Prostate adenoma enucleation or prostate excision is a surgical procedure performed in patients with bothersome benign prostatic enlargement.

The exact causes are still unclear, but it is known that testosterone plays a significant role in the development of benign prostatic enlargement, which occurs with age.

Typical symptoms include urinary discomfort such as nocturnal urination, urinary retention, or weakened urinary stream with simultaneously increased bladder emptying pressure, frequent urinary tract infections, bladder stones, or bleeding.

This method is often used as an alternative to endoscopic transurethral prostate treatments.

The Da-Vinci prostate adenoma enucleation is a robot-assisted, minimally invasive keyhole surgery requiring special surgical expertise. Instruments are introduced under general anesthesia through small abdominal incisions and then controlled by the surgeon via a console.

During the operation, only the adenoma tissue is removed, while the remaining parts of the prostate are preserved. At the same time, bladder diverticula or bladder stones can be removed. After reconnecting the bladder to the urethra, an abdominal catheter is placed for healing.

The success of the operation depends on the team’s experience and specific patient data.

Every surgery carries risks such as bleeding during or after the operation, damage to adjacent organs, or wound healing problems.

Previous surgeries, illnesses, or medications can affect the course of the operation and postoperative recovery. These risks are assessed individually based on the patient’s medical history.

Possible side effects include postoperative bleeding, urinary retention, or urinary tract infections. Involuntary urine loss or erectile dysfunction are rare.

After the surgery, which aims at restoring normal urine flow, continuous monitoring of urination is essential. Moreover, a balanced diet, adequate fluid intake, exercise, and sleep support recovery and strengthen long-term health.