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Urologic procedure

Prostate adenectomy

Laparoscopic or robotic approach for selected cases of very large prostate enlargement.

Prostate adenectomy may be considered when a large prostate causes significant urinary obstruction and requires a specific surgical strategy.

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Visual educativo de planificación endoscópica para RTUP.

Decision pathway

1

Evaluate

Symptoms, studies, and reason for consultation.

  • Review the main symptom and its timeline.
  • Organize studies, reports, and relevant history.
2

Plan

Confirm whether the procedure is appropriate.

  • Compare alternatives before deciding.
  • Clarify preparation, general risks, and expectations.
3

Recover

Follow-up and aftercare.

  • Define follow-up and warning signs.
  • Adjust care according to recovery and findings.

The pathway may change according to available studies, patient safety, and medical judgment.

Understand the procedure

What makes it different

This approach aims to remove the prostate adenoma with minimally invasive technique when size or anatomy justifies it. Laparoscopic or robotic selection depends on the case, availability, and medical judgment.

The indication for any procedure depends on medical evaluation, available studies, and the patient’s overall condition.

When it is discussed

When it may be discussed

  • Very large prostates with significant obstruction.
  • Urinary retention or persistent severe symptoms.
  • Prior surgical recommendation requiring review.
  • Need to compare minimally invasive approaches.

Decision and follow-up

How the next step is organized.

The indication is defined after reviewing studies, patient goals, alternatives, and safety considerations.

Before the procedure

What is reviewed first

Planning requires clear studies, overall evaluation, and discussion of surgical and non-surgical alternatives.

  • Prostate size and imaging studies.
  • Symptoms, urinary function, and history.
  • Surgical risks and medications.
  • Differences among laparoscopic, robotic, and endoscopic options.

Afterward and follow-up

Afterward and follow-up

Follow-up is organized according to the approach, recovery, and findings. A specific recovery timeline should not be assumed before evaluation.

  • Postoperative controls as indicated.
  • Review of urinary symptoms.
  • Activity and medication instructions.
  • Warning signs and contact channel.

Questions for your visit

Useful questions

  • Why would this approach be better for my prostate size?
  • How is it different from HoLEP or TURP?
  • Which risks and preparation should I understand?
  • Where would the procedure be performed?

Frequently asked questions about prostate adenectomy

No. It is especially discussed in larger prostates or cases that require detailed surgical planning. During the visit, available studies, the reason for consultation, and overall condition are reviewed to explain whether this procedure is appropriate and what alternatives may exist.

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The information on this page does not replace a medical consultation. If you have blood in your urine, urinary retention, fever, severe pain, or an elevated PSA, request an evaluation with a urologist.