A 400-gram prostate: does it need open surgery?

Subtitle text

Source: subtitles embedded in the published video.

Text from the published subtitles. Coverage may be partial; consult the video for the full context.

0:26 To give you an idea, a normal prostate weighs about twenty to twenty-five grams. A four hundred gram prostate is sixteen times that, it's like sixteen normal prostates. And with Holmium laser enucleation, it can be operated on in a minimally invasive way.

0:45 What were the traditional operations for very large prostates? Open adenomectomy, a major surgery where an incision was made in the abdomen, the bladder or prostate capsule was opened, and that tissue was removed by hand, that benign tumour which is the prostate adenoma or benign prostatic hyperplasia.

1:05 It works, but it requires several days of hospitalisation. There's a significant risk of bleeding and transfusion, more post-operative pain, and recovery took weeks, and still does in many centres.