BPH Surgery

BPH surgery is not a single procedure applied identically to every patient. What matters is a process that decides whether surgery is needed, and which method to use, after comprehensively considering the size and shape of the prostate, the location of the protrusion, bladder function, and any accompanying conditions. Even with the same equipment, results can differ depending on how surgical candidates are selected and what treatment strategy is used.

That is why Goldman Urology Clinic runs a step-by-step BPH surgery system, from pre-operative evaluation to a surgical plan tailored to each patient.

First, a FIVE RADAR–based evaluation analyzes prostate size and shape, changes in bladder function, the site of obstruction, and any complications, giving a precise judgment of whether surgery is needed now and which method suits you.From this we establish a surgical plan that considers not only the symptoms but also the underlying causes and functional changes.

The clinic then weighs the patient's prostate size and protrusion pattern, underlying conditions, and the need to preserve function, and selects, from among a range of surgical options including HoLEP, Aquablation, Rezum, UroLift, and iTind, the most appropriate treatment strategy.Rather than relying on one surgical method, the clinic designs a customized procedure for each patient's condition.

In addition, drawing on over 25 years of clinical experience and more than 6,500 BPH surgery cases, the clinic can handle a wide range of demanding cases, including large prostates over 80g, elderly patients, patients with underlying conditions, and revision surgery.After surgery, uroflowmetry and residual urine tests continuously track voiding changes, and a follow-up system manages both recovery and the risk of recurrence.

Designing the entire process systematically — from pre-operative candidate selection to customized surgical choice and post-operative care — is what characterizes BPH surgery at Goldman.

When choosing a hospital for BPH surgery, what matters more than owning a particular piece of equipment is a clinical system that fully evaluates prostate size and shape, bladder function, and comorbidities, then selects the right surgical method.Even with the same condition, the best surgical method differs with each patient's individual situation.

Therefore, it helps to also review the following criteria.

- Whether a urology specialist provides care and a dedicated BPH clinic is available - Sufficient surgical case volume across various prostate sizes and demanding patients (elderly, with underlying conditions)- A precise diagnostic system that fully evaluates prostate size and shape, obstruction site, and bladder function - A systematic follow-up system that checks post-operative voiding improvement and any complications

In particular, because the choice of surgical method for BPH can vary with not only prostate size but also the protrusion pattern, the site of obstruction, changes in bladder function, and prior treatment, establishing a customized treatment strategy through precise pre-operative evaluation is important.

At Goldman Urology Clinic, for example, a FIVE RADAR–based evaluation of prostate size and shape, bladder function changes, and any complications first determines whether surgery is needed and sets the treatment direction.Depending on the patient's condition, the clinic then selects from among HoLEP, Aquablation, Rezum, UroLift, iTind, and other surgical and non-surgical options to set the right treatment strategy.

In addition, backed by over 6,500 BPH surgeries more than 25 years, the clinic handles demanding cases such as large prostates over 80g, elderly patients, and those with underlying conditions, and manages recovery step by step through a follow-up system that continuously monitors post-operative voiding changes.

Choosing a hospital that carries out this entire process systematically — from precise pre-operative evaluation to a patient-tailored surgical choice and post-operative care — helps in expecting stable surgical results.

Yes, it is possible. Taking anticoagulants or antithrombotic drugs does not by itself rule out BPH surgery. However, the surgical method and whether the medication needs to be adjusted must be decided after a comprehensive review of the type of drug being taken, the patient's cardiovascular condition, prostate size, and voiding status.

Anticoagulants and antiplatelet drugs prevent blood clots, so never stop them on your own.
If they are taken for atrial fibrillation, a prosthetic heart valve, or a coronary stent, stopping can raise the risk of clots or cardiovascular complications.

For such patients, whose medication is hard to stop, it is important to choose a method that treats BPH while accounting for bleeding risk.
For patients with high bleeding risk or who cannot easily stop antithrombotic drugs, HoLEP, which removes enlarged prostate tissue with a laser, is now an option.

However, no single method suits every patient.
Before surgery, discuss your medication and whether to stop or continue it with cardiology and the medical team, and decide together on surgical and anesthesia methods suited to prostate size and voiding function.

Therefore, rather than assuming “I am on anticoagulants, so I cannot have surgery,” tell your medical team exactly what you take and your prostate condition, and discuss the treatment options available.

The cost of BPH surgery varies with prostate size and shape, the surgical method chosen, and the tests and hospitalization required.
Also, because treatment differs with each patient's overall health and treatment plan, it is hard to quote a single fixed cost.

Typical cost ranges for our main surgeries and procedures:

- HoLEP surgery: approx. KRW 1.5–2.5 million - Prostatic urethral lift (UroLift): approx. KRW 3.5–7.5 million - iTind procedure: approx. KRW 5–6 million - Rezum procedure: approx. KRW 9–10 million - Aquablation surgery: approx. KRW 9–11 million

These are average ranges; actual costs vary with prostate size, degree of obstruction, instruments used, and length of stay.Since the right BPH surgery differs by patient, an accurate cost estimate requires a consultation after evaluation with prostate ultrasound and uroflowmetry.