{"id":315881,"date":"2025-11-03T10:47:10","date_gmt":"2025-11-03T10:47:10","guid":{"rendered":"https:\/\/www.pierluigibove.com\/2025\/11\/03\/when-is-the-right-time-to-undergo-prostate-surgery-the-urologists-advice-prof-bove-speaks\/"},"modified":"2026-01-13T16:23:39","modified_gmt":"2026-01-13T16:23:39","slug":"when-is-the-right-time-to-undergo-prostate-surgery-the-urologists-advice-prof-bove-speaks","status":"publish","type":"post","link":"https:\/\/www.pierluigibove.com\/en\/2025\/11\/03\/when-is-the-right-time-to-undergo-prostate-surgery-the-urologists-advice-prof-bove-speaks\/","title":{"rendered":"When is the right time to undergo prostate surgery? The urologist\u2019s advice. Prof. Bove speaks"},"content":{"rendered":"\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color has-medium-font-size wp-elements-d9b53ff4c3dc34aa1e4c915754e4315a wp-block-paragraph\">When is the right time to undergo prostate surgery? The urologist\u2019s advice. Prof. Bove speaks  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Overcoming fears and false beliefs with the urologist\u2019s guidance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Benign prostatic hyperplasia is a very common condition which, with advancing age, affects a large proportion of the male population. One of the most frequent questions that Professor Pierluigi Bove receives from his patients concerns <strong>the right moment to proceed with surgical treatment.<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Many men approach this prospect with reluctance, fuelled by fears and prejudices: the belief that prostate surgery automatically means loss of sexual function or incontinence.<br>\u201cIn reality,\u201d explains Professor Bove, \u201cin the vast majority of cases none of this happens at all. <strong>The procedure is safe<\/strong> and offers a high level of post-operative satisfaction.\u201d <\/p>\n\n\n\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color has-medium-font-size wp-elements-f931df7b3a379aa2a744d8e61d70bf96 wp-block-paragraph\">Why you should not wait too long<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Surgery is not only a response to symptoms, but above all <strong>a preventive measure<\/strong> against more serious complications. If neglected, benign prostatic hyperplasia can lead to consequences such as: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li style=\"font-size:16px\"><strong>Bladder dysfunctions<\/strong> such as overactivity (increased urinary frequency and urgency; a sign of decompensation which, in some cases, may not regress after surgery) or, conversely, hypocontractility or areflexia (loss of the bladder\u2019s ability to contract and generate adequate pressure, resulting in urinary retention);<\/li>\n\n\n\n<li style=\"font-size:16px\"><strong>recurrent urinary tract infections;<\/strong><\/li>\n\n\n\n<li style=\"font-size:16px\"><strong>bladder stones;<\/strong><\/li>\n\n\n\n<li style=\"font-size:16px\"><strong>dilation of the upper urinary tract<\/strong> (hydronephrosis), potentially progressing to renal function impairment.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">\u201cOur goal,\u201d stresses Professor Bove, \u201cis to prevent potentially disabling complications. One should not reach a point of no return, when the bladder has already lost or altered its function in an irreversible way.\u201d <\/p>\n\n\n\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color has-medium-font-size wp-elements-e458b5e10bf83aa7c84fcbfeb8a4e5f8 wp-block-paragraph\">How the decision to operate is made<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">The decision is based on two main factors:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li style=\"font-size:16px\"><strong>When the patient\u2019s symptoms significantly affect quality of life:<\/strong> frequent night-time awakenings, urgency, weak urinary stream, or difficulty emptying the bladder.<br><\/li>\n\n\n\n<li style=\"font-size:16px\"><strong>Diagnostic tests:<\/strong> uroflowmetry is the cornerstone of diagnostics because it provides a clear idea of urinary flow morphology and supplies data on flow rate reduction (ml\/sec). Even a simple bladder ultrasound can provide information on prostate morphology and size (important data for determining the most appropriate therapeutic strategy), as well as an estimate of post-void residual urine.  <\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">These tools allow detection of urinary flow obstruction even when the patient is not fully aware of it. It is not uncommon for some men to minimise symptoms or gradually adapt to them. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">\u201cOne of the most common mistakes,\u201d explains Professor Bove, \u201cis thinking that if you get used to urinating in a certain way, then there is no problem. In reality, progression is slow but inevitable, and arriving late makes clinical management more complex.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"631\" src=\"https:\/\/www.pierluigibove.com\/wp-content\/uploads\/2025\/11\/Pierluigi-Bove-Urologist-Blog-Post-When-is-the-right-time-for-prostate-surgery-Prof.-Bove-speaking-1024x631.jpg\" alt=\"\" class=\"wp-image-315890\" srcset=\"https:\/\/www.pierluigibove.com\/wp-content\/uploads\/2025\/11\/Pierluigi-Bove-Urologist-Blog-Post-When-is-the-right-time-for-prostate-surgery-Prof.-Bove-speaking-980x604.jpg 980w, https:\/\/www.pierluigibove.com\/wp-content\/uploads\/2025\/11\/Pierluigi-Bove-Urologist-Blog-Post-When-is-the-right-time-for-prostate-surgery-Prof.-Bove-speaking-480x296.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\"><\/p>\n\n\n\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color has-medium-font-size wp-elements-976d74d66ff9e25d97754f1bc7abb3f5 wp-block-paragraph\">The relationship with the patient<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\"><strong>Every man experiences his symptoms<\/strong> and fears differently. Some arrive at the urologist with significant symptoms, while others report nothing out of reluctance, fear, or embarrassment. There is also an even more challenging category: patients who, despite having evident obstructive disorders, underestimate them because progression has been gradual.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">\u201cIn these cases,\u201d observes Professor Bove, \u201cit is not about convincing the patient, but about explaining clearly. Only once he has understood and processed the information will he be ready to face surgery with peace of mind.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">This approach reflects Professor Bove\u2019s clinical philosophy: <strong>listening, explaining, personalising.