra-precision. Thanks to the use of high-resolution 3D cameras, the doctor can see the surgical area in ten times magnification and in three dimensions. This allows him to make much smaller, more precise incisions. Robot-assisted prostate surgery using the DaVinci surgical robot is currently one of the best and most sustainable procedures for prostate surgery. The advantages of this surgical method include<\/p>\n<ul>\n<li>less blood loss<\/li>\n<li>less pain after the operation<\/li>\n<li>minor scars<\/li>\n<li>a shorter stay in hospital<\/li>\n<\/ul>\n<h2>Embolization of the Prostate - the Alternative to Surgery<\/h2>\n<p><strong>Prostate<\/strong> <strong>embolization <\/strong> is an option for older men or men with diseases that limit their ability to undergo surgery. With the help of a catheter inserted through the blood vessels in the groin, the side branches of the artery supplying the prostate can be closed. As a result, the prostate shrinks and bladder emptying is easier for the patient again. This procedure is performed on an outpatient basis under local anesthesia - the patient can leave the clinic on the same day. Prostate embolization is a method that has been used successfully for over 20 years by doctors specializing in <a title=\"Men's health and prevention\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/men-s-health.html\">men's health<\/a>.<\/p>\n<h3>Prostate Cancer Requires other Surgical Treatments<\/h3>\n<p>All of the prostate surgery methods listed are only suitable for treating benign prostate enlargement (benign prostatic hyperplasia, BPH). If you are diagnosed with prostate carcinoma (prostate cancer), other treatment methods are required, as the cancer affects the outer layer of the prostate and the diseased cells behave differently than in the case of benign enlargement. Ask a specialist for advice on treatment methods (e.g. radical prostatectomy).<\/p>\n<h2>Hospitalization and Aftercare<\/h2>\n<p><img decoding=\"async\" class=\"alignright\" title=\"Male patient lying in bed during a doctor's visit\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/untersuchung-operation-harnroehre-10221-txt.jpeg\" alt=\"Male patient lying in bed during a doctor's visit\" width=\"493\" height=\"383\" \/>After the procedure, the patient usually stays in the clinic for between 5 and 7 days. <strong>Immediately after the prostate operation<\/strong>, the patient is monitored in a recovery room. In the days following the operation, the bladder is emptied using a bladder catheter. The catheter is removed before the patient leaves the clinic.<\/p>\n<p>Patients should then make sure they drink enough throughout the day. In the following weeks, it is also important to carry out regular exercises to strengthen the pelvic floor muscles in order to maintain continence. As some men cannot perceive their pelvic floor or can only perceive it to a limited extent, aids such as biofeedback can be used during <a title=\"Pelvic floor training\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/pelvic-floor.html\">pelvic floor training<\/a>. Physically strenuous activities and sport should be avoided within six weeks following the operation. Patients should also avoid cycling and motorcycling during this period.<\/p>\n<p>As the outer layer of tissue is preserved when treating a benignly enlarged prostate, the risk of prostate cancer remains. Patients should therefore continue to attend cancer screening examinations with their urologist.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-4311-2-0-1\" class=\"so-panel widget widget_fn-info-box-widget\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-fn-info-box-widget so-widget-fn-info-box-widget-base\"\n\t\t\t\n\t\t><div class=\"uk-child-width-1-1 uk-grid-match\" uk-grid><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_kontakt.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Consult Our Specialists for Information about Prostate Surgery Methods<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <div class=\"row\">\n<div class=\"col-xl-12\">\n<div class=\"info-box\">\n<div class=\"content\">\n<p><b>Contact us<\/b> for a consultation, and we will gladly provide you with information about your individual assessment and treatment options. The KontinenzZentrum Hirslanden is open Monday to Friday from 8 a.m. to 5 p.m. You can reach our centre (KontinenzZentrum Hirslanden) in Zurich by telephone on <b><a class=\"\" href=\"tel:+41443872910\">+41 44 387 29 10<\/a><\/b>. You can also use our <a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/about-us\/appointment.html\"><b>online appointment booking service<\/b><\/a>!<\/p>\n<p><div class=\"uk-flex uk-child-width-auto uk-grid-small\" uk-grid><div><a class=\"uk-button uk-button-primary\" href=\"tel:+41443872910\"><i class=\"fas fa-phone-alt uk-margin-small-right\"><\/i>+41 44 387 29 10<\/a><\/div><div><a class=\"uk-button uk-button-primary\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/about-us\/appointment.html\"><i class=\"fas fa-comments uk-margin-small-right\"><\/i>Book an Appointment Online<\/a><\/div><\/div><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n        <\/div>\n      <\/div><\/div><\/div><\/div><div id=\"panel-4311-2-0-2\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"7\" ><div class=\"fn-lines panel-widget-style panel-widget-style-for-4311-2-0-2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h4>Find Out More about Surgical Procedures for Prostate Enlargement Here (Coming Soon):<\/h4>\n<ul class=\"rex-navi1 rex-navi-depth-1 rex-navi-has-6-elements\">\n<li class=\"rex-article-156 rex-normal\">Bladder neck incision<\/li>\n<li class=\"rex-article-157 rex-normal\">Bipolar prostate incision (TUIP)<\/li>\n<li class=\"rex-article-158 rex-normal\">Bipolar resection of the prostate (TURP)<\/li>\n<li class=\"rex-article-159 rex-normal\">Bipolar prostate enucleation<\/li>\n<li class=\"rex-article-185 rex-normal\">Ejaculation-preserving prostate resection<\/li>\n<li class=\"rex-article-202 rex-normal\">Da Vinci surgery for benign enlarged prostate<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Prostate Surgery: Modern Procedures and Areas of Application The majority of men over the age of 50 develop an enlarged prostate. This is usually benign and is not caused by prostate cancer, but by the natural change in hormone levels with age. Nevertheless, benign prostatic hyperplasia (BPH) should be taken seriously, because the enlarged tissue [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1208,"parent":2106,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4311","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Prostate Surgery: Modern Methods - KontinenzZentrum Hirslanden<\/title>\n<meta name=\"description\" content=\"A prostate surgery can help with benign prostate enlargement. Our specialists will advise you on current methods, areas of application and the procedure.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diagnosis-und-treatment\/prostate-surgery.html\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prostate Surgery: Modern Methods - KontinenzZentrum Hirslanden\" \/>\n<meta property=\"og:description\" content=\"A prostate surgery can help with benign prostate enlargement. 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