Free Module 5 · Prostate and urinary symptoms

Surgical indications

Author and medical review: Dr. Leonardo Romeo, urologist (physician) · Last updated:

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Introduction

What this lesson is about Not every patient with a large prostate needs surgery. Invasive treatment is considered when medical therapy has failed or is not tolerated, when symptoms are persistent and sufficiently bothersome, or when there are complications resulting from obstruction.
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Video lesson

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Summary

Common indications

  • Recurrent or refractory urinary retention.
  • Recurrent urinary tract infections attributable to obstruction.
  • Bladder stones.
  • Recurrent gross hematuria attributable to BPH.
  • Hydronephrosis.
  • Obstruction-related deterioration of renal function.
  • Symptoms refractory to medical therapy.

Key concept

A large prostate does not automatically mean surgery. The decision depends on symptoms, complications, anatomy, response to treatment, and patient preferences.

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Practical algorithm

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Clinical case

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Self-assessment

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