<\/strong> Every patient has his own history, fears, and timing.<\/p>\n\n\n\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color has-medium-font-size wp-elements-a7bbb3107ba95ba8da957a21a979a2a7 wp-block-paragraph\">Fears and false beliefs<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Much of the resistance to surgery stems from incorrect beliefs, often fuelled by informal stories or \u201cbar talk.\u201d It is thought that surgery inevitably leads to serious complications, but reality is different. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Procedures for benign prostatic hyperplasia, in the vast majority of cases, do not involve problems of incontinence or erectile dysfunction. These complications are mainly associated with oncological procedures, that is, surgeries for cancer (where the entire prostate is removed: \u201cprostatectomy\u201d), and not with benign disease (where only the central portion is removed: \u201cadenomectomy\u201d). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">The most common complication is <strong>retrograde ejaculation,<\/strong> meaning the backward flow of semen into the bladder at the time of orgasm (\u201cdry\u201d orgasm). Semen is therefore not seen externally and is eliminated with urine during the subsequent voiding. This condition, already known to patients using alpha-blocker medications (tamsulosin, silodosin, etc.), <strong>is NOT a pathology<\/strong> and does not affect sexual desire, erection, or orgasm. It is nevertheless an alteration of a physiological process that the patient must be aware of prior to surgery and which, in some cases, may cause psychological discomfort, particularly in younger patients. There are techniques and technologies (MIST) that offer the possibility of preserving ejaculation to varying degrees, with results dependent on optimal patient selection <strong>(\u201cthere is no one technique suitable for everyone, but many available treatments that must be chosen appropriately\u201d).<\/strong>      <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">\u201cProstate surgery for hyperplasia,\u201d reiterates Professor Bove, \u201cis a routine, safe, and effective procedure. Within one month, at most one and a half months, recovery is complete and patient satisfaction is very high.\u201d <\/p>\n\n\n\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color has-medium-font-size wp-elements-a4b76f8b9ced18d8329748f0f6773ba5 wp-block-paragraph\"><strong>Who surgery is for<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Although the most affected age group is over 60, there are cases in which prostatic obstruction appears as early as the forties. What matters is <strong>not underestimating symptoms<\/strong> and <strong>relying on an experienced urologist<\/strong> capable of carefully assessing the situation and proposing the most suitable solution. With increasing life expectancy, it is now increasingly common for patients over eighty to request treatment for benign prostatic hyperplasia. These are often \u201cfragile\u201d patients with multiple comorbidities and polypharmacy. Even in these cases, surgical treatments are possible within high-level facilities with expert teams (nurses, anaesthesiologists, and surgeons) and appropriate technology (mini- and micro-invasive).    <\/p>\n\n\n\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color has-medium-font-size wp-elements-c736887031ef50380c7d11905d32d578 wp-block-paragraph\">A message of clarity and trust<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Prostate surgery should not be perceived as a traumatic event, but as an opportunity to prevent future damage and improve quality of life. Thanks to modern techniques and specialist expertise, it is now a safe procedure with rapid recovery times and excellent outcomes. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Professor Bove therefore encourages men not to be held back by unfounded fears, but to <strong>speak openly with their urologist.<\/strong><br>\u201cIt is the physician\u2019s role,\u201d he concludes, <strong>\u201cto guide the patient with balance,<\/strong> reassure him, and indicate the right time to intervene, avoiding complications and restoring well-being.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.pierluigibove.com\/urgenze\/\" style=\"background-color:#10b899\" rel=\"nofollow\">BOOK AN APPOINTMENT<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\"><strong>References:<br><\/strong>prostate surgery Rome, when to undergo prostate surgery, benign prostatic hyperplasia, enlarged prostate symptoms, benign prostatic hyperplasia diagnosis, benign prostatic hyperplasia treatment Rome, minimally invasive prostate approach, robotic urologic surgery, prostate laser Rome, Rezum prostate, Urolift prostate, HoLEP, ThuLEP, TPLA, MIST prostate surgery, focal prostate therapy, personalised prostate surgery, precision urologic medicine, prostate volume, reduced urinary flow, functional urinary assessment, prevention of urinary complications, prostate surgery without catheter, rapid post-operative recovery prostate, preservation of sexual function, ejaculation preservation, risk of retrograde ejaculation, prostate quality of life, prostate expert Rome, urology centre of excellence Rome, Prof. Pierluigi Bove, U.O.S.D. Robotic and Minimally Invasive Urology URMI, Policlinico Tor Vergata, R.U.NET Rome Urology Network, UPMC Salvator Mundi, urologic consultation Rome, minimally invasive prostate treatment, laser prostate surgery, robotic prostate surgery, prostate health awareness, clinical common sense in urology, doctor\u2013patient communication, shared decision-making in prostate surgery, personalised prostate care, modern prostate surgery techniques, Prof. Bove\u2019s clinical experience, urologic innovation Rome<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When is the right time to undergo prostate surgery? The urologist\u2019s advice. Prof. Bove speaks Overcoming fears and false beliefs with the urologist\u2019s guidance. Benign prostatic hyperplasia is a very common condition which, with advancing age, affects a large proportion of the male population. One of the most frequent questions that Professor Pierluigi Bove receives [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":315888,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[59,1,60],"tags":[],"class_list":["post-315881","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-prostate","category-uncategorized","category-urology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.1 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>When is the right time to undergo prostate surgery? 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