The London Clinic offers medical therapies, surgical procedures, and innovative new therapies for BPH. These include:
TURP surgery
Transurethral resection of the prostate (TURP) is an operation to remove prostate tissue.
Medication
Drug treatment can improve the symptoms of prostate enlargement, particularly in the early stages.
Aquablation therapy
A minimally-invasive surgical treatment in which the surgeon removes prostate tissue using a heat-free waterjet.
Urolift
A minimally invasive procedure in which the urologist inserts an implant that rapidly improves urine flow without the loss of ejaculatory or erectile function.
Prostate artery embolisation
The London Clinic is one of the first independent hospitals in the UK to offer prostate artery embolisation. The procedure involves blocking the arteries that supply blood to the prostate, causing it to shrink.
iTind
iTind is a temporary implant that the urologists insert in a quick, minimally-invasive procedure. The device presses on the urethra and improves the flow of urine.
Bladder neck incision at The London Clinic
The urologists at The London Clinic perform bladder neck incision under general anaesthetic or using a spinal block so that you are awake but numb below the waist. The procedure lasts less than an hour.
Your surgeon will insert a fine operating telescope called a resectoscope into your penis. They will use specially-designed instruments to make a series of small cuts in the neck of the bladder.
This is the area where an enlarged prostate can restrict urine flow. The incisions open the neck of the bladder, relieving the pressure and boosting urine flow.
Recovery and aftercare
After the procedure, you will need to stay in hospital overnight so that the expert team can monitor and support you as you recover.
You will usually have a tube called a catheter draining your urine. The bladder may be irrigated with fluid to prevent any blood or tissue from the operation blocking the urine flow.
The team will usually remove the catheter after 24-48 hours. When you are passing urine independently, you can go home.
Your team will let you know their findings during surgery and provide individual guidance on aftercare. They will also arrange follow-up.
You should be able to return to work and normal activities after around a month. However, it can take longer if your job involves manual labour.
Passing urine can be uncomfortable for several days. Drink plenty of fluids (at least 2-3 litres a day) to keep the urine dilute and reduce discomfort.
If you are in increasing pain or struggling to empty your bladder, contact the urology team. They will always be on hand if you have any problems or worries